创作的四十年:从虚无主义到治疗意识障碍的神经伦理学
1Author Affiliations: Division of Medical Ethics, Weill Medical College of Cornell University, New York, New York (Dr Fins); CASBI, The Consortium for the Advanced Study of Brain Injury, Weill Cornell Medical College and The Rockefeller University, New York, New York (Dr Fins); and Visiting Professor of Law and Solomon Center Distinguished Scholar in Medicine, Bioethics and the Law, Yale Law School, New Haven, Connecticut (Dr Fins).
神经伦理学已经发展了40多年,从治疗虚无主义转向认识到意识障碍的可能性. 在技术进步的同时,考虑到残疾人权利对于患者的整合至关重要.
科学领域:
- 神经科学是一个神经科学.
- 医学伦理 医学伦理
- 神经学 神经学
背景情况:
- 这篇文章反思了四十年来关于意识障碍的神经伦理学的演变.
- 它强调了作者从医学学生到该领域的关键人物的旅程.
- 关键的里程碑包括开发诸如持久植物状态和认知运动解离等概念.
研究的目的:
- 追踪神经伦理学在意识障碍方面的历史发展.
- 讨论具有里程碑意义的生命末期病例对治疗前景的影响.
- 倡导将残疾人权利与受影响个人的技术进步相结合.
主要方法:
- 回顾性散文和自传性反思.
- 对意识障碍的医学和伦理观点的历史分析.
- 讨论科学进展,鼻科和神经成像.
主要成果:
- 从治疗虚无主义向意识障碍的治疗可能性的认知转变.
- 认知运动分离在临床护理中的重要性日益增加.
- 承认需要适应有意识障碍的人的残疾权利.
结论:
- 预计神经伦理学和意识障碍治疗领域将继续取得进展.
- 持续的政府支持,特别是来自国家卫生研究院的支持,对于未来的进步至关重要.
- 将技术进步与残疾人权利相结合是改善患者治疗结果和社区包容性的关键.
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