Bioethics and Andragogy in Rehabilitation Centre Practice: Neuroethical Factors

Liliya Tomich, Nina Kravets, Olha Barladyn, Valentyn Grushko, Tetiana Biriukova, Halyna Leshchuk


The article discusses whether sensory deprivation is suitable for clients undergoing anti-drug rehabilitation in a specialized centre, prompting discussion on the ethical considerations of partially violating natural rights. Its significance stems from the alarming increase in drug addiction, its widespread availability and the conflicting perspectives in terms of andragogy, bioethics and neuroethics. The latter is at the core of human identity. The article aims to analyze scientific views on the problem in question, reveal the neuro- and bioethical realities within individual rehabilitation centres, contrast them with the multi-faceted ethical considerations and evaluate the usefulness of limiting certain natural rights of the client (restricting sensory pleasure) for therapeutic reasons. Owing to the lengthy and isolated nature of rehabilitation, along with ethical concerns, the authors faced challenges in accessing information. Consequently, data collection relied primarily on andragogical observation and monitoring of clients’ neurophysiological responses. Additionally, access was granted to centre staff journals, interviews and occasional client surveys. The analysis involved interpreting neurophysiological data without the use of equipment, consolidating survey data and assessing ethically significant matters concerning suitability and permissibility. The findings highlighted the relevance of ethical considerations surrounding intervention in both the human body and psyche, emphasizing that decisions are typically dictated by the specific therapeutic context. Consequently, the primary objective of the article is to bring awareness to rehabilitation specialists, medical practitioners and legal professionals about the importance of reaching a consensus between respecting human natural rights and the imperative to provide rescue, even during stages III-IV of addiction.



bioethical and neuroethical factors, inviolability of boundaries, rehabilitative treatment, neurophysiological response, stress therapy

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