Also known as:severe mental disease · severe mental defect · mental disease or defect
Written by attorneys — see sources below.
A serious psychotic or comparable impairment that substantially undermines a defendant's capacity to appreciate the wrongfulness of conduct or to conform conduct to law. The condition must be more than a non-psychotic personality disorder, neurosis, or voluntary intoxication. It supplies the qualifying basis for an insanity defense or related mitigation under prevailing standards.
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How its tested
Common Examples
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But-For Causation Under Durham
Stephen Shaw, diagnosed with schizophrenia, bypasses security and uploads confidential files because a fixed delusion convinces him that only public exposure will stop a secret cabal. Without the delusion generated by his condition, Shaw would not have committed the access offense. The court therefore acquits him because the charged conduct was the product of his mental disease.
Impairment Evidence At Capital Sentencing
Sabrina Shah is convicted of capital murder. At the penalty phase she offers psychiatric testimony that her severe bipolar disorder produced a manic episode that substantially impaired her capacity to appreciate the wrongfulness of her conduct. The court admits the evidence because it is relevant to whether she should receive imprisonment rather than death.
Sofia Stern is acquitted of arson on the ground that her severe schizoaffective disorder excluded responsibility. The court immediately orders her committed to the custody of the Commissioner of Mental Hygiene for placement in an appropriate institution for custody, care, and treatment.
Product Test Applied In Durham
Simon Stern, suffering from a long-documented psychotic disorder, sets fire to a building because a fixed delusion tells him the structure is transmitting surveillance data to federal agents. The court acquits him because the unlawful act was the product of his mental disease or defect.
Durham v. United States214 F.2d 862, 874–75 (D.C.Cir.1954)
Monte Durham was convicted of housebreaking by the District Court of the District of Columbia sitting without a jury. The prosecution proceeded on a charge arising from an incident on July 13, 1951, in which Durham was found in a house.
Durham's history included discharge from the Navy in 1945 at age seventeen following a psychiatric examination revealing a profound personality disorder rendering him unfit for service. In 1947 he pleaded guilty to violating the National Motor Theft Act and was placed on probation for one to three years. In January 1948, as a result of a conviction in the District of Columbia Municipal Court for passing bad checks, the District Court revoked his probation and he commenced service of his Motor Theft sentence. His conduct within the first few days in jail led to a lunacy inquiry in the Municipal Court where a jury found him to be of unsound mind. Upon commitment to St. Elizabeths he was diagnosed as suffering from 'psychosis with psychopathic personality.' He experienced multiple discharges and readmissions to St. Elizabeths between 1949 and 1951, including a conditional release in June 1950 that he violated, and a further lunacy finding in 1951.
Following the July 1951 housebreaking, Durham was indicted in October 1951 and adjudged of unsound mind based on psychiatrists' affidavits diagnosing psychosis with psychopathic personality. He underwent subshock insulin therapy during a six-month commitment ending in February 1953, after which Dr. Silk certified him mentally competent to stand trial and able to assist counsel.
At the ensuing trial, the prosecutor expressed a plan to allow Durham to raise an insanity defense on this charge. The court accepted waivers of jury trial and additional competency proceedings despite Durham's expressed desire for further hospitalization. Testimony included that of Durham's mother regarding his post-May 1951 behavior and a psychiatrist who examined him in September 1951 and opined on his mental condition around the time of the offense. The trial court found the defense of insanity not established under the prevailing standards.
The appeal reached the United States Court of Appeals for the District of Columbia Circuit.
Solomon Silver is convicted of murder. At sentencing he presents evidence that his severe mental disease impaired his capacity to appreciate the criminality of his conduct or to conform his conduct to law. The sentencer may consider that impairment as a factor supporting a sentence of imprisonment rather than death.
Gregg v. Georgia428 U.S. 153, 96 S.Ct. 2909, 49 L.Ed.2d 859
On November 21, 1973, Troy Gregg and Floyd Allen were hitchhiking north in Florida when they were picked up by Fred Simmons and Bob Moore in their car.
