Skip to main content

Impact of Brain Interventions on Personal Identity

  • Reference work entry
  • First Online:
Handbook of Neuroethics

Abstract

Some of the main ethical concerns with brain interventions are related to psychological changes that may alter persons in morally significant ways. This chapter reviews neuroethical attempts at assessing brain interventions by describing them as having an impact on the identity of persons. By discussing clinical case reports involving deep brain stimulation in the treatment of Parkinson’s disease, different meanings attributed to the concept of personal identity in the bioethics literature are disentangled. The concept of forensic personhood is introduced to show that some possible effects of brain interventions are unambiguously detrimental in that they end the affected person’s existence in an important sense. The same holds true for changes in personal identity where a person has changed to such an extent that, eventually, one does not seem to be faced with a person with different characteristics, but with an altogether different person. As well, narrative accounts of personal identity are discussed in some detail as they have multiple normative implications for the assessment of the psychological effects of brain interventions, ranging from legal and ethical to clinical and methodological consequences.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 999.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 999.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Baylis, F. (2011). “I am who I am”: On the perceived threats to personal identity from deep brain stimulation. Neuroethics, 4. doi:10.1007/s12152-011-9137-1

    Google Scholar 

  • Boer, G. J. (1994). Ethical guidelines for the use of human embryonic or fetal tissue for experimental and clinical neurotransplantation and research. Journal of Neurology, 242, 1–13.

    Article  Google Scholar 

  • DeGrazia, D. (2005). Human identity and bioethics. New York: Cambridge University Press.

    Book  Google Scholar 

  • Focquaert, F. (2009). Direct intervention in the brain: Ethical issues concerning personal identity. Journal of Ethics in Mental Health, 4(2), 1–7.

    Google Scholar 

  • Glannon, W. (2009). Stimulating brains, altering minds. Journal of Medical Ethics, 35, 289–292.

    Article  Google Scholar 

  • Glannon, W. (2010). Consent to deep-brain stimulation for neurological and psychiatric disorders. The Journal of Clinical Ethics, 21, 105–112.

    Google Scholar 

  • Glover, J. (1988). I: The philosophy and psychology of personal identity. London: Penguin.

    Google Scholar 

  • Leentjens, A. F. G., Visser-Vandewalle, V., Temel, Y., & Verhey, F. R. J. (2004). Manipuleerbare wilsbekwaamheid: een ethisch probleem bij elektrostimulatie van de nucleus subthalamicus voor ernstige ziekte van Parkinson [Manipulation of mental competence: an ethical problem in case of electrical stimulation of the subthalamic nucleus for severe Parkinson’s disease]. Nederlands Tijdschrift voor Geneeskunde, 148, 1394–1398.

    Google Scholar 

  • Lipsman, N., Zener, R., & Bernstein, M. (2009). Personal identity, enhancement and neurosurgery: A qualitative study in applied neuroethics. Bioethics, 23(6), 375–383.

    Article  Google Scholar 

  • Locke, J. (1975). An essay concerning human understanding. In P. H. Nidditch (Ed.). Oxford: Clarendon.

    Google Scholar 

  • Merkel, R., Boer, G., Fegert, J., Galert, T., Hartmann, D., Nuttin, B., & Rosahl, S. (2007). Intervening in the brain. Changing psyche and society. Berlin: Springer.

    Google Scholar 

  • MĂĽller, S., & Christen, M. (2011). Deep brain stimulation in Parkinsonian patients – Ethical evaluation of cognitive, affective, and behavioral sequelae. AJOB Neuroscience, 2(1), 3–13.

    Article  Google Scholar 

  • Schechtman, M. (1996). The constitution of selves. Ithaca: Cornell University Press.

    Google Scholar 

  • Schechtman, M. (2009). Getting our stories straight: Self-narrative and personal identity. In D. J. H. Mathews, H. Bok, & P. V. Rabins (Eds.), Personal identity and fractured selves: Perspectives from philosophy, ethics, and neuroscience (pp. 65–92). Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Schechtman, M. (2010). Philosophical reflections on narrative and deep brain stimulation. The Journal of Clinical Ethics, 21(2), 133–139.

    Google Scholar 

  • Schechtman, M. (2011). The narrative self. In S. Gallagher (Ed.), The Oxford Handbook of the self (pp. 394–416). Oxford: Oxford University Press.

    Google Scholar 

  • SchĂĽpbach, M., Gargiulo, M., Welter, M. L., Mallet, L., BĂ©har, C., Houeto, J. L., MaltĂŞte, D., Mesnage, V., & Agid, Y. (2006). Neurosurgery in Parkinson disease: A distressed mind in a repaired body? Neurology, 66(12), 1811–1816.

    Article  Google Scholar 

  • Synofzik, M., & Schlaepfer, T. (2008). Stimulating personality: Ethical criteria for deep brain stimulation in psychiatric patients and for enhancement purposes. Biotechnology Journal, 3, 1511–1520.

    Article  Google Scholar 

  • Witt, K., Kuhn, J., Timmermann, L., Zurowski, M., & Woopen, C. (2011). Deep brain stimulation and the search for identity. Neuroethics, 4. doi:10.1007/s12152-011-9100-1

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Thorsten Galert .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media Dordrecht

About this entry

Cite this entry

Galert, T. (2015). Impact of Brain Interventions on Personal Identity. In: Clausen, J., Levy, N. (eds) Handbook of Neuroethics. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4707-4_12

Download citation

  • DOI: https://doi.org/10.1007/978-94-007-4707-4_12

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-4706-7

  • Online ISBN: 978-94-007-4707-4

  • eBook Packages: Humanities, Social Sciences and Law

Publish with us

Policies and ethics