Wexler Anna
J Med Ethics. 2016 Apr;42(4):211-5. doi: 10.1136/medethics-2015-102704. Epub 2015 Aug 31.
Scientists and neuroethicists have recently drawn attention to the ethical and regulatory issues surrounding the do-it-yourself (DIY) brain stimulation community, which comprises individuals stimulating their own brains with transcranial direct current stimulation (tDCS) for self-improvement. However, to date, existing regulatory proposals and ethical discussions have been put forth without engaging those involved in the DIY tDCS community or attempting to understand the nature of their practices. I argue that to better contend with the growing ethical and safety concerns surrounding DIY tDCS, we need to understand the practices of the community. This study presents the results of a preliminary inquiry into the DIY tDCS community, with a focus on knowledge that is formed, shared and appropriated within it. I show that when making or acquiring a device, DIYers (as some members call themselves) produce a body of knowledge that is completely separate from that of the scientific community, and share it via online forums, blogs, videos and personal communications. However, when applying tDCS, DIYers draw heavily on existing scientific knowledge, posting links to academic journal articles and scientific resources and adopting the standardised electrode placement system used by scientists. Some DIYers co-opt scientific knowledge and modify it by creating their own manuals and guides based on published papers. Finally, I explore how DIYers cope with the methodological limitations inherent in self-experimentation. I conclude by discussing how a deeper understanding of the practices of DIY tDCS has important regulatory and ethical implications.
科学家和神经伦理学家最近开始关注围绕自己动手(DIY)脑部刺激群体的伦理和监管问题,该群体由一些通过经颅直流电刺激(tDCS)自行刺激大脑以实现自我提升的个人组成。然而,迄今为止,现有的监管提议和伦理讨论在提出时并未与参与DIY tDCS群体的人进行接触,也没有试图去理解他们行为的本质。我认为,为了更好地应对围绕DIY tDCS日益增长的伦理和安全担忧,我们需要了解该群体的行为。本研究展示了对DIY tDCS群体初步调查的结果,重点关注在该群体中形成、分享和应用的知识。我发现,在制作或获取设备时,DIY者(一些成员这样称呼自己)产生了一套与科学界完全不同的知识体系,并通过在线论坛、博客、视频和个人交流来分享它。然而,在应用tDCS时,DIY者大量借鉴现有的科学知识,发布学术期刊文章和科学资源的链接,并采用科学家使用的标准化电极放置系统。一些DIY者借鉴科学知识,并通过根据已发表的论文编写自己的手册和指南来对其进行修改。最后,我探讨了DIY者如何应对自我实验中固有的方法局限性。我通过讨论对DIY tDCS行为的更深入理解如何具有重要的监管和伦理意义来得出结论。