Sarrazin S, Fagot-Largeault A, Leboyer M, Houenou J
Pôle de psychiatrie des hôpitaux universitaires Henri-Mondor, AP-HP, 40, rue de Mesly, 94000 Créteil, France; Inserm unité 955, IMRB, équipe 15 « psychiatrie génétique », 94000 Créteil, France; Fondation FondaMental, 40, rue de Mesly, 94000 Créteil, France; Faculté de médecine, université Paris-Est Créteil, 94000 Créteil, France.
Collège de France, 75005 Paris, France.
Encephale. 2015 Apr;41(2):151-8. doi: 10.1016/j.encep.2013.12.005. Epub 2014 Mar 28.
INTRODUCTION: The recent neuroimaging techniques offer the possibility to better understand complex cognitive processes that are involved in mental disorders and thus have become cornerstone tools for research in psychiatry. The performances of functional magnetic resonance imaging are not limited to medical research and are used in non-medical fields. These recent applications represent new challenges for bioethics. OBJECTIVE: In this article we aim at discussing the new ethical issues raised by the applications of the latest neuroimaging technologies to non-medical fields. METHODS: We included a selection of peer-reviewed English medical articles after a search on NCBI Pubmed database and Google scholar from 2000 to 2013. We screened bibliographical tables for supplementary references. Websites of governmental French institutions implicated in ethical questions were also screened for governmental reports. RESULTS: Findings of brain areas supporting emotional responses and regulation have been used for marketing research, also called neuromarketing. The discovery of different brain activation patterns in antisocial disorder has led to changes in forensic psychiatry with the use of imaging techniques with unproven validity. Automated classification algorithms and multivariate statistical analyses of brain images have been applied to brain-reading techniques, aiming at predicting unconscious neural processes in humans. We finally report the current position of the French legislation recently revised and discuss the technical limits of such techniques. DISCUSSION: In the near future, brain imaging could find clinical applications in psychiatry as diagnostic or predictive tools. However, the latest advances in brain imaging are also used in non-scientific fields raising key ethical questions. Involvement of neuroscientists, psychiatrists, physicians but also of citizens in neuroethics discussions is crucial to challenge the risk of unregulated uses of brain imaging.
引言:最近的神经成像技术为更好地理解精神障碍所涉及的复杂认知过程提供了可能性,因此已成为精神病学研究的基石工具。功能磁共振成像的应用不仅限于医学研究,还被用于非医学领域。这些最新应用给生物伦理学带来了新的挑战。 目的:在本文中,我们旨在探讨最新神经成像技术应用于非医学领域所引发的新伦理问题。 方法:我们在2000年至2013年期间在NCBI Pubmed数据库和谷歌学术上进行搜索后,纳入了一系列经过同行评审的英文医学文章。我们筛选了参考文献列表以获取补充参考文献。还筛选了涉及伦理问题的法国政府机构网站以获取政府报告。 结果:支持情绪反应和调节的脑区研究结果已被用于市场研究,即神经营销。反社会障碍中不同脑激活模式的发现导致法医精神病学发生了变化,使用了有效性未经证实的成像技术。脑图像的自动分类算法和多变量统计分析已应用于脑阅读技术,旨在预测人类的无意识神经过程。我们最后报告了最近修订的法国立法的当前立场,并讨论了此类技术的技术局限性。 讨论:在不久的将来,脑成像可能会在精神病学中作为诊断或预测工具找到临床应用。然而,脑成像的最新进展也被用于非科学领域,引发了关键的伦理问题。神经科学家、精神科医生、内科医生以及公民参与神经伦理学讨论对于应对脑成像不受监管使用的风险至关重要。
Encephale. 2015-4
Harv Rev Psychiatry. 2010
Psychiatr Prax. 2004-11
Behav Sci Law. 2010
Top Magn Reson Imaging. 2008-4
Seishin Shinkeigaku Zasshi. 2013
J Psychiatr Pract. 2009-9