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First published in 1985, Ethical Issues in Psychosurgery examines the continuing debate surrounding the treatment of psychiatric disorder by psychosurgery and its ethical implications. Psychosurgery represents a radical treatment and it therefore raises, in a particularly acute and challenging fashion, questions which are implicit In most therapy. The book offers a focussed study in bioethics, a model for bioethical inquiry, as well as introduction to some of the major problems in bioethics. These range from detailed discussions of informed consent, the sanctity of the brain, and the use of experimental therapies, to wider questions of social contract and professionalization. John Kleinig's balanced and informed treatment of the questions will make this book invaluable not only to those concerned with the philosophy of legal and medical ethics, but also to those in the fields of psychiatric practice and research.
First published in 1985, Ethical Issues in Psychosurgery examines the continuing debate surrounding the treatment of psychiatric disorder by psychosurgery and its ethical implications. Psychosurgery represents a radical treatment and it therefore raises, in a particularly acute and challenging fashion, questions which are implicit In most therapy. The book offers a focussed study in bioethics, a model for bioethical inquiry, as well as introduction to some of the major problems in bioethics. These range from detailed discussions of informed consent, the sanctity of the brain, and the use of experimental therapies, to wider questions of social contract and professionalization. John Kleinig’s balanced and informed treatment of the questions will make this book invaluable not only to those concerned with the philosophy of legal and medical ethics, but also to those in the fields of psychiatric practice and research.
Neurosurgical interventions have the potential to change a person's concept of self, as well as affect their neurological and cognitive function to an unacceptable level for both patient and family. In an increasingly complex and evolving field, the ethical implications of treatments and their eventual outcomes must be carefully balanced. Ethics in Neurosurgical Practice is a comprehensive and practical guide for managing the treatment of patients with debilitating neurosurgical conditions. Chapters address specific conditions, such as traumatic brain injuries, ischemic stroke and spinal surgery, and the ethical challenges that each of these pose. Detailed case studies present potential scenarios that readers might encounter, and their outcomes. Future developments of this fast-paced field are expanded upon, including televised live surgery and the ethical aspects of innovation in neurosurgery. A broad variety of contributors in different fields, including neurosurgeons, intensivists and bioethicists, ensures comprehensive coverage from a range of views and experiences.
The human personality is inextricably bound up with the function of the central nervous system. Diseases and malfunctions of the brain, head injuries and neurosurgical operations can all result in permanently altered behaviour patterns. This interrelation between brain and behaviour is most clearly demonstrated in cases involving functional neurosurgery and severe traumatic lesions. Despite the fact that this interrelation represents an everyday challenge to the neurosurgeon, it is a question which receives less attention than it deserves in neurosurgical meetings. At the Third Convention of the Academia Eurasiana Neurochirurgica the following topics were discussed: - Meaning of human personality - Methodology of personality evaluation - Changes of personality as consequence of severe brain injuries - Epilepsy and personality - Aphasia and personality - Psychosurgery and personality
Psychosurgery, or the surgical treatment of mental disorders, has enjoyed a spectacular revival over the past ten years as new brain stimulation techniques have become available. Neuromodulation offers new possibilities for the treatment of psychiatric disorders such as depression, obsessive-compulsive disorder (OCD), addiction, eating disorders and autism. This work presents the history of this unique specialty and investigates current techniques and ethical challenges. With a wealth of illustrations and detailed anatomical diagrams, it provides essential information for medical practitioners, as well as anyone else interested in the fascinating advances being made in neuroscience today. « I like the book as it provides a very nice overview of psycho- surgery in general. It is easy to understand for any (para)medical practitioner, but even specialists in the field may learn new things. They may also enjoy looking the well-known and less-known figures which illustrate the book. » Professor Bart Nuttin « Reading this book is like reading an anthology, or rather an encyclopaedia of the field of psychiatric surgery, spanning more than a century. This is a work with an unprecedented degree of erudition and knowledge, and the subject is presented in a didactic, scholar, and scientific manner, and is extensively referenced and illustrated. If only one book is to be read by anybody interested in this field, regardless of specialty, this is The Book to read. » Professor Marwan Hariz
Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.
Our ability to map and intervene in the structure of the human brain is proceeding at a very quick rate. Advances in psychiatry, neurology, and neurosurgery have given us fresh insights into the neurobiological basis of human thought and behavior. Technologies like MRI and PET scans can detect early signs of psychiatric disorders before they manifest symptoms. Electrical and magnetic stimulation of the brain can non-invasively relieve symptoms of obsessive-compulsive disorder, depression and other conditions resistant to treatment, while implanting neuro-electrodes can help patients with Parkinsons and other motor control-related diseases. New drugs can help regenerate neuronal connections otherwise disrupted by schizophrenia and similar diseases. All these procedures and drugs alter the neural correlates of our mind and raise fascinating and important ethical questions about their benefits and harms. They are, in a sense, among the most profound bioethical questions we face, since these techniques can touch on the deepest aspects of the human mind: free will; personal identity; the self; and the soul. This is the first single-author book on what has come to be known as neuroethics. Walter Glannon uses a philosophical framework that is fully informed by cutting edge neuroscience as well as contemporary legal cases such as Terri Schiavo, to offer readers an introduction to this fascinating topic. He starts by describing the state of the art in neuroscientific research and treatment, and gives the reader an up-to-date picture of the brain. Glannon then looks at the ethical implications of various kinds of treatments, such as: whether or not brain imaging will end up changing our views on free will and moral responsibility; whether patients should always be told that they are at future risk for neurological diseases; if erasing unconscious emotional memories implicated in depression can go too far; if forcing behavior-modifying drugs or surgery on violent offenders can ever be justified; the implications of drugs that enhance cognitive abilities; and how to define brain death and the criteria for the withdrawal of life-support. While not exhaustive, Glannons work addresses a wide range of fascinating issues and his pathbreaking work should appeal to philosophers, psychiatrists, neurologists, neurosurgeons, radiologists, psychologists, and bioethicists.
​The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience and perceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.
The rise and widespread acceptance of psychosurgery constitutes one of the most troubling chapters in the history of modern medicine. By the late 1950s, tens of thousands of Americans had been lobotomized as treatment for a host of psychiatric disorders. Though the procedure would later be decried as devastating and grossly unscientific, many patients, families, and physicians reported veritable improvement from the surgery; some patients were even considered cured. The Lobotomy Letters gives an account of why this controversial procedure was sanctioned by psychiatrists and doctors of modern medicine. Drawing from original correspondence penned by lobotomy patients and their families as well as from the professional papers of lobotomy pioneer and neurologist Walter Freeman, the volume reconstructs how physicians, patients, and their families viewed lobotomy and analyzes the reasons for its overwhelming use. Mical Raz, MD/PhD, is a physician and historian of medicine.