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They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public

Responding to reports of cases of personality change following deep brain stimulation, neuroethicists have debated the nature and ethical implications of these changes. Recently, this literature has been challenged as being overblown and therefore potentially an impediment to patients accessing need...

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Autores principales: Bluhm, Robyn, Castillo, Emily, Achtyes, Eric D., McCright, Aaron M., Cabrera, Laura Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8579329/
https://www.ncbi.nlm.nih.gov/pubmed/34672815
http://dx.doi.org/10.1177/10497323211037642
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author Bluhm, Robyn
Castillo, Emily
Achtyes, Eric D.
McCright, Aaron M.
Cabrera, Laura Y.
author_facet Bluhm, Robyn
Castillo, Emily
Achtyes, Eric D.
McCright, Aaron M.
Cabrera, Laura Y.
author_sort Bluhm, Robyn
collection PubMed
description Responding to reports of cases of personality change following deep brain stimulation, neuroethicists have debated the nature and ethical implications of these changes. Recently, this literature has been challenged as being overblown and therefore potentially an impediment to patients accessing needed treatment. We interviewed 16 psychiatrists, 16 patients with depression, and 16 members of the public without depression, all from the Midwestern United States, about their views on how three electroceutical interventions (deep brain stimulation, electroconvulsive therapy, and transcranial magnetic stimulation) used to treat depression might affect the self. Participants were also asked to compare the electroceuticals’ effects on the self with the effects of commonly used depression treatments (psychotherapy and pharmaceuticals). Using qualitative content analysis, we found that participants’ views on electroceuticals’ potential effects on the self mainly focused on treatment effectiveness and side effects. Our results have implications for both theoretical discussions in neuroethics and clinical practice in psychiatry.
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spelling pubmed-85793292021-11-11 They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public Bluhm, Robyn Castillo, Emily Achtyes, Eric D. McCright, Aaron M. Cabrera, Laura Y. Qual Health Res Research Articles Responding to reports of cases of personality change following deep brain stimulation, neuroethicists have debated the nature and ethical implications of these changes. Recently, this literature has been challenged as being overblown and therefore potentially an impediment to patients accessing needed treatment. We interviewed 16 psychiatrists, 16 patients with depression, and 16 members of the public without depression, all from the Midwestern United States, about their views on how three electroceutical interventions (deep brain stimulation, electroconvulsive therapy, and transcranial magnetic stimulation) used to treat depression might affect the self. Participants were also asked to compare the electroceuticals’ effects on the self with the effects of commonly used depression treatments (psychotherapy and pharmaceuticals). Using qualitative content analysis, we found that participants’ views on electroceuticals’ potential effects on the self mainly focused on treatment effectiveness and side effects. Our results have implications for both theoretical discussions in neuroethics and clinical practice in psychiatry. SAGE Publications 2021-10-21 2021-11 /pmc/articles/PMC8579329/ /pubmed/34672815 http://dx.doi.org/10.1177/10497323211037642 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage)
spellingShingle Research Articles
Bluhm, Robyn
Castillo, Emily
Achtyes, Eric D.
McCright, Aaron M.
Cabrera, Laura Y.
They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public
title They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public
title_full They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public
title_fullStr They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public
title_full_unstemmed They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public
title_short They Affect the Person, but for Better or Worse? Perceptions of Electroceutical Interventions for Depression Among Psychiatrists, Patients, and the Public
title_sort they affect the person, but for better or worse? perceptions of electroceutical interventions for depression among psychiatrists, patients, and the public
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8579329/
https://www.ncbi.nlm.nih.gov/pubmed/34672815
http://dx.doi.org/10.1177/10497323211037642
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