Yoon Junsik
Department of Ethics Education, College of Education, Seoul National University, Seoul, Republic of Korea.
Bioethics. 2025 Feb;39(2):170-177. doi: 10.1111/bioe.13373. Epub 2024 Nov 4.
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.
本研究探讨了针对精神病患者的生物医学道德增强(BME)在伦理上的可允许性,同时考虑了强制和自愿两种方式。为此,我将首先简要解释精神病患者是什么以及这些情况的一些规范性影响。然后,我将从伦理角度审视针对精神病患者的三种生物医学道德增强情形:(1)对非犯罪型精神病患者的强制生物医学道德增强;(2)对患有精神病的罪犯的强制生物医学道德增强;(3)对患有精神病的罪犯的自愿生物医学道德增强。我将论证,由于成本、侵犯隐私以及强制诊断的污名化影响等问题,对非犯罪型精神病患者的强制生物医学道德增强在伦理上存在问题。同样,我将论证,由于侵犯身体和精神完整性的权利,对罪犯的强制生物医学道德增强是不允许的。然而,我将表明,在某些条件下,对罪犯的自愿生物医学道德增强在伦理上可能是可允许的,这挑战了那种认为弱势囚犯的同意不能被视为完全自愿的批评观点。我认为,当向罪犯提供足够的医学和法律信息时,基于生物医学道德增强结果进行假释审查等激励措施并不排除同意的自愿性。最终,我的目标是通过界定和捍卫自愿生物医学道德增强在伦理上可允许的条件,推动关于针对精神病患者的生物医学道德增强的辩论。