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Moral Responsibility and Psychopathy: Why We Do Not Have Special Obligations to the Psychopath

机译:道德责任与精神病:为什么我们对精神病患者没​​有特殊义务

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Addressing concerns about the treatment of psychopaths, Grant Gillett and Jiaochen Huang (2013) argue that we ought to accept a relational or holistic view of psychopathy and antisocial personality disorder (APSD) rather than the default biomedical-deficit model since the latter “obscures moral truths about the psychopath.” This change in approach to the psychopath will bothmitigate at least some of their moral responsibility for the harms they cause, and force communities to incur special obligations, so these authors claim, because the harms endured by psychopaths will be understood as part of the cause for the harms they are guilty of committing. However, as I argue here, even if we accept that a relational or holistic approach is better suited to understand psychopathy (which is itself contentious), it does not follow that their responsibility is mitigated in a way that causes communities to have special obligations to them as Gillett and Huang suggest. A diagnosis of APSD or psychopathy does not, prima facie, exculpate an agent or suggest a different way of treating them. My discussion focuses on the widely accepted excusing conditions one must meet for responsibility to bemitigated and conclude, contra Gillett and Huang, that psychopaths are no different from you or me with regard to having a causal history that leads to action. Outside forces play a role in all of our behaviors. If the psychopath is owed anything because of the way they have come to understand the world, then we all are owed that same debt.
机译:为解决对精神病患者治疗的担忧,格兰特·吉列(Gill Gillett)和黄娇晨(Jiaochen Huang,2013)认为,我们应该接受精神病和反社会人格障碍(APSD)的关系或整体观点,而不是默认的生物医学-缺陷模型,因为后者“模糊了道德关于精神病患者的真相。”这些对精神病患者态度的改变将至少减轻他们对其造成的伤害的某些道德责任,并迫使社区承担特殊义务,因此,这些作者认为,因为精神病患者所承受的伤害将被理解为造成精神疾病的原因之一。他们犯下的危害。但是,正如我在这里指出的那样,即使我们接受关系或整体方法更适合理解精神病(其本身是有争议的),也不能因此认为减轻他们的责任会导致社区对儿童承担特殊义务。正如吉列(Gillett)和黄(Guang)所建议的那样。从表面上看,对APSD或精神病的诊断并不能使病原体消失或提出其他治疗方法。与吉列特和黄相反,我的讨论重点是人们必须承担的被宽容的辩解条件,并得出结论,对精神病患者而言,就导致采取行动的因果关系而言,与您我没有什么不同。外部力量在我们所有的行为中都起着作用。如果由于精神病患者了解世界的方式而欠他们任何东西,那么我们所有人都应被欠同样的债务。

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