ABSTRACT The paper is a discussion of moral responsibility and excuses in regard to psychiatric disorders involving abnormal desires (e.g. impulse control disorders such as kleptomania and pyromania, psychosexual disorders such as exhibitionism, obsessive‐compulsive disorder and others). It points out problems with previous approaches to the question of whether or not to excuse persons with these disorders, and offers a new approach based on the concept of duress. There is a discussion of duress in regard to non‐psychiatric cases based on (...) the core notion of duress involving a choice between undesirables, and the paper concludes with an argument that moral blame for individuals with these sorts of disorders should often be lessened and in some cases removed entirely. (shrink)

A stranger runs out of a bank while I am sitting at the wheel of my car waiting for the lights to change; he jumps in beside me, points a gun at me, and says, “Drive me to St. Bruno.” This is Andre Gombay's example, from his excellent paper on duress. The question that interests Gombay and me is: Could I refrain from doing what the gunman asks?