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The controversial relationship between neuroscience and moral responsibility in psychopaths

机译:精神病患者中神经科学与道德责任之间的争议关系

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From fields such as neuroethics and legal medicine it is increasingly common to raise the issue on whether it is necessary to rethink questions such as moral and criminal responsibility in individuals fulfilling Hare’s criteria for psychopathy. The Hare’s Psychopathy Checklist Revised is currently the diagnostic gold standard for psychopathy and defines a type of personality characterized by interpersonal, affective, and behavioral symptoms. Moral and criminal responsibility in these individuals is now being reconsidered due to new data provided by neuroscience. However, the translation from these neuroscientific findings into terms of moral responsibility is neither direct nor evident. The aim of this review is to assemble the available neuroscientific evidence and to clarify the moral consequences of these findings. A genetic base for psychopathy exists as well as brain functionality or even structural variations. However, these structural changes are not robust and consistent across the different studies. Moreover, this body of evidence uses different methodologies and, for this reason, it is hardly comparable. Findings from the field of neuropsychology such as the emotional alterations, empathy impairment or emotional theory of mind (ToM) deviance are equivocal, controversial, and a focus of debate. These can be well understood as correlates of the particular psychopaths’ moral functioning more than as a deterministic causality for their conduct. In addition, a biological and neuropsychological model of moral responsibility open to scientific analysis does not exist. Ultimately, moral responsibility has a biological and neuropsychological basis, but it cannot be fully explained by these constructs. This review assesses new findings in the study of moral and criminal responsibility in psychopaths, and the different interpretations about them. It concludes that, in the absence of an experimental model of moral responsibility, current data, though controversial, are not definitive arguments that can reduce or to eliminate moral, and subsequently, criminal responsibility.
机译:在神经伦理学和法律医学等领域,人们越来越普遍地提出一个问题,即是否有必要重新考虑满足Hare精神病标准的个人的道德和刑事责任等问题。 《野兔精神病检查表修订版》目前是精神病的诊断黄金标准,定义了一种以人际交往,情感和行为症状为特征的人格类型。由于神经科学提供的新数据,现在正在重新考虑这些人的道德和刑事责任。但是,从这些神经科学的发现到道德责任方面的转换既不直接也不明显。这篇综述的目的是收集可用的神经科学证据,并阐明这些发现的道德后果。存在精神疾病的遗传基础,以及大脑功能甚至结构变异。但是,这些结构变化在不同的研究中并不可靠且一致。此外,该证据使用了不同的方法,因此,几乎没有可比性。来自神经心理学领域的发现,例如情绪改变,共情障碍或情绪心理理论(ToM)偏差,是模棱两可的,有争议的且是争论的焦点。可以将这些理解为特定精神病患者道德功能的关联,而不是其行为的确定性因果关系。此外,尚不存在可以接受科学分析的道德责任的生物学和神经心理学模型。归根结底,道德责任具有生物学和神经心理学的基础,但不能由这些构造完全解释。这篇综述评估了精神病患者的道德和刑事责任研究中的新发现,以及对它们的不同解释。结论是,在缺乏道德责任实验模型的情况下,尽管存在争议,但当前数据不是可以减少或消除道德责任以及随后的刑事责任的确定论据。

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