Their car broke down. Simmons purchased another vehicle with some of the cash he was carrying. While still in Florida, the group picked up Dennis Weaver, who rode with them to Atlanta, where he was let out about 11 p.m.
A short time later the four men stopped for a rest along the highway in Gwinnett County, Georgia. The next morning the bodies of Simmons and Moore were discovered in a nearby ditch.
On November 23, after reading about the shootings in an Atlanta newspaper, Weaver communicated with the Gwinnett County police and related information concerning the journey with the victims, including a description of the car. The next afternoon, Gregg and Allen, while in Simmons' car, were arrested in Asheville, North Carolina. In the search incident to the arrest a .25-caliber pistol, later shown to be that used to kill Simmons and Moore, was found in Gregg's pocket. After receiving Miranda warnings and signing a written waiver, Gregg signed a statement admitting he shot Simmons and Moore but claiming self-defense.
At the guilt stage of the bifurcated trial, a medical examiner testified that Simmons died from a bullet wound in the eye and that Moore died from bullet wounds in the cheek and in the back of the head. The examiner further testified that both men had several bruises and abrasions about the face and head. Gregg testified claiming self-defense after Simmons and Moore allegedly attacked with a pipe and knife, but the jury convicted him of two counts of armed robbery and two counts of murder.
At the penalty stage before the same jury, neither side presented additional evidence. The trial judge instructed the jury that it could recommend either a death sentence or a life prison sentence on each count. The judge further charged the jury that in determining the sentence it was free to consider mitigating or aggravating circumstances. The judge instructed that death could not be imposed unless the jury found beyond a reasonable doubt one of the aggravating circumstances. The jury found the first and second aggravating circumstances and returned verdicts of death on each count. The Supreme Court of Georgia affirmed the convictions and the death sentences for murder after reviewing the record and comparing the sentences to similar cases, but it vacated the death sentences for armed robbery. The United States Supreme Court granted certiorari limited to the challenge to the death sentences under the Eighth and Fourteenth Amendments.
Sierra Santos is charged with first-degree murder. She seeks to introduce expert testimony that her documented mental disease prevented her from forming the required mens rea. The court limits the testimony to whether the disease affected her capacity to appreciate wrongfulness, consistent with the jurisdiction's rules governing mental-disease evidence.
Clark v. Arizona548 U.S. 735, 752 n.20, 126 S.Ct. 2709, 165 L.Ed.2d 842 (2006)
In the early hours of June 21, 2000, Officer Jeffrey Moritz of the Flagstaff Police responded in uniform to complaints that a pickup truck with loud music blaring was circling a residential block.
When he located the truck, the officer turned on the emergency lights and siren of his marked patrol car. This prompted petitioner Eric Clark, the truck’s driver (then 17), to pull over.
Officer Moritz got out of the patrol car and told Clark to stay where he was. Less than a minute later, Clark shot the officer. The officer died soon after but not before calling the police dispatcher for help. Clark ran away on foot but was arrested later that day with gunpowder residue on his hands. The gun that killed the officer was found nearby, stuffed into a knit cap.
Clark was charged with first-degree murder under Ariz. Rev. Stat. Ann. §13–1105(A)(3) for intentionally or knowingly killing a law enforcement officer in the line of duty. In March 2001, Clark was found incompetent to stand trial and was committed to a state hospital for treatment. Two years later the same trial court found his competence restored and ordered him to be tried. Clark waived his right to a jury, and the case was heard by the court.
At trial, Clark did not contest that he shot the officer or that the officer died. He relied on his own undisputed paranoid schizophrenia at the time of the incident to deny that he had the specific intent to shoot an officer or knowledge that he was doing so. The prosecutor offered circumstantial evidence that Clark knew the victim was a police officer. The prosecutor also offered testimony indicating that Clark had previously stated he wanted to shoot police and had lured the victim to the scene to kill him.
In presenting the defense case, Clark claimed mental illness. He sought to introduce it for two purposes. First, he raised the affirmative defense of insanