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  1. What we (Should) Talk about when we Talk about Deep Brain Stimulation and Personal Identity.Robyn Bluhm, Laura Cabrera & Rachel McKenzie - 2020 - Neuroethics 13 (3):289-301.
    A number of reports have suggested that patients who undergo deep brain stimulation may experience changes to their personality or sense of self. These reports have attracted great philosophical interest. This paper surveys the philosophical literature on personal identity and DBS and draws on an emerging empirical literature on the experiences of patients who have undergone this therapy to argue that the existing philosophical discussion of DBS and personal identity frames the problem too narrowly. Much of the discussion by neuroethicists (...)
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  • Ethical Examination of Deep Brain Stimulation’s ‘Last Resort’ Status.Ian Stevens & Frederic Gilbert - forthcoming - Journal of Medical Ethics:medethics-2020-106609.
    Deep brain stimulation interventions are novel devices being investigated for the management of severe treatment-resistant psychiatric illnesses. These interventions require the invasive implantation of high-frequency neurostimulatory probes intracranially aiming to provide symptom relief in treatment-resistant disorders including obsessive-compulsive disorder and anorexia nervosa. In the scientific literature, these neurostimulatory interventions are commonly described as reversible and to be used as a last resort option for psychiatric patients. However, the ‘last resort’ status of these interventions is rarely expanded upon. Contrastingly, usages of (...)
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  • Painful Metaphors: Enactivism and Art in Qualitative Research.Peter Stilwell, Christie Stilwell, Brenda Sabo & Katherine Harman - forthcoming - Medical Humanities:medhum-2020-011874.
    Enactivism is an emerging theory for sense-making (cognition) with increasing applications to research and medicine. Enactivists reject the idea that sense-making is simply in the head or can be reduced to neural processes. Instead, enactivists argue that cognisers are embodied and action-oriented, and that sense-making emerges from relational processes distributed across the brain-body-environment. We start this paper with an overview of a recently proposed enactive approach to pain. With rich theoretical and empirical roots in phenomenology and cognitive science, conceptualising pain (...)
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  • Pattern Theory of Self and Situating Moral Aspects: The Need to Include Authenticity, Autonomy and Responsibility in Understanding the Effects of Deep Brain Stimulation.Przemysław Zawadzki - forthcoming - Phenomenology and the Cognitive Sciences:1-24.
    The aims of this paper are to: identify the best framework for comprehending multidimensional impact of deep brain stimulation on the self; identify weaknesses of this framework; propose refinements to it; in pursuing, show why and how this framework should be extended with additional moral aspects and demonstrate their interrelations; define how moral aspects relate to the framework; show the potential consequences of including moral aspects on evaluating DBS’s impact on patients’ selves. Regarding, I argue that the pattern theory of (...)
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  • Cultural Affordances: Scaffolding Local Worlds Through Shared Intentionality and Regimes of Attention.Maxwell J. D. Ramstead, Samuel P. L. Veissière & Laurence J. Kirmayer - 2016 - Frontiers in Psychology 7.
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  • Foregrounding Sociomaterial Practice in Our Understanding of Affordances: The Skilled Intentionality Framework.Ludger van Dijk & Erik Rietveld - 2017 - Frontiers in Psychology 7.
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  • Effective Deep Brain Stimulation for Obsessive-Compulsive Disorder Requires Clinical Expertise.Maarten van Westen, Erik Rietveld & Damiaan Denys - 2019 - Frontiers in Psychology 10.
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  • The Ecological-Enactive Model of Disability: Why Disability Does Not Entail Pathological Embodiment.Juan Toro, Julian Kiverstein & Erik Rietveld - 2020 - Frontiers in Psychology 11.
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  • Schizophrenia: An Impairment in the Capacity to Perceive Affordances.Nam-Gyoon Kim & Hakboon Kim - 2017 - Frontiers in Psychology 8.
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  • Through the Magical Pink Walkway: A Behavior Setting’s Invitation to Embodied Sense-Makers.Simon Harrison - 2020 - Frontiers in Psychology 11.
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  • The Hitchhiker’s Guide to Neurophenomenology – The Case of Studying Self Boundaries With Meditators.Aviva Berkovich-Ohana, Yair Dor-Ziderman, Fynn-Mathis Trautwein, Yoav Schweitzer, Ohad Nave, Stephen Fulder & Yochai Ataria - 2020 - Frontiers in Psychology 11.
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  • Dynamical Relations in the Self-Pattern.Shaun Gallagher & Anya Daly - 2018 - Frontiers in Psychology 9.
