Beauchamp and Childress have performed a great service by strengthening the principle of respect for the patient's autonomy against the paternalism that dominated medicine until at least the 1970s. Nevertheless, we think that the concept of autonomy should be elaborated further. We suggest such an elaboration built on recent developments within the neurosciences and the free will debate. The reason for this suggestion is at least twofold: First, Beauchamp and Childress neglect some important elements of autonomy. Second, neuroscience itself (...) needs a conceptual apparatus to deal with the neural basis of autonomy for diagnostic purposes. This desideratum is actually increasing because modern therapy options can considerably influence the neural basis of autonomy itself.Sabine MNeuroScienceAndNorms: Ethical and Legal Aspects of Norms in Neuroimaging at Bonn University Hospital, Germany. Her main research interests are in neuroethics. She is coauthor of three German books about neuroethics and bioethics.Henrik Walter, M.D., Ph.D., is Full Professor of Medical Psychology at the University of Bonn, Germany, and vice-director of the Department of Psychiatry and Psychotherapy at the University Clinic of Bonn. He is author of Neurophilosophy of Free Will and editor of the book From Neuroethics to Neurolaw?. His research fields are biological psychiatry, cognitive neuroscience, neuroimaging, neurophilosophy, and neuroethics. (shrink)

The French sociological tradition has long regarded the ‘individual’ as a reality situated outside its area of intellection and investigation. According to Durkheim, the individual is a psychological object par excellence. Sociology has thus long favored the study of collectives (groups, classes, categories, institutions, microcosms), suggesting that the individual was a reality which, in itself, fell short of the social. The article discusses a method from the mid-1990s of researching sociology at an individual scale. This approach is essentially embedded in (...) the French sociological tradition, from Durkheim to Bourdieu via Halbwachs, despite the inflections and criticisms it might have of this tradition, while also drawing on the main theoretical knowledge of Norbert Elias’ relational and process-focused sociology. From empirical realization in methodological and theoretical reflexivity, this research program has progressed in dialog with various types of scientific knowledge more classically oriented toward the individual and their mental realities, such as cultural psychology, psychoanalysis, cognitive psychology or the neurosciences. (shrink)

Objective: Caloric vestibular stimulation has traditionally been used as a tool for neurological diagnosis. More recently, however, it has been applied to a range of phenomena within the cognitive neurosciences. Here, we provide an overview of such studies and review our work using CVS to investigate the neural mechanisms of a visual phenomenon - binocular rivalry. We outline the interhemispheric switch model of rivalry supported by this work and its extension to a metarivalry model of interocular-grouping phenomena. In addition, (...) studies showing a slow rate of binocular rivalry in bipolar disorder are discussed, and the relationship between this finding and the interhemispheric switch model is described. We also review the effects of CVS in various clinical contexts, explain how the technique is performed and discuss methodological issues in its application. (shrink)

The impact of current developments in the neurosciences on the concept of psychiatric diseases Content Type Journal Article DOI 10.1007/s10202-008-0054-2 Authors Felix Thiele, Europäische Akademie zur Erforschung von Folgen wissenschaftlich-technischer Entwicklungen Bad Neuenahr-Ahrweiler GmbH Bad Neuenahr-Ahrweiler Germany Barbara Hawellek, Universität Bonn Klinik für Psychiatrie und Psychotherapie Bonn Germany Journal Poiesis & Praxis: International Journal of Technology Assessment and Ethics of Science Online ISSN 1615-6617 Print ISSN 1615-6609 Journal Volume Volume 6 Journal Issue Volume 6, Numbers 1-2.

Debates are taking place on the opportunity or not of establishing links between ethics and neuroscience. At first glance, this proposition jeopardizes a traditional conception of ethics that distinguishes it clearly from the empirical sciences. Taking this step seems to involve a deterministic and reductionist view of ethics. We argue in this article that, contrary to the views of some critics, neuroscience can be useful for ethics. Five arguments against integrating neurosciences in ethics are presented (determinism, naturalistic fallacy, dualism, (...) reductionism and the hegemony of objectivity). We claim that these arguments do not imply the impossibility of the integration of neuroscience in ethics but constitute rather important qualifications that must be taken into account. Our next step is to present an emergentist and interdisciplinary neurophilosophical approach, which we distinguish from the neurophilosophy of ethics proposed by Patricia Churchland. We go on with the presentation of a research sector in neurosciences (neuroscience of moral reasoning and moral emotions) that illustrates the interest of the proposed neurophilosophical approach. The article concludes with critical remarks. (shrink)

