Baehni Agnès
Université de Genève, Genève, Switzerland.
Med Health Care Philos. 2025 Mar;28(1):3-16. doi: 10.1007/s11019-024-10243-6. Epub 2025 Jan 4.
This paper seeks to determine the extent to which individuals with borderline personality disorders can be held morally responsible for a particular subset of their actions: disproportionate anger, aggressions and displays of temper. The rationale for focusing on these aspects lies in their widespread acknowledgment in the literature and their plausible primary association with blame directed at BPD patients. BPD individuals are indeed typically perceived as "difficult patients" (Sulzer 2015:82; Bodner et al. 2011), significantly more so than schizophrenic or depressive patients (Markam 2003). The "responsibility question" for patients with BPD has already been raised (Martin 2010; Zachar and Potter 2009; Bray 2003), but this paper tackles it from a novel perspective. First, I narrow down the category of things for which the responsibility question is specific to individual with BPD. After that, I argue that some of the diagnosis criteria of BPD such as emotional instability or impulsivity might serve as excusing factors targeting the "control condition" on moral responsibility. Second, this paper also considers another widely accepted condition on moral responsibility: the epistemic condition. The view defended in the paper is that the answer to the responsibility question for individuals with BPD, concerning both the control condition and the epistemic condition, hinges on an understanding of their epistemic profile.
过度愤怒、攻击性和发脾气行为。关注这些方面的理由在于它们在文献中得到广泛认可,以及它们与针对边缘型人格障碍患者的指责存在看似合理的主要关联。边缘型人格障碍患者确实通常被视为“难相处的患者”(苏尔泽,2015:82;博德纳等人,2011),比精神分裂症或抑郁症患者明显更甚(马卡姆,2003)。针对边缘型人格障碍患者的“责任问题”已经被提出(马丁,2010;扎哈尔和波特,2009;布雷,2003),但本文从一个新颖的视角来探讨它。首先,我缩小了责任问题所针对的特定于边缘型人格障碍患者的事物类别。在那之后,我认为边缘型人格障碍的一些诊断标准,如情绪不稳定或冲动性,可能作为针对道德责任“控制条件”的免责因素。其次,本文还考虑了道德责任的另一个被广泛接受的条件:认知条件。本文所捍卫的观点是,对于边缘型人格障碍患者责任问题的答案,涉及控制条件和认知条件,取决于对他们认知概况的理解。