Franklin Shana A, McNally Richard J, Riemann Bradley C
Harvard University, Cambridge, MA 02138, United States.
J Anxiety Disord. 2009 Jun;23(5):575-7. doi: 10.1016/j.janxdis.2008.11.005. Epub 2008 Nov 18.
An inflated sense of responsibility often characterizes patients with obsessive-compulsive disorder (OCD). In this study, we asked OCD patients (n=20) and control participants (n=18) to resolve a series of moral dilemmas embedded in hypothetical scenarios. Each scenario required participants to choose one of two undesirable courses of action, both involving loss of life. The utilitarian option required them to act, thereby causing the death of one person, but indirectly saving the lives of others whose death would otherwise have occurred. The other option involved no action on their part, but their failure to act resulted in the deaths of people. The groups did not differ significantly in the options chosen, or in their latencies to resolve moral dilemmas. However, within the OCD group, the higher patients' scores on the Responsibility Attitude Scale, the less likely they were to act to kill one person to save the lives of others. In summary, these data imply a stronger association between moral reasoning patterns and responsibility attitudes than to OCD per se.
责任感膨胀往往是强迫症（OCD）患者的一个特征。在本研究中，我们让强迫症患者（n = 20）和对照参与者（n = 18）解决一系列嵌入假设情景中的道德困境。每个情景都要求参与者在两个不良行动方案中选择其一，两者都涉及生命损失。功利主义选项要求他们采取行动，从而导致一人死亡，但间接拯救了否则会死亡的其他人的生命。另一个选项是他们不采取行动，但他们不采取行动导致了一些人的死亡。两组在选择的选项或解决道德困境的潜伏期方面没有显著差异。然而，在强迫症组中，患者在责任态度量表上的得分越高，他们就越不可能采取行动杀死一人以拯救其他人的生命。总之，这些数据表明道德推理模式与责任态度之间的关联比与强迫症本身的关联更强。
