A Grave Problem of Conscience: Kantian Morality in the Face of Psychopathy

International Journal of Applied Philosophy 28 (1):89-106 (2014)
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Abstract

Clinical psychologists remain puzzled about the diagnostic basis and therapeutic disposition of individuals who present with a clinical profile of psychopathy. Psychopaths have been characterized as lacking in conscience and presenting a mask of sanity, thus differentiating them from psychotics and neurotics. The clinical profile of the psychopathic personality seems at odds with Kant’s moral philosophy, in which Kant characterizes not only the central role of conscience in moral judgment, but in which Kant also insists that every person has a conscience. In this paper the clinical assessments presented by Cleckley and Hare in particular are juxtaposed to Kant’s philosophical position, thereby to gain an understanding what is at the base of the psychopathic personality disorder. The clinical and the moral-philosophical assessments are reconciled, nonetheless leaving the clinical psychologist with the difficult task of therapeutic disposition.

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