经颅磁刺激(TMS)与人类神经调节的伦理视角
An ethics perspective on transcranial magnetic stimulation (TMS) and human neuromodulation.
作者信息
Illes Judy, Gallo Marisa, Kirschen Matthew P
机构信息
Stanford Center for Biomedical Ethics, Stanford University, CA 94305-5748, USA.
出版信息
Behav Neurol. 2006;17(3-4):149-57. doi: 10.1155/2006/791072.
This paper concerns the ethics of human neuromodulation using transcranial magnetic stimulation (TMS). We examine the challenges of modulating the brain with TMS through the research ethics lens and in clinical medicine for treating frank pathology, primarily in psychiatric diseases. We also consider contemporary issues raised in the neuroethics literature about managing unexpected findings, and relate these to TMS and to other frontier neurotechnology that is becoming openly available in the public domain. We argue that safety and informed consent are of paramount importance for TMS, but that personal values and sociocultural factors must also be considered when examining the promise of this technology and applications that ought to be highlighted for extra precautions.
本文关注使用经颅磁刺激(TMS)进行人类神经调节的伦理问题。我们通过研究伦理视角以及临床医学中治疗明显病变(主要是精神疾病)的角度,审视利用TMS调节大脑所面临的挑战。我们还考虑了神经伦理文献中提出的有关处理意外发现的当代问题,并将这些问题与TMS以及其他正在向公众领域开放的前沿神经技术联系起来。我们认为,安全和知情同意对于TMS至关重要,但在审视这项技术的前景以及应强调采取额外预防措施的应用时,个人价值观和社会文化因素也必须予以考虑。