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HOUSE_OVERSIGHT_012868

House Oversight Committee
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circuits that may drive sensation seeking, along with smaller frontal lobe circuits that may minimize their sensitivity to punishment and the capacity for self-control, these differences are statistical. What “statistical” means is that if you were to stack up all of the brains with hyperactive dopamine circuits and smaller frontal lobes into one pile, most, but not all would be from psychopaths. You would also find psychopaths in the pile of brains showing normal dopamine activity and average-sized frontal lobes. These brain differences are interesting, but they are not yet like fingerprints, absolutely and uniquely distinctive and diagnostic of a disorder. Such honesty reveals the challenges we face in answering the simple question What’s normal?

Lawyers, judges and juries face the same problem as clinicians, often relying upon documents such as the DSM to determine when someone has acted outside the range of normal behavior. But for legal cases, there are two relevant layers of the normalcy problem. The first concerns whether the supposed criminal was sane or insane. An insanity defense requires evidence of a disease or defect of the mind. It requires evidence that the individual lacked the capacity to appreciate the criminal nature of the act as well as the capacity to conform. This is the part that relies on the DSM, as well as clinicians who can testify based on their expertise. The second concerns a more general understanding of what a prototypical or normal human would or could do in a given situation. The idea seems straightforward enough, but as I mentioned above, is only deceptively straightforward.

Crimes of passion provide a useful illustration of the challenges we face, especially with respect to understanding how harm is ignited in the face of moral norms against it. Highlighting the truism that love makes you crazy, the crime of passion defense is invoked for cases where, in the heat of the moment, an individual finds and kills his or her spouse in bed with a lover. The defining feature of a crime of passion is that it was not planned and most people faced with the same situation would act similarly, unable to control their emotions.

The crime of passion defense seems straightforward. Like autism and psychopathy, however, it too relies upon a diagnosis of what a prototypical or average person would do in the same situation. This diagnosis requires an understanding of two difficult mental states: planning and self-control. Planning involves imagining the future, time traveling to a new world, dreaming up what we might do and how we might feel. We plan in the short and long term, filling up our mental sticky notes with to-do lists. Self- control enters into planning because what we imagine for ourselves — what we desire — 1s often inappropriate or unethical because it harms others or ourselves. As noted in chapters 2 and 3, the capacity to keep desire in check relies on moral engagement. Moral engagement requires self-control. Moral disengagement requires denial in order to loosen the grip of self-control and enable desire to have its

way.

Hauser Chapter 4. Wicked in waiting 122

HOUSE_OVERSIGHT_012868