Bioethics Behavior Control

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THE MORAL ISSUES OF  AND CLAIM TO HEALTH CARE CHAPTER 15

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Control or alteration of human behavior by thedeliberate use of technology.

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 Also known as psychosurgery, a lobotomy is the

technical process of cutting into or across a lobe of the

brain, especially in order to modify or eliminate some

functions associated with a mental disorder.

It involves a surgical removal or destruction of a braintissue for the purpose of altering behavior, moods, or 

mental states.

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DR. GOOTLIEB BURCKHARDT 

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DR. ANTONIO EGAZ MONIZ 

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CINGULOTRACTOMY 

It is a procedure used to treatment depression-anxiety 

states, obsessional neuroses that have not responded to other treatments.

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THALAMOTOMY 

It is a procedure in which parts of the thalamus are

surgically severed or destroyed.

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 AMYGDALATOMY 

It is a procedure in which the parts of the amygdaloid 

body are destroyed in a carefully controlled manner.

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This is a type of chemotechnology in which chemical drugs are used for behavior control, e.g., various kinds

of mood and thought disorders.

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This deals with the treatment of nervous and mental disorders by psychological methods such as psychoanalysis, hypnosis, reeducation, etc.

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This stimulates the brain with electricity and the violent 

episodes of the patient are aborted.

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This is a form of behavior modification that is based on the concept of operant conditioning. The latter 

consists of the application of positive or negative

reinforcements.

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Moral principles of Kant, Ross, Rawls, and Roman

Catholicism rule out psychosurgery that threatensto destroy individual’s ability to function as an

effective agent. It would undermine his autonomy 

and destroy his dignity.

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Health is necessary for an individual to lead anormal life – no one can adequately care

for his health alone.

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INDIVIDUAL’S INHERENT DIGNITY  

Everyone in society ought to be entitled to healthcare, irrespective of his/her social status, financial 

condition, creed, clime or color.

Every individual is a person by virtue of whicheveryone has an equal right to medical care.

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MEDICAL INDIVIDUALISM 

To recognize everyone’s right to health care would 

result in the violation of the rights of the physicians

and other medical practitioners.

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SOCIAL COMMITMENT 

Rights may be limited when they grant some peopleexcessive control over the lives of others.

 A physician’s medical training is a social commitment 

because it is society oriented.

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TWO KINDS OF CRITERIA

1. Criteria of inclusion (selection of candidates)

2. Criteria of comparison (selection of recipients)

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CRITERIA OF INCLUSION 

Constituency 

Progress of science

Success

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CRITERIA OF COMPARISON 

Likelihood of successful treatment compared with others in the group

Life-expectancy of the person

Person’s family role Potential of the person in making future contributions

Person’s record of services and contributions 

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 APPLICATION OF ETHICAL THEORIES 

Natural Law and Ross would support a random

 procedure. We all have a duty to preserve our lives,

but we do sometimes have to risk them in such

situations as in agreeing to abide by the outcome of arandom procedure to decide who will get medical aid 

and who should not.

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 APPLICATION OF ETHICAL THEORIES 

For the rule utilitarian, the “first come, first served” 

 procedure would be legitimate, although the principle

of utility suggests that we ought to take into

consideration the consequences of sacrificing some

 people rather than others.

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 APPLICATION OF ETHICAL THEORIES 

Rawl’s principles of justice would rule out the

distribution of resources based on social worth.

Whatever benefits are available, must be of value to all and open to all.

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