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Deep Brain Stimulation (DBS)
Electrodes are implanted in key subcortical areas which exert electrical impulses that are regulated by an external generator (similar to pacemaker)
Used since 1987
Used in a number of medication-resistant forms of neurological diseases or motor disorders (particularly Parkinson’s Disease; PD)
Needs precise mapping of stimulation targets using MRI imaging
Deep Brain Stimulation and Parkinson’s Disease
Parkinson’s Disease medication resistance and side effects can build up within 5 years of use
Targets dopamine depletion in Parkinson’s Disease (Subthalamic nucleus)
Risks of Deep Brain Stimulation
Invasive technique, where 46% of participants experience misplacements, leading to:
Impedance
Device malfunction
Infenction
Imprecise targeting can lead to less efficacy, requiring larger amp, thus worse side-effects
Long-term psychological effects of DBS
Similar effects to Parkinson’s Disease:
Motor disruption and slurred speech (related to STN)
Cognitive processing decline
Decreases memory and intelligence (as sensitive to frontal lobe dysfunction)
However, sometimes improvements are seen:
Sometimes improvements in the same functions
No extreme side effects (mortality/suicide)
Decreased depression scores
Personality change and DBS
Electrode placement in emotional functional networks connect to fronto-subcortical network and basal ganglia (particularly neuroticism)
This affects regions related to emotional self-regulation and cognitive control
Can impact narrative identity: the sole fact that a machine is inside of you
Changes to habits, daily routine, socialisation (mostly positive)
Ethical implications (for any invasive technique, not just DBS)
Placement issues can be overcome with higher advanced technology in neuroimaging (e.g. 3T or 7T MRI scans instead of original 1.5T)
Higher resolution, but more expensive
Participant has control over device - can turn it off, battling identity issue
Electrode revisions, facilitate by general advances in surgical practices
Possible but costly (monitoring is needed)
More research for extended practice (depression, pain)
Non-invasive alternative: TMS
Excitability changes, particularly in dlPFC, leading to relief rates above placebo
Limited side-effects: sore neck, fatigue, tiredness
Rare risk of seizures <1 in 60,000
Limited to treatment of very specific symptoms
Endogenous method: neurofeedback
A self-regulation method - measures brain activity and provides a feedback signal based on desirable or undesirable brain activity
Operant conditioning - develops healthier brain patterns neuroplasticity
Success in treating depression and addiction, but problems with adequate control conditions and protocols
Dual systems model of risk-taking in adolescence
Socioemotional system:
Rapid increase in dopaminergic activity, especially in amygdala and ventral striatum areas
Control system:
Slower development of control related regions (prefrontal cortex) and its connection to socioemotional areas
Temporal gap = Higher risk-taking
Peer influence on risk-taking
Chein et al 2011 Stoplight task
Sample of children, adolescents, adults
Aim: to drive to the end of the street in minimum amount of time
Risk: Run amber stop lights vs wait
2 conditions: alone or with peers
When with peers, risk-taking increased (and ventral striatum activity) and adolescents did not recruit lPFC the way adults did
Emotional influence on self-control
Casey (2013)
Go/no go task: requires participant to suppress pressing button on no go
When emotional stimuli (smiling face) was presented with don’t go, less self-control was exhibited and higher ventral striatum activity
Adolescents make more false alarms on positive social cues
Criminal responsibility for adolescents
Steinberg (2009) argues that adolescents have diminished responsibility as they are more susceptible to things outside of their control
Brain regions that regulate impulse control and resistance to peer influence are still developing (prefrontal cortex)
Animal research in the UK + opinions
In 2020, there were 2.9 million animal research procedures in the UK
Mice, rats and fish account for 92% of this figure
1 in 4 people are completely against animal research
Two thirds of people allow animal research as long as it is not harmful, it is for medical purposes, and is necessary (there is no other method)
Reality of animal procedure regulations in UK
Animal procedures are strictly regulated, rated between non-severe, mild, moderate and severe
It is hard to get authorisation that goes beyond mild (i.e. anything that alters normal living: medication)
Behavioural induction of stress would already be moderate
Animal (Scientific Procedures) Act in 1986 regulated by the Home Office
Attempts to reduce amount of animals used and prioritise welfare
Beneficial for science: the happier the animal, the more consistent the results
Extent of strictness of regulations
Violation of regulatory animal research is punishable by criminal prosecution
Animal research is highly regulated and documented:
For example, mice that are slightly underfed to motivate them for treats cannot fall under 85% of their normal weight - they are routinely weighed and recorded
Any injury or harm is always reported and investigated: including post-mortems by vets and research projects scrutinised
Journals commonly require extensive reports on welfare
NC3Rs (also includes BPS Guidelines for working with animals)
Prioritises the minimum amount of harm done to animals by using:
Replacement - using other methods of investigation like 3D printed bioprinted tissue, less sentient animals, secondary data analysis (e.g. ratlife.org)
Reduction - reducing the amount of animals used to its bare minimum
Consider appropriate pilot studies, reliable measures of behaviour, good experimental design, appropriate use of statistical tests
Refinement - ensuring to reduce harm both to environment and animal as much as possible. Use latest technologies to maintain welfare, providing adequate housing to animals, training animals to cooperate with procedures