Psychiatr Prax 2014; 41(S 01): S38-S43
DOI: 10.1055/s-0034-1370015
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Tiefe Hirnstimulation in der Psychiatrie: Ethische Aspekte

Deep Brain Stimulation in Psychiatry: Ethical Aspects
Ulf J. Müller
1   Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Magdeburg
,
Bernhard Bogerts
1   Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Magdeburg
,
Jürgen Voges
2   Klinik für stereotaktische Neurochirurgie, Universitätsklinikum Magdeburg
,
Imke Galazky
3   Klinik für Neurologie, Universitätsklinikum Magdeburg
,
Sina Kohl
4   Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Köln
,
Hans-Jochen Heinze
3   Klinik für Neurologie, Universitätsklinikum Magdeburg
,
Jens Kuhn
4   Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Köln
,
Johann Steiner
1   Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Magdeburg
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Publikationsverlauf

Publikationsdatum:
01. Juli 2014 (online)

Zusammenfassung

Die Tiefe Hirnstimulation (THS) wurde bei zahlreichen neurologischen Erkrankungen erforscht. Zunehmend wird auch eine Bedeutung dieser Behandlungsmethode bei psychiatrischen Krankheiten gesehen. In dieser Übersichtsarbeit werden nach einer kurzen geschichtlichen Einleitung die derzeit am häufigsten diskutierten Punkte bezüglich des Einsatzes der THS in der Psychiatrie besprochen. Abschließend wird aufgezeigt, dass die derzeitige Diskussion über die Risiken oder den Nutzen der THS in der Psychiatrie vermutlich nicht nur auf wissenschaftlichen Überlegungen basiert, sondern auch die Krankheitswertigkeit einzelner psychiatrischer Störungsbilder infrage stellt.

Abstract

Deep brain stimulation (DBS) has been shown to be an efficacious treatment for many neurological conditions and has thus been expanded to psychiatric diseases as well. Following an introduction on the history of DBS in psychiatry, this review summarizes commonly raised ethical concerns and questions on clinical trial design, selection of patients, informed consent and concerns about the possible impact of DBS on an individual’s personality. Finally, it highlights the fact that critique on DBS in psychiatry is probably not selectively based on scientific concerns about potential risks; instead, the neurobiological origin of specific psychiatric disorders has been questioned.

 
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