 Michael McKenna’s Conversation and Responsibility (2012) offers the most developed conversational analysis of responsibility. For McKenna, the “moral responsibility exchange” occurs in stages: an initial “moral contribution” of morally salient behavior; the “moral address” of, e.g., blame that responds to the moral contribution; the “moral account” in which the first contributor responds to moral address with, e.g., apology; and so on (2012: 89). Like Wallace and Watson, McKenna notes the way in which a morally impaired agent will find it difficult “to appreciate the challenges put to her by those who hold [her] morally responsible”, but he also argues that a suitably impaired agent cannot even make the first move in a moral conversation (2012: 78). Thus, the morally impaired agent’s responsibility is called into question not only because she is unable to respond appropriately to moral demands, but also because “she is incapable of acting from a will with a moral quality that could be a candidate for assessment from the standpoint of holding responsible” (McKenna 2012: 78). This point is related to Neil Levy’s and David Shoemaker’s contention, noted in the previous subsection, that impairments of moral competence can leave an agent unable to harbor and express the type of ill will or lack of regard to which blame responds. By contrast, Watson (2011), seems to allow that significant moral impairment is compatible with the ability to perform blame-relevant wrongdoing, even if such impairment undermines the wrongdoer’s moral accountability for her actions.