NeuroethicsPub Date : 2024-01-27DOI: 10.1007/s12152-024-09544-7
Maxence Gaillard
{"title":"Global Versus Local Theories of Consciousness and the Consciousness Assessment Issue in Brain Organoids","authors":"Maxence Gaillard","doi":"10.1007/s12152-024-09544-7","DOIUrl":"https://doi.org/10.1007/s12152-024-09544-7","url":null,"abstract":"<p>Any attempt at consciousness assessment in organoids requires careful consideration of the theory of consciousness that researchers will rely on when performing this task. In cognitive neuroscience and the clinic, there are tools and theories used to detect and measure consciousness, typically in human beings, but none of them is neither fully consensual nor fit for the biological characteristics of organoids. I discuss the existing attempt relying on the Integrated Information Theory and its models and tools. Then, I revive the distinction between global theories of consciousness and local theories of consciousness as a thought-provoking one for those engaged in the difficult task of adapting models of consciousness to the biological reality of brain organoids. The “microconsciousness theory” of Semir Zeki is taken as an exploratory path and illustration of a theory defending that minimal networks can support a form of consciousness. I suggest that the skepticism prevailing in the neuroscience community regarding the possibility of organoid consciousness relies on some assumptions related to a globalist account of consciousness and that other accounts are worth exploring at this stage.</p>","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"38 4 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139579649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2024-01-27DOI: 10.1007/s12152-024-09542-9
Christi R. P. Sullivan, Alex Henry, Jonathan Lehman, Logan Caola, Ziad Nahas, Alik S. Widge, Laura Y. Cabrera, Anita Randolph, Saydra Wilson
{"title":"Rewriting the Script: the Need for Effective Education to Address Racial Disparities in Transcranial Magnetic Stimulation Uptake in BIPOC Communities","authors":"Christi R. P. Sullivan, Alex Henry, Jonathan Lehman, Logan Caola, Ziad Nahas, Alik S. Widge, Laura Y. Cabrera, Anita Randolph, Saydra Wilson","doi":"10.1007/s12152-024-09542-9","DOIUrl":"https://doi.org/10.1007/s12152-024-09542-9","url":null,"abstract":"<p>Depression is a widespread concern in the United States. Neuromodulation treatments are becoming more common but there is emerging concern for racial disparities in neuromodulation treatment utilization. This study focuses on Transcranial Magnetic Stimulation (TMS), a treatment for depression, and the structural and attitudinal barriers that racialized individuals face in accessing it. In January 2023 participants from the Twin Cities, Minnesota engaged in focus groups, coupled with an educational video intervention. Individuals self identified as non-white who had no previous TMS exposure but had tried at least one treatment for their depression. Results revealed that the intervention did not notably change knowledge or stigma about TMS, but attitudes surrounding traveling for treatment changed. Notably, barriers like affordability, frequency of treatment, and lack of knowledge persist. Participants expressed a desire for more information, personal connection, and a tailored educational approach. The study suggests a need for multifaceted strategies to reduce disparities, focusing on education, community-based resources, and policy interventions. Immediate actions that can be taken include the creation of a TMS education program focused on patient engagement and awareness about TMS.</p>","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"55 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139579807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2024-01-18DOI: 10.1007/s12152-023-09541-2
Hannes Wolff
{"title":"Patentability of Brain Organoids derived from iPSC– A Legal Evaluation with Interdisciplinary Aspects","authors":"Hannes Wolff","doi":"10.1007/s12152-023-09541-2","DOIUrl":"https://doi.org/10.1007/s12152-023-09541-2","url":null,"abstract":"<p>Brain Organoids in their current state of development are patentable. Future brain organoids may face some challenges in this regard, which I address in this contribution. Brain organoids unproblematically fulfil the general prerequisites of patentability set forth in Art. 3 (1) EU-Directive 98/44/EC (invention, novelty, inventive step and susceptibility of industrial application). Patentability is excluded if an invention makes use of human embryos or constitutes a stage of the human body in the individual phases of its formation and development. Both do not apply to brain organoids, unless ES-cells are used. Art. 6 (1) EU-Directive 98/44/EC excludes patentability for inventions “the commercial exploitation of which would be contrary to ordre public or morality”. While there is no conceivable scenario, in which the commercial application of current brain organoids violates the <i>ordre public</i>, the same is not necessarily true for future brain organoids. Keeping in mind that a development of consciousness-like abilities in future brain organoids cannot be excluded and that an ability for both physical and psychological suffering has been theorized, both of which are aspects of the <i>ordre public</i>, certain applications of future brain organoids may constitute a violation of the <i>ordre public</i> and therefore lead to an exclusion of patentability.</p>","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"32 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139500724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2024-01-01Epub Date: 2023-11-06DOI: 10.1007/s12152-023-09536-z