    Abstract: The notion of a self-pattern, as developed in the pattern theory of self, which holds that the self is best explained in terms of the kind of reality that pertains to a dynamical pattern, acknowledges the importance of neural dynamics, but also expands the account of self to extra-neural (embodied and enactive) dynamics. The pattern theory of self, however, has been criticized for failing to explicate the dynamical relations among elements of the self-pattern; as such, it seems to be (...)
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  • Understanding Phenomenological Differences in How Affordances Solicit Action. An Exploration.Roy Dings - 2018 - Phenomenology and the Cognitive Sciences 17 (4):681-699.
    Affordances are possibilities for action offered by the environment. Recent research on affordances holds that there are differences in how people experience such possibilities for action. However, these differences have not been properly investigated. In this paper I start by briefly scrutinizing the existing literature on this issue, and then argue for two claims. First, that whether an affordance solicits action or not depends on its relevance to the agent’s concerns. Second, that the experiential character of how an affordance solicits (...)
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  • Optimal Grip on Affordances in Architectural Design Practices: An Ethnography.Erik Rietveld & Anne Ardina Brouwers - 2017 - Phenomenology and the Cognitive Sciences 16 (3):545-564.
    In this article we move beyond the problematic distinction between ‘higher’ and ‘lower’ cognition by accounting for so-called ‘higher’ cognitive capacities in terms of skillful activities in practices, and in terms of the affordances exploited in those practices. Through ethnographic research we aim to further develop the new notion of skilled intentionality by turning to the phenomenon of the tendency towards an optimal grip on a situation in real-life situations in the field of architecture. Tending towards an optimal grip is (...)
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  • Situating the Self: Understanding the Effects of Deep Brain Stimulation.Roy Dings & Leon de Bruin - 2016 - Phenomenology and the Cognitive Sciences 15 (2):151-165.
    The article proposes a theoretical model to account for changes in self due to Deep Brain Stimulation. First, we argue that most existing models postulate a very narrow conception of self, and thus fail to capture the full range of potentially relevant DBS-induced changes. Second, building on previous work by Shaun Gallagher, we propose a modified ‘pattern-theory of self’, which provides a richer picture of the possible consequences of DBS treatment.
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  • An enactivist approach to treating depression: cultivating online intelligence through dance and music.Michelle Maiese - 2020 - Phenomenology and the Cognitive Sciences 19 (3):523-547.
    This paper utilizes the enactivist notion of ‘sense-making’ to discuss the nature of depression and examine some implications for treatment. As I understand it, sensemaking is fully embodied, fundamentally affective, and thoroughly embedded in a social environment. I begin by presenting an enactivist conceptualization of affective intentionality and describing how this general mode of intentional directedness to the world is disrupted in cases of major depressive disorder. Next, I utilize this enactivist framework to unpack the notion of ‘temporal desituatedness,’ and (...)
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  • Deep Brain Stimulation, Self and Relational Autonomy.Shaun Gallagher - forthcoming - Neuroethics:1-13.
    Questions about the nature of self and self-consciousness are closely aligned with questions about the nature of autonomy. These concepts have deep roots in traditional philosophical discussions that concern metaphysics, epistemology and ethics. They also have direct relevance to practical considerations about informed consent in medical contexts. In this paper, with reference to understanding specific side effects of deep brain stimulation treatment in cases of, for example, Parkinson’s Disease, Obsessive Compulsive Disorder, and Major Depressive Disorder, I’ll argue that it is (...)
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  • Talking About Talking : An Ecological-Enactive Perspective on Language.J. C. Van den Herik - 2019 - Erasmus University Rotterdam.
    This thesis proposes a perspective on language and its development by starting from two approaches. The first is the ecological-enactive approach to cognition. In opposition to the widespread idea that cognition is information-processing in the brain, the ecological-enactive approach explains human cognition in relational terms, as skilful interactions with a sociomaterial environment shaped by practices. The second is the metalinguistic approach to language, which holds that reflexive or metalinguistic language use – talking about talking – is crucial for understanding language (...)
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  • An Instrument to Capture the Phenomenology of Implantable Brain Device Use.Frederic Gilbert, Brown, Dasgupta, Martens, Klein & Goering - forthcoming - Neuroethics.
    One important concern regarding implantable Brain Computer Interfaces is the fear that the intervention will negatively change a patient’s sense of identity or agency. In particular, there is concern that the user will be psychologically worse-off following treatment despite postoperative functional improvements. Clinical observations from similar implantable brain technologies, such as deep brain stimulation, show a small but significant proportion of patients report feelings of strangeness or difficulty adjusting to a new concept of themselves characterized by a maladaptive je ne (...)
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  • Deep Brain Stimulation: Inducing Self-Estrangement.Frederic Gilbert - 2018 - Neuroethics 11 (2):157-165.
