Evidence map›Paper›PMID 26594256›Full record

ArticleNeuroethics

The Ethics of Deep Brain Stimulation for the Treatment of Anorexia Nervosa.

Hannah Maslen, Jonathan Pugh, Julian Savulescu

Abstract read
In one paragraph

Article in Neuroethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Defining Autonomy in Psychiatry.Frontiers in psychiatry · 2022
    Review
  7. Article
  8. Clinicians' views on neuromodulation as a treatment for eating disorders: A qualitative study.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2021
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Brainjacking in deep brain stimulation and autonomy.Ethics and information technology · 2018
    Article
  19. Deep Brain Stimulation, Authenticity and Value.Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hannah MaslenThe Oxford Uehiro Centre for Practical Ethics, Suite 8, Littlegate House 16/17 St Ebbe's Street, Oxford, OX1 1PT UK.
Jonathan PughThe Oxford Uehiro Centre for Practical Ethics, Suite 8, Littlegate House 16/17 St Ebbe's Street, Oxford, OX1 1PT UK.
Julian SavulescuThe Oxford Uehiro Centre for Practical Ethics, Suite 8, Littlegate House 16/17 St Ebbe's Street, Oxford, OX1 1PT UK.

Funding

Wellcome Trust 086041Wellcome Trust 104848Wellcome Trust 104848/Z/14/Z
6 · The paper itself

Abstract

There is preliminary evidence, from case reports and investigational studies, to suggest that Deep Brain Stimulation (DBS) could be used to treat some patients with Anorexia Nervosa (AN). Although this research is at an early stage, the invasive nature of the intervention and the vulnerability of the potential patients are such that anticipatory ethical analysis is warranted. In this paper, we first show how different treatment mechanisms raise different philosophical and ethical questions. We distinguish three potential mechanisms alluded to in the neuroscientific literature, relating to desire, control, and emotion, respectively. We explain why the precise nature of the mechanism has important implications for the patient's autonomy and personal identity. In the second part of the paper, we consider practical dimensions of offering DBS to patients with AN in certain cases. We first discuss some limited circumstances where the mere offering of the intervention might be perceived as exerting a degree of coercive pressure that could serve to undermine the validity of the patient's consent. Finally, we consider the implications of potential effects of DBS for the authenticity of the patient's choice to continue using stimulation to ameliorate their condition.

Indexed as

Anorexia NervosaAuthenticityAutonomyControlDeep brain stimulationDesiresEmotions

Identifiers

PMID26594256
PMCPMC4643100

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.