Edward Jacobs, Ashleigh Murphy-Beiner, Ian Rouiller, David Nutt, Meg J Spriggs
{"title":"When the Trial Ends: The Case for Post-Trial Provisions in Clinical Psychedelic Research.","authors":"Edward Jacobs, Ashleigh Murphy-Beiner, Ian Rouiller, David Nutt, Meg J Spriggs","doi":"10.1007/s12152-023-09536-z","DOIUrl":"10.1007/s12152-023-09536-z","url":null,"abstract":"<p><p>The ethical value-and to some scholars, necessity-of providing trial patients with post-trial access (PTA) to an investigational drug has been subject to significant attention in the field of research ethics. Although no consensus has emerged, it seems clear that, in some trial contexts, various factors make PTA particularly appropriate. We outline the atypical aspects of psychedelic clinical trials that support the case for introducing the provision of PTA within research in this field, including the broader legal status of psychedelics, the nature of the researcher-therapist/participant relationship, and the extended time-frame of the full therapeutic process. As is increasingly understood, the efficacy of psychedelic-assisted psychotherapy is driven as much by extrapharmacological elements and the cultural therapeutic container as by the drug itself. As such, we also advocate for a refocusing of attention from post-trial access to a broader concept encompassing other elements of post-trial care. We provide an overview of some of the potential post-trial care provisions that may be appropriate in psychedelic clinical trials. Although the World Medical Association's Declaration of Helsinki calls on researchers, sponsors, and governments to make provisions for post-trial access, such provision may feel impracticable or out-of-reach within psychedelic trials that are already constrained by a high resource demand and significant bureaucratic burden. We show how conceiving of post-trial provision as an integral site of the research process, and an appropriate destination for research funding, will serve to develop the infrastructure necessary for the post-legalisation psychedelic medicine ecosystem.</p>","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"17 1","pages":"3"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2023-12-22DOI: 10.1007/s12152-023-09540-3
Viktor Ivanković
{"title":"What (if anything) morally separates environmental from neurochemical behavioral interventions?","authors":"Viktor Ivanković","doi":"10.1007/s12152-023-09540-3","DOIUrl":"https://doi.org/10.1007/s12152-023-09540-3","url":null,"abstract":"<p>Drawing from the literatures on the ethics of nudging and moral bioenhancement, I elaborate several pairs of cases in which one intervention is classified as an environmental behavioral intervention (EBI) and the other as a neurochemical behavioral intervention (NBI) in order to morally compare them. The intuition held by most is that NBIs are by far the more morally troubling kind of influence. However, if this intuition cannot be vindicated, we should at least entertain the <i>Similarity Thesis</i>, according to which EBIs and NBIs share relevant moral features to the extent that moral conclusions about one are implied about the other in the described pairs of cases. I test this thesis by putting forward a number of possible moral grounds for setting EBIs and NBIs apart, including three of the most promising ones – physical invasiveness, disclosure and avoidance, and inevitability. I conclude that although these promising grounds might not bear the full burden of vindicating the intuition against <i>Similarity</i> by themselves, clustering them together can establish discernible moral separation.</p>","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"33 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139018420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2023-11-22DOI: 10.1007/s12152-023-09538-x
J. Lomax Boyd, Nethanel Lipshitz
