International Legal Approaches to Neurosurgery for Psychiatric Disorders

Author:

Chandler Jennifer A.,Cabrera Laura Y.,Doshi Paresh,Fecteau Shirley,Fins Joseph J.,Guinjoan Salvador,Hamani Clement,Herrera-Ferrá Karen,Honey C. Michael,Illes Judy,Kopell Brian H.,Lipsman Nir,McDonald Patrick J.,Mayberg Helen S.,Nadler Roland,Nuttin Bart,Oliveira-Maia Albino J.,Rangel Cristian,Ribeiro Raphael,Salles Arleen,Wu Hemmings

Abstract

Neurosurgery for psychiatric disorders (NPD), also sometimes referred to as psychosurgery, is rapidly evolving, with new techniques and indications being investigated actively. Many within the field have suggested that some form of guidelines or regulations are needed to help ensure that a promising field develops safely. Multiple countries have enacted specific laws regulating NPD. This article reviews NPD-specific laws drawn from North and South America, Asia and Europe, in order to identify the typical form and contents of these laws and to set the groundwork for the design of an optimal regulation for the field. Key challenges for this design that are revealed by the review are how to define the scope of the law (what should be regulated), what types of regulations are required (eligibility criteria, approval procedures, data collection, and oversight mechanisms), and how to approach international harmonization given the potential migration of researchers and patients.

Funder

Canadian Institutes of Health Research

University of Ottawa

Publisher

Frontiers Media SA

Subject

Behavioral Neuroscience,Biological Psychiatry,Psychiatry and Mental health,Neurology,Neuropsychology and Physiological Psychology

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