Neuroethics / Session 10

Pickard II

Responsibility
without blame

Jordan drinks, misses a work shift, and leaves a colleague covering alone.

What may the colleague reasonably demand of Jordan?

What is good for Jordan? What does Jordan owe others?
How should we respond?

PHL/NEU 251 · Samuel Murray · September 25, 2026

What is good for the person?

Why do values matter?

Monday's starting point: addiction involves use that persists despite severe costs to a person's own good.

What counts as a cost?

The same effect can matter differently to different people. One values wild abandon; another values a calm routine.

Why do their values count?

Living according to your own conception of a good life is itself a good. Pickard calls this self-determination.

To understand the harm, we need to understand the life the person values.

So, does the person endorse their use or wish it were different?

Pickard, ch. 4, pp. 48–53.

What is good for the person?

Willing and unwilling drug use

A first distinction: wanting a drug and wanting that desire to govern your action can come apart.

Willing: Alex

Alex wants to use and endorses acting on that desire.

Unwilling: Morgan

Morgan wants to use but wants to resist that desire and stop.

Does Alex's willingness show that using is good for Alex?

Pickard asks a further question: does use fit what is actually good for this person?

Willingness alone cannot settle that question.

Willing/unwilling distinction: Frankfurt (1971), pp. 12–13, 19. Pickard, ch. 4, pp. 51–58.

What is good for the person?

Can we be wrong about our own good?

Someone may sincerely endorse using. Pickard identifies two reasons to question that endorsement.

Professed values

What the person sincerely says they care about

Actual values

What they really care about

The person's good

What is good for them, including self-determination

Gap 1: denial about values

Joe says heroin is worth the costs. Does he care more about his health and relationship than he admits to himself?

Gap 2: values and well-being

Jake values cocaine as part of his life. Could a life organized around different values be better for him?

Pickard, ch. 4, pp. 53–58.

What is good for the person?

When addiction changes what we value

Jake's case raises a harder question: what if years of use have changed the life someone wants?

Earlier commitments

What mattered before this pattern of use?

Present values

What matters to the person now?

Possible futures

What other life can they imagine valuing?

Why should the earlier self have the final say?

Values shaped by addiction can still be our own. We need a further reason to judge them bad for us.

But if we still disagree about what is good for someone, who gets to decide?

Pickard, ch. 4, pp. 54–61.

What is good for the person?

Who gets to decide?

Suppose sustained discussion leaves us disagreeing about whether someone's drug use is good for them.

When a decision can wait

We may leave open whether the person is addicted.

When a decision is necessary

Ordinarily, let the person decide whether use accords with their own good. It is their life to lead.

What could overturn this?

Clear evidence of denial about values, or a failure to grasp and retain basic facts about the consequences.

Disagreement by itself is not enough. What evidence would be?

Pickard, ch. 4, pp. 60–61.

What may we demand?

When should we intervene?

Giving someone a say in their own life still leaves a question: how may others respond?

Riley understands serious costs, says using is worth them, and declines a friend's offer of help.

Offer help

Invite Riley to consider another option.

Set a boundary

Decide what the friend can continue to take on.

Override refusal

Act against Riley's expressed wishes.

What would justify each response, and who may make it?

Pickard, ch. 4, pp. 60–61; ch. 19, pp. 251–256.

Responsibility without blame

The rescue–blame trap

Can we take harm seriously while respecting the agency of the person who caused it?

Rescue

Care seems to require treating the person as unable to act differently.

What happens to their role in change?

Blame

Recognizing agency seems to license condemnation and payback.

What happens to the relationship?

Hold people answerable for harm and support their agency for change.

Pickard developed this stance in a therapeutic community.

Pickard, ch. 16, pp. 217–227.

Responsibility without blame

Responsibility and active blame

To hold someone responsible without blame, we need to separate a judgment from a response.

Responsibility: what the person understood and could do.
Active blame: a punishing attitude toward the person.

Is this person blameworthy?

Should I actively blame them?

Am I actively blaming them?

Anger can express protest while leaving room for an account, repair, and care.

