Neuroethics Flashcards

1
Q

A US court case – Brian Dugan

A
  • Facing death penalty for the kidnapping, raping and murder of a 10-year old girl
  • Diagnosed as psychopath (38.5/40 in the Hare psychopathy checklist)
  • Psychologist Kent Kiehl scans his brain and finds lower activity in the paralimbic system (a brain network for emotion processing) as in many other previously scanned psychopaths
  • Dugan’s lawyers invoke the fMRI evidence to argue that Dugan was a “morally disabled man whose sickness was such that he could not feel right from wrong”.
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2
Q

School teacher tumour example

A
  • Suddenly develops an appetite for child pornography and makes overt sexual advances on his step daughter
  • Due to neurological symptoms, he is examined and a large tumor in his right orbitofrontal cortex is found
  • After doctors remove the tumor, his pedophilic urges disappear
  • A year later, his pedophilic tendencies re-appear, and a brain scan demonstrates that his tumor has grown back
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3
Q

What is neuroethics?

A
  • Neuroethics is concerned with ethical, legal and social implications of neuroscience research findings, and with the nature of the research itself
  • Farah (2012) Annual Review of Psychology
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4
Q

Why is neuroethics relevant?

A
  • Studying the brain gets us one step closer to the causes of behaviour
  • Single genes account for 2-4% of the variance in personality traits, brain imaging studies account for ~ 36% of variance (Farah et al., 2009
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5
Q

Why is neuroimaging important?

A
  • “Journalists, courts, and sometimes even scientists seem to believe that a brain scan can be more telling than a profile of an individual’s behaviour.” (Gary Marcus, NYU).
  • Satel & Lilienfeld, 2013: A critical view on how brain imaging data is used and misused in areas such as law and marketing. Critical but entertaining!
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6
Q

What can we find out about personality and the individual mind from brain imaging? -Phelps et al (2000)

A
  • Measures implicit associations and biases that people may have, e.g. associating black people with bad, white people with good.
  • White Americans tend to respond faster to black + bad and white + good pairings then for black + good and white + bad pairing -> implicit race bias
  • Significant correlation between amygdala activation during viewing black vs. white faces, and the degree of implicit race bias (IAT score).
  • However: this result tells about the group, NOT about the individual
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7
Q

-Can we use these findings from brain imaging to make predictions about people’s personalities from their brain scan?

A
  • Farah et al. (2009) tested this statistically.
  • Predictive ability of brain measures was minimal and variable across experiments
  • From a correlation on the group level it is unjustified to make reverse inferences to personality and mindset of an individual
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8
Q

What did Lockwood, Sebastian et al. (2013) investigate with young boys and antisocial behaviour?

A
  • Adolescent boys (10-16 yr old) with conduct problems: aggression, theft, cruelty to others.
  • Antisocial behaviour, lack of empathy, diminished guilt and risk at developing adult psychopathy
  • Investigation: brain responses to seeing other’s in pain. Questionnaire on callous traits
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9
Q

What did Lockwood, Sebastian et al. (2013) find with young boys and antisocial behaviour?

A
  • Boys with conduct problems: lower response in the anterior insula (AI) and anterior cingulate cortex (ACC) to seeing others in pain. In healthy controls, this is the network for responding to other’s pain. -The decrease of activity was correlated with callous trait scores
  • “The negative association between callous traits and AI/ACC response could reflect an early neurobiological marker indexing risk for empathic deficits seen in adult psychopathy.”
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10
Q

What would be the consequences of having a diagonostic tool for the prediction of adult psychopathy? – For the individual

A
  • Chance of amelioration of condition and better integration in society
  • Condemning individuals to a pathology?
  • What about false positive results?
  • What about personal responsibility?
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11
Q

What would be the consequences of having a diagonostic tool for the prediction of adult psychopathy? – For society

A
  • Protecting others from becoming victims
  • Early intervention may reduce criminality (and costs)
  • What are society’s responsibilities for false positives?
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12
Q

What can we find out about individual states of mind from brain imaging?

