Seniuk Patrick
Södertörn University, Stockholm, Sweden.
Centre for Studies in Practical Knowledge, School of Culture and Education, Alfred Nobels allé 7, 141 81, Huddinge, Sweden.
Life Sci Soc Policy. 2018 Feb 13;14(1):5. doi: 10.1186/s40504-018-0068-z.
This paper argues that phenomenological insights regarding selfhood are relevant to the informed consent process in the treatment of depression using electro-convulsive therapy (ECT). One of the most significant side-effects associated with ECT is retrograde amnesia. Unfortunately, the current informed consent model does not adequately appreciate the full extent in which memory loss disturbs lived-experience. Through the philosophy of Merleau-Ponty, it is possible to appreciate the way in which memory loss affects a person's self-experience, with emphasis given to one's pre-reflective and embodied, relationship with things in the world. This paper aims to demonstrate that proper informed consent should acknowledge the extent to which repeated ECT treatments affect a patient's sense self.
本文认为，关于自我的现象学见解与使用电休克疗法（ECT）治疗抑郁症的知情同意过程相关。与ECT相关的最显著副作用之一是逆行性失忆。不幸的是，当前的知情同意模式并未充分认识到记忆丧失对生活体验的干扰程度。通过梅洛-庞蒂的哲学，可以理解记忆丧失影响一个人自我体验的方式，重点在于一个人对世界中事物的前反思性和具身化关系。本文旨在证明，恰当的知情同意应承认重复进行ECT治疗对患者自我感的影响程度。