Pickard, ch. 17, pp. 228–232; ch. 18, pp. 239–247.

What may we reasonably demand?

Hurt and wrongdoing

Before deciding how to respond to a wrong, we need to establish what was actually owed.

A missed commitment

Jordan agreed to work the shift.
The colleague had to cover alone.

A painful difference

A partner wants more time together, although the other person has kept their commitments.

What is owed? What is wanted?

Hurt matters even when it does not establish wrongdoing.

Care can coexist with boundaries. Sometimes leaving is justified.

Pickard, ch. 19, pp. 252–256.

What may we reasonably demand?

The costs of not using

Even when someone owes us something, the cost of meeting that obligation can matter.

A bank teller can refuse a robber's demand.
The robber threatens the teller's life.

Does being able to refuse settle what the teller should do?

Costs to others

What harm would using cause?

Costs to the person

What pain or loss would abstaining bring?

Avoiding withdrawal can be an immediate benefit of use. Its effect on the person's life overall remains a further question.

Cannabis can also produce withdrawal, including physical symptoms.

Pickard, pp. 49–51, 256–259. Cannabis qualification: NIDA.

What may we reasonably demand?

Agency for change

If acting differently is costly, what could make a reasonable expectation easier to meet?

In both versions, Jordan understands the obligation and wants to change.

An intention

Jordan means to abstain.
There is no workable plan for the difficult part of the day.

An intention with support

Jordan can make an agreed support call and join an accessible alternative activity.

What might become easier? What remains uncertain?

Pickard's group contract

A commitment to quit and call for support, signed by the group and revisited together.

Could an expectation of change be unfair even when it aims to help?

Pickard, ch. 17, pp. 230–232; ch. 19, pp. 260–269.

What may we reasonably demand?

Social responsibility and blame

Support depends partly on other people and institutions. They may bear responsibility too.

If we help sustain unjust conditions, our standing to blame may be compromised.

Jordan is told to get help, but appointments conflict with work and transport is unreliable.

Who could make the alternative reachable?
What gives them a responsibility to do so?

Pickard, ch. 19, pp. 259–260.

One minute alone · three minutes in pairs

A response to Jordan

We can now combine the questions about harm, obligations, agency, and support.

The colleague who covered the shift is also Jordan's friend.

Write two or three sentences the friend could say.

Identify the burden or unmet obligation.

Propose a reasonable next step, and explain how it could help.

Name something you still need to know about Jordan's circumstances.

Does your response recognize both people's agency and needs?

Pickard, ch. 16, pp. 223–227; ch. 19, pp. 260–269. Two minutes to compare responses.

A limit or a punishment?

Boundaries and the limits of care

The response must also be fair to the friend. What may the friend refuse to keep doing?

"I can't keep covering without notice. I want to understand what happened and agree on a plan."

"You should have to suffer for what you put me through."

What distinguishes a protective boundary from payback?

How much may we ask of a friend who is already exhausted?

Pickard, pp. 225–227, 246–248, 256, 267–268.

Written reflection

What may we demand of Jordan?

Return to the opening question with a reason for the demand you would make.

Name one justified expectation.

Identify support that would make it realistic.

Give one fact that could require revising it.

Next meeting: the brain-disease model on trial

Pickard, ch. 4 and ch. 19

Readings and sources

Sources

Hanna Pickard (2026)

What Would You Do Alone in a Cage with Nothing but Cocaine?
A Philosophy of Addiction.
Princeton University Press.

Required reading

Chapter 4, pp. 48–61
Values and a person's own good

Chapter 19, pp. 251–269
Responsibility without blame for addiction

Optional background

Chapter 16, pp. 217–227 · The rescue–blame trap
Chapter 17, pp. 228–238 · Responsibility
Chapter 18, pp. 239–250 · Blame

National Institute on Drug Abuse

Cannabis (Marijuana), section on withdrawal. Checked September 24, 2026.

Harry Frankfurt (1971), “Freedom of the Will and the Concept of a Person,” pp. 12–13, 19.
Background for the willing/unwilling distinction.

Printed page numbers.