Skip to main content

Neuromodulation of the “Moral Brain” – Evaluating Bridges Between Neural Foundations of Moral Capacities and Normative Aims of the Intervention

  • Chapter
  • First Online:
Does Neuroscience Have Normative Implications?

Part of the book series: The International Library of Ethics, Law and Technology ((ELTE,volume 22))

  • 226 Accesses

Abstract

The question of whether neuroscience has normative implications or not becomes practically relevant when neuromodulation technologies are used with the aim of pursuing normative goals. The historical burden of such an endeavor is grave and the current knowledge of the neural foundations of moral capacities is surely insufficient for tailored interventions. Nevertheless, invasive and non-invasive neuromodulation techniques are increasingly used to address complex health disturbances and are even discussed for enhancement purposes, whereas both aims entail normative objectives. Taking this observation as an initial position, our contribution will pursue three aims. First, we summarize the potential of neuromodulation techniques for intervening into the “moral brain” using deep brain stimulation as a paradigmatic case and show how neurointerventions are changing our concepts of agency and personality by providing a clearer picture on how humans function. Second, we sketch the “standard model” explanations with respect to ethically justifying such interventions, which rely on a clear separation between normative considerations (“setting the goals of the intervention” or “the desired condition”) and empirical assessments (“evaluating the outcome of the intervention” or “the actual condition”). We then analyze several arguments that challenge this “standard model” and provide bridges between the empirical and normative perspective. We close with the observation that maintaining an analytical distinction between the normative and empirical perspective is reasonable, but that the practical handling of neuromodulation techniques that involve normative intervention goals is likely to push such theoretical distinctions to their limits.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Notes

  1. 1.

    We deliberately use the expression “harm-benefit analysis” instead of the more commonly used term “risk-benefit” because the latter is misleading.

References

  • Abi-Rached, J. M. 2008. The implications of the new brain sciences: the ‘decade of the brain’is over but its effects are now becoming visible as neuropolitics and neuroethics, and in the emergence of neuroeconomies. EMBO reports 9 (12): 1158–1162.

    Google Scholar 

  • Avena-Koenigsberger, A., B. Misic, and O. Sporns. 2018. Communication Dynamics in Complex Brain Networks. Nature Reviews Neuroscience 19 (1): 17.

    Article  Google Scholar 

  • Ballanger, B., T. van Eimeren, E. Moro, A.M. Lozano, C. Hamani, P. Boulinguez, G. Pellecchia, S. Houle, Y.Y. Poon, A.E. Lang, and A.P. Strafella. 2009. Stimulation of the Subthalamic Nucleus and Impulsivity: Release Your Horses. Annals of Neurology 66 (6): 817–824.

    Article  Google Scholar 

  • Bandura, A., G.V. Caprara, C. Barbaranelli, M. Gerbino, and C. Pastorelli. 2003. Role of Affective Self-Regulatory Efficacy in Diverse Spheres of Psychosocial Functioning. Child Development 74 (3): 769–782.

    Article  Google Scholar 

  • Baumeister, R.F., M. Gailliot, C.N. DeWall, and M. Oaten. 2006. Self-Regulation and Personality: How Interventions Increase Regulatory Success, and How Depletion Moderates the Effects of Traits on Behavior. Journal of Personality 74 (6): 1773–1802.

    Article  Google Scholar 

  • Benedetti-Isaac, J.C., M. Torres-Zambrano, A. Vargas-Toscano, E. Perea-Castro, G. Alcalá-Cerra, L.L. Furlanetti, T. Reithmeier, T.S. Tierney, C. Anastasopoulos, E.T. Fonoff, and W.O. Contreras Lopez. 2015. Seizure Frequency Reduction After Posteromedial Hypothalamus Deep Brain Stimulation in Drug-Resistant Epilepsy Associated with Intractable Aggressive Behavior. Epilepsia 56 (7): 1152–1161.

    Article  Google Scholar 

  • Berker, S. 2009. The Normative Insignificance of Neuroscience. Philosophy & Public Affairs 37 (4): 293–329.

    Article  Google Scholar 

  • Bratman, M.E. 2000. Reflection, Planning, and Temporally Extended Agency. Philosophical Review: 35–61.

    Google Scholar 

  • Bunnik, E.M., N. Aarts, and S. van de Vathorst. 2018. Little to Lose and No Other Options: Ethical Issues in Efforts to Facilitate Expanded Access to Investigational Drugs. Health Policy. 2018 Jun 18. pii: S0168-8510(18)30184-2. doi: 10.1016/j.healthpol.2018.06.005. [Epub ahead of print].

