Framing neuroethics: a sociological assessment of the neuroethical imagination.

Framing neuroethics: a sociological assessment of the neuroethical imagination.
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框架神经伦理学:对神经伦理想象力的社会学评估。

DOI:
10.1080/15265160590960267
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发表时间:
2005
期刊:
The American journal of bioethics : AJOB
影响因子:
--
通讯作者:
DeVries,Raymond
DeVries,Raymond
中科院分区:
--
文献类型:
--
作者:
DeVries,Raymond

文献摘要

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想象还是想象?照片可以改善知情同意,同时也增加了更大强制的可能性。它们可以帮助解释复杂的诊断和程序,但也可能被用来不适当地操纵病人进行危险的手术。最后,这些数据通常作为孤立的神经回路的一部分呈现。人们对各种大脑回路如何相互作用以及一个回路的变化如何影响行为的其他非目标方面(如人格和社会行为方面)的影响知之甚少。我们通过功能性神经影像学方法对大脑行为关系的认识仍然非常粗糙。因此,任何涉及功能性神经外科的知情同意过程都必须包括我们所不知道的以及我们所知道的。对于那些定义我们与自己和他人关系的行为来说,尤其如此。功能性神经外科有可能改变自我/人的自我理解和被社会网络理解。
Imaging or Imagining? pictures can improve informed consent, while at the same time opening up the possibility of greater coercion. They can help in explaining complex diagnosis and procedures but also may be used to unduly manipulate patients into proceeding with a risky surgery. Finally, these data are often presented as parts of isolated neural circuits. There is little understanding of how various brain circuits interface and the implications for how changes in one circuit affect other non-targeted aspects of behavior, such as aspects of personality and social behavior. Our knowledge of brain-behavior relationships as demonstrated via functional neuroimaging methodologies is still very crude. Consequently, any informed consent process that involves functional neurosurgery must include an acknowledgment of what we do not know as well as what we know. This is particularly true for behaviors that define us in relation to ourselves and to others. Functional neurosurgery has the potential to alter a Self/Person both in self-understanding and in being understood by a social network.