Identifying Relational Applications of Deep Brain Stimulation for Treatment Resistant Depression

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dc.contributor.authorWajnerman-Paz, Abel
dc.date.accessioned2024-09-01T08:00:09Z
dc.date.available2024-09-01T08:00:09Z
dc.date.issued2023
dc.description.abstractThe adaptive BCI known as 'closed-loop deep brain stimulation' (clDBS) is a device that stimulates the brain in order to prevent pathological neural activity and automatically adjusts stimulation levels based on computational algorithms that detect or predict those pathological processes. One of the prominent ethical concerns raised by clDBS is that, by inhibiting or modulating the undesirable neural states of a cognitive agent automatically, the device potentially undermines her autonomy. It has been argued that clDBS is not a threat because autonomy is fundamentally relational, i.e., it essentially depends on external (e.g., social or cultural) factors. If the relational approach to autonomy includes human-computer interaction, then the mechanisms of clDBS, even if external to the brain and exerting some degree of control over the individual, may support her autonomy. However, DBS applications are substantially different from one another, each involving a specific neurological or psychiatric condition, neural target, mechanism and symptom(s), and therefore at least some of them may not fit into the relational analysis. I examine different clDBS applications for treatment resistant depression and claim that while internal capsule/ventral striatum (VC/VS) clDBS is a case of relational autonomy, subgenual cingulate gyrus (Cg25) clDBS is not. Autonomy (relational or otherwise) requires some degree of self-regulation of our motivational states, which is supported by VC/VS DBS but is absent in Cg25 DBS. In Cg25 DBS the device itself directly influences motivational states, thus substituting or overriding (instead of supporting) the auto-regulatory cognitive processes required for autonomous action.
dc.description.funderPontificia Universidad Católica de Chile
dc.format.extent19 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1007/s13164-023-00681-1
dc.identifier.eissn1878-5166
dc.identifier.issn1878-5158
dc.identifier.pubmedidMEDLINE:34098824
dc.identifier.scopusidSCOPUS_ID:85196747744
dc.identifier.urihttps://doi.org/10.1007/s13164-023-00681-1
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87736
dc.identifier.wosidWOS:000943521000001
dc.information.autorucNo Informado; Wajnerman Paz, Abel; S/I; 1299054
dc.issue.numero3
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final62
dc.pagina.inicio37
dc.revistaREVIEW OF PHILOSOPHY AND PSYCHOLOGY
dc.rightsregistro bibliográfico
dc.subjectChildhood
dc.subjectChildren
dc.subjectEthics of parenthood
dc.subjectGratuitousness
dc.subjectParentalrelation
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleIdentifying Relational Applications of Deep Brain Stimulation for Treatment Resistant Depression
dc.typeartículo
dc.volumen206
sipa.codpersvinculados1299054
sipa.indexWOS
sipa.trazabilidadCarga WOS-SCOPUS;01-09-2024
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