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Retributivism and the Moral Enhancement of Criminals Through Brain Interventions

Published online by Cambridge University Press:  16 October 2018

Elizabeth Shaw*
Affiliation:
University of Aberdeen

Abstract

This chapter will focus on the biomedical moral enhancement of offenders – the idea that we could modify offenders’ brains in order to reduce the likelihood that they would engage in immoral, criminal behaviour. Discussions of the permissibility of using biomedical means to address criminal behaviour typically analyse the issues from the perspective of medical ethics, rather than penal theory. However, recently certain theorists have discussed whether brain interventions could be legitimately used for punitive (as opposed to purely therapeutic) purposes. For instance, Jesper Ryberg argues (although he himself is not a retributivist) that there is nothing to prevent retributivists from endorsing brain interventions as a legitimate form of retributive punishment. Legal academics have not yet paid sufficient attention to whether this proposal would be compatible with international human rights law, nor have retributivist philosophers discussed whether their favoured penal theories have the conceptual resources to explain why brain interventions would not be an appropriate method of punishment. This chapter considers whether there is any indication that these interventions are being used at present for punitive purposes and whether this would violate the European Convention on Human Rights. It examines different versions of retributivism and considers which theory is in the best position to challenge the use of brain interventions as a form of punishment. Finally, it considers whether offering these interventions as an alternative to punishment would violate principles of proportionality.

Type
Papers
Copyright
Copyright © The Royal Institute of Philosophy and the contributors 2018 

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References

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4 The literature on pharmacological treatment of sex offenders and the ECHR generally does not specifically consider the use of such treatments for retributive purposes. An exception is Z. B. Akbaba, The Permissibility of Pharmacotherapy for Paedophilic Sex Offenders In the Light of the Rights Protected Under the European Convention on Human Rights (Ph.D. Thesis, University of Leicester, 2015).

5 E.g., California (Cal. Pen. Code § 465), Florida (Fla. Stat. § 794.0235 [1997]), and Louisiana (La. Stat. Rev. Ann. § 15.538 [1997]). This is sometimes referred to as “chemical castration”, but the neurological effects of these drugs on sex offenders' thought-processes are considered to be at least as important as the effect on sexual functioning. Scott, C. and Holmberg, T., in ‘Castration of Sex Offenders: Prisoners' Rights Versus Public Safety’, Journal of the American Academy of Psychiatry and the Law 31:4 (2003), 502509Google Scholar, and Mancini, C., Barnes, J. C., and Mears, D. P., ‘It Varies from State to State: An Examination of Sex Crime Laws Nationally’, Criminal Justice Policy Review 24:2 (2013), 166198CrossRefGoogle Scholar, provide overviews of the relevant statutes.

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9 Cal. Pen. Code § 465.

10 Cal. Pen. Code § 465(a).

11 Cal. Pen. Code § 465(b).

12 Cal. Pen. Code § 465(d).

13 Assembly Bill 3339 and Cal. Pen. Code § 465.

14 Forsberg and Douglas, ‘Anti-Libidinal Interventions’, 465.

15 Fla. Stat. § 794.0235 (1997).

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17 Fla. Stat. § 794.0235 (1997) and La. Stat. Ann. § 15.538 (1997).

18 Mental Health Act 1983 (as amended by the Mental Health Act 2007). § 63 permits non-consensual interventions except psychosurgery, hormone implants, electro-convulsive therapy and psychiatric medications lasting more than three months. § 58 permits non-consensual psychiatric medications lasting more than three months, provided that the requirements concerning approval by two medical practitioners are met.

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24 This third factor does not, by itself, clearly support Forsberg and Douglas' claim that the purpose of these interventions is ‘correctional’ (i.e., pursuing the aims of criminal justice), unless the treatment of dangerous non-offenders is also correctional.

25 Criminal Procedure (Scotland) Act 1995 § 57a.

26 Mental Health (Care and Treatment) (Scotland Act) 2003 § 328.

27 CP(S)A 1995 § 57a.

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33 Yankov v Bulgaria (2003) 40 EHRR 36.

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37 In Herczegfalvy v Austria, the ECtHR held that ‘as a general rule’ involuntary medical treatment is compatible with article 3, provided that the medical necessity for the treatment has been convincingly shown to exist. However, this case involved a non-capacitous offender, so it is not clear whether medical necessity is enough for involuntary treatment of competent offenders to be compatible with article 3.

38 (1992) 15 EHRR 437.

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40 For a useful discussion of these issues see: Z. B. Akbaba, The Permissibility of Pharmacotherapy for Paedophilic Sex Offenders In the Light of the Rights Protected Under the European Convention on Human Rights  (Ph.D. Thesis, University of Leicester, 2015).

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50 Ryberg (‘Punishment, Pharmacological Treatment, and Early Release’, 240) touches on the issue of how retributivists would assess whether offenders had experienced the appropriate amount of suffering. A retributivist would not wish to offer an offender a biomedical intervention in exchange for early release if that would inflict too little suffering. In order to work out at what point to grant a prisoner who had accepted treatment early release, the retributivist would need to know how much drug-induced suffering was equivalent to suffering the offender would have experienced during the portion of his prison sentence he would otherwise have served. Ryberg sees no difficulty in making such comparisons, since retributivists already need to compare different kinds of sentences, e.g., prison versus community service.

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52 See footnote 40 and cited text.

53 Some retributivists deny that rehabilitation is technically “punishment”, but accept that it can be legitimate if it is classified as something else, e.g., “correction”. These retributivists could not object on retributive grounds to moral enhancement if imposed as a form of correction.

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61 Duff, Punishment, Communication and Community, 22.

62 Ryberg, ‘Punishment, Pharmacological Treatment, and Early Release’, 234.

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