I Miss Being Me: Phenomenological Effects of Deep Brain Stimulation

Frederic Gilbert, Eliza Goddard, John Noel M. Viaña, Adrian Carter, Malcolm Horne

Research output: Contribution to journalArticleResearchpeer-review

59 Citations (Scopus)

Abstract

The phenomenological effects of deep brain stimulation (DBS) on the self of the patient remains poorly understood and under described in the literature, despite growing evidence that a significant number of patients experience postoperative neuropsychiatric changes. To address this lack of phenomenological evidence, we conducted in-depth, semistructured interviews with 17 patients with Parkinson's disease who had undergone DBS. Exploring the subjective character specific to patients' experience of being implanted gives empirical and conceptual understanding of the potential phenomenon of DBS-induced self-estrangement. Our study concluded that (1) the more patients preoperatively felt alienated by their illness, the more they experienced postoperative self-estrangement, and (2) the notion of self-estrangement seems to exist in association with certain common qualitative characters, namely, loss of control, which reflects a deteriorative estrangement, and distorted perception of capacities, which reveals a restorative estrangement. These findings indicate that subjective self-reports help us to understand some aspects of the potential phenomenon of DBS-induced self-estrangement.

Original languageEnglish
Pages (from-to)96-109
Number of pages14
JournalAJOB Neuroscience
Volume8
Issue number2
DOIs
Publication statusPublished - 3 Apr 2017

Keywords

  • alienation
  • deep brain stimulation
  • distorted perception
  • loss of control
  • Parkinson's disease
  • self
  • self-estrangement
  • side effects

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