Biomedical moral enhancement for psychopaths.

IF 1.7 2区 哲学 Q2 ETHICS
Bioethics Pub Date : 2024-11-04 DOI:10.1111/bioe.13373
Junsik Yoon
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Abstract

This study examines the ethical permissibility of biomedical moral enhancement (BME) for psychopaths, considering both coercive and voluntary approaches. To do so, I will first briefly explain what psychopaths are and some normative implications of these facts. I will then ethically examine three scenarios of BME for psychopaths: (1) coercive BME for non-criminal psychopaths, (2) coercive BME for psychopathic offenders, and (3) voluntary BME for psychopathic offenders. I will argue that coercive BME for non-criminal psychopaths is ethically problematic due to issues of cost, invasion of privacy, and stigmatic effects of compulsory diagnosis. Similarly, I will argue that coercive BME for criminals is impermissible due to violations of the rights to bodily and mental integrity. However, I will show that voluntary BME for offenders may be ethically permissible under certain conditions, challenging the critique that the consent of vulnerable prisoners cannot be considered fully voluntary. I argue that when an offender is provided with sufficient medical and legal information, incentives such as the possibility of parole review based on BME results do not preclude the voluntariness of consent. Ultimately, I aim to advance the debate on BME for psychopaths by delineating and defending conditions for the ethical permissibility of voluntary BME.

精神变态者的生物医学道德提升。
本研究探讨了对精神病患者进行生物医学道德强化(BME)的伦理允许性,同时考虑了强制和自愿两种方法。为此,我将首先简要解释什么是精神变态者以及这些事实的一些规范意义。然后,我将从伦理学的角度研究针对精神病患者的 BME 的三种情况:(1) 针对非刑事精神病患者的强制 BME,(2) 针对精神变态罪犯的强制 BME,以及 (3) 针对精神变态罪犯的自愿 BME。我将论证,由于成本、侵犯隐私和强制诊断的污名化效应等问题,对非刑事精神变态者进行强制性心理评估在伦理上是有问题的。同样,我也会论证,由于侵犯了身体和精神完整性的权利,对罪犯进行强制性生物医学评估是不允许的。然而,我将说明,在某些条件下,对罪犯进行自愿的生物医学诊断在伦理上是允许的,这就对弱势囚犯的同意不能被视为完全自愿的批评提出了质疑。我认为,当罪犯获得足够的医疗和法律信息时,一些激励措施,如根据生物监测结果进行假释审查的可能性,并不排除同意的自愿性。最后,我旨在通过界定和维护自愿性生物监测的伦理允许性条件,推动有关精神病患者生物监测的辩论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Bioethics
Bioethics 医学-医学:伦理
CiteScore
4.20
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: As medical technology continues to develop, the subject of bioethics has an ever increasing practical relevance for all those working in philosophy, medicine, law, sociology, public policy, education and related fields. Bioethics provides a forum for well-argued articles on the ethical questions raised by current issues such as: international collaborative clinical research in developing countries; public health; infectious disease; AIDS; managed care; genomics and stem cell research. These questions are considered in relation to concrete ethical, legal and policy problems, or in terms of the fundamental concepts, principles and theories used in discussions of such problems. Bioethics also features regular Background Briefings on important current debates in the field. These feature articles provide excellent material for bioethics scholars, teachers and students alike.
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