Abstract
Informed Consent in Deep Brain Stimulation – Ethical Considerations in a Stress Field of Pride and Prejudice
Highlights
Encouraged by former success with invasive methods and supported by a growing knowledge regarding neuroanatomy and neural circuits underlying psychiatric and neurological diseases, novel and innovative surgical techniques came up
Prompted by growing public criticism, a lack of a sufficient theoretical foundation, the uncertainty of its therapeutic value and severe side effects, the Department of Health, Education, and Welfare (Public Health Service) released strict restrictions regarding the usage of leucotomy in 1978 (Department of Health, Education, and Welfare, 1978); back many other nations already had prohibited this technique
deep brain stimulation (DBS) has proven to be an effective tool for the therapy of movement disorders such as Parkinson’s disease, essential tremor, and dystonia, but it has been successfully applied for the treatment of various psychiatric disorders such as obsessive-compulsion disorder (OCD), depression, Gilles-de-la-Tourette Syndrome, alcoholism, minimal conscious states, and Alzheimer’s dementia. (Freund et al, 2009; Kuhn et al, 2010; Laxton et al, 2010)
Summary
Encouraged by former success with invasive methods and supported by a growing knowledge regarding neuroanatomy and neural circuits underlying psychiatric and neurological diseases, novel and innovative surgical techniques came up. DBS has proven to be an effective tool for the therapy of movement disorders such as Parkinson’s disease, essential tremor, and dystonia, but it has been successfully applied for the treatment of various psychiatric disorders such as obsessive-compulsion disorder (OCD), depression, Gilles-de-la-Tourette Syndrome, alcoholism, minimal conscious states, and Alzheimer’s dementia.
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