Abstract

In their classic, Principles of Biomedical Ethics (now in its fifth edition), Beauchamp and Childress, describe a puzzling case: A man who generally exhibits normal behavior patterns is involuntarily committed to a mental institution as the result of bizarre self-destructive behavior (pulling out an eye and cutting off a hand). This behavior results from his unusual religious beliefs. … [H]is peculiar actions follow “reasonably” from his religious beliefs. …While analysis in terms of limited competence might at first appear plausible, such an analysis entails that persons with unorthodox or bizarre religious beliefs are less than competent, even if they reason clearly in light of their beliefs.