    Despite growing evidence that a significant number of patients living with Parkison’s disease experience neuropsychiatric changes following Deep Brain Stimulation treatment, the phenomenon remains poorly understood and largely unexplored in the literature. To shed new light on this phenomenon, we used qualitative methods grounded in phenomenology to conduct in-depth, semi-structured interviews with 17 patients living with Parkinson’s Disease who had undergone DBS. Our study found that patients appear to experience postoperative DBS-induced changes in the form of self-estrangement. Using the insights (...)
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  • Self-Organization, Free Energy Minimization, and Optimal Grip on a Field of Affordances.Jelle Bruineberg & Erik Rietveld - 2014 - Frontiers in Human Neuroscience 8:1-14.
    In this paper, we set out to develop a theoretical and conceptual framework for the new field of Radical Embodied Cognitive Neuroscience. This framework should be able to integrate insights from several relevant disciplines: theory on embodied cognition, ecological psychology, phenomenology, dynamical systems theory, and neurodynamics. We suggest that the main task of Radical Embodied Cognitive Neuroscience is to investigate the phenomenon of skilled intentionality from the perspective of the self-organization of the brain-body-environment system, while doing justice to the phenomenology (...)
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  • DBS and Autonomy: Clarifying the Role of Theoretical Neuroethics.Peter Zuk & Gabriel Lázaro-Muñoz - forthcoming - Neuroethics:1-11.
    In this article, we sketch how theoretical neuroethics can clarify the concept of autonomy. We hope that this can both serve as a model for the conceptual clarification of other components of PIAAAS and contribute to the development of the empirical measures that Gilbert and colleagues [1] propose.
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  • An Instrument to Capture the Phenomenology of Implantable Brain Device Use.Frederic Gilbert, Brown, Dasgupta, Martens, Klein & Goering - forthcoming - Neuroethics:1-8.
    One important concern regarding implantable Brain Computer Interfaces is the fear that the intervention will negatively change a patient’s sense of identity or agency. In particular, there is concern that the user will be psychologically worse-off following treatment despite postoperative functional improvements. Clinical observations from similar implantable brain technologies, such as deep brain stimulation, show a small but significant proportion of patients report feelings of strangeness or difficulty adjusting to a new concept of themselves characterized by a maladaptive je ne (...)
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  • Missing Oneself or Becoming Oneself? The Difficulty of What “Becoming a Different Person” Means.Sanneke de Haan - 2017 - American Journal of Bioethics Neuroscience 8 (2):110-112.
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  • On the Significance of the Identity Debate in DBS and the Need of an Inclusive Research Agenda. A Reply to Gilbert, Viana and Ineichen.Anke Snoek, Sanneke de Haan, Maartje Schermer & Dorothee Horstkötter - forthcoming - Neuroethics:1-10.
    Gilbert et al. argue that the concerns about the influence of Deep Brain Stimulation on – as they lump together – personality, identity, agency, autonomy, authenticity and the self are due to an ethics hype. They argue that there is only a small empirical base for an extended ethics debate. We will critically examine their claims and argue that Gilbert and colleagues do not show that the identity debate in DBS is a bubble, they in fact give very little evidence (...)
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  • Deflating the “DBS Causes Personality Changes” Bubble.Frederic Gilbert, J. N. M. Viaña & C. Ineichen - forthcoming - Neuroethics.
    The idea that deep brain stimulation induces changes to personality, identity, agency, authenticity, autonomy and self is so deeply entrenched within neuroethics discourses that it has become an unchallenged narrative. In this article, we critically assess evidence about putative effects of DBS on PIAAAS. We conducted a literature review of more than 1535 articles to investigate the prevalence of scientific evidence regarding these potential DBS-induced changes. While we observed an increase in the number of publications in theoretical neuroethics that mention (...)
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  • Could Closed-Loop DBS Enhance a Person's Feeling of Being Free?Julian Kiverstein, Erik Rietveld & Damiaan Denys - 2017 - American Journal of Bioethics Neuroscience 8 (2):86-87.
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  • I Miss Being Me: Phenomenological Effects of Deep Brain Stimulation.Frederic Gilbert, Eliza Goddard, John Noel M. Viaña, Adrian Carter & Malcolm Horne - 2017 - American Journal of Bioethics Neuroscience 8 (2):96-109.
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  • Autonomy in Predictive Brain Implants: The Importance of Embodiment and Dialogue.Guy A. M. Widdershoven, Gerben Meynen & Damiaan Denys - 2015 - American Journal of Bioethics Neuroscience 6 (4):16-18.
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  • Stimulating Good Practice: What an EEC Approach Could Actually Mean for DBS Practice.Sanneke de Haan, Erik Rietveld & Damiaan Denys - 2014 - American Journal of Bioethics Neuroscience 5 (4):46-48.
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