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消除创伤性记忆:当背景和社会利益可能超过个人自主权时。

Erasing traumatic memories: when context and social interests can outweigh personal autonomy.

作者信息

Lavazza Andrea

机构信息

Centro universitario Internazionale, Via Garbasso 42, Arezzo, 52100, Italy.

出版信息

Philos Ethics Humanit Med. 2015 Feb 22;10:3. doi: 10.1186/s13010-014-0021-6.

Abstract

Neuroscientific research on the removal of unpleasant and traumatic memories is still at a very early stage, but is making rapid progress and has stirred a significant philosophical and neuroethical debate. Even if memory is considered to be a fundamental element of personal identity, in the context of memory-erasing the autonomy of decision-making seems prevailing. However, there seem to be situations where the overall context in which people might choose to intervene on their memories would lead to view those actions as counterproductive. In this article, I outline situations where the so-called composition effects can produce negative results for everyone involved, even if the individual decisions are not as such negative. In such situations medical treatments that usually everyone should be free to take, following the principle of autonomy, can make it so that the personal autonomy of the individuals in the group considered is damaged or even destroyed. In these specific cases, in which what is called the "conformity to context" prevails, the moral admissibility of procedures of memory-erasing is called into question and the principle of personal autonomy turns out to be subordinate to social interests benefitting every member of the group.

摘要

关于消除不愉快和创伤性记忆的神经科学研究仍处于非常早期的阶段,但正在迅速取得进展,并引发了一场重大的哲学和神经伦理辩论。即使记忆被视为个人身份的基本要素,在记忆消除的背景下,决策自主权似乎占主导地位。然而,似乎存在这样的情况,即人们可能选择干预自己记忆的总体背景会导致将这些行为视为适得其反。在本文中,我概述了一些情况,即所谓的组合效应可能会给每个相关人员带来负面结果,即使个人决策本身并非负面。在这种情况下,遵循自主权原则,通常每个人都可以自由接受的医疗治疗可能会导致所考虑群体中个人的个人自主权受到损害甚至被破坏。在这些特定情况下,即所谓的“符合情境”占主导地位时,记忆消除程序的道德可接受性受到质疑,个人自主权原则结果从属于使群体每个成员受益的社会利益。

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