Abstract
Societal perceptions of the diagnosis and treatment of cognitive impairment after severe brain injury have been influenced by the legacies of the right-to-die movement and psychosurgery. Here I propose an ethical stereotaxy for severe brain injury that balances risks, benefits and access to this neglected population, in light of advances in cognitive neuroscience.
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Acknowledgements
I thank N. D. Schiff for his close reading and helpful comments, as well as A. Hudson and E. Kobylarz. An earlier version of this paper was presented as the 2002 Sheldon Berrol Memorial Chautauqua of the American Congress of Rehabilitation Medicine and American Society of Neurorehabilitation. J.J.F. is an unfunded co-investigator on a planning grant from the National Institute of Health for neuromodulation in patients in the MCS.
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Fins, J. Constructing an ethical stereotaxy for severe brain injury: balancing risks, benefits and access. Nat Rev Neurosci 4, 323–327 (2003). https://doi.org/10.1038/nrn1079
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DOI: https://doi.org/10.1038/nrn1079
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