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THE MORAL ISSUES OF
AND CLAIM TO HEALTH CARE
CHAPTER 15
Control or alteration of human behavior by the
deliberate use of technology.
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 brain
tissue for the purpose of altering behavior, moods, or
mental states.
DR. GOOTLIEB BURCKHARDT
DR. ANTONIO EGAZ MONIZ
CINGULOTRACTOMY
It is a procedure used to treatment depression-anxiety
states, obsessional neuroses that have not
responded to other treatments.
THALAMOTOMY
It is a procedure in which parts of the thalamus are
surgically severed or destroyed.
AMYGDALATOMY
It is a procedure in which the parts of the amygdaloid
body are destroyed in a carefully controlled manner.
This is a type of chemotechnology in which chemical
drugs are used for behavior control, e.g., various kinds
of mood and thought disorders.
This deals with the treatment of nervous and mental
disorders by psychological methods such as
psychoanalysis, hypnosis, reeducation, etc.
This stimulates the brain with electricity and the violent
episodes of the patient are aborted.
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.
Moral principles of Kant, Ross, Rawls, and Roman
Catholicism rule out psychosurgery that threatens
to destroy individual’s ability to function as an
effective agent. It would undermine his autonomy
and destroy his dignity.
Health is necessary for an individual to lead a
normal life – no one can adequately care
for his health alone.
INDIVIDUAL’S INHERENT DIGNITY
Everyone in society ought to be entitled to health
care, irrespective of his/her social status, financial
condition, creed, clime or color.
Every individual is a person by virtue of which
everyone has an equal right to medical care.
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.
SOCIAL COMMITMENT
Rights may be limited when they grant some people
excessive control over the lives of others.
A physician’s medical training is a social commitment
because it is society oriented.
TWO KINDS OF CRITERIA
1. Criteria of inclusion (selection of candidates)
2. Criteria of comparison (selection of recipients)
CRITERIA OF INCLUSION
Constituency
Progress of science
Success
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
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 a
random procedure to decide who will get medical aid
and who should not.
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.
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.
Bioethics Behavior Control

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Bioethics Behavior Control

  • 1. THE MORAL ISSUES OF AND CLAIM TO HEALTH CARE CHAPTER 15
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  • 7. Control or alteration of human behavior by the deliberate use of technology.
  • 8. 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 brain tissue for the purpose of altering behavior, moods, or mental states.
  • 11. CINGULOTRACTOMY It is a procedure used to treatment depression-anxiety states, obsessional neuroses that have not responded to other treatments.
  • 12. THALAMOTOMY It is a procedure in which parts of the thalamus are surgically severed or destroyed.
  • 13. AMYGDALATOMY It is a procedure in which the parts of the amygdaloid body are destroyed in a carefully controlled manner.
  • 14. This is a type of chemotechnology in which chemical drugs are used for behavior control, e.g., various kinds of mood and thought disorders.
  • 15. This deals with the treatment of nervous and mental disorders by psychological methods such as psychoanalysis, hypnosis, reeducation, etc.
  • 16. This stimulates the brain with electricity and the violent episodes of the patient are aborted.
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  • 19. 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.
  • 20. Moral principles of Kant, Ross, Rawls, and Roman Catholicism rule out psychosurgery that threatens to destroy individual’s ability to function as an effective agent. It would undermine his autonomy and destroy his dignity.
  • 21. Health is necessary for an individual to lead a normal life – no one can adequately care for his health alone.
  • 22. INDIVIDUAL’S INHERENT DIGNITY Everyone in society ought to be entitled to health care, irrespective of his/her social status, financial condition, creed, clime or color. Every individual is a person by virtue of which everyone has an equal right to medical care.
  • 23. 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.
  • 24. SOCIAL COMMITMENT Rights may be limited when they grant some people excessive control over the lives of others. A physician’s medical training is a social commitment because it is society oriented.
  • 25. TWO KINDS OF CRITERIA 1. Criteria of inclusion (selection of candidates) 2. Criteria of comparison (selection of recipients)
  • 27. 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
  • 28. 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 a random procedure to decide who will get medical aid and who should not.
  • 29. 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.
  • 30. 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.