Neuroethics in Practice

Edited by Anjan Chatterjee and Martha J. Farah

Grapples with the difficult ethical issues confronting cutting-edge technologies and neuroscientific findings concerning brain death, use of brain implants, military uses of memory and enhancement technologies, and much more
Also covers contentious questions surrounding brain damage, competency and responsibility, and responses to new treatments
Chapter authors include well-established neurologists, neuropsychiatrists, medical ethicists, law scholars, and military and intelligence specialists.

Neuroethics in Practice

Edited by Anjan Chatterjee and Martha J. Farah

Description

Neuroethics is concerned with the wide array of ethical, legal and social issues that are raised in research and practice. The field has grown rapidly over the last five years, becoming an active interdisciplinary research area involving a much larger set of academic fields and professions, including law, developmental psychology, neuropsychiatry, and the military.

Neuroethics and Practice helps to define and foster this emerging area at the intersection of neuroethics and clinical neuroscience, which includes neurology, neurosurgery, psychiatry and their pediatric subspecialties, as well as neurorehabiliation, clinical neuropsychology, clinical bioethics, and the myriad other clinical specialties (including nursing and geriatrics) in which practitioners grapple with issues of mind and brain. Chatterjee and Farah have brought together leading neuroethicists working in clinically relevant areas to contribute chapters on an intellectually fascinating and clinically important set of neuroethical topics, involving brain enhancements, brain imaging, competence and responsibility, severe brain damage, and consequences of new neurotechnologies. Although this book will be of direct interest to clinicians, as the first edited volume to provide an overall comprehensive perspective on neurethics across disciplines, it is also a unique and useful resource for a wide range of other scholars and students interested in ethics and neuroscience.

Neuroethics in Practice

Edited by Anjan Chatterjee and Martha J. Farah

Contributors
Preface: Neuroethics in Practice
Anjan Chatterjee and Martha Farah
Part I: BRAIN ENHANCEMENT
1. Enhancement of healthy adult brains
Anjan Chatterjee
2. Brain enhancement and children
Ilina Singh and Kelly Kelleher
3. Brain enhancement in the military
Michael Russo, Melba C. Stetz, and Thomas A. Stetz
4. Marketing illness and enhancing brains
Peter Conrad and Allen Horwitz
5. Brain training
Breehan Kelley and Anjan Chatterjee
Part II: COMPETENCE AND RESPONSIBILITY
6. Competence for driving, voting, financial independence
Jason Karlawish
7. Competence for informed consent for research and treatment
Scott Kim
8. Addiction and responsibility
Steven Hyman
Part III: BRAIN IMAGING
9. Medicolegal issues in neuroimaging
Stacey Tovino
10. Incidental findings in neuroimaging studies
John Detre and Tamara B. Bockow
11. Neuroimaging and clinical neuropsychiatry
Martha Farah and Seth Gillihan
Part IV: SEVERE BRAIN DAMAGE
12. Brain death
Steven Laureys
13. Disorders of consciousness following severe brain damage
Joseph Fins and Nikolas Schiff
14. Personhood and severe neurological impairment
Martha Farah
Part V: NEW TREATMENTS, NEW CHALLENGES
15. Functional neurosurgery and deep brain stimulation
Mattis Synofzik
16. Noninvasive Brain Stimulation: Future prospects and ethical concerns in treatment and research
Alvaro Pascual-Leone, Lachlan Farrow, and Felipe Fregni
17. Implanted neural interfaces: Ethical concerns in treatment and research
Leigh Hochberg and Thomas Cochrane
18. Biologic therapies for the brain
Jonathan Kimmelman

Neuroethics in Practice

Edited by Anjan Chatterjee and Martha J. Farah

Author Information

Edited by Anjan Chatterjee, Professor of Neurology, Department of Neurology and the Center for Cognitive Neuroscience, The University of Pennsylvania, and Edited by Martha J. Farah, Walter H. Annenberg Professor of Natural Sciences, Center for Neuroscience & Society, University of Pennsylvania

Anjan Chatterjee, M.D., is Associate Professor of Neurology, Department of Neurology and Center for Cognitive Neuroscience, University of Pennsylvania Martha J. Farah, Ph.D., is Director, Center for Cognitive Neuroscience, Walter H. Annenberg Professor in the Natural Sciences, University of Pennsylvania.

