Medication Noncompliance and Criminal Responsibility: Is the Insanity Defense Legitimate?

2012 ◽  
Vol 40 (2) ◽  
pp. 219-242 ◽  
Author(s):  
Zachary D. Torry ◽  
Kenneth J. Weiss
2020 ◽  
Vol 29 (3) ◽  
pp. 446-458
Author(s):  
GERBEN MEYNEN

AbstractMany legal systems have an insanity defense, which means that although a person has committed a crime, she is not held criminally responsible for the act. A challenge with regard to these assessments is that forensic psychiatrists have to rely to a considerable extent on the defendant's self-report. Could neuroscience be a way to make these evaluations more objective? The current value of neuroimaging in insanity assessments will be examined. The author argues that neuroscience can be valuable for diagnosing neurological illnesses, rather than psychiatric disorders. Next, he discusses to what extent neurotechnological 'mind reading' techniques, if they would become available in the future, could be useful to get beyond self-report in forensic psychiatry.


Author(s):  
Thomas L. Hafemeister

Because of continuing reservations about the insanity defense but with the underlying consensus that a defendant’s mental disorder at the time of the offense should in some cases be relevant when determining criminal responsibility, various iterations of and alternatives to the insanity defense have been recognized. Chapter 9 addresses a number of these variations, such as the deific decree defense, the PTSD defense, the battered spouse/child syndrome defense, and the urban psychosis defense, as well as the abolition of the insanity defense or related mental health evidence, shifting the burden of proof to the defendant, heightening the level of proof required to establish the defense, the guilty but mentally ill verdict, the diminished capacity defense, and the so-called temporary or “he/she snapped” defense. This chapter also discusses other criminal responsibility issues that a defendant’s mental disorder may impact, namely, the mens rea (criminal intent) and actus reus (criminal act) elements of a criminal prosecution. For example, if a defendant lacked control over his or her actions, a crime is not considered to have occurred. Thus, the law recognizes an automatism or unconsciousness argument, which may encompass epilepsy, a concussion, or a fugue state. More controversial are the sleep-walking defense and the “multiple personality disorder” defense. This chapter also addresses the two USSC rulings germane to these various iterations and alternatives.


1993 ◽  
Vol 21 (2) ◽  
pp. 175-189 ◽  
Author(s):  
Alan A. Stone

The following article was adapted from the first annual Paul Mendelsohn Memorial Lecture, delivered at Tufts Medical School in Boston. Dr. Mendelsohn, a psychiatric resident, was killed while jogging by a deranged motorist who drove onto the sidewalk and struck him down. The circumstances of this tragedy provided the theme for this essay. Can psychiatry explain such crimes? Do the experts' answers resolve the question of criminal responsibility? The insanity defense is conceptualized as three domains: society's demand for retribution, psychiatric expertise, and legal rules. Three cases are discussed that indicate why “scientific” psychiatry should not expect to dominate the other domains.


1984 ◽  
Vol 9 (4) ◽  
pp. 471-500
Author(s):  
Lynnette S. Cobun

AbstractThe insanity defense reflects the moral judgment that some criminal defendants do not deserve criminal sanctions because of mental incapacity. This Note examines the alternative formulations, such as guilty but mentally ill and diminished responsibility, that some states have enacted in the face of growing controversy over the insanity defense. It observes that the alternatives, if used in lieu of the insanity defense, distort the criminal law and do not comport with the legal doctrine of responsibility, which eschews punishing mentally ill defendants. The Note concludes that the insanity defense should not be abolished unless the moral consensus changes regarding the criminal responsibility of mentally ill defendants.


2018 ◽  
Vol 14 (1) ◽  
pp. 79-96 ◽  
Author(s):  
Anneli Jefferson ◽  
Katrina Sifferd

The question of whether psychopaths are criminally and morally responsible has generated significant controversy in the literature. In this paper, we discuss what relevance a psychopathy diagnosis has for criminal responsibility. It has been argued that figuring out whether psychopathy is a mental illness is of fundamental importance, because it is a precondition for psychopaths’ eligibility to be excused via the legal insanity defense. But even if psychopathy counts as a mental illness, this alone is not sufficient to show the insanity defense is applicable; it must also be shown that, as a result of the illness, specific deficits in moral understanding or control are present. In this paper, we show that a diagnosis of psychopathy will generally not indicate that a defendant is eligible for an insanity defense. This is because the group of individuals subsumed under the diagnosis is so heterogeneous that while some psychopaths do show significant impairments in affect and control which may impact on their responsibility, many psychopaths are not incapacitated in a way relevant to responsibility.


2018 ◽  
Vol 36 (3) ◽  
pp. 339-357 ◽  
Author(s):  
Caroline Titcomb Parrott ◽  
Michelle A. Jones ◽  
Stanley L. Brodsky ◽  
Clayton Shealy

1987 ◽  
Vol 11 (3) ◽  
pp. 207-232 ◽  
Author(s):  
Caton F. Roberts ◽  
Stephen L. Golding ◽  
Frank D. Fincham

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