In 2000, a married 40-year-old Virginia schoolteacher, Mr Oft, suddenly became interested in child pornography. He even started making sexual advances on his pre-pubescent stepdaughter. His wife reported him, and he was found guilty of child molestation. Since he was a first-time offender, he had the option of joining a Sexaholics Anonymous 12-steps rehabilitation program instead of going to jail. While in rehabilitation, he couldn't resist soliciting sexual favours from staff and other clients. He was expelled from the program and had to go to jail. The night before his sentencing, he complained of severe headaches and was admitted to the emergency department of the University of Virginia Hospital. During his neurological examination, he propositioned numerous women in the room, and confessed to a fear that he would rape his landlady. He also urinated on himself and seemed unconcerned about it. This bizarre behaviour prompted the doctors to order an MRI scan of his brain. The scan revealed that he had a large orbitofrontal brain tumour the size of an egg. The tumour was growing in a part of the brain that regulates social behaviour. Damage to this area is associated with poor impulse control and antisocial behaviour. It does not affect moral reasoning. Mr Oft said that he knew his behaviour was wrong. The tumour was removed, and Mr Oft's sexual urges disappeared. He resumed his rehab program and was able to go home 7 months later. In October 2001, his headaches returned, and with them his pornography-collecting habit. Doctors found that the tumour had grown back. A second surgery in February 2002 eliminated both the tumour and his pornography problem. **Question:** What do stories like this tell us about moral responsibility? How should we reform the criminal justice system to reflect the fact that many of our actions or proclivities are beyond our control? --- **Source:** Adam Benforado. Unfair: The New Science of Criminal Injustice.