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.