Bray Amanda
Wesley Psychiatric Consulting Rooms, 3 Dalmar Place, Carlingford, New South Wales 2118, Australia.
Aust N Z J Psychiatry. 2003 Jun;37(3):270-6. doi: 10.1046/j.1440-1614.2003.01177.x.
To examine the concepts of free will and moral responsibility in a psychiatric context, and to consider whether those with borderline personality disorder (BPD) may be considered responsible for their actions.
A wide, but necessarily incomplete, range of literature was reviewed in the fields of psychiatry and philosophy. I offer a set of criteria for responsible action and examine some features of BPD in the light of these criteria.
Impulsivity, acting out and the less severe forms of dissociation do not vitiate responsibility. Severe dissociative and psychotic symptoms may well render people with BPD less morally responsible for their actions.
Comorbid conditions in BPD may also affect the ability to act responsibly.
探讨精神科背景下的自由意志和道德责任概念，并思考边缘型人格障碍（BPD）患者是否应对其行为负责。
回顾了精神病学和哲学领域广泛但必然不完整的一系列文献。我提出了一套负责任行为的标准，并根据这些标准审视了BPD的一些特征。
冲动、行为失控以及较轻形式的分离并不会削弱责任。严重的分离和精神病性症状很可能使BPD患者对其行为的道德责任降低。
BPD中的共病状况也可能影响其负责任行事的能力。