In order to maximize human performance, defence forces continue to explore, develop, and apply human performance enhancement (HPE) methods, ranging from pharmaceuticals to (bio)technological enhancement. This raises ethical, legal, and societal concerns and requires organizing a careful reflection and deliberation process, with relevant stakeholders. We discuss a range of ethical, legal, and societal aspects (ELSA), which people involved in the development and deployment of HPE can use for such reflection and deliberation. A realistic military scenario with proposed HPE application can (...) serve as a starting point for such an iterative and participatory process. Stakeholders can discuss this application, modify its features, and design appropriate processes around it – for instance, procedures for informed consent. We propose that organizing aspects into these three categories – ethical, legal, and societal – can help involve appropriate interlocutors at different moments: legal aspects with people in strategy or management roles, from the start of a project; ethical aspects with people in operations and medical roles, during development; and societal aspects with people in communication and personnel roles, during deployment. Notably, we developed and discussed this framework and the three aspects in close collaboration with personnel from the military. (shrink)

The invention of film technologies in France at the end of the 19th century inspired neurologists and associated professionals to engage with this new medium to demonstrate their theories of the brain, the nervous system, and the mind. Beginning with the origins of cinema in Paris, this article explores how film technologies were used at La Salpêtrière, and beyond, to visualise internal mental processes, and to support the burgeoning sciences of the mind. This film-making became increasingly sophisticated by the late (...) 1910s and early 1920s, creating innovative ways to present psychological experiences on film. This article focuses on films produced by Albert Londe, Vincenzo Neri, Gheorghe Marinescu, and Jean Comandon. It argues that these polymaths created new filming techniques that built complexity into the visual articulation of psychological concepts. Their films were essential to shaping early debates in neurology, psychology, and the observational sciences during this critical period in the establishment of the modern sciences of the self. (shrink)

Discourses on Responsible Innovation and Responsible Research and Innovation, in short RI, have revolved around but not elaborated on the notion of critique. In this article, generative critique is introduced to RI as a practice that sits in-between adversarial armchair critique and co-opted, uncritical service. How to position oneself and be positioned on this spectrum has puzzled humanities scholars and social scientists who engage in interdisciplinary collaborations with scientists, engineers, and other professionals. Recently, generative critique has been presented as a (...) solution to the puzzle in interdisciplinary collaborations on neuroscientific experiments. Generative critique seeks to create connections across disciplines that help remake seemingly stable objects in moments when taken-for-granted ways of seeing and approaching objects are unsettled. In order to translate generative critique from the neurosciences to RI, socio-technical integration research is proposed as a practice of generative critique in interdisciplinary RI collaborations. These collaborations aim to account for societal aspects in research and technology development. For this purpose, a variety of approaches have been developed, including STIR and video-reflexive ethnography. STIR and VRE resemble each other but diverge on affective, collaborative, and temporal dimensions. Their juxtaposition serves to develop suggestions for how STIR could be modified on these dimensions to better enact generative critique in interdisciplinary RI collaborations. In this way, the article contributes to ongoing discussions in RI and in the engaged programme in science and technology studies more broadly on the dynamics of positioning in collaborative work. (shrink)

In this paper we argue that there should be a relationship of dialogue (excluding subordination and independence) between neurosciences and normative ethics. Our main argument is based on the fact that knowledge from neuroscience (and, in particular, studies on the causal role of oxytocin in human behavior) can explain and give content to some motivational and psychological limits that would modify moral demands on individuals. We show that in the face of a hypothetical case proposing moral enhancement through the (...) application of aerosolized oxytocin, neuroethical arguments alone are insufficient to determine its moral permissibility or impermissibility. Furthermore, we argue that it is also not possible to establish the superiority of normative arguments, since neuroscience insights are more effective in modifying behaviors constrained by our own physical and neurological constitution. We conclude that both serve to make decisions, both individually and collectively, to try to better accommodate our attitudes and behaviors to what we consider morally right to do. (shrink)

Les relations humaines peuvent-elles transformer nos vies? En croisant le discours de Bergson avec celui des neurosciences cognitives sur la notion de plasticité, ce livre ouvre l'horizon d'une philosophie des relations interhumaines. Il s'agit d'une enquête originale, stimulante et importante, qui ouvre des pistes pour de futures recherches. Y est étudiée a manière dont la plasticité ouvre sur les relations vitales entre les humains, conduisant à des transformations sociales, et à l'espérance que celles-ci doivent continuer à susciter.

In Joseph Butler, we have an account of human beings as moral beings that is, as this essay demonstrates, being supported by the recently emerging findings of the neurosciences. This applies particularly to Butler's portrayal of our empathic emotions. Butler discovered their moral significance for motivating and guiding moral decisions and actions before the neurosciences did. Butler has, in essence, added a sixth sense to our five senses: this is the moral sense by means of which we perceive (...) what we ought or ought not do. The moral sense yields relatively reliable moral perceptions when we love our neighbors as ourselves, and when our love for ourselves is genuine. Accurate moral perceptions will be thwarted by self-deceit—that is, by a self-partiality devoid of neighbor love, a condition that thwarts genuine self-love. This essay explores the parallels between Butler's understanding of self-deceit and Robert J. Lifton's understanding of "doubling.". (shrink)

