Stroke and Personhood

fasttooTV viewers in the UK will likely have noted that the Public Health England “Act F.A.S.T.” adverts promoting stroke awareness are back on our screens. The campaign has run periodically since 2009* and emphasises the importance of knowing the signs that someone is having a stroke – Face (has their face fallen on one side?), Arms (can they raise both arms and keep them there?), Speech (is their speech slurred?), Time to call 999.

The campaign has evolved over the years. For example, a broader ethnic range of characters experiencing stroke was introduced in 2014.

This year there has been a highly significant additional change. Did you spot it? The final tag line for the advert has been altered from “The faster you act, the more of the person you save” to  “The faster you act, the better their chances“.

The change is subtle, but hugely important. The previous version reinforces a perception that someone who has suffered a stroke is somehow less human they were before. This is ableist and reflect a view of personhood that considers, albeit unintentionally, someone with a disability as less of a person than those who are able-bodied. I welcome this change and congratulate Public Health England for correcting this error.

 

*Official analysis of the impact of the Act F.A.S.T. campaign has been mixed. In 2012 the government reported an increase in stroke-related calls to the 999 emergency number,  however a qualitative study published the following year was more sceptical (see  Dombrowski et al (2013) BMC Public Health 13:915).

 

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Review of Neurolaw text

neuroloaw1b.jpgThe October 2016 edition of the Cambridge Quarterly of Healthcare Ethics has a special focus on Clinical Neuroethics. It contains a review of my Neurolaw book Biological Determinism, Free Will and Moral Responsibility: Insights from genetics and neuroscience.

I’m thrilled that the review is hugely positive about the book. Quotable quotes include:

  • “…a very accessible explanation of the need to reconsider notions of free will and moral responsibility in an age of scientific breakthroughs in genomics and brain science…”
  • “…an insightful philosophical account of the apparent stand-off between free will and the evidence of determinism…”
  • “…a remarkably lucid account of the relevance of science for the debate on free will and determinism…”
  • “…an impressive prudential approach, balancing the reliability of scientific achievement with caution about its applicability to criminal courts…”
  • “…an extraordinary resource for engaging moral responsibility in the age of genetics and neuroscience…”.

“My brain made me do it”: are we ready for more Neurolaw?

I’m excited to say that my book Biological Determinism, Free Will and Moral Responsibility: Insights from Genetics and Neuroscience is being published this week.

determinism cover

There are 5 chapters, in which I have attempted to pull together threads from moral philosophy, from law and from neuroscience to examine the growth of Neurolaw. Around the world, notably the USA and Italy, an increasing number of defendants are appealing to their genes or issues with the structure and function of their brain as mitigation for their crimes. To what extent should we allow this, now or in the future?

Chapter summaries:

  • Free will and determinism: an overview of some of the main schools of thought regarding the “free will problem” – Libertarianism, Compatibilism and Hard Determinism.
  • Existing legislation on mental disorders and criminal cases: automatism, criminal liability, diminished responsibility, “disease of the mind”, insanity, mens rea and M’Naghten.
  • Biological basis of behaviour: background on behavioural genetics and the use of various brain imaging techniques to investigate the extent to which our behaviour might be “hard wired”.
  • Use of genetic and neuroscientific evidence in criminal cases: a brief history of neurolaw. Summarises many of the key cases in which scientific evidence has been proffered by in criminal cases as (partial) justification of the behaviour of the defendant.
  • Are we ready for an expanded use of neuroscientific evidence in the courtroom?: In which I caution that the current use of genetic and brain physiology evidence is, at best, premature and uncertain.

More on “Headline Bioethics Commentaries”

Following on from last week’s post about our Headline Bioethics project, here is a poster about the assignment and repurposing which I presented at the University of Leicester Learning and Teaching conference on January 10th. The poster is shown here, with a pdf version avialable via this link.

HeadlineBioethicsJan13

What’s Good on TV? Understanding Ethics Through TV

wgontv

A good idea, but unfortunately WGonTV fails to deliver

I have recently completed a review of What’s Good on TV? for the BUFVC magazine Viewfinder. As the subtitle of the book implies, it is intended to be a guide to understanding ethics using television-based examples in place of the classic “An out of control train is rushing down the tracks towards a group of unsuspecting children…” style examples beloved of ethics textbooks.

As the review shows in more detail, I love the concept (my other blog over at BioethicsBytes tries to achieve similar goals). Unfortunately I felt that the book didn’t quite hit the mark. I have a number of significant reservations about the appropriateness of the chosen examples for educational use in the UK (both in terms of the familiarity and the explicit nature of some of the content). I also craved rather more detail from the authors regarding the ways that they use the recommended programmes.

  • Awards

    The Power of Comparative Genomics received a Special Commendation

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