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Updated: Feb 22, 2026

Analysis of Gene Expression Changes in the Rat Hippocampus After Deep Brain Stimulation of the Anterior Thalamic Nucleus
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Deep Brain Stimulation, Authenticity and Value.

Jonathan Pugh, Hannah Maslen, Julian Savulescu

    Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees
    |September 23, 2017
    PubMed
    Summary
    This summary is machine-generated.

    Deep brain stimulation (DBS) can alter personality, raising authenticity concerns. This study proposes a new value-based, diachronic model of authenticity to address these ethical challenges.

    Keywords:
    anorexia nervosaauthenticityautonomydeep brain stimulationwell-being

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    Area of Science:

    • Neuroethics
    • Bioethics
    • Philosophy of Mind

    Background:

    • Deep brain stimulation (DBS) interventions raise ethical questions regarding their impact on an individual's personality and authenticity.
    • Existing philosophical accounts of authenticity struggle to fully address the complexities introduced by DBS.

    Purpose of the Study:

    • To develop a novel diachronic, value-based account of authenticity relevant to DBS.
    • To differentiate between trait authenticity and value authenticity in the context of neurointervention.

    Main Methods:

    • Synthesizing existentialist, essentialist, and coherentist (Ekstrom) approaches to authenticity and personal autonomy.
    • Critically engaging with existing synchronic and autonomy-based accounts of authenticity (Nyholm, O'Neill, Erler, Hope).

    Main Results:

    • A diachronic, value-based model of authenticity is proposed, offering practical utility beyond synchronic or trait-focused accounts.
    • The model distinguishes between the authenticity of personal traits and the authenticity of personal values.
    • The application of this model to anorexia nervosa is explored, contrasting it with other authenticity frameworks.

    Conclusions:

    • The proposed diachronic authenticity model provides a nuanced framework for evaluating DBS's impact on personal identity.
    • The study cautions against using authenticity language to justify paternalistic interventions that undermine individuality.
    • Authenticity has prudential value, but its invocation requires careful consideration to uphold individual autonomy.