边缘型人格障碍与道德责任

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2025-01-04 DOI:10.1007/s11019-024-10243-6
Agnès Baehni
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引用次数: 0

摘要

这篇论文试图确定边缘型人格障碍患者在多大程度上可以对他们的特定行为承担道德责任:过度的愤怒、攻击和发脾气。关注这些方面的基本原理在于它们在文献中得到了广泛的认可,并且它们似乎与针对BPD患者的指责有关。BPD患者通常被认为是“难相处的患者”(Sulzer 2015:82;Bodner et al. 2011),明显高于精神分裂症或抑郁症患者(Markam 2003)。BPD患者的“责任问题”已经被提出(Martin 2010;Zachar and Potter 2009;Bray 2003),但本文从一个新颖的角度来解决这个问题。首先,我缩小了责任问题特定于BPD患者的事情的范围。在此之后,我认为BPD的一些诊断标准,如情绪不稳定或冲动,可能成为针对道德责任的“控制条件”的借口因素。其次,本文还考虑了另一个被广泛接受的道德责任条件:认识论条件。本文所捍卫的观点是,对于BPD个体的责任问题的答案,既涉及控制条件,也涉及认识条件,取决于对他们的认识概况的理解。
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Borderline personality disorder and moral responsibility.

This paper seeks to determine the extent to which individuals with borderline personality disorders can be held morally responsible for a particular subset of their actions: disproportionate anger, aggressions and displays of temper. The rationale for focusing on these aspects lies in their widespread acknowledgment in the literature and their plausible primary association with blame directed at BPD patients. BPD individuals are indeed typically perceived as "difficult patients" (Sulzer 2015:82; Bodner et al. 2011), significantly more so than schizophrenic or depressive patients (Markam 2003). The "responsibility question" for patients with BPD has already been raised (Martin 2010; Zachar and Potter 2009; Bray 2003), but this paper tackles it from a novel perspective. First, I narrow down the category of things for which the responsibility question is specific to individual with BPD. After that, I argue that some of the diagnosis criteria of BPD such as emotional instability or impulsivity might serve as excusing factors targeting the "control condition" on moral responsibility. Second, this paper also considers another widely accepted condition on moral responsibility: the epistemic condition. The view defended in the paper is that the answer to the responsibility question for individuals with BPD, concerning both the control condition and the epistemic condition, hinges on an understanding of their epistemic profile.

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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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