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129Views of Addiction Neuroscientists and Clinicians on the Clinical Impact of a 'Brain Disease Model of Addiction'Neuroethics 7 (1): 19-27. 2013.Addiction is increasingly described as a “chronic and relapsing brain disease”. The potential impact of the brain disease model on the treatment of addiction or addicted individuals’ treatment behaviour remains uncertain. We conducted a qualitative study to examine: (i) the extent to which leading Australian addiction neuroscientists and clinicians accept the brain disease view of addiction; and (ii) their views on the likely impacts of this view on addicted individuals’ beliefs and behaviour. T…Read more
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116Ethical Issues Raised by Proposals to Treat Addiction Using Deep Brain StimulationNeuroethics 4 (2): 129-142. 2010.Deep brain stimulation (DBS) has been proposed as a potential treatment of drug addiction on the basis of its effects on drug self-administration in animals and on addictive behaviours in some humans treated with DBS for other psychiatric or neurological conditions. DBS is seen as a more reversible intervention than ablative neurosurgery but it is nonetheless a treatment that carries significant risks. A review of preclinical and clinical evidence for the use of DBS to treat addiction suggests t…Read more
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95Control and Responsibility in Addicted Individuals: What do Addiction Neuroscientists and Clinicians Think?Neuroethics 7 (2): 205-214. 2013.Impaired control over drug use is a defining characteristic of addiction in the major diagnostic systems. However there is significant debate about the extent of this impairment. This qualitative study examines the extent to which leading Australian addiction neuroscientists and clinicians believe that addicted individuals have control over their drug use and are responsible for their behaviour. One hour semi-structured interviews were conducted during 2009 and 2010 with 31 Australian addiction …Read more
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81The social implications of neurobiological explanations of resistible compulsionsAmerican Journal of Bioethics 7 (1). 2007.The authors comments on several articles on addiction. Research suggests that addicted individuals have substantial impairments in cognitive control of behavior. The authors maintain that a proper study of addiction must include a neurobiological model of addiction to draw the attention of bioethicists and addiction neurobiologists. They also state that more addiction neuroscientists like S. E. Hyman are needed as they understand the limits of their research. Accession Number: 24077921; Authors:…Read more
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76Drug-Induced Impulse Control Disorders: A Prospectus for Neuroethical AnalysisNeuroethics 4 (2): 91-102. 2010.There is growing evidence that dopamine replacement therapy (DRT) used to treat Parkinson’s Disease can cause compulsive behaviours and impulse control disorders (ICDs), such as pathological gambling, compulsive buying and hypersexuality. Like more familiar drug-based forms of addiction, these iatrogenic disorders can cause significant harm and distress for sufferers and their families. In some cases, people treated with DRT have lost their homes and businesses, or have been prosecuted for crimi…Read more
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57I Miss Being Me: Phenomenological Effects of Deep Brain StimulationAmerican Journal of Bioethics Neuroscience 8 (2): 96-109. 2017.The phenomenological effects of deep brain stimulation (DBS) on the self of the patient remains poorly understood and under described in the literature, despite growing evidence that a significant number of patients experience postoperative neuropsychiatric changes. To address this lack of phenomenological evidence, we conducted in-depth, semistructured interviews with 17 patients with Parkinson's disease who had undergone DBS. Exploring the subjective character specific to patients' experience …Read more
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51Disease or Developmental Disorder: Competing Perspectives on the Neuroscience of AddictionNeuroethics 10 (1): 103-110. 2017.Lewis’ neurodevelopmental model provides a plausible alternative to the brain disease model of addiction that is a dominant perspective in the USA. We disagree with Lewis’ claim that the BDMA is unchallenged within the addiction field but we agree that it provides unduly pessimistic prospects of recovery. We question the strength of evidence for the BDMA provided by animal models and human neuroimaging studies. We endorse Lewis’ framing of addiction as a developmental process underpinned by reve…Read more
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50Public Understandings of Addiction: Where do Neurobiological Explanations Fit?Neuroethics 7 (1): 51-62. 2013.Developments in the field of neuroscience, according to its proponents, offer the prospect of an enhanced understanding and treatment of addicted persons. Consequently, its advocates consider that improving public understanding of addiction neuroscience is a desirable aim. Those critical of neuroscientific approaches, however, charge that it is a totalising, reductive perspective–one that ignores other known causes in favour of neurobiological explanations. Sociologist Nikolas Rose has argued th…Read more
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36Deep brain stimulation of the subthalamic nucleus for the treatment of Parkinson’s disease can lead to the development of neuropsychiatric symptoms. These can include harmful changes in mood and behaviour that alienate family members and raise ethical questions about personal responsibility for actions committed under stimulation-dependent mental states. Qualitative interviews were conducted with twenty participants following subthalamic DBS at a movement disorders centre, in order to explore th…Read more
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35Drug Legalization is Not a Masterstroke for Addressing Racial InequalityAmerican Journal of Bioethics 21 (4): 44-46. 2021.Brian Earp and colleagues argue that the major harms associated with the use of illicit drugs largely arise from, or are at least exacerbated by, the fact that their use attracts criminal pe...