Freud's legacy deriving from his work The project for a scientific psychology (1895) could give a new impetus to the dialogue between psychoanalysis and neurosciences. A rapproachment phase is warrented. Based on the work of psychoanalysts who are themselves neuroscientists (such as Mauro Mancia, Martha Koukkou and Harold Shevrin) or have a long term dialogue with neuroscientists (Arnold Modell), three points of epistemological congruence are described: dualism is no longer a satisfactory solutioncautions for the centrality of interpretation (hermeneutics)the self-criticism (...) of neuroscientists. (shrink)

Notre entreprise consiste à comparer la théorie cartésienne de l’admiration avec une théorie neuroscientifique de l’évaluation cognitive afin d’établir les filiations et les ruptures conceptuelles et doctrinales qui existent sur ce point avec le cartésianisme. Nous questionnons plus largement le passage de la pure évaluation cognitive au déclenchement des réactions corporelles dans le cadre du processus émotionnel : à quelles difficultés Descartes s’est-t-il confronté dans la description neurologique du passage de la cognition à l’émotion? Et les neurosciences parviennent-elles, dans (...) le rapport qu’elles entretiennent avec les sciences cognitives, à surmonter ces difficultés? Nous comparons ainsi l’articulation entre l’évaluation cognitive et le déclenchement des émotions que développe le neurobiologiste Joseph LeDoux dans son ouvrage The Emotional Brain et les passages où Descartes articule l’admiration avec le déclenchement des autres passions dans les Passions de l’âme et le Traité de l’homme. Cette étude nous conduira finalement à montrer ce que le philosophe peut trouver dans les théories neuroscientifiques pour surmonter certaines difficultés ouvertes par le cartésianisme. (shrink)

Ce livre renouvelle le débat séculaire sur la possibilité de réduire la conscience à un processus neuronal. Il fait du lecteur l'arbitre de l'enquête, non seulement en tant que spectateur rationnel, mais aussi en tant qu'acteur apte à se reconnaître conscient aux moments décisifs de l'argumentation. Le fin mot de l'énigme ne se dissimulerait-il pas dans l'évidence que la question sur l'origine de la conscience a une conscience pour origine? Au cours de cette investigation qui mobilise la phénoménologie, la métaphysique, (...) les pratiques contemplatives, les neurosciences et la théorie de l'évolution, chaque thèse sur la conscience est alors mise à l'épreuve d'un questionnement lancinant : pour qui vaut-elle et dans quel état de conscience doit-on être pour la soutenir? L'objectif n'est pas d'opposer entre elles les doctrines (physicaliste ou dualiste), les stratégies de recherche (objective ou réflexive) et les directions d'étude (physiologique ou introspective), mais de les rapporter aux postures existentielles divergentes d'où elles tirent leur pouvoir de persuasion. Une réflexion singulière sur et au coeur de la conscience. (shrink)

"Neuroscience and Philosophy" begins with an excerpt from "Philosophical Foundations of Neuroscience," in which Maxwell Bennett and Peter Hacker question the ...

Since a number of years, popular and scientific interest in resilience is rapidly increasing. More recently, also neuroscientific research in resilience and the associated neurobiological findings is gaining more attention. Some of these neuroscientific findings might open up new measures to foster personal resilience, ranging from magnetic stimulation to pharmaceutical interventions and awareness-based techniques. Therefore, bioethics should also take a closer look at resilience and resilience research, which are today philosophically under-theorized. In this paper, we analyze different conceptualizations of resilience (...) and argue that especially one-sided understandings of resilience which dismiss social and cultural contexts of personal resilience do pose social and ethical problems. On a social level such unbalanced views on resilience could hide and thereby stabilize structural social injustices, and on an individual level it might even lead to an aggravation of stress-related mental health problems by overexerting the individual. Furthermore, some forms of fostering resilience could be a latent form of human enhancement and trigger similar criticisms. (shrink)

The “problem of emotions,” that is, that many of them are both meaningful and corporeal, has yet to be resolved. Western thinkers, from Augustine to Descartes to Zajonc, have handled this problem by employing various forms of mind–body dualism. Some psychologists and neuroscientists since the 1970s have avoided it by talking about cognitive and emotional “processing,” using a terminology borrowed from computer science that nullifies the meaningful or intentional character of both thought and emotion. Outside the Western-influenced contexts, emotion and (...) thought are not seen as distinct kinds of things. Here a solution of sorts is proposed by thinking of emotional expression as a dynamic activity that declares and stirs emotions at the same time. As such, its dynamism may help historians to understand the dramatic changes and trends they investigate. (shrink)

This unique book clearly explains genetic and neuroimaging research on intelligence and how neuroscience findings may lead to enhancing it.

Psychiatry is a discipline on the border between the biomedical sciences on the one hand and the humanities and social sciences (most notably psychology and anthropology) on the other. This unique position undoubtedly contributes to the attractiveness of psychiatry as a medical specialism for many young doctors, but it also causes significant problems. Unlike other medical disciplines, in which the definitions of diseases are based on objective, measurable pathophysiological underpinnings, psychiatric diagnosis and classification has been based on descriptions of inherently (...) subjective mental and behavioral symptoms that are supposed to be deviant from "normal" psychology or behavior, as reflected in the current .. (shrink)