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Ethical Issues in Neurosurgery: A Special Issue of Virtual Mentor

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This month the American Medical Association's journal Virtual Mentor published a series of articles about the ethical issues pertaining to neurosurgery. Some of the articles include discussions about deep brain stimulation  in early-stage Parkinson Disease, simulation and neuro-surgery teaching tools, and integrating ethics into science education . The special issue also featured two members of the American Journal of Bioethics Neuroscience: editor-in-chief Dr. Paul Root Wolpe , and editor Dr. John Banja . The issue was guest edited by a neurosurgical resident at Emory University, Jordan Amadio . Click here to view the special issue. Emerging Ethical Issues in Neurosurgery: An Interview with Dr. Wolpe by Dr. Jordan Amadio "The single most important thing to remember is that when we intervene in the brain it is a completely different kind of intervention than when we intervene in any other part of the body. It has the potential of altering those aspects of ourselves that we t...

2013 Neuroethics Scholar, Jen Sarrett: Autism and the Communication of 'Risk'

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The Neuroethics Scholar Program By Jennifer C. Sarrett This project is done through The Neuroethics Scholar Program As defined in the new Diagnostic and Statistical Manual of Mental Disorders (DSM 5), Autism Spectrum Disorder (ASD) is diagnosed in individuals who show differences in social communication—such as a reliance on non-verbal communication techniques or difficulties interpreting social signals—and specific behavioral patterns—such as repetitive vocal or motor behaviors or intense interests in specific items. These characteristics must be evident before the age of 3 in order to quality for an ASD diagnosis 1 . While there are diagnostic tools that are able to reliably diagnose ASD by the age of 2, most reports show that, on average, children are not diagnosed until school age. These rates vary by several factors, including race and urbanicity 2 . For many professionals, this delay in diagnosis is concerning because, as the Centers for Disease Control and Prevention 3 and m...

The identification of risk for serious mental illnesses: Clinical and ethical challenges

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By Elaine Walker, Ph.D., Sandy Goulding, MPH, MA., Arthur Ryan, MA., Carrie Holtzman, MA., Allison MacDonald, MA. Elaine Walker is Samuel Candler Dobbs Professor of Psychology and Neuroscience in the Department of Psychology at Emory University .  She leads a research laboratory that is funded by the National Institute of Mental Health  to study risk factors for major mental illness.  Her research is focused on child and adolescent development and the brain changes that are associated with adolescence. The identification of risk factors for illness is receiving increased attention in all fields of medicine, especially cardiology, oncology, neurology and psychiatry.  There are three potential benefits to identifying risk factors. The first is to reduce morbidity by reducing risk exposure. The second is to enhance opportunities for targeting preventive treatment toward those who are most likely to benefit. Finally, the identification of risk factors can shed light o...