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33Ethical Guidelines for Genetic Research on Alcohol Addiction and Its ApplicationsKennedy Institute of Ethics Journal 28 (1): 1-22. 2018.The misuse of alcohol inflicts a major toll on individual users, their families, and the wider society. This includes disruptions of family life, violence, absenteeism and problems in the workplace, child neglect and abuse, and excess morbidity and mortality. The World Health Organization estimates that alcohol ranks eighth among global risk factors for death and is the third leading global risk factor for disease and disability. In the United States, alcohol dependence affects four to five perc…Read more
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30Advancing Medicine Ethically: Important Considerations for Innovative PracticeAmerican Journal of Bioethics 19 (6): 38-40. 2019.Earl (2019) argues that the current uniform restriction of innovative practice limits clinicians’ ability to provide optimal treatment and stunts progress in medicine. We agree that it is important...
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29Ethical, Social and Clinical Challenges in using Deep Brain Stimulation to Treat Addiction and Other Impulsive and Compulsive DisordersJahrbuch für Wissenschaft Und Ethik 19 (1): 163-188. 2015.Name der Zeitschrift: Jahrbuch für Wissenschaft und Ethik Jahrgang: 19 Heft: 1 Seiten: 163-188
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28Avoiding Selective Ethical Objections to NudgesAmerican Journal of Bioethics 12 (2): 12-14. 2012.The American Journal of Bioethics, Volume 12, Issue 2, Page 12-14, February 2012
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26Surveillance Medicine in the DigitalEra: Lessons From Addiction TreatmentAmerican Journal of Bioethics 18 (9): 58-60. 2018.
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23Debunking alarmist objections to the pharmacological prevention of ptsdAmerican Journal of Bioethics 7 (9). 2007.No abstract
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23Standing at the Precipice: A Cautionary Note About Incremental GoodsAmerican Journal of Bioethics Neuroscience 1 (3): 46-48. 2010.
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22Curing Psychopathy: Just Activate the Amygdala?American Journal of Bioethics Neuroscience 7 (3): 164-166. 2016.
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22Changes in Personality Associated with Deep Brain Stimulation: a Qualitative Evaluation of Clinician PerspectivesNeuroethics 14 (1): 109-124. 2019.Gilbert et al. argue that the neuroethics literature discussing the putative effects of Deep Brain Stimulation on personality largely ignores the scientific evidence and presents distorted claims that personality change is induced by the DBS stimulation. This study contributes to the first-hand primary research on the topic exploring DBS clinicians’ views on post-DBS personality change among their patients and its underlying cause. Semi-structured interviews were conducted with sixteen clinician…Read more
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22An Ethical Reevaluation: Where Are the Voices of Those With Anorexia Nervosa and Their Families?American Journal of Bioethics Neuroscience 6 (4): 73-74. 2015.
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21Addiction May Not Be a Compulsive Brain Disease, But It Is More Than Purposeful Medication of Untreated Psychiatric DisordersAmerican Journal of Bioethics Neuroscience 3 (2): 54-55. 2012.
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20Scare-Mongering and the Anticipatory Ethics of Experimental TechnologiesAmerican Journal of Bioethics 9 (5): 47-48. 2009.
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19The Coercive Potential of Digital Mental HealthAmerican Journal of Bioethics 21 (7): 28-30. 2021.Digital mental health can be understood as the in situ quantification of an individual’s data from personal devices to measure human behavior in both health and disease (Huckvale, Venkatesh and Chr...
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19Managing Suicide Risk in Experimental Treatments of Treatment-Resistant DepressionAmerican Journal of Bioethics Neuroscience 4 (1): 38-39. 2013.
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19Throwing the Ethics Book at Professional Organizations in the Neurological SciencesAmerican Journal of Bioethics Neuroscience 8 (4). 2017.
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18Alienation and Authenticity in Parkinson's Disease and Its TreatmentAmerican Journal of Bioethics Neuroscience 5 (4): 54-56. 2014.Why are some patients with Parkinson's disease unhappy about the outcome of deep brain stimulation (DBS)? Meccaci and Haselager (2014) attempt to answer this question by analyzing the seminal case...
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16Beyond the Right to Injectable HeroinAmerican Journal of Bioethics Neuroscience 1 (1): 48-49. 2010.
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15Changes in Personality Associated with Deep Brain Stimulation: a Qualitative Evaluation of Clinician PerspectivesNeuroethics 14 (1): 109-124. 2019.Gilbert et al. argue that the neuroethics literature discussing the putative effects of Deep Brain Stimulation on personality largely ignores the scientific evidence and presents distorted claims that personality change is induced by the DBS stimulation. This study contributes to the first-hand primary research on the topic exploring DBS clinicians’ views on post-DBS personality change among their patients and its underlying cause. Semi-structured interviews were conducted with sixteen clinician…Read more
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14Informed Consent and Voluntariness: Balancing Ethical Demands During Trial RecruitmentAmerican Journal of Bioethics Neuroscience 12 (1): 83-85. 2021.
Clayton, Victoria, Australia