Topic > Psychology and the Insanity Defense

The earliest form of the insanity defense found its basis in the 13th, 17th, and 19th century writings of Henry de Bracton, Edward Coke, and Matthew Hale and Henry Roscoe respectively (Maeder, 1985). Bracton, who conducted the first comprehensive study of English law, argued that the law should have provisions extended to both children and “lunatics” in determining sentences for crimes (Bracton, 1968/c.1235). Bracton's writings are emphasized not only because they were among the first, but also because they represented a significant change from pre-existing theologically based principles of justice. The first signs of a possible defense for insanity were represented by the gradual shift of attention within criminal trials from the simple assessment of the damages to be compensated to the accused to the evaluation of the presence of "guilty intent", or mens rea, in the perpetrator (Maeder, 1985). After a failed attempt to integrate a new standard, or the Durham Rule, into the American justice system, the rate at which courts found defendants not guilty by reason of insanity (NGRI) quadrupled in the district court of Washington, DC. As a result, the American Law Institute (ALI), “a private organization” committed to improving legislation, created the Model Penal Code, an attempt to “integrate the criminal justice system according to the most reasonable and generally accepted principles ”. (Mader, 1985). The ALI Model Penal Code continues to undergo revisions and is the prevailing standard upon which most American state-level criminal courts operate today. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay As scientific knowledge of human psychology continues to deepen and expand, psychological assessment perspectives have also grown and adapted. The field of psychology has progressed through multiple editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), of which the DSM-V is the most current edition. These rapid revolutions in psychological knowledge and testing carry powerful implications regarding sanity testing, thus raising an important question: to what extent sanity, or lack thereof, is psychologically assessed according to the standards designated by the ALI Model Penal Code ? The legal concept of “insanity” is based on neither scientifically nor psychologically accepted definitions of lack of personal control due to mental illness. The presence of a mental illness does not make the criminal guilty of the crime committed, but the subject must demonstrate that he lost control of specific mental tasks at the instant of the crime. The idea that mental incapacity can be assessed retrospectively is not supported by significant psychological research, nor is it remotely practical to assess it immediately. Personality inventories and other forms of tests, some essentially subjective, cannot be considered valid measures of sanity – or the lack thereof. Instead of exclusively variable tests, which rely on the skill of the evaluator and the underlying motivations of the subject, the use of biopsychological methods to evaluate mental status in conjunction with already established methods of psychiatric evaluation may prove infinitely more reliable and operational.II . Analysis A. Definition of Insanity Insanity is not a psychological term, but rather a concept designed for the convenience of sentencing within the justice system. So where does the legal definition of insanity align with diagnoses within clinical psychology? The 1985 revision of the American Law Institute's (ALI) Model Penal Code waives liabilitypenal if the subject, at the time of the crime and "due to mental illness or defect" has a diminished capacity "to appreciate the criminality [illegality] of his conduct or to conform his conduct to the requirements of the law". The legislation provides neither definitive guidelines for psychologists or legal professionals in terms of what tests should be conducted, nor does it clarify exactly what is meant by a “substantial” level of understanding of moral wrongdoing (ALI Model Penal Code, 1985). Although the ALI Penal Code does not include specific mental disorders, disabilities, and so on, many individuals who use the insanity defense tend to suffer from schizophrenia or another paranoid psychological disorder (Slobogin, Melton, & Showalter, 1984). However, the mere presence or diagnosis of a mental disorder does not automatically exempt the individual from criminal liability. In some cases, the person will be found guilty but mentally ill (GBMI), a verdict that says the defendant is mentally ill, but still legally responsible for the consequences of their actions. To establish this verdict, the State must simultaneously prove the individual's guilt and find that he or she is mentally ill, meeting traditional legal requirements and qualifying the standards of the ALI Model Penal Code. For an accused to be guilty, two components must be present: actus reus and mens rea, i.e. the illicit act and the intent (Borum & Fulero, 1999). The subject will probably also turn to a psychological consultant to certify the presence of their mental illness. Therefore, there are three “levels” of criminal liability in terms of the insanity and mental illness defense. First, there is the possibility that the court will reject the individual's attempt to plead insanity and he or she will be held fully responsible for the crime(s). ). In this case they will comply with the standards of actus reus and mens rea and will not comply with the components of the ALI Model Penal Code. The second and third results, NGRI and GBMI, are almost exactly the same. The only difference between the two is whether their mental illness rendered them incapacitated at the exact “time of such conduct,” that is, at the precise time the crime occurred (ALI Model Penal Code, 1985). How does such an imprecise determination decide the difference between a reduced sentence and commitment to a mental institution versus traditional sentencing with psychological counseling as needed? A solution to the inconsistencies created by the ambiguities of the legal terminology of the criminal code can be found in an attempt to quantify and psychologically evaluate the subject's sanity. Although barely synonymous, the closest psychologically valid substitute for legal insanity can be found in the term “psychopathology.” Psychopathology is defined as a “mental disorder,” which presents in the form of “distress, dysfunction, or clinically significant impairment” in “important areas of functioning” (“Psychopathology,” 2008). According to the Model Penal Code, an individual must be incapable of processing the criminal nature of his or her actions or incapable of controlling his or her actions. In the field of psychopathology, these requirements can manifest themselves with symptoms such as difficulties in cognitive processing or lack of inhibitory abilities. Conditions that match these symptoms may include neurocognitive disorders, schizophrenia, bipolar disorder, and other types of psychosis. The disorders mentioned above can be diagnosed and tested using slightly more subjective projective tests – the Rorschach inkblot test, for example – or long-standing, primarily objective and quantifiable assessments or inventories.B. Psychological evaluation and testing