    Google Scholar 

  • Callon, M. 1986. The Sociology of an Actor-Network: The Case of the Electric Vehicle. In Mapping the Dynamics of Science and Technology, 19–34. London: Palgrave Macmillan.

    Chapter  Google Scholar 

  • Casebeer, W.D. 2003. Moral Cognition and Its Neural Constituents. Nature Reviews Neuroscience 4 (10): 840.

    Google Scholar 

  • Casey, B.J., J.N. Epstein, J. Buhle, C. Liston, M.C. Davidson, S.T. Tonev, J. Spicer, S. Niogi, A.J. Millner, A. Reiss, A. Garrett, S.P. Hinshaw, L.L. Greenhill, K.M. Shafritz, A. Vitolo, L.A. Kotler, M.A. Jarrett, and G. Clover. 2007. Frontostriatal Connectivity and its Role in Cognitive Control in Parent-Child Dyads with ADHD. American Journal of Psychiatry 164 (11): 1729–1736.

    Article  Google Scholar 

  • Castrioto, A., E. Lhommée, E. Moro, and P. Krack. 2014. Mood and Behavioural Effects of Subthalamic Stimulation in Parkinson’s Disease. The Lancet Neurology 13 (3): 287–305.

    Article  Google Scholar 

  • Cathcart, T. 2013. The Trolley Problem, or Would You Throw the Fat Guy Off the Bridge?: A Philosophical Conundrum. Workman Publishing.

    Google Scholar 

  • Christen, M., and S. Müller. 2012. Current Status and Future Challenges of Deep Brain Stimulation in Switzerland. Swiss Medical Weekly 142: w13570.

    Google Scholar 

  • Christen, M., and M. Regard. 2012. Der ‘unmoralische Patient’. Eine Analyse der Nutzung hirnverletzter Menschen in der Moralforschung. Nervenheilkunde 31: 209–214.

    Article  Google Scholar 

  • Craig, P., P. Dieppe, S. Macintyre, S. Michie, I. Nazareth, and M. Petticrew. 2008. Developing and Evaluating Complex Interventions: The New Medical Research Council Guidance. BMJ 337: a1655.

    Article  Google Scholar 

  • Da Cunha, C., S.L. Boschen, A.A. Gómez, E.K. Ross, W.S. Gibson, H.K. Min, K.H. Lee, and C.D. Blaha. 2015. Toward Sophisticated Basal Ganglia Neuromodulation: Review on Basal Ganglia Deep Brain Stimulation. Neuroscience & Biobehavioral Reviews 58: 186–210.

    Article  Google Scholar 

  • De Ridder, D., B. Langguth, M. Plazier, and T. Menowsky. 2009. Moral Dysfunction and Potential Treatments. In The Moral Brain, ed. J. Verplaetse et al., 155–183. Berlin: Springer.

    Chapter  Google Scholar 

  • Deuschl, G., C. Schade-Brittinger, P. Krack, J. Volkmann, H. Schäfer, K. Bötzel, C. Daniels, A. Deutschländer, U. Dillmann, W. Eisner, and D. Gruber. 2006. A Randomized Trial of Deep-Brain Stimulation for Parkinson’s Disease. New England Journal of Medicine 355 (9): 896–908.

    Article  Google Scholar 

  • Dolan, R.J. 1999. On the Neurology of Morals. Nature Neuroscience 2 (11): 927.

    Article  Google Scholar 

  • Earp, B.D., T. Douglas, and J. Savulescu. 2017. Chapter 11: Moral Neuroenhancement. In The Routledge Handbook of Neuroethics, ed. Johnson LSM and K.S. Rommelfanger. New York: Routledge.

    Google Scholar 

  • El-Hai, J. 2005. The Lobotomist: A Maverick Medical Genius and His Tragic Quest to Rid the World of Mental Illness. Hoboken, NJ: Wiley.

    Google Scholar 

  • Follett, K.A., F.M. Weaver, M. Stern, K. Hur, C.L. Harris, P. Luo, W.J. Marks Jr., J. Rothlind, O. Sagher, C. Moy, and R. Pahwa. 2010. Pallidal Versus Subthalamic Deep-Brain Stimulation for Parkinson’s Disease. New England Journal of Medicine 362 (22): 2077–2091.

    Article  Google Scholar 

  • Foot, P. (1967). The Problem of Abortion and the Doctrine of Double Effect.

    Google Scholar 

  • Frank, M.J., J. Samanta, A.A. Moustafa, and S.J. Sherman. 2007. Hold Your Horses: Impulsivity, Deep Brain Stimulation, and Medication in Parkinsonism. Science 318 (5854): 1309–1312.

