Treatment-Resistant Depression Case Study

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Millions of people suffer from depression everyday, while a smaller subset experience treatment-resistant depression. “Treatment-Resistant depression is a severely disabling disorder with no proven treatment options once multiple medications, psychotherapy, and electroconvulsive therapy have failed” (Mayberg, 651). In Theo’s case, his episode of depression was brought on by a terrible life experience and though he had a prior episode of depression in early adulthood, this episode proved to reject all forms of treatment. Now considering the novel treatment of deep brain stimulation, Theo and his wife, Suzy, have concerns and questions about the possible long term effects of deep brain stimulation and evidence that suggests that a treatment that …show more content…

Assuming that the Theo receives the treatment and that it has an antidepressant effect, reprogramming the stimulator would could give him a different personality by either increasing or decreasing the intensity of his personality traits. I would define personality according to the definition provided by professors of psychology Randy Larsen and David Buss. “Personality is the set of psychological traits and mechanisms within the individual that are organized and relatively enduring and that influence his or her interactions with, and adaptations to, the intrapsychic, physical, and social environments” (Larsen & Buss, 4). The phrase “relatively enduring” is significant because it acknowledges that personality is somewhat dynamic, in that it develops over a lifespan and changes according to life circumstances. However, evidence suggests that these fluctuations are moderate, even minimal, due to genes and the tendency for “people to select, create, and construe environments in ways that reinforce and maintain their initial trait dispositions” (Klein, 271). Psychologists have identified a model that consolidates aspects of personality to five general traits: neuroticism, extraversion, conscientiousness, agreeableness, and openness to experience (Klein, 270). When a person is experiencing depression, there are certain …show more content…

Once more, how does his choice to alter the parameters to achieve certain personality markers affect his status? Well, this depends on how you define machine. A machine is device that magnifies human physical or mental capabilities in performing an operation (Machine). Deep brain stimulation involves implanting electrodes into the brain to induce changes to obtain clinical improvement in people with depression. Essentially, Theo will be perceived as part human and part machine because the electrodes that receive electric stimulation are magnifying his mental capabilities in order for him to properly function in daily life. In the case of Theo receiving the treatment to simply treat his depression, deep brain stimulation would be acting as a restorative technology that is operating to restore Theo to his normal function and identity. In reality, this is not much different that using implanted cardiac pacemakers or artificial joints. However, if this treatment is taken a step further to optimize aspects of Theo’s personality, then in turns into an enhancement technology, which may be perceived with a more negative

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