Neuroethics studies ethical, legal, and social questions arising from scientific findings about the brain in medicine, law, and policy.
It covers issues from neurology, psychiatry, psychopharmacology, cognitive neuroscience, and neural engineering.
It addresses concerns from neuroimaging, brain implants, brain-computer interfaces, psychopharmacology, and understanding the neural bases of behavior and consciousness.
Core Questions in Neuroethics
Examines right vs. wrong regarding treatment, enhancement, or manipulation of the human brain.
Considers the ethical implications of technologies like mind-reading machines and cognitive enhancement drugs.
Technological Advances
New approaches for diagnosing and treating neurodegenerative diseases.
Revolutionary capabilities in medical imaging.
Advances in Biotechnology and genetic medicine.
Brain-computer interfacing and Neurorobotics
Significant strides in understanding basic brain and behavior relationships were made
Altering Brain Function
The ability to alter brain function can treat mental dysfunction and enhance mental processes.
Neurotechnology's benefits and dangers require examination, including whether and how to limit its uses.
Brain Fingerprinting
Technique based on event-related potentials (ERPs).
The individual recognizes information as significant, emitting P300.
Information irrelevant to the crime does not emit P300.
Psychopharmacology
Neurosurgery and Transcranial Magnetic Stimulation (TMS) are treatment options for mental illnesses.
Psychopharmacological drugs are increasingly used for cognitive enhancement in healthy individuals.
Drug Enhancement
Enhancement of neurocognitive function via pharmacology is common.
Examples include ADHD drugs (Ritalin, Adderall) as study aids and nutritional supplements for memory improvement.
Targets of Drug Enhancement
Targets include memory, executive function, mood, emotion, appetite, libido, and sleep.
Memory Enhancement
Memory enhancement is relevant for older adults due to age-related decline.
Drugs target long-term potentiation (LTP) induction and memory consolidation.
Categories of Drugs Targeting Memory Enhancement
Ampakines: Modulate AMPA receptors to facilitate LTP.
Drugs that increase CREB: activate genes to produce proteins that maintain LTP duration.
Memory-Erasing Drugs
Aims to erase undesirable memories, such as those causing PTSD.
Seeks to prevent consolidation of traumatic memories via pharmacological intervention.
Executive Function
Enables flexible responses, attention, working memory, and inhibitory control.
Commonly Abused Drugs
After Marijuana, Prescription and Over-the-Counter Medications account for Most of the Commonly Abused Drugs Among High School Seniors.
About 1 in 9 youth or 11.4 percent of young people aged 12 to 25 used prescription drugs nonmedically within the past year.
25% of those who began abusing prescription drugs at age 13 or younger met clinical criteria for addiction sometime in their life.
Modafinil
The drug is intended to treat narcolepsy, but time-poor traders use it to stay awake and hyper-alert for long periods of work
Modafinil Mode of Action
Modafinil (Provigil) action is still unclear; Possibilities include:
blocking dopamine transporters leading to higher concentration of dopamine in the synaptic gap
indirect mediation of Acetylcholine and/or epinephrine activity.
Executive Function Enhancement
Drugs targeting dopamine and norepinephrine improve deficient and normal executive function.
Benefits may be more pronounced in individuals with lower initial performance levels.
Ethical Issues
Safety concerns: Weighing long-term health consequences against immediate benefits.
Access: Unequal access to neurotechnological enhancements based on wealth.
Coercion: Forced enhancement on unwilling individuals, e.g., for competence to stand trial.
Identity: Alteration of character and authenticity.
Free will: Degradation of personal responsibility.
Next Steps
Legislators and the public will need to decide whether current regulatory frameworks are adequate for the regulation of neurotechnologies, or whether new laws must be written and new agencies commissioned.