    Article  Google Scholar 

  • Fumagalli, M., and A. Priori. 2012. Functional and Clinical Neuroanatomy of Morality. Brain 135 (7): 2006–2021.

    Article  Google Scholar 

  • Gehlen, A. 1940. Der Mensch. Seine Natur und seine Stellung in der Welt.

    Google Scholar 

  • Gilbert, F., J.N.M. Viaña, and C. Ineichen. 2018. Deflating the “DBS causes personality changes” bubble. Neuroethics 1–17.

    Google Scholar 

  • ______. 2020. Deflating the Deep Brain Stimulation Causes Personality Changes Bubble: The Authors Reply. Neuroethics 1–12.

    Google Scholar 

  • Glannon, W., and C. Ineichen. 2016. Philosophical Aspects of Closed-Loop Neuroscience. In Closed Loop Neuroscience, 259–270.

    Chapter  Google Scholar 

  • Greene, J.D., R.B. Sommerville, L.E. Nystrom, J.M. Darley, and J.D. Cohen. 2001. An fMRI Investigation of Emotional Engagement in Moral Judgment. Science 293 (5537): 2105–2108.

    Article  Google Scholar 

  • Gross, J.J. 1998. The Emerging Field of Emotion Regulation: An Integrative Review. Review of General Psychology 2 (3): 271.

    Article  Google Scholar 

  • Hack, N., U. Akbar, A. Thompson-Avila, S.M. Fayad, E.M. Hastings, E. Moro, K. Nestor, H. Ward, M. York, and M.S. Okun. 2014. Impulsive and Compulsive Behaviors in Parkinson Study Group (PSG) Centers Performing Deep Brain Stimulation Surgery. Journal of Parkinson’s Disease 4 (4): 591–598.

    Article  Google Scholar 

  • Haggard, P. 2017. Sense of Agency in the Human Brain. Nature Reviews Neuroscience 18 (4): 196.

    Article  Google Scholar 

  • Haidt, J. 2007. The New Synthesis in Moral Psychology. Science 316 (5827): 998–1002.

    Article  Google Scholar 

  • Hamani, C., M.P. McAndrews, M. Cohn, M. Oh, D. Zumsteg, C.M. Shapiro, R.A. Wennberg, and A.M. Lozano. 2008. Memory Enhancement Induced by Hypothalamic/Fornix Deep Brain Stimulation. Annals of Neurology 63 (1): 119–123.

    Article  Google Scholar 

  • Hariz, M. 2012. Twenty-Five Years of Deep Brain Stimulation: Celebrations and Apprehensions. Movement Disorders 27 (7): 930–933.

    Article  Google Scholar 

  • Harris, S. 2011. The Moral Landscape: How Science Can Determine Human Values. Simon and Schuster.

    Google Scholar 

  • Ineichen, C., and M. Christen. 2017. Hypo-and Hyperagentic Psychiatric States, Next-Generation Closed-Loop DBS, and the Question of Agency. AJOB Neuroscience 8 (2): 77–79.

    Article  Google Scholar 

  • Ineichen, C., H. Baumann-Vogel, and M. Christen. 2016. Deep Brain Stimulation: In Search of Reliable Instruments for Assessing Complex Personality-Related Changes. Brain Sciences 6 (3): 40.

    Article  Google Scholar 

  • Ineichen, C., M. Christen, and C. Tanner. 2017. Measuring Value Sensitivity in Medicine. BMC Medical Ethics 18 (1): 5.

    Article  Google Scholar 

  • Ineichen, C., N.R. Shepherd, and O. Sürücü. 2018. Understanding the Effects and Adverse Reactions of Deep Brain Stimulation: Is It Time for a Paradigm Shift Towards a Focus on Heterogenous Biophysical Tissue Properties Instead of Electrode Design Only? Fontiers in Human Neuroscience. under review.

    Google Scholar 

  • Jahanshahi, M., I. Obeso, C. Baunez, M. Alegre, and P. Krack. 2015. Parkinson’s Disease, the Subthalamic Nucleus, Inhibition, and Impulsivity. Movement Disorders 30 (2): 128–140.

    Article  Google Scholar 

  • Jonides, J., and D.E. Nee. 2006. Brain Mechanisms of Proactive Interference in Working Memory. Neuroscience 139 (1): 181–193.

    Article  Google Scholar 

  • Jonides, J., C. Marshuetz, E.E. Smith, P.A. Reuter-Lorenz, R.A. Koeppe, and A. Hartley. 2000. Age Differences in Behavior and Pet Activation Reveal Differences in Interference Resolution in Verbal Working Memory. Journal of Cognitive Neuroscience 12 (1): 188–196.

