Neuroethics and cultural context: The case of electroconvulsive therapy in Argentina

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dc.contributor.authorCastelli, Paula
dc.contributor.authorGuinjoan, Salvador M.
dc.contributor.authorWajnerman-Paz, Abel
dc.contributor.authorSalles, Arleen
dc.date.accessioned2024-09-01T08:00:05Z
dc.date.available2024-09-01T08:00:05Z
dc.date.issued2023
dc.description.abstractAs neuroethics continues to grow as an established discipline, it has been charged with not being sufficiently sensitive to the way in which the identification, conceptualization, and management of the ethical issues raised by neuroscience and its applications are shaped by local systems of knowledge and structures. Recently there have been calls for explicit recognition of the role played by local cultural contexts and for the development of cross-cultural methodologies that can facilitate meaningful cultural engagement. In this article, we attempt to fill this perceived gap by providing a culturally situated analysis of the practice of electroconvulsive therapy (ECT) in Argentina. ECT was introduced as a psychiatric treatment in Argentina in the 1930s but it is largely underutilized. While the use of ECT remains low in several countries, what makes the Argentinian case interesting is that the executive branch of government has taken a stance regarding both the scientific and moral appropriateness of ECT, recommending its prohibition. Here, we begin with a recent controversy over the use of ECT in Argentina and explain the legal recommendation to ban its application. Next, we offer an overview of some of the salient aspect of the international and local discussions on ECT. We argue that the governmental recommendation to ban the procedure should be rethought. While acknowledging the role that contexts and local conditions play in shaping the identification and assessment of the relevant ethical issues, we caution against using contextual and cultural considerations to avoid a necessary ethical debate on controversial issues.
dc.description.funderChilean national research and development agency ANID
dc.fuente.origenWOS
dc.identifier.doi10.1111/dewb.12412
dc.identifier.eissn1471-8847
dc.identifier.issn1471-8731
dc.identifier.scopusidSCOPUS_ID:85195642586
dc.identifier.urihttps://doi.org/10.1111/dewb.12412
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87732
dc.identifier.wosidWOS:001024263200001
dc.information.autorucNo Informado; Wajnerman Paz, Abel; S/I; 1299054
dc.issue.numero3
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final948
dc.pagina.inicio941
dc.revistaDEVELOPING WORLD BIOETHICS
dc.rightsregistro bibliográfico
dc.subjectbioethical principles
dc.subjectcontext
dc.subjectelectroconvulsvive therapy
dc.subjectinformed consent
dc.subjectneuroethics
dc.subject.ods16 Peace and Justice Strong Institutions
dc.subject.odspa16 Paz, justicia e instituciones sólidas
dc.titleNeuroethics and cultural context: The case of electroconvulsive therapy in Argentina
dc.typeartículo
dc.volumen206
sipa.codpersvinculados1299054
sipa.indexWOS
sipa.trazabilidadCarga WOS-SCOPUS;01-09-2024
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