NDLI: Drug-Induced Impulse Control Disorders: A Prospectus for Neuroethical Analysis

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Drug-Induced Impulse Control Disorders: A Prospectus for Neuroethical Analysis

Content Provider	Springer Nature Link
Author	Carter, Adrian Ambermoon, Polly Hall, Wayne D.
Copyright Year	2010
Abstract	There is growing evidence that dopamine replacement therapy (DRT) used to treat Parkinson’s Disease can cause compulsive behaviours and impulse control disorders (ICDs), such as pathological gambling, compulsive buying and hypersexuality. Like more familiar drug-based forms of addiction, these iatrogenic disorders can cause significant harm and distress for sufferers and their families. In some cases, people treated with DRT have lost their homes and businesses, or have been prosecuted for criminal sexual behaviours. In this article we first examine the evidence that these disorders are caused by DRT. If it is accepted that DRT cause compulsive or addictive behaviours in a significant minority of individuals, then the following ethical and clinical questions arise: Under what circumstances is it ethical to prescribe a medication that may induce harmful compulsive behaviours? Are individuals treated with DRT morally responsible and hence culpable for harmful or criminal behaviour related to their medication? We conclude with some observations of the relevance of DRT-induced ICDs for our understanding of addiction and identify some promising directions for future research and ethical analysis.
Starting Page	91
Ending Page	102
Page Count	12
File Format	PDF
ISSN	18745490
Journal	Neuroethics
Volume Number	4
Issue Number	2
e-ISSN	18745504
Language	English
Publisher	Springer Netherlands
Publisher Date	2010-05-07
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Addiction Neuroethics Dopamine agonists Parkinson’s Disease Impulse control disorders Moral responsibility Neuropsychology Neurobiology Ethics Neuroradiology Neurology Neurosurgery
Content Type	Text
Resource Type	Article
Subject	Philosophy Neurology Health Policy Psychiatry and Mental Health

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