    Article  Google Scholar 

  • Kahneman, D., and D. Chajczyk. 1983. Tests of the Automaticity of Reading: Dilution of Stroop Effects by Color-Irrelevant Stimuli. Journal of Experimental Psychology: Human Perception and Performance 9 (4): 497.

    Google Scholar 

  • Kennett, J. 2001. Agency and Responsibility: A Common-Sense Moral Psychology. Oxford University Press.

    Google Scholar 

  • Kober, H., P. Mende-Siedlecki, E.F. Kross, J. Weber, W. Mischel, C.L. Hart, and K.N. Ochsner. 2010. Prefrontal–Striatal Pathway Underlies Cognitive Regulation of Craving. Proceedings of the National Academy of Sciences 107 (33): 14811–14816.

    Article  Google Scholar 

  • Kopell, B.H., and B.D. Greenberg. 2008. Anatomy and Physiology of the Basal Ganglia: Implications for dbs in Psychiatry. Neuroscience & Biobehavioral Reviews 32 (3): 408–422.

    Article  Google Scholar 

  • Lambert, C., L. Zrinzo, Z. Nagy, A. Lutti, M. Hariz, T. Foltynie, B. Draganski, J. Ashburner, and R. Frackowiak. 2015. Do We Need to Revise the Tripartite Subdivision Hypothesis of the Human Subthalamic Nucleus (STN)? Response to Alkemade and Forstmann. NeuroImage 110: 1–2.

    Article  Google Scholar 

  • Laxton, A.W., D.F. Tang-Wai, M.P. McAndrews, D. Zumsteg, R. Wennberg, R. Keren, et al. 2010. A Phase I Trial of Deep Brain Stimulation of Memory Circuits in Alzheimer’s Disease. Annals of Neurology 68 (4): 521–534.

    Article  Google Scholar 

  • Liston, C., M.M. Miller, D.S. Goldwater, J.J. Radley, A.B. Rocher, P.R. Hof, and B.S. McEwen. 2006. Stress-Induced Alterations in Prefrontal Cortical Dendritic Morphology Predict Selective Impairments in Perceptual Attentional Set-Shifting. Journal of Neuroscience 26 (30): 7870–7874.

    Article  Google Scholar 

  • Macmillan, M. 2000. An Odd Kind of Fame. Stories of Phineas Gage. Cambridge, MA: MIT-Press.

    Google Scholar 

  • Mele, A.R. 2001. Autonomous Agents: From Self-Control to Autonomy. Oxford University Press on Demand.

    Google Scholar 

  • Müller, S., and M. Christen. 2011. Deep Brain Stimulation in Parkinsonian Patients—Ethical Evaluation of Cognitive, Affective, and Behavioral Sequelae. AJOB Neuroscience 2 (1): 3–13.

    Article  Google Scholar 

  • Nambu, A. 2008. Seven Problems on the Basal Ganglia. Current Opinion in Neurobiology 18 (6): 595–604.

    Article  Google Scholar 

  • Olanow, C.W., F. Stocchi, and A. Lang, eds. 2011. Parkinson’s Disease: Non-motor and Non-dopaminergic Features. Wiley.

    Google Scholar 

  • Persson, I., and J. Savulescu. 2012. Unfit for the Future: The Need for Moral Enhancement. Uehiro Series in Practical Ethics. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Petrides, M., and D.N. Pandya. 1999. Dorsolateral Prefrontal Cortex: Comparative Cytoarchitectonic Analysis in the Human and the Macaque Brain and Corticocortical Connection Patterns. European Journal of Neuroscience 11 (3): 1011–1036.

    Article  Google Scholar 

  • Poldrack, R.A., and M.J. Farah. 2015. Progress and Challenges in Probing the Human Brain. Nature 526 (7573): 371.

    Article  Google Scholar 

  • Putnam, H. 2002. The Collapse of the Fact/Value Dichotomy and Other Essays. Harvard University Press.

    Google Scholar 

  • Rüfner, V. 1964. Das Personsein im Lichte gestalthaft-genetischer Betrachtungsweise: Im Hinblick auf das religiöse Erleben. Archiv für Religionspsychologie/Archive for the Psychology of Religion: 231–248.

    Google Scholar 

  • Schapira, A.H., K.R. Chaudhuri, and P. Jenner. 2017. Non-motor Features of Parkinson Disease. sNature Reviews Neuroscience 18 (7): 435.

