Neuroethics 7 (2):215-226 (2014)

Authors
Greg Horne
University of Toronto, St. George Campus
Abstract
Louis Charland has argued that the Cluster B personality disorders, including borderline personality disorder, are primarily moral rather than clinical conditions. Part of his argument stems from reflections on effective treatment of borderline personality disorder. In the argument from treatment, he claims that successful treatment of all Cluster B personality disorders requires a positive change in a patient’s moral character. Based on this claim, he concludes (1) that these disorders are, at root, deficits in moral character, and (2) that effective treatment of these disorders requires a sort of moral education rather than clinical intervention. In this paper, I evaluate the argument from treatment through a critical analysis of two psychotherapeutic interventions that have shown recent effectiveness against borderline personality disorder. I suggest that both Dialectical Behaviour Therapy and Mentalization-Based Treatment indicate that borderline personality disorder is, at root, a deficit in non-moral cognitive and emotional capacities. I suggest that these non-moral deficits obscure the expression of an otherwise intact moral character. In light of this, I conclude that effective treatment of borderline personality disorder requires primarily clinical intervention rather than moral edification
Keywords Borderline personality disorder  Cluster b personality disorders  Dialectical behaviour therapy  Mentalization-based treatment  Moral treatment
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DOI 10.1007/s12152-013-9199-3
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References found in this work BETA

Moral Nature of the Dsm-IV Cluster B Personality Disorders.Louis Charland - 2006 - Journal of Personality Disorders 20 (2):116-125.
Medical or Moral Kinds? Moving Beyond a False Dichotomy.Louis C. Charland - 2010 - Philosophy, Psychiatry, and Psychology 17 (2):119-125.
Personality Disorders: Moral or Medical Kinds—Or Both?Peter Zachar & Nancy Nyquist Potter - 2010 - Philosophy, Psychiatry, and Psychology 17 (2):101-117.

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