In Reply: Commentary: Deep Brain Stimulation as Clinical Innovation: An Ethical and Organizational Framework to Sustain Deliberations About Psychiatric Deep Brain Stimulation

摘要

Copyright © 2017 by the Congress of Neurological SurgeonsI am grateful to Professor Racine and his colleagues for this robust exchange.1 When substantive dialogue occurs with colleagues with whom one has collaborated, and for whom one has deep respect, a prudent commentator needs to take note. And I do....What is at stake here is really how one defines research as opposed to clinical practice, a point I stressed in my commentary 2on Bell et al's piece on clinical innovation and deep brain stimulation.3 If that demarcation is unclear, the rather amorphous, hybrid domain of “clinical innovation”—the object of our conversation here—can neither be defined nor properly overseen or regulated. Blurriness at the extremes will make a mess of any mosaic category in the middle....In our exchange, Racine and his colleagues and I are in very good company. No less august a body than the...