Body and Soul: How Neuroimaging Should Revise Tort Perspectives on PTSD.

IF 1.3 4区 哲学 Q2 ETHICS
Alexandra Midler
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引用次数: 0

Abstract

Tort law has traditionally prioritized physical over emotional injury claims, due in part to insufficient methods of quantifying the latter. But advances in neuroimaging now make it possible to measure the distinct (and often chronic) neurological damage caused by PTSD, suggesting that it should be treated as both a physical and emotional harm. I argue that this recategorization may help PTSD victims win just restitution, especially for those from marginalized groups whose suffering has traditionally been overlooked and underappreciated by the legal system. Lingering probative and prejudicial flaws will likely limit current judicial applications of PTSD neuroimaging to citations of aggregate research. Until the technology improves in accuracy and sensitivity, individual PTSD neuroimaging on tort plaintiffs will fail to meet most state and federal evidentiary standards. When it does achieve sufficient reliability, neuroimaging precedent for traumatic brain injury may offer guidance on how to incorporate the technology without creating a "CSI effect" that harms plaintiffs unable to access or afford brain scans. PTSD neuroimaging may ultimately foster a greater appreciation for the physical toll of psychological illnesses, catalyzing the movement to dismantle the mind-body divide in tort jurisprudence.

身体与灵魂:神经影像如何修正创伤后应激障碍的侵权观点。
传统上,侵权法优先考虑身体伤害而不是精神伤害索赔,部分原因是对后者的量化方法不足。但是,神经成像技术的进步使得测量创伤后应激障碍引起的明显的(通常是慢性的)神经损伤成为可能,这表明它应该被视为身体和情感上的双重伤害。我认为,这种重新分类可能会帮助创伤后应激障碍的受害者赢得公正的赔偿,尤其是那些来自边缘群体的人,他们的痛苦传统上被法律体系所忽视和低估。遗留的证据和偏见缺陷可能会限制目前PTSD神经成像的司法应用,使其无法引用综合研究。在技术的准确性和灵敏度提高之前,针对侵权原告的创伤后应激障碍个体神经成像将无法满足大多数州和联邦的证据标准。当它达到足够的可靠性时,创伤性脑损伤的神经成像先例可能会为如何结合该技术提供指导,而不会产生“CSI效应”,损害无法获得或负担不起脑部扫描的原告。创伤后应激障碍的神经成像可能最终会促进人们对心理疾病的生理代价有更大的认识,促进在侵权法中消除身心鸿沟的运动。
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来源期刊
Journal of Law Medicine & Ethics
Journal of Law Medicine & Ethics 医学-医学:法
CiteScore
2.90
自引率
4.80%
发文量
70
审稿时长
6-12 weeks
期刊介绍: Material published in The Journal of Law, Medicine & Ethics (JLME) contributes to the educational mission of The American Society of Law, Medicine & Ethics, covering public health, health disparities, patient safety and quality of care, and biomedical science and research. It provides articles on such timely topics as health care quality and access, managed care, pain relief, genetics, child/maternal health, reproductive health, informed consent, assisted dying, ethics committees, HIV/AIDS, and public health. Symposium issues review significant policy developments, health law court decisions, and books.
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