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  • Essay / Psychology and the Insanity Defense

    The earliest form of insanity defense found its place 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, stated that the law should contain extensive provisions for both children and "lunatics" when determining sentences for crimes (Bracton, 1968/c.1235 ). Bracton's writings are highlighted not only because they were among the first, but also because they represented a significant departure from pre-existing theological principles of justice. The first signs of a possible insanity defense were represented by the gradual shift in emphasis in criminal trials from simply determining damages to be paid to the defendant to assessing the presence of "intent guilty”, or mens rea, for the author (Maeder, 1985). After an unsuccessful attempt to incorporate 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 Washington District Court, DC. As a result, the American Law Institute (ALI), "a private organization" concerned with improving the law, created the Model Penal Code, an attempt "to integrate the criminal justice system according to the most reasonable and generally accepted”. (Maeder, 1985). The ALI Model Penal Code continues to undergo revision and is today the dominant standard upon which most U.S. state-level criminal courts are based. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essay As scientific knowledge of human psychology continues to deepen and expand, the perspectives of psychological assessment have also expanded and adjusted. The field of psychology has progressed through several editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), with the DSM-V being the most recent edition. These rapid revolutions in psychological knowledge and testing have powerful implications for mental health testing, raising an important question: to what extent is mental health, or lack thereof, psychologically assessed according to the standards designated by the ALI Model Penal Code? The legal concept of “insanity” is not based on any scientifically or psychologically accepted definition of lack of personal control due to mental illness. The presence of mental illness does not make the criminal guilty of his crime, but the subject must prove that he lost control of specific mental tasks at the instant of the crime. The idea that mental incapacity can be assessed after the fact is neither supported by significant psychological research nor is it even impractical to assess immediately. Personality inventories and other forms of testing, some of which are essentially subjective, cannot be considered valid measures of mental health – or lack thereof. Instead of only widely variable tests, dependent on the skills of the evaluator and the underlying motivations of the subject, the use of biopsychological methods to assess mental state in conjunction with already established psychiatric assessment methods may be useful. prove infinitely more reliable and operational.II. Analysis A. Defining Insanity Insanity is not a psychological term, but rather a concept designed to aid sentencing within the justice system. So where does the legal definition of insanitydoes it align with clinical psychology diagnoses? The 1985 revision of the American Law Institute (ALI) Model Penal Code excludes criminal liability if the subject, at the time of the crime and “by reason of mental disease or defect,” has diminished capacity.” to assess the criminality [illegality] of his conduct or to conform his conduct to the requirements of the law. The legislation does not provide or define guidelines for psychologists or legal professionals as to what tests should be carried out, nor does it specify exactly what is meant by a "substantial" understanding of moral wrongdoing (ALI Model Penal Code, 1985). Although the ALI Penal Code does not encompass specific mental disorders, disabilities, etc., many subjects using the insanity defense tend to suffer from either schizophrenia or another paranoid psychological disorder (Slobogin, Melton and Showalter, 1984). However, the mere presence or diagnosis of a mental disorder does not automatically absolve the subject of criminal culpability. In some cases, the subject will be found Guilty But Mentally Ill (GBMI), a verdict that states that the accused is mentally ill, but is still legally responsible for the consequences of their actions. In order to establish this verdict, the State must simultaneously prove the subject's guilt and declare him or her mentally ill, meeting traditional legal requirements and qualifying the standards of the ALI Model Penal Code. For a defendant to be guilty, two elements must be present: actus reus and mens rea, or the illegal act and criminal intent (Borum and Fulero, 1999). The subject will probably also call on a psychological counselor to certify the presence of their mental illness. Thus, there are three “levels” of criminal liability in terms of the insanity and mental illness defenses. First, there is the possibility that the court will reject the subject's attempt to plead insanity and he will be found fully responsible for the crime(s). ). In this case, they will meet the standards of actus reus and mens rea and will not comply with the elements 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 "specific time of such conduct", i.e. at the precise time the crime occurred (ALI Model Penal Code , 1985). How does such an imprecise decision differentiate between a reduced sentence and incarceration in a psychiatric facility and a traditional sentencing with psychological counseling as needed? A solution to the inconsistencies created by the ambiguities of the legal terminology of the Penal Code can be found in an attempt at psychological quantification and assessment of the subject's mental health. Although hardly synonymous, the most psychologically sound substitute for legal insanity can be found in the term "psychopathology." Psychopathology is defined as a “mental disorder,” presenting as “clinically significant distress, dysfunction, or impairment” in “important areas of functioning” (“Psychopathology,” 2008). Under the Model Penal Code, an individual must be incapable of understanding the criminal nature of his or her actions or incapable of controlling his or her actions. In the realm of psychopathology, these demands may manifest