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Moral responsibility in psychopathy: A clinicophilosophical case discussion

  • Steve Ramplin and Gloria Ayob
Summary

This article examines the concept of moral responsibility in psychopathy. In doing so it shows how philosophical ideas can be used to help approach a complex issue in psychiatry. Building on a fictitious case, we explore two arguments: the exempting view, which proposes that psychopaths lack any ability to function as moral agents; and the mitigating view, which concedes that there are impairments in moral understanding in psychopathy, but takes these to be insufficient to be completely exempting, instead concluding that such individuals are at least partially morally responsible. Typically, clinicians (and the courts) are more comfortable with a mitigating view, whereas philosophers tend to extol an exempting view. Through discussion of the case, we illustrate the value that philosophy brings to clinical psychiatry and the ways in which psychiatry can enrich philosophical debate.

Learning Objectives

• Appreciate the diversity of views about moral responsibility in psychopathy, ranging from mitigation to exemption

• Understand the philosophical arguments used to support both the mitigating and exempting views

• Consider the benefits of philosophical reasoning in explicating a complex problem in psychiatry

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Copyright
Corresponding author
Correspondence Dr Steve Ramplin, The Priory Hospital, Middleton St George, Darlington DL2 1TS, UK. Email: SteveRamplin@priorygroup.com
Footnotes
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a.

Box 1 has a glossary of terms used in this article.

Declaration of Interest

None

Footnotes
References
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Blair, J, Mitchell, D, Blair, K (2005) The Psychopath: Emotion and the Brain. Blackwell Publishing.
Brown, L (ed) (2009) The Nicomachean Ethics (trans Ross, WD). Oxford University Press.
Cleckley, H (1988) The Mask of Sanity (5th edn). Mosby.
Deigh, J (1995) Empathy and universalizability. Ethics, 105: 743–63.
Duff, A (1977) Psychopathy and moral understanding. American Philosophical Quarterly, 14: 189.
Duff, A (2010) Psychopathy and answerability. In Responsibility and Psychopathy (eds Malatesti, L, McMillan, J). Oxford University Press.
Glover, J (2014) Alien Landscapes: Interpreting Disordered Minds. Harvard University Press.
Hare, RD (1991) The Hare Psychopathy Checklist – Revised. Multi-Health Systems.
Levy, N (2007) The responsibility of the psychopath revisited. Philosophy, Psychiatry & Psychology, 14: 129–38.
Levy, N (2010) Psychopathy, responsibility, and the moral/conventional distinction. In Responsibility and Psychopathy (eds Malatesti, L, McMillan, J). Oxford University Press.
Litton, P (2008) Responsibility status of the psychopath: on moral reasoning and rational self-governance. Rutgers Law Journal, 39: 349–92.
Mackay, RD (1995) Diminished responsibility and infanticide. In Mental Condition Defences in the Criminal Law. Clarendon Press.
Strawson, PF (2003) Freedom and Resentment. In Free Will (2nd edn) (ed Watson, G). Oxford University Press.
Wolf, S (1980) Asymmetrical Freedom. Journal of Philosophy, 77: 151–66.
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BJPsych Advances
  • ISSN: 2056-4678
  • EISSN: 2056-4686
  • URL: /core/journals/bjpsych-advances
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Moral responsibility in psychopathy: A clinicophilosophical case discussion

  • Steve Ramplin and Gloria Ayob
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