Psychological evaluation isIt has been an essential component in the field of psychology, starting with the development of the first projective tests and the interview-style interactions popularized by Freud. Criticism of the lack of empirical evidence to support the two forms of assessment mentioned above has led to the quantification of psychological assessment in the form of tests and inventories (Groth-Marnat & Wright, 2016). Modern assessments typically consist of a compiled set of data sourcessuch as interviews, inventories, and, more recently, biophysical testsand “aim to collect data to test clinical hypotheses, produce diagnoses, describe the functioning of individuals or groups, and make predictions on behavior or performance in specific situations”. (Mendes, Nakano, Silva & Sampaio, 2013) Self-reported or scaled assessments consist of typically dichotomous questions that ultimately lead to a calculable result. These assessments may include the Minnesota Multiphasic Personality Inventory (MMPI) or the Psychological Screening Inventory. Although these assessments tend to be clinically valid and very useful in terms of treating or evaluating individuals not tried for crimes, individuals awaiting trial may have ulterior motives and a not entirely unreasonable amount of motivation to exaggerate or feign symptoms of illness. mental. while self-evaluating. Even when assessing noncriminal subjects within an experimental study, in a study of associations between over-reporting and scores on the MMPI-2 in a “forensic assessment context”; individuals tended to overreport “psychopathology” as well as “somatic/cognitive disorders.” (Rogers and Sewell, 1999). Because the MMPI still maintains its empirical validity in the field of noncriminal psychological assessment and contains a separate axis to measure the validity of each individual's self-reported scores, it is often still used as a preliminary screening tool in the legal process. . However, relying on a test not specifically designed for the forensic assessment context and known to be self-reported may not hold up in the actual courtroom. In the past, the role of professionals with psychological training has often been severely limited in court due to the difficult nature of measuring and quantifying an individual's mental capacity as well as providing a diagnosis of defined mental disorders. Even more difficult is to assess whether the individual understood the nature of the crime he was committing at the very moment the incident occurred. While thorough, the above screening procedures are not often conducted with the sole purpose of preventing criminal activity. Typically, and rightly so, psychiatric evaluation is focused on improving the client's life and reducing symptoms to a manageable level. In addition to not being specifically designed for use in forensic contexts, tests that require self-reporting or self-rating involve the possibility of subjects faking or feigning symptoms associated with a mental illness in order to obtain a lower sentence. severe. The Rogers Criminal Responsibility Assessment Scales (R-CRAS) are not an intervention-based instrument and are created specifically for use in a forensic context (Rogers & Sewell, 1999). The R-CRAS integrates both an interview and a quantified assessment into a model that addresses five main areas: “Patient reliability (e.g., reliability of patient self-assessment under voluntary supervision), Organicity (e.g., presence of harm or brain diseases), Psychopathology (e.g., anxiety), Cognitive Control (e.g., planning and preparation), and Behavioral Control (e.g., responsible social behavior).” (Roesch, Viljoen, Hui & Hui, 2003).review of the Rogers Criminal Responsibility Scale (R-CRAS), conducted by its creator, Dr. Richard Rogers and Dr. Kenneth W. Sewell, attempts to discern patterns that "differentiate loss of cognitive control from volitional control." Rogers and Sewell analyzed data from 413 cases involving insanity claims at the R-CRAS. These cases applied the version of the R-CRAS that had been adapted to include “five additional variables” contained in questions 26 through 30 that address the widely used McNaughton standards. The added questions covered “judgments, behavioral disturbances, reality testing, ability to take care of oneself, and awareness of the wrongdoing.” (Rogers and Sewell,1999). The R-CRAS have been constantly modified and monitored over time, as well as updated by the author himself and his colleagues. Rogers' report also contains a statistical analysis of the entire test, along with each subsection or axis, documenting the variable or symptom that each questionnaire item attempts to measure. Although the R-CRAS have received some criticism for quantifying responses and making links between scores and criminal tendency, their reliability and validity have been maintained over time through multiple reviews and studies. The R-CRAS are adapted from both the ALI Model Penal Code and the older McNaughton standards for determining criminal culpability when the insanity defense is presented.C. Biophysical Symptomology and Detection In addition to the assessment of mental disorders and corresponding symptoms through psychological assessment, newer and more empirical forms of detection can prove to be extremely useful tools. In the case of some disorders, such as schizophrenia, the disorder can be detected through various forms of neuroimaging due to genetic inheritance, documented “structural variations,” and neurochemical abnormalities (van Os & Kapur, 2009). Noninvasive forms of brain imaging, particularly magnetic resonance imaging (MRI), have also been used to detect neurological abnormalities within certain regions of the brain (Bennett, 2009). Using imaging techniques, specific areas of the brain have been linked to the actual ability to voluntarily control one's behavior. “Inhibitory control deficits,” or the lack of ability to regulate one's behavior, are significantly pronounced even in individuals with disorders that do not involve psychosis or delirium and may possess deficits in other mental functions such as memory, learning or planning (Bora, Harrison, Yücel, & Pantelis, 2012). Pursuant to the ALI Model Penal Code; however, simply identifying limitations regarding mental function does not indicate a complete failure to understand the severity of the legal consequence. However, the detection of a neurological abnormality begins to reduce the possibility that the individual's symptoms or lack of self-control are being simulated. To combat the gray area between the substantial and insubstantial ability to understand legal parameters or limit behavior, neurological tests can be combined with the aforementioned psychological assessments, the R-CRAS, in order to have a more complete psychiatric profile of each individual. and to actually be able to use their best judgment to provide the court with an opinion on the individual's sanity. Empirical identification of the inability to retard impulsive behavior and control behavior would satisfy not only the conditions of the ALI Model Penal Code but would also include the requirements of other forms of insanity defense used in the United States.III. ConclusionThe difficult relationship between the legal system and industry-specific experts is no more evident than in..