Neuroethics Notes

Neuroethics

  • 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.
  • Examples: Marijuana/Hashish, Synthetic Marijuana, Vicodin, Adderall, Salvia, Tranquilizers, Cough Medicine, MDMA (Ecstasy)
  • 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.