Staying in the Loop: Relational Agency and Identity in Next-Generation DBS for Psychiatry

Sara Goering, Eran Klein, Darin D. Dougherty, Alik S Widge

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

In this article, we explore how deep brain stimulation (DBS) devices designed to “close the loop”—to automatically adjust stimulation levels based on computational algorithms—may risk taking the individual agent “out of the loop” of control in areas where (at least apparent) conscious control is a hallmark of our agency. This is of particular concern in the area of psychiatric disorders, where closed-loop DBS is attracting increasing attention as a therapy. Using a relational model of identity and agency, we consider whether DBS designed for psychiatric regulation may require special attention to agency. To do this, we draw on philosophical work on relational identity and agency, connecting it with reports from people using first-generation DBS devices for depression and obsessive-compulsive disorder. We suggest a way to extend a notion of relational agency to encompass neural devices.

Original languageEnglish (US)
Pages (from-to)59-70
Number of pages12
JournalAJOB Neuroscience
Volume8
Issue number2
DOIs
StatePublished - Apr 3 2017
Externally publishedYes

Fingerprint

Deep Brain Stimulation
Psychiatry
Equipment and Supplies
Obsessive-Compulsive Disorder
Risk-Taking
Depression
Therapeutics

Keywords

  • brain–computer interfaces
  • deep brain stimulation
  • depression
  • mental health
  • neuromodulation
  • personal identity

Cite this

Staying in the Loop : Relational Agency and Identity in Next-Generation DBS for Psychiatry. / Goering, Sara; Klein, Eran; Dougherty, Darin D.; Widge, Alik S.

In: AJOB Neuroscience, Vol. 8, No. 2, 03.04.2017, p. 59-70.

Research output: Contribution to journalArticle

Goering, Sara ; Klein, Eran ; Dougherty, Darin D. ; Widge, Alik S. / Staying in the Loop : Relational Agency and Identity in Next-Generation DBS for Psychiatry. In: AJOB Neuroscience. 2017 ; Vol. 8, No. 2. pp. 59-70.
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