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Moral Responsibility and Mental Illness: a Call for Nuance

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Abstract

Does having a mental disorder, in general, affect whether someone is morally responsible for an action? Many people seem to think so, holding that mental disorders nearly always mitigate responsibility. Against this Naïve view, we argue for a Nuanced account. The problem is not just that different theories of responsibility yield different verdicts about particular cases. Even when all reasonable theories agree about what’s relevant to responsibility, the ways mental illness can affect behavior are so varied that a more nuanced approach is needed.

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References

  1. Newman, M. (2006). “Yates found not guilty by reason of insanity.” New York times. Retrieved from http://www.nytimes.com/2006/07/26/us/26cnd-yates.html.

  2. Dart, T. (2015). “'American Sniper' jurors: Defendant was using PTSD diagnosis as an excuse.” The Guardian. Retrieved from http://www.theguardian.com/us-news/2015/feb/25/american-sniper-trial-jury-eddie-ray-routh-ptsd-excuse.

  3. Glannon, W. 2011. Brain, body, and mind: Neuroethics with a human face. Oxford University Press.

  4. Palop, J.J., J. Chin, and L. Mucke. 2006. A network dysfunction perspective on neurodegenerative diseases. Nature 443 (7113): 768–773.

    Article  Google Scholar 

  5. Levy, N. (Ed.). (2013). Addiction and self-control: Perspectives from philosophy, psychology, and neuroscience. Oxford: Oxford University Press.

    Google Scholar 

  6. Maibom, H.L. 2008. The mad, the bad, and the psychopath. Neuroethics 1 (3): 167–184.

    Article  Google Scholar 

  7. Tabb, K. 2015. Psychiatric progress and the assumption of diagnostic discrimination. Philosophy of Science 82 (5): 1047–1058.

    Article  Google Scholar 

  8. Edwards, C. 2009. Ethical decisions in the classification of mental conditions as mental illness. Philosophy, Psychiatry, & Psychology 16 (1): 73–90.

    Article  Google Scholar 

  9. Arpaly, N. 2005. How it is not "just like diabetes": Mental disorders and the moral psychologist. Philosophical Issues 15 (1): 282–298.

    Article  Google Scholar 

  10. Strawson, G. 1994. The impossibility of moral responsibility. Philosophical Studies 75 (1–2): 5–24.

    Article  Google Scholar 

  11. Meynen, G. 2010. Free will and mental disorder: Exploring the relationship. Theoretical Medicine and Bioethics 31 (6): 429–443.

    Article  Google Scholar 

  12. Wallace, R.J. 1994. Responsibility and the moral sentiments. Harvard: Harvard University Press.

    Google Scholar 

  13. Levy, D.A. 2003. Neural holism and free will. Philosophical Psychology 16 (2): 205–228.

    Article  Google Scholar 

  14. Coates, D.J., and P. Swenson. 2013. Reasons-responsiveness and degrees of responsibility. Philosophical Studies 165 (2): 629–645.

    Article  Google Scholar 

  15. Shoemaker, D. 2015. Responsibility from the margins. New York: Oxford University Press.

    Book  Google Scholar 

  16. Strawson, P.F. 1962. Freedom and resentment. Proceedings of the British Academy 68: 1–25.

  17. Pickard, H. 2015. Psychopathology and the ability to do otherwise. Philosophy and Phenomenological Research 90 (1): 135–163.

    Article  Google Scholar 

  18. Elliott, C. 1996. The rules of insanity: Moral responsibility and the mentally ill offender. Albany: SUNY Press.

    Google Scholar 

  19. Feinberg, J. 1970. What is so special about mental illness? Doing and Deserving, 272–292. Princeton: Princeton University Press.

    Google Scholar 

  20. Kozuch, B., and McKenna, M. (2015). Free will, moral responsibility, and mental, illness. In Philosophy and psychiatry problems, intersections, and new perspectives, eds. D. D. Moseley & G. Gala. Routledge.

  21. May, J. 2014. On the very concept of free will. Synthese 191 (12): 2849–2866.

  22. Kane, R. 1996. The significance of free will. New York: Oxford University Press.

  23. Fischer, J.M. and M. Ravizza. 1998. Responsibility and control: a theory of moral responsibility. Cambridge: Cambridge University Press.