    Article  Google Scholar 

  • Sesack, S.R., and A.A. Grace. 2010. Cortico-Basal Ganglia Reward Network: Microcircuitry. Neuropsychopharmacology 35 (1): 27–47.

    Article  Google Scholar 

  • Shook, J.R. 2012. Neuroethics and the Possible Types of Moral Enhancement. AJOB Neuroscience 3 (4): 3–14.

    Article  Google Scholar 

  • Skinner, B.F. 1972. Beyond Freedom and Dignity. New York: Bantam Books.

    Google Scholar 

  • Somerville, L.H., T.F. Heatherton, and W.M. Kelley. 2006. Anterior Cingulate Cortex Responds Differentially to Expectancy Violation and Social Rejection. Nature Neuroscience 9 (8): 1007–1008.

    Article  Google Scholar 

  • Synofzik, M., T.E. Schlaepfer, and J.J. Fins. 2012. How Happy Is Too Happy? Euphoria, Neuroethics, and Deep Brain Stimulation of the Nucleus Accumbens. AJOB Neuroscience 3 (1): 30–36.

    Article  Google Scholar 

  • Tangney, J.P., R.F. Baumeister, and A.L. Boone. 2004. High Self-Control Predicts Good Adjustment, Less Pathology, Better Grades, and Interpersonal Success. Journal of Personality 72 (2): 271–324.

    Article  Google Scholar 

  • Tanner, C., and M. Christen. 2013. Moral Intelligence: A Framework for Understanding Moral Competences. In Empirically Informed Ethics: Morality Between Facts and Norms, ed. M. Christen, J. Fischer, M. Huppenbauer, C. Tanner, and C. van Schaik, 119–136. Berlin: Springer.

    Google Scholar 

  • Temel, Y., A. Blokland, H.W. Steinbusch, and V. Visser-Vandewalle. 2005. The Functional Role of the Subthalamic Nucleus in Cognitive and Limbic Circuits. Progress in Neurobiology 76 (6): 393–413.

    Article  Google Scholar 

  • Thomson, J.J. 1985. The Trolley Problem. The Yale Law Journal 94 (6): 1395–1415.

    Article  Google Scholar 

  • Tremblay, L., Y. Worbe, S. Thobois, V. Sgambato-Faure, and J. Féger. 2015. Selective Dysfunction of Basal Ganglia Subterritories: From Movement to Behavioral Disorders. Movement Disorders 30 (9): 1155–1170.

    Article  Google Scholar 

  • Valenstein, E.S. 1986. Great and Desperate Cures: The Rise and Decline of Psychosurgery and Other Radical Treatments for Mental Illness. Basic Books.

    Google Scholar 

  • Wallace, R.J. 1994. Responsibility and the Moral Sentiments. Harvard University Press.

    Google Scholar 

  • Weaver, F.M., K. Follett, M. Stern, K. Hur, C. Harris, W.J. Marks, J. Rothlind, O. Sagher, D. Reda, C.S. Moy, and R. Pahwa. 2009. Bilateral Deep Brain Stimulation vs Best Medical Therapy for Patients With Advanced Parkinson Disease: A Randomized Controlled Trial. JAMA 301 (1): 63–73.

    Article  Google Scholar 

  • Welt, L. 2009. Über Charakterveränderungen des Menschen infolge von Läsionen des Stirnhirns. Deutsches Archiv für klinische Medicin 42: 339–390.

    Google Scholar 

  • Wikström, P.O.H. 2005. The Social Origins of Pathways in Crime: Towards a Developmental Ecological Action Theory of Crime Involvement and Its Changes. Integrated Developmental and Life-Course Theories of Offending 14: 211–245.

    Google Scholar 

  • Young, Liane, and James Dungan. 2012. Where in the Brain Is Morality? Everywhere and Maybe Nowhere. Social Neuroscience 7 (1): 1–10.

    Article  Google Scholar 

  • Youngerman, Brett E., Andrew K. Chan, Charles B. Mikell, Guy M. McKhann, and Sameer A. Sheth. 2016. A Decade of Emerging Indications: Deep Brain Stimulation in the United States. Journal of Neurosurgery 125 (2): 461–471.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Markus Christen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ineichen, C., Christen, M. (2020). Neuromodulation of the “Moral Brain” – Evaluating Bridges Between Neural Foundations of Moral Capacities and Normative Aims of the Intervention. In: Holtzman, G.S., Hildt, E. (eds) Does Neuroscience Have Normative Implications?. The International Library of Ethics, Law and Technology, vol 22. Springer, Cham. https://doi.org/10.1007/978-3-030-56134-5_9

Download citation

Publish with us

Policies and ethics