Contributors:

Tamara B. Bockow
University of Pennsylvania
Philadelphia, PA

Anjan Chatterjee, MD
Department of Neurology and the Center for Cognitive Neuroscience
The University of Pennsylvania
Philadelphia, PA

Thomas Cochrane
Department of Neurology
Brigham and Women's Hospital
Boston, MA

Peter Conrad

John Detre
The Mahoney Institute of Neurological Sciences
University of Pennsylvania
Philadelphia, PA

Martha J. Farah
Center for Neuroscience & Society
University of Pennsylvania
Philadelphia, PA

Joseph J. Fins, M.D., F.A.C.P.
Chief, Division of Medical Ethics
The E.William Davis, Jr., M.D. Professor of Medical Ethics
Professor of Medicine
Professor of Public Health
Professor of Medicine in Psychiatry
Weill Medical College of Cornell University
Adjunct Faculty
The Rockefeller University
New York, NY

Lachlan Forrow
Beth Israel Deaconess Medical Center
Harvard Medical School
Boston, MA

Felipe Fregni
Laboratory of Neuromodulation & Center of Clinical Research Training
Harvard Medical School
Boston, MA

Seth J. Gillihan
Department of Psychiatry
University of Pennsylvania
Philadelphia, PA

Leigh Hochberg
Massachusetts General Hospital
Brigham & Women's Hospital
Boston, MA

Jared Horvath
Berenson-Allen Center for Noninvasive Brain Stimulation
Beth Israel Deaconess Medical Center
Harvard Medical School
Boston, MA

Allan Horwitz
Department of Sociology
Rutgers University
Newark, NJ

Steven E. Hyman
Stanley Center for Psychiatric Research
Broad Institute
Cambridge, MA

Jason Karlawish
Associate Professor of Medicine
Senior Fellow, Center for Bioethics
Leonard Davis Institute of Health Economics
Institute on Aging
University of Pennsylvania
Philadelphia, PA

Kelly Kelleher
Adolescent Medicine Fellowship
Center for Innovation in Pediatric Practice
Developmental/Behavioral Pediatrics Fellowship
Nationwide Children's Hospital
Columbus, OH

Breehan Kelley
Department of Neurology
The University of Pennsylvania
Philadelphia, PA

Scott Y. H. Kim
Department of Psychiatry
University of Michigan
Ann Arbor, MI

Jonathan Kimmelman
Biomedical Ethics Unit
Department of Social Studies of Medicine
Department of Human Genetics
Montreal, Canada

Steven Laureys
Coma Science Group
Cyclotron Research Center
Department of Neurology
Sart Tilman Liège University Hospital
Liège, Belgium

Alvaro Pascual-Leone
Professor of Neurology
Harvard Medical School
Cambridge, MA

Jennifer Perez

Michael B. Russo
Division of Neuropsychiatry
Walter Reed Army Institute of Research
Silver Spring, MD

Nicholas D. Schiff
The Jerold B. Katz Professor of Neurology and Neuroscience
Professor of Public Health
Weill Medical College of Cornell University
Adjunct Faculty
The Rockefeller University
New York, NY

Ilina Singh
Dpeartment of Sociology
The London School of Economics and Political Science
London, UK

Melba C. Stetz
International Association of CyberPsychology, Training, and Rehabilitation
Brussels, Belgium

Thomas A. Stetz
National Geospatial-Intelligence Agency
Honolulu, HI

Matthis Synofzik
Dept. of Neurodegenerative Diseases
Hertie-Institute for Clinical Brain Research
German Centre for Neurodegenerative Diseases (DZNE)
University of Tübingen
Tübingen, Germany

Stacey Tovino
William S. Boyd School of Law
University of Nevada, Las Vegas
Las Vegas, NV

Neuroethics in Practice

Edited by Anjan Chatterjee and Martha J. Farah

Reviews and Awards

"This is appropriate for a wide range of audiences. Clinicians, especially neurologists and psychiatrists, will find that it illuminates ethical issues associated with topics in their field, and bioethicists writing on neuroethics will find that it provides insights into how neuroethics matters in the delivery of healthcare. The contributors, most of whom are practitioners and not primarily ethicists, explain basic medical, legal, and ethical concepts in the field, so it is not necessary to be well versed in neuroethics to appreciate this book... an excellent contribution to the growing body of literature on neuroethics." - Doody's Notes, May 2013