Oxford Uehiro Centre for Practical Ethics, Suite 8, Littlegate House, St Ebbes Street, Oxford, OX1 1PT, UK.
St. Mary's University, Twickenham, UK.
Sci Eng Ethics. 2020 Oct;26(5):2439-2454. doi: 10.1007/s11948-020-00240-2.
The incorporation of neural-based technologies into psychiatry offers novel means to use neural data in patient assessment and clinical diagnosis. However, an over-optimistic technologisation of neuroscientifically-informed psychiatry risks the conflation of technological and psychological norms. Neurotechnologies promise fast, efficient, broad psychiatric insights not readily available through conventional observation of patients. Recording and processing brain signals provides information from 'beneath the skull' that can be interpreted as an account of neural processing and that can provide a basis to evaluate general behaviour and functioning. But it ought not to be forgotten that the use of such technologies is part of a human practice of neuroscience informed psychiatry. This paper notes some challenges in the integration of neural technologies into psychiatry and suggests vigilance particularly in respect to normative challenges. In this way, psychiatry can avoid a drift toward reductive technological approaches, while nonetheless benefitting from promising advances in neuroscience and technology.
将基于神经的技术纳入精神病学提供了新颖的方法,可在患者评估和临床诊断中使用神经数据。然而,对神经科学为基础的精神病学过分乐观的技术化,可能会将技术和心理规范混淆起来。神经技术承诺快速、高效、广泛的精神病学见解,而这些见解通过传统的患者观察是不容易获得的。记录和处理脑信号提供了来自“颅骨下”的信息,可以将其解释为神经处理的描述,并可以为评估一般行为和功能提供依据。但不应忘记,此类技术的使用是神经科学为基础的精神病学的人类实践的一部分。本文指出了将神经技术纳入精神病学所面临的一些挑战,并建议特别注意规范方面的挑战。通过这种方式,精神病学可以避免向还原技术方法的漂移,同时也可以从神经科学和技术的有希望的进步中受益。