精神障碍罪犯的道德生物强化

Focquaert Farah
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摘要

目前关于道德生物增强的学术辩论主要集中在对患有各种认知、动机和情感障碍的罪犯或法医病人使用神经干预。由于这种损害可能涉及各种不道德行为的风险因素(例如,性犯罪,暴力和种族主义),道德生物增强可能提供一个受欢迎的解决方案(Douglas, 2008;卡特,2016)。显然,把重点放在具有构成不道德行为风险因素的认知、动机和情感障碍的个人身上,比把重点放在提高具有正常道德决策技能和行为的个人身上,是一个更为紧迫的伦理问题。与减少暴力和性变态的不道德行为相比,让具有正常道德决策能力的人变得更道德,在我们的优先级清单上应该更低。然而,许多重要问题仍未得到解答。(1)在道德提升的保护伞下,对有精神健康问题的罪犯进行干预或治疗是否可取,是否有任何帮助?将这些描述为(a)医学上指示的道德增强干预或(b)旨在提高罪犯和法医病人道德的生物医学干预,我们能得到什么?(2)目前设想的道德生物增强项目成功的可能性有多大?这些干预措施会有效降低再犯率吗?法医精神病学家和心理学家是否欢迎对罪犯和精神障碍法医病人使用生物医学(道德增强)干预措施?
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Moral Bio-Enhancement for Offenders with Mental Disorders
The current academic debate on moral bio-enhancement focuses largely on the use of neuro-interventions for offenders or forensic patients who are suffering from various cognitive, motivational and emotional impairments. As such impairments may involve risk factors for various kinds of immoral behaviour (e.g., sexual crimes, violence, and racism) moral bio-enhancement might provide a welcome solution (Douglas, 2008; Carter, 2016). It is obvious that a focus on individuals with cognitive, motivational and emotional impairments that constitute risk factors for immoral behaviour is a much more pressing ethical concern than a focus on the enhancement of individuals that possess normal moral decision-making skills and behaviour. Making individuals with normal moral decision-making skills more moral should be lower on our priority list compared to reducing violent and sexually deviant immoral behaviour. However, a host of important questions remain unanswered. (1) Is it desirable and in any way helpful to coin interventions or therapies for offenders with mental health problems under the umbrella of moral enhancement. What do we gain by describing these as (a) medically indicated moral enhancement interventions or as (b) biomedical interventions aimed at morally enhancing offenders and forensic patients. (2) How likely is the currently envisioned moral bio-enhancement project to succeed? Will such interventions be effective in reducing recidivism rates? Do forensic psychiatrists and psychologists welcome the use of biomedical (moral enhancement) interventions for offenders and forensic patients with mental disorders?
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