Skip to main content
Log in

Are Disorders Sufficient for Reduced Responsibility?

  • Original Paper
  • Published:
Neuroethics Aims and scope Submit manuscript

Abstract

Reimer (Neuroethics 2008) believes that how we use language to characterize psychopathy may affect our judgments of moral responsibility. If we say a psychopath has a disorder we may reduce their responsibility for moral failure. If we say a psychopath is merely different, we may not reduce their responsibility. Vincent (Neuroethics 2008) argues that if this were the case, a diagnosis of disorder would be both necessary and sufficient to reduce the responsibility of some agent for moral failure. Vincent presents two examples to suggest that a disorder is neither necessary nor sufficient to exculpate an individual for moral failure: childhood and hypomania. Vincent suggests instead that our judgments of moral responsibility ought to be based on the individual’s capacity for moral agency. I will side with Vincent in this debate, but argue that the example she uses, hypomania, does not work. I will argue that a diagnosis of hypomania, part of Bipolar II Disorder, is sufficient to exculpate an individual for some moral failure. This is because there are responsibility-relevant capacities missing: the capacities for self-awareness and to control ones abilities. Without these capacities, the individual is not a responsible moral agent. Vincent will need to provide an alternative example to show that the presence of a disorder is not sufficient to exculpate an individual for moral failure. Whilst our use of language is important, that use reflects our judgments of the individual’s capacities for moral agency. Responsibilities are determined not only by capacities, but by the right kind of capacities, and this should be reflected in our moral judgments, and our use of language.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. Dell-Osso, Pini et al [13] conclude that a “large proportion of patients with bipolar disorder lack insight into having an illness” [13: 321]. Their focus was on the depressed state, but since they found the same in mania patients I think it safe to assume that hypomania also involves a lack of insight.

  2. Adida, Clark et al [8] think the likely substrate of the impairments to decision-making is brain lesions, specifically abnormalities in the ventromedial prefrontal cortex. Areas associated with both mania and hypomania. See also [14; 9; 16].

  3. This may imply that we are not responsible for any action, because a significant amount of luck is involved in most events. Most moral failures and successes involve a degree of luck. As Nagel [15] notes, a concentration camp guard may have led a harmless life had he lived in 1980s Switzerland, rather than Nazi Germany. The luck involved in hypomania, however, relates to internal control, not control of or contribution to some situation. The luck is focussed on agency itself, not the available options to employ our agency. I set aside problems with agency itself for the moment.

  4. Not that this is to imply that blame is a finite commodity, and by you accepting some, he has some taken away. But his disorder has to be taken into account when attributing responsibility. His responsibility would be reduced, even if you were not blamed at all.

  5. This is rather misleading but only intended to link language, through meaning, to truth. Davidson proposed a theory to show that we understand the meaning of languages by understanding the conditions under which statements could be true. Davidson’s theory is an empirical one to be tested against facts.

  6. I have used a particular theory of truth, called the disquotational theory, where ‘George has a disorder’ is true when George has a disorder. Other theories are available, such as the correspondence theory. Where ‘George has a disorder’ is true when it corresponds with facts about the world, and false otherwise.

References

  1. Reimer, M. 2008. Psychopathy without (the language of) Disorder. Neuroethics. doi:10.1007/s1152-008-9017-5.

    Google Scholar 

  2. Vincent, N. 2008. Responsibility, Dysfunction and Capacity. Neuroethics. doi:10.1007/s12152-008-9022-8.

    Google Scholar 

  3. American Psychiatric Association, Fourth edition. 1994. Diagnostic and statistical manual of mental disorders. Washington, D.C: American Psychiatric Association.

    Google Scholar 

  4. Angst, J. 1998. The emerging epidemiology of hypomania and bipolar II disorder. Journal of Affective Disorders 50: 143–151.

    Article  Google Scholar 

  5. Angst, J.G., A. Gamma, et al. 2003. Toward a re-definition of subthreshold bipolarity: epidemiology and proposed criteria for bipolar-II, minor bipolar disorders and hypomania. Journal of Affective Disorders 73: 133–146.

    Article  Google Scholar 

  6. Dittmann, S., K. Henning-Fast, et al. 2008. Cognitive functioning in euthymic bipolar I and bipolar II patients. Bipolar Disorders 10: 877–887.

    Article  Google Scholar 

  7. Mantere, O., K. Suominen, et al. 2008. Differences in outcome of DSMIV bipolar I and bipolar II disorders. Bipolar Disorders 10: 413–425.

    Article  Google Scholar 

  8. Adida, M., L. Clark, et al. 2008. Lack of insight may predict impaired decision making in manic patients. Bipolar Disorders 10: 829–837.

    Article  Google Scholar 

  9. Blumberg, H.P., H.-C. Leung, et al. 2003. A functional magnetic resonance imaging study of bipolar disorder. Archives of General Psychiatry 60: 601–609.

    Article  Google Scholar 

  10. Tamashiro, J.-H., S. Zung, et al. 2008. Increased rates of white matter hyperintensities in late-onset bipolar disorder. Bipolar Disorders 10: 765–775.

    Article  Google Scholar 

  11. Morse, S.J. 2006. Moral and legal responsibility and the new neuroscience. Neuroethics: defining the issues in theory, practice, and policy, 33–50. Oxford: Oxford University Press.

    Google Scholar 

  12. Varga, M., A. Magnusson, et al. 2006. Insight, symptoms and neurocognition in bipolare I patients. Journal of Affective Disorder 91: 1–9.

    Article  Google Scholar 

  13. Dell-Osso, L., S. Pini, et al. 2002. Insight into illness in patients with mania, mixed mania, bipolar depression and major depression with psychotic features. Bipolar Disorders 4: 315–322.

    Article  Google Scholar 

  14. Bar-On, R., D. Tranel, et al. 2003. Exploring the neurological substrate of emotional and social intelligence. Brain 126: 1790–1800.

    Article  Google Scholar 

  15. Nagel, T. 1976. Moral Luck. Proceedings of the Aristotelian Society 50: 137–155.

    Google Scholar 

  16. Clark, L., F. Manes, et al. 2003. The contributions of lesion laterality and lesion volume to decision-making impairment following frontal lobe damage. Neuropsychologia 41: 1474–1483.

    Article  Google Scholar 

  17. Davidson, D. 1967. Truth and meaning. Synthese 17: 304–323.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrew J. Turner.

Additional information

I would like to thank Nicole Vincent and an anonymous referee for their helpful comments on earlier drafts of this paper.

Rights and permissions

Reprints and permissions

About this article

Cite this article

J. Turner, A. Are Disorders Sufficient for Reduced Responsibility?. Neuroethics 3, 151–160 (2010). https://doi.org/10.1007/s12152-009-9041-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12152-009-9041-0

Keywords

Navigation