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全民使用安非他明:为儿童神经增强剂辩护。

Adderall for All: A Defense of Pediatric Neuroenhancement.

作者信息

Flanigan Jessica

机构信息

Leadership Studies, and Philosophy, Politics, Economics, and Law, University of Richmond, 28 Westhampton Way, Richmond, VA, 23173, USA,

出版信息

HEC Forum. 2013 Aug 20. doi: 10.1007/s10730-013-9222-4.

DOI:10.1007/s10730-013-9222-4
PMID:23959502
Abstract

I argue that young patients should be able to access neuroenhancing drugs without a diagnosis of ADHD. The current framework of consent for pediatric patients can be adapted to accommodate neuroenhancement. After a brief overview of pediatric neuroenhancement, I develop three arguments in favor of greater acceptance of neuroenhancement for young patients. First, ADHD is not relevantly different from other disadvantages that could be treated with stimulant medication. Second, establishing a legitimate framework for pediatric neuroenhancement would mitigate the bad effects of diversion and improve research on neuroenhancement and ADHD. Third, some pediatric patients have rights to access neuroenhancements. I then consider several objections to pediatric neuroenhancement. I address concerns about addiction, advertising, authentic development, the parent-child relationship and equal opportunity and conclude that these concerns may inform a framework for prescribing neuroenhancement but they do not justify limits on prescribing.

摘要

我认为,即使没有被诊断患有注意力缺陷多动障碍(ADHD),年轻患者也应该能够获取神经增强药物。目前针对儿科患者的同意框架可以进行调整,以适应神经增强的需求。在对儿科神经增强进行简要概述之后,我提出了三个论据,支持更广泛地接受对年轻患者使用神经增强药物。第一,ADHD与其他可用兴奋剂药物治疗的不利状况并无实质区别。第二,建立一个合理的儿科神经增强框架将减轻药物滥用的不良影响,并改善对神经增强和ADHD的研究。第三,一些儿科患者有权使用神经增强药物。接着,我考虑了对儿科神经增强的几个反对意见。我讨论了对成瘾、广告宣传、真实发育、亲子关系和平等机会的担忧,并得出结论,这些担忧可能为制定神经增强药物的处方框架提供参考,但它们并不能成为限制处方的理由。

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Transcranial Electrical Stimulation to Enhance Cognitive Performance of Healthy Minors: A Complex Governance Challenge.经颅电刺激以增强健康未成年人的认知表现:一项复杂的治理挑战。
Front Hum Neurosci. 2017 Mar 27;11:142. doi: 10.3389/fnhum.2017.00142. eCollection 2017.

本文引用的文献

1
Pediatric neuroenhancement: ethical, legal, social, and neurodevelopmental implications.儿科神经增强:伦理、法律、社会和神经发育影响。
Neurology. 2013 Mar 26;80(13):1251-60. doi: 10.1212/WNL.0b013e318289703b. Epub 2013 Mar 13.
2
Just How Cognitive Is "Cognitive Enhancement"? On the Significance of Emotions in University Students' Experiences with Study Drugs.“认知增强”究竟有多具认知性?论情绪在大学生使用学习药物经历中的重要性。
AJOB Neurosci. 2013 Jan;4(1):4-12. doi: 10.1080/21507740.2012.740141. Epub 2013 Feb 7.
3
Three arguments against prescription requirements.
反对开处方要求的三个论点。
J Med Ethics. 2012 Oct;38(10):579-86. doi: 10.1136/medethics-2011-100240. Epub 2012 Jul 26.
4
When parents do not want their daughters on birth control pills: tips for navigating a difficult clinical situation.当父母不希望女儿服用避孕药时:应对棘手临床情况的小贴士。
J Pediatr Adolesc Gynecol. 2012 Feb;25(1):79-81. doi: 10.1016/j.jpag.2011.07.001.
5
Cognitive neuroenhancement: false assumptions in the ethical debate.认知神经增强:伦理辩论中的错误假设。
J Med Ethics. 2012 Jun;38(6):372-5. doi: 10.1136/medethics-2011-100041. Epub 2012 Jan 6.
6
Human liberation: removing biological and psychological barriers to freedom.人类解放:消除自由的生理和心理障碍。
Monash Bioeth Rev. 2010 Mar;29(1):04.1-18.
7
ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents.ADHD:儿童和青少年注意缺陷多动障碍的诊断、评估和治疗的临床实践指南。
Pediatrics. 2011 Nov;128(5):1007-22. doi: 10.1542/peds.2011-2654. Epub 2011 Oct 16.
8
Are prescription stimulants "smart pills"? The epidemiology and cognitive neuroscience of prescription stimulant use by normal healthy individuals.处方兴奋剂是“聪明药”吗?正常健康个体使用处方兴奋剂的流行病学和认知神经科学。
Psychol Bull. 2011 Sep;137(5):717-41. doi: 10.1037/a0023825.
9
Adolescents, contraception and confidentiality: a national survey of obstetrician--gynecologists.青少年、避孕措施和保密性:对妇产科医生的全国性调查。
Contraception. 2011 Sep;84(3):259-65. doi: 10.1016/j.contraception.2010.12.002. Epub 2011 Jan 20.
10
The "ins" and "outs" of provider-parent communication: perspectives from adolescent primary care providers on challenges to forging alliances to reduce adolescent risk.提供者-家长沟通的“内幕”:青少年初级保健提供者对建立联盟以减少青少年风险所面临挑战的看法。
J Adolesc Health. 2011 Apr;48(4):404-9. doi: 10.1016/j.jadohealth.2010.07.020. Epub 2010 Oct 20.