Convicted offenders who consent to medical treatment may secure a preferable sentence. They make these decisions within a hybrid medico-legal system that often views offenders as neurobiological subjects and deviant behavior as a medical problem that may be addressed, in part, through biological intervention. In this article, we use Foucault’s concepts of biopower and governmentality to explore how 15 men and 10 women convicted of criminal offenses view “coerced” consent to biological interventions in the criminal justice context. The participants largely accepted the key components of the medico-legal system of social control, including the medicalization of criminalized behavior, the utility of rehabilitation via medical treatment, and the internalization of the governmental ideals of self-control and responsibility. None challenged the use of biological treatments, although many rejected invasive and risky therapies, and most felt that biological approaches should be accompanied by psychological counseling. While governmental ideals were largely internalized, the participants expressed resistance in several ways, through statements of distrust of the system and resentment of pressure to consent to treatment.

同意接受治疗的被定罪的罪犯可能会获得更好的判决。他们在混合的法医系统中做出这些决定，该系统通常将罪犯视为神经生物学主体，将越轨行为视为可以部分通过生物干预解决的医学问题。在这篇文章中，我们使用福柯的生物权力和治理的概念来探讨 15 名被判犯有刑事罪行的男性和 10 名女性如何看待在刑事司法背景下对生物干预的“胁迫”同意。参与者基本上接受了社会控制的法医系统的关键组成部分，包括犯罪行为的医疗化、医疗康复的效用以及政府自我控制和责任理念的内化。没有人质疑生物治疗的使用，尽管许多人拒绝侵入性和冒险的疗法，并且大多数人认为生物方法应该伴随着心理咨询。虽然政府的理想在很大程度上被内化了，但参与者以多种方式表达了抵制，通过对系统的不信任和对同意治疗的压力的不满。