Department of Philosophy, University of Cincinnati, PO Box 210374, Cincinnati, OH, 45221-0374, USA,
Theor Med Bioeth. 2014 Feb;35(1):31-42. doi: 10.1007/s11017-014-9281-9.
Some people are now quite optimistic about the possibility of treating psychopathy with drugs that directly modulate brain function. I argue that this optimism is misplaced. Psychopathy is a global disorder in an individual's worldview, including his social and moral outlook. Because of the unity of this Weltanschauung, it is unlikely to be treatable in a piecemeal fashion. Recent neuroscientific methods do not give us much hope that we can replace, in a wholesale manner, problematic views of the world with more socially desirable ones. There are, therefore, principled reasons that psychopathy is so singularly treatment resistant.
有些人现在对用直接调节大脑功能的药物治疗精神病态的可能性相当乐观。我认为这种乐观是没有根据的。精神病态是个体世界观中的一种全面紊乱,包括他的社会和道德观念。由于这种世界观的统一性,它不太可能被零碎地治疗。最近的神经科学方法并没有给我们带来太多希望,即我们可以全盘取代有问题的世界观,代之以更符合社会需要的世界观。因此,精神病态如此难以治疗是有原则性原因的。