  24. Clarke, R. 1993. Toward a credible agent-causal account of free will. Noûs 27 (2): 191–203.

    Article  Google Scholar 

  25. Frankfurt, H. 1971. Freedom of the will and the concept of a person. Journal of Philosophy 68 (1): 5–20.

  26. Wolf, S. 1987. Sanity and the metaphysics of responsibility. In Responsibility, character, and the emotions, ed. F.D. Schoeman, 46–62. New York: Cambridge University Press.

    Google Scholar 

  27. Kennett, J. 2007. Mental disorder, moral agency, and the self. In The Oxford Handbook of Bioethics, ed. Bonnie Steinbock, 90–113. Oxford: Oxford University Press.

    Google Scholar 

  28. Summers, J.S., and W. Sinnott-Armstrong. 2015. Scrupulous agents. Philosophical Psychology 28 (7): 947–966.

    Article  Google Scholar 

  29. King, M. 2014. Traction without tracing: a (partial) solution for control-based accounts of moral responsibility. European Journal of Philosophy 22 (3): 463–482.

  30. Schroeder, T. 2005. Moral responsibility and tourette syndrome. Philosophy and Phenomenological Research 71 (1): 106–123.

    Article  Google Scholar 

  31. Morse, S.J. 2011. Mental disorder and criminal law. The Journal of Criminal Law and Criminology 101 (3): 885–968.

    Google Scholar 

  32. Broome, M.R., L. Bortolotti, and M. Mameli. 2010. Moral responsibility and mental illness: A case study. Cambridge Quarterly of Healthcare Ethics 19 (02): 179–187.

    Article  Google Scholar 

  33. Bortolotti, L. 2015. The epistemic innocence of motivated delusions. Consciousness and Cognition 33 (C): 490–499.

    Article  Google Scholar 

  34. Earp, B.D., A. Sandberg, G. Kahane, and J. Savulescu. 2014. When is diminishment a form of enhancement? Rethinking the enhancement debate in biomedical ethics. Frontiers in Systems Neuroscience 8 (12): 1–8.

    Google Scholar 

  35. Kurth, C. in press. The anxious mind. Cambridge: MIT Press.

  36. Summers, J.S. 2017. Post hoc ergo propter hoc: Some benefits of rationalization. Philosophical Explorations 20 (sup1): 21–36.

    Article  Google Scholar 

  37. May, J. 2017. Regard for Reason in the Moral Mind. Oxford: Oxford University Press, forthcoming.

  38. Morse, S.J. 2006. Moral and legal responsibility and the new neuroscience. In Neuroethics: Defining the issues in theory, practice, and policy, ed. Judy Illes, 33–50. Oxford: Oxford University Press.

    Google Scholar 

  39. Vincent, N. 2013. Enhancing Responsibility. In Neuroscience and Legal Responsibility, ed. N. Vincent, 305–333. Oxford: Oxford University Press.

    Chapter  Google Scholar 

  40. American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders. 5th ed. DC: Washington.

    Book  Google Scholar 

  41. Turner, A.J. 2010. Are disorders sufficient for reduced responsibility? Neuroethics 3 (2): 151–160.

    Article  Google Scholar 

  42. Appelbaum, P.S. 2007. Assessment of patients' competence to consent to treatment. New England Journal of Medicine 357 (18): 1834–1840.

    Article  Google Scholar 

  43. Bjorklund, P. 2004. ‘There but for the grace of god’: Moral responsibility and mental illness. Nursing Philosophy 5: 188–200.

    Article  Google Scholar 

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Acknowledgements

For helpful feedback on various drafts, we thank: Justin Caouette, Justin Clarke-Doane, Neil Levy, Kathryn Tabb, and Jesse Summers. A version of this paper was presented at a graduate seminar at Columbia University. Many thanks to Kathryn, Justin, and their thoughtful students for a profitable discussion that greatly shaped the final version of the paper.

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Correspondence to Matt King.

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King, M., May, J. Moral Responsibility and Mental Illness: a Call for Nuance. Neuroethics 11, 11–22 (2018). https://doi.org/10.1007/s12152-017-9345-4

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  • DOI: https://doi.org/10.1007/s12152-017-9345-4

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