{"title":"Dimensions of Consciousness and the Moral Status of Brain Organoids","authors":"J. Lomax Boyd, Nethanel Lipshitz","doi":"10.1007/s12152-023-09538-x","DOIUrl":"https://doi.org/10.1007/s12152-023-09538-x","url":null,"abstract":"<p>Human brain organoids (HBOs) are novel entities that may exhibit unique forms of cognitive potential. What moral status, if any, do they have? Several authors propose that consciousness may hold the answer to this question. Others identify various <i>kinds of</i> consciousness as crucially important for moral consideration, while leaving open the challenge of determining whether HBOs have them. This paper aims to make progress on these questions in two ways. First, it proposes a framework for thinking about the moral status of entities other than paradigmatic persons. This framework identifies four qualities that ground moral status: evaluative stance, self-directedness, agency, and other-directedness. Second, we speculate on ways in which these qualities are relevant to dimensions of conscious experience that have been, or could be, identified in nonhuman animals. We further explore how these approaches could be adapted for use in HBOs, and argue that such studies, or something similar to them, will have to be performed if we wish to have empirical indications that HBOs have consciousness of a morally significant kind. We end by proposing that in our current scientific and epistemic situation, it is too soon to attribute any moral status to HBOs, but that this might change in the future.</p>","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"28 ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138506756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2023-11-09DOI: 10.1007/s12152-023-09537-y
Kun Yang, Hongxia Xue, Li Li, Shan Tang
{"title":"Caregivers of ALS Patients: Their Experiences and Needs","authors":"Kun Yang, Hongxia Xue, Li Li, Shan Tang","doi":"10.1007/s12152-023-09537-y","DOIUrl":"https://doi.org/10.1007/s12152-023-09537-y","url":null,"abstract":"Abstract We explored the care experiences and needs of the home caregivers of patients with amyotrophic lateral sclerosis (ALS) to improve their quality of life. We interviewed home caregivers in-depth and analyzed the data using Colaizzi's descriptive phenomenological method. We interviewed 11 home caregivers of patients with ALS with a disease duration between 1.5 and 4 years. Primary caregivers were predominantly female and were the patients' spouses. Daily caregiving time averaged 4–14 h for 0.5–3.5 years. Interview themes included helplessness and adaptation to life changes, hopelessness, compassion for the patient’s prognosis, and expectation for diverse support. The study sample size was limited, as all participants were from a single tertiary hospital, and all patients had severe functional impairment. Caregivers of patients with ALS experience a considerable burden. Patients and their caregivers can benefit from diversified support channels, and assistive communication systems can be applied to home care. Future research will focus on in-home public long-term care services in China.","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":" 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135192421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2023-11-04DOI: 10.1007/s12152-023-09534-1
Anita S. Jwa, Nicole Martinez-Martin
{"title":"Rationales and Approaches to Protecting Brain Data: a Scoping Review","authors":"Anita S. Jwa, Nicole Martinez-Martin","doi":"10.1007/s12152-023-09534-1","DOIUrl":"https://doi.org/10.1007/s12152-023-09534-1","url":null,"abstract":"","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"86 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2023-10-21DOI: 10.1007/s12152-023-09535-0
Marko Jurjako, Luca Malatesti, Inti A. Brazil
{"title":"How to Advance the Debate on the Criminal Responsibility of Antisocial Offenders","authors":"Marko Jurjako, Luca Malatesti, Inti A. Brazil","doi":"10.1007/s12152-023-09535-0","DOIUrl":"https://doi.org/10.1007/s12152-023-09535-0","url":null,"abstract":"","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"96 1-4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135511376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeuroethicsPub Date : 2023-09-27DOI: 10.1007/s12152-023-09526-1
V. Tesink, T. Douglas, L. Forsberg, S. Ligthart, G. Meynen
{"title":"Neurointerventions in Criminal Justice: On the Scope of the Moral Right to Bodily Integrity","authors":"V. Tesink, T. Douglas, L. Forsberg, S. Ligthart, G. Meynen","doi":"10.1007/s12152-023-09526-1","DOIUrl":"https://doi.org/10.1007/s12152-023-09526-1","url":null,"abstract":"Abstract There is growing interest in the use of neurointerventions to reduce the risk that criminal offenders will reoffend. Commentators have raised several ethical concerns regarding this practice. One prominent concern is that, when imposed without the offender’s valid consent, neurointerventions might infringe offenders’ right to bodily integrity. While it is commonly held that we possess a moral right to bodily integrity, the extent to which this right would protect against such neurointerventions is as-yet unclear. In this paper, we will assess whether, why, and how severely three forms of neurointervention might infringe the right to bodily integrity. We show that the severity of the infringement of the right to bodily integrity differs across different forms of neurointervention. Moreover, we argue that mental and behavioral effects of neurointerventions could in some cases be relevant to determining the severity of infringements of the right to bodily integrity.","PeriodicalId":49255,"journal":{"name":"Neuroethics","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135537525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}