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Prise en charge de la maladie de Parkinson par stimulation cérébrale profonde : Enjeux philosophiques d’un soin technologique.

Abstract : Deep brain stimulation (an invasive neurosurgical technique consisting of implantation and activation of electrodes in a part of the brain) was developed in the late 1980s to treat some Parkinson's disease patients, for whom conventional drug therapy was losing its effectiveness. Since the early 2000s, this care practice has been extended to other pathologies, for which experimental protocols are still in progress. This dissertation questions the role and influences of this technological medical practice on care, care relationships and the discourses produced about them. In other words, we seek to understand, determine and analyze what this technological medical practice shapes, both epistemologically and existentially. Through this study, we ask what are the effects of this type of care, in the short and long term perspective, on medical practices, medical knowledge, care relationships and the people who experience it. How are these effects addressed in the clinical and (neuro)ethical literature? Are they in line with these experiences and the issues they raise? Our philosophical approach is based on the combination of observational work and inquiries in health services, and epistemological and anthropological reflection grounded in a corpus of many "foreign materials". The main objective of this work is to demonstrate how technological care, inserted in the treatment of a chronic neurodegenerative disease, complicates care relationships in the long term, while providing new perspectives.
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Submitted on : Monday, April 27, 2020 - 2:38:44 PM
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Mathilde Lancelot. Prise en charge de la maladie de Parkinson par stimulation cérébrale profonde : Enjeux philosophiques d’un soin technologique.. Philosophie. Université de Paris / Université Paris Diderot (Paris 7), 2019. Français. ⟨tel-02555639⟩

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