as symptoms such as cognitive processing difficulties or a lack of inhibitory abilities. Conditions responding to these symptoms may include neurocognitive disorders, schizophrenia, bipolar disorder, and other types of psychosis. The disorders mentioned abovecan 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 Assessment and Testing Psychological assessment has been an essential component of the field of psychology, beginning with the development of early projective tests and interview-style interactions popularized by Freud. Criticism regarding the lack of empirical evidence to support the two aforementioned forms of assessment has led to the quantification of psychological assessment in the form of tests and inventories (Groth-Marnat and 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 about behavior or performance in specific situations. (Mendes, Nakano, Silva & Sampaio, 2013) Self-reported or scaled assessments consist of typically dichotomous questions that lead to a calculable outcome at the end. These assessments may include the Minnesota Multiphasic Personality Inventory (MMPI) or the Psychological Screening Inventory. Although these evaluations tend to be very clinically sound and very useful in terms of treatment or evaluation of individuals who are not on trial for crime, subjects awaiting trial may have ulterior motives and a not entirely unreasonable motivation to exaggerate or feign symptoms of mental illness. while self-evaluating. Even when evaluating noncriminal subjects in an experimental trial, in a study of associations between overreporting and MMPI-2 scores in a “forensic assessment context”; individuals tended to overestimate “psychopathology” as well as “somatic/cognitive complaints.” (Rogers and Sewell, 1999). Because the MMPI still retains empirical validity in the realm of noncriminal psychological assessment and contains a separate focus for measuring the validity of each individual's self-reported scores, it is often still used as at least a preliminary screening tool in the legal process. . However, relying on a test that is not specifically intended for the context of a forensic evaluation and is known to be self-reported may not hold up in the courtroom itself. In the past, the role of professionals trained in psychology has often been severely restricted in court because of the difficulty of measuring and quantifying an individual's mental abilities beyond establishing a diagnosis of mental disorder. defined. It is even more difficult to assess whether the individual understood the nature of the crime they were committing precisely at the time the incident took place. Although thorough, the above-mentioned screening procedures are often not conducted with the sole aim of preventing criminal activity. Typically, and rightly so, psychiatric evaluation focuses on improving the client's life and reducing their symptoms to a manageable level. In addition to not being designed specifically for use in a forensic context, tests requiring self-assessment or self-assessment involve the possibility of subjects feigning or simulating symptoms associated with mental illness in order to get a less severe sentence. The Rogers Criminal Responsibility Rating Scales (R-CRAS) are less of an intervention-based device and are specifically created tobe used in a forensic context (Rogers and 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 control), organicity (e.g., the presence of brain damage or illness), Psychopathology (e.g., anxiety), cognitive control (e.g., planning and preparation), and behavioral control (e.g., responsible social behavior). (Roesch, Viljoen, Hui and Hui, 2003). A reexamination of the Rogers Criminal Responsibility Scales (R-CRAS), led by its creators, 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 pleas with R-CRAS. These cases applied the version of the R-CRAS that had been adapted to include “five additional variables” contained in questions 26 to 30 which meet the widely used McNaughton standards. The added questions focused on “judgment, behavioral problems, reality testing, ability to care for oneself, and awareness of wrongfulness.” (Rogers and Sewell,1999). The R-CRAS have been constantly modified and monitored over time, as well as updated by the current author and colleagues. Rogers' report also contains a statistical analysis of the entire test, as well as each subsection or axis, documenting the variable or symptom that each questionnaire item attempts to measure. Although the R-CRAS have been criticized for quantifying responses and creating links between scores and criminal trends, their reliability and validity have been maintained across multiple reviews and studies over time. The R-CRAS are adapted to both the ALI Model Penal Code and the former McNaughton Standards for determining criminal culpability when presented with the insanity defense.C. Biophysical Symptomology and Detection In addition to assessing mental disorders and their corresponding symptoms through psychological assessment, newer, more empirical forms of detection may prove to be extremely useful tools. In the case of some disorders, such as schizophrenia, the disorder can be detected by various forms of neuroimaging due to genetic heritability, documented “structural variations,” and neurochemical abnormalities (van Os & Kapur, 2009). Non-invasive forms of brain imaging, particularly magnetic resonance imaging (MRI), have even been used to detect neurological abnormalities in certain regions of the brain (Bennett, 2009). Using imaging techniques, specific areas of the brain have been linked to the ability to voluntarily control one's own 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 result in psychosis or delusion, and they may exhibit deficits in other functions. mental functions such as memory, learning or planning (Bora, Harrison, Yücel and Pantelis, 2012). Under the rule of the ALI Model Penal Code; however, the mere identification of limitations in mental functions does not indicate a complete failure to understand the seriousness of the legal consequences. However, detection of a neurological abnormality begins to reduce the possibility that the individual's symptoms or lack of self-control are being faked. To combat the gray zone between substantial and non-substantial capacity to understand legal parameters or borderline behaviors, we can..