A
  • Nishimoto et al. (2011), Current Biology
  • Mapped reponses of the early visual cortex during movie watching.
  • Showed new movies to the participants
  • Used the neural responses only to reconstruct images from the movies
  • However: Computational reconstruction model is trained a-priori on a variety of movies
  • Reconstructions only work well if the model is trained on clips that resemble the viewed clip
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13
Q

What did Owen et al. (2006), find with paitents in vegative states?

A
  • A patient in a vegetative state could follow instructions – to imagine playing tennis vs. walking round her house.
  • These tasks activated distinct brain systems in the control group… And in the patient.
  • Owen has since gone on to use this task to ask ‘Yes/No’ questions of patients, with some promising results
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14
Q

What are the implications of Owen’s technique for communicating with patients in the vegetative state? – for the individual

A
  • Possibility to communicate
  • Possibility to (partly) take control back over one’s life
  • Chances of getting rehabilitative care
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15
Q

What are the implications of Owen’s technique for communicating with patients in the vegetative state? – for society/others

A
  • Possibility to communicate with patients that are otherwise unresponsive
  • Family members: there is still somebody “there”
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16
Q

Farah et al., 2014, Nat Rev Neuroscience. The main problems with fMRI based lie detection:

A
  • In most laboratory studies, subjects are instructed to explicitly lie or to tell the truth – how close is that to a real-world scenario?
  • Brain activity for truth telling or lying is easily confounded with effects of attention, memory, cognitive load and emotional arousal
  • Psychopathy changes brain responses related to deception
  • Low sensitivity and low specificity of the test
  • “…the probability of the test accurately indicating someone as lying is 1 in 68, or less than 1.5%, and the likelihood of incorrectly indicating deception when it is not present is over 98%.”
17
Q

Attention : The case of Ritalin

A
  • Alterations in cognitive abilities, such as attention and memory
  • Treatment for ADHD (attention deficit hyperactivity disorder)
  • In healthy people -> improves attention, learning and higher cognitive function (planning/problem-solving)
  • Many children without ADHD are given Ritalin to enhance their attention, performance etc.
  • Growth in sales of Ritalin over a 10-year period, measured in millions of doses per day (from Farah (2005))
18
Q

What’s the problem of ritalin? – for the individual

A
  • Are we talking about ameliorating deficits, or enhancing normal function?
  • What are the long-term risks? Do they outweigh the benefits?
  • Evolutionary considerations: some cognitive ‘limitations’ might be there for a good reason!
19
Q

What’s the problem of ritalin? – for society

A
  • Enhancement will not be fairly distributed
  • Exacerbation of inequalities due to socio-economic status
  • Coercion in the workplace / school / university?
  • Widespread enhancement will raise our standards of normality -> people who opt out are disadvantaged, in effect a form of indirect coercion
20
Q

Socio-affective enhancements Prozac (Fluoxetine)

A
  • A selective serotonin reuptake inhibitor (SSRI)
  • Used to treat depression, anxiety, obsessive compulsive disorder, …
  • Side effects are tolerable
  • In 2005, 10% of US population received a prescription for antidepressants (and drug companies made a lot of profit
21
Q

The role of the pharmaceutical industry

A
  • Drug companies want to make money on the long term, thus they have an interest in
  • More people being diagnosed with a pathology
  • People taking medication for a long period of time
22
Q

Can Prozac affect personality beyond treating depression?

A
  • Promotes prosocial and law-abiding behaviour, reduces reoffending in sex offenders.
  • Decrease of aggression in individuals prone to violence Berman et al., 2009 (Psychological Science)
  • Could they be given to people without their knowledge, or against their will?
  • To what extent could we manipulate people?
  • Prisoners, people being interrogated, participants in business negotiations, parties in international peace treaties….