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A neuroethical approach to human life, identity, and liberty of schizophrenic patients.

Alberto Carrara

CNS spectrums December 12, 2024 DOI: 10.1017/S1092852924000506 via PubMed

Summary

AI-generated from the abstract

A neuroethical framework integrates neuroscience and philosophy to examine how different levels of consciousness—from interoception to self-awareness—shape free will and autonomy, especially in psychiatric and neurological disorders. The analysis proposes a multidimensional, bottom-up approach linking neurobiological processes to distinct types of freedom, such as 'intero-freedom' tied to internal bodily states and 'self-freedom' linked to higher self-awareness. This stratification shows how neurological conditions can impair patients' freedom of choice, raising ethical concerns. The framework aims to guide more tailored treatments that restore autonomy and respect dignity, advocating for healthcare policies that enhance personal freedom for those with mental health challenges.

Study at a glance

Characteristics Theoretical or philosophical paper Peer reviewed
Keywords Consciousness Human person Neurobioethics Neuroethics Philosophy
Citations 2
Key finding Different levels of conscious experience correspond to distinct types of freedom, and neurological conditions can impair these freedoms, requiring ethically tailored treatments that restore autonomy and dignity.

Abstract

This article presents a comprehensive neuroethical framework that seeks to deepen our understanding of human consciousness and free will, particularly in the context of psychiatric and neurological disorders. By integrating insights from neuroscience with philosophical reflections on freedom and personal identity, the paper examines how various states of consciousness from interoception to self-awareness influence an individual's autonomy and decision-making capabilities. The discussion utilizes a multidimensional, bottom-up approach to explore how neurobiological processes underlie different levels of conscious experience and their corresponding types of freedom, such as "intero-freedom" related to internal bodily states and "self-freedom" associated with higher self-awareness. This stratification reveals the profound impact of neurological conditions on patients' freedom of choice and the ethical implications therein. The insights gained from this analysis aim to inform more tailored and effective treatments for psychiatric patients, emphasizing the restoration of autonomy and respect for their inherent dignity. This work underscores the essential unity of the human person through the lens of neuroethics, advocating for healthcare policies that recognize and enhance the personal freedom of those with mental health challenges.

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