Situating the self: understanding the effects of deep brain stimulation

Dings, Roy; Bruin, Leon de

doi:10.1007/s11097-015-9421-3

Cited by 26 publications

(21 citation statements)

References 33 publications

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“…Analysing various accounts of this elusive yet familiar phenomenon, Dings and de Bruin (2016) claim that there is profound disagreement regarding a concept that adequately characterises the self in the context of the theoretical debate on the neuroethics of DBS. Furthermore, they argue that most approaches postulate relatively narrow concepts of the self, focusing on one or two of its aspects: the representational (Synofzik & Schlaepfer, 2008), cognitive (Witt et al, 2013), narrative (Schechtman, 2010), relational (Baylis, 2013), or enactive (de Haan et al, 2013) dimensions.…”

Section: Models Of the Self And Their Problemsmentioning

confidence: 99%

“…The aim of this article, however, is not to resolve the complicated ontological issues discussed above, but rather to contribute to PTS by identifying and examining aspects of the self, which are not included in PTS's list, but surely deserve their own place on it. This is crucial for the success of the project of PTS as it aims to: "investigate the full range of potentially relevant DBS-induced changes" (Dings & de Bruin, 2016). This endeavour seems necessary because the list proposed in PTS lacks some important aspects of the self, as Dings and de Bruin themselves acknowledged.…”

Section: The Need To Include Moral Aspects Of the Selfmentioning

confidence: 99%

“…"Gallagher articulates his pattern theory at the meta-theoretical level, where it aims to describe every aspect that can be included in any particular pattern theory of self, and map out all possible pattern theories of self. "(Dings & de Bruin, 2016).…”

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confidence: 99%

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Pattern theory of self and situating moral aspects: the need to include authenticity, autonomy and responsibility in understanding the effects of deep brain stimulation

Zawadzki

2020

Phenom Cogn Sci

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The aims of this paper are to: (1) identify the best framework for comprehending multidimensional impact of deep brain stimulation (DBS) on the self; (2) identify weaknesses of this framework; (3) propose refinements to it; (4) in pursuing (3), show why and how this framework should be extended with additional moral aspects and demonstrate their interrelations; (5) define how moral aspects relate to the framework; (6) show the potential consequences of including moral aspects on evaluating DBS’s impact on patients’ selves. Regarding (1), I argue that the pattern theory of self (PTS) can be regarded as such a framework. In realizing (2) and (3), I indicate that most relevant issues concerning PTS that require resolutions are ontological issues, including the persistence question, the “specificity problem”, and finding lacking relevant aspects of the self. In realizing (4), I identify aspects of the self not included in PTS which are desperately needed to investigate the full range of potentially relevant DBS-induced changes—authenticity, autonomy, and responsibility, and conclude that how we define authenticity will have implications for our concept of autonomy, which in turn will determine how we think about responsibility. Concerning (5), I discuss a complex relation between moral aspects and PTS—on one hand, they serve as the lens through which a particular self-pattern can be evaluated; on the other, they are, themselves, products of dynamical interactions of various self-aspects. Finally, I discuss (6), demonstrating novel way of understanding the effects of DBS on patients’ selves.

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Section: Models Of the Self And Their Problemsmentioning

confidence: 99%

Section: The Need To Include Moral Aspects Of the Selfmentioning

confidence: 99%

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Pattern theory of self and situating moral aspects: the need to include authenticity, autonomy and responsibility in understanding the effects of deep brain stimulation

Zawadzki

2020

Phenom Cogn Sci

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“…Especially closed-loop interaction-i.e. changing the parameters of a device based on the real-time sensing of neurophysiological data-may adversely affect the phenomenological experience of individuals, for example by altering the sense of agency, a subject's sense of authenticity and autonomy, or the self [50][51][52].…”

Section: Possible Neurophenomenological Effects Of Closed-loop Neurotmentioning

confidence: 99%

Big Brain Data: On the Responsible Use of Brain Data from Clinical and Consumer-Directed Neurotechnological Devices

Kellmeyer

2018

Neuroethics

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The focus of this paper are the ethical, legal and social challenges for ensuring the responsible use of Bbig brain data^-the recording, collection and analysis of individuals' brain data on a large scale with clinical and consumer-directed neurotechnological devices. First, I highlight the benefits of big data and machine learning analytics in neuroscience for basic and translational research. Then, I describe some of the technological, social and psychological barriers for securing brain data from unwarranted access. In this context, I then examine ways in which safeguards at the hardware and software level, as well as increasing Bdata literacy^in society, may enhance the security of neurotechnological devices and protect the privacy of personal brain data. Regarding ethical and legal ramifications of big brain data, I first discuss effects on the autonomy, the sense of agency and authenticity, as well as the self that may result from the interaction between users and intelligent, particularly closed-loop, neurotechnological devices. I then discuss the impact of the Bdatafication^in basic and clinical neuroscience research on the just distribution of resources and access to these transformative technologies. In the legal realm, I examine possible legal consequences that arises from the increasing abilities to decode brain states and their corresponding subjective phenomenological experiences on the hitherto inaccessible privacy of these information. Finally, I discuss the implications of big brain data for national and international regulatory policies and models of good data governance.

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“…This strategy was proposed by Dings and de Bruin [133] in relation to their work on the therapeutic use of deep brain stimulation 20 in cases of obsessive-compulsive disorder (OCD). They mapped the DSM-5 definition of OCD onto PTS and found that all aspects of the symptomatology were mapped perfectly in PTS.…”

Section: Narrative As Reflecting the Self-pattern And As A Second-permentioning

confidence: 99%

Towards a Phenomenology of Self-Patterns in Psychopathological Diagnosis and Therapy

Daly

Gallagher

2019

Psychopathology

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Categorization-based diagnosis, which endeavors to be consistent with the third-person, objective measures of science, is not always adequate with respect to problems concerning diagnostic accuracy, demarcation problems when there are comorbidities, well-documented problems of symptom amplification, and complications of stigmatization and looping effects. While psychiatric categories have proved useful and convenient for clinicians in identifying a recognizable constellation of symptoms typical for a particular disorder for the purposes of communication and eligibility for treatment regimes, the reification of these categories has without doubt had negative consequences for the patient and also for the general understanding of psychiatric disorders. We argue that a complementary, integrated framework that focuses on descriptive symptom-based classifications (drawing on phenomenological interview methods and narrative) combined with a more comprehensive conception of the human subject (found in the pattern theory of self), can not only offer a solution to some of the vexed issues of psychiatric diagnosis but also support more efficacious therapeutic interventions.

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Situating the self: understanding the effects of deep brain stimulation

Cited by 26 publications

References 33 publications

Pattern theory of self and situating moral aspects: the need to include authenticity, autonomy and responsibility in understanding the effects of deep brain stimulation

Pattern theory of self and situating moral aspects: the need to include authenticity, autonomy and responsibility in understanding the effects of deep brain stimulation

Big Brain Data: On the Responsible Use of Brain Data from Clinical and Consumer-Directed Neurotechnological Devices

Towards a Phenomenology of Self-Patterns in Psychopathological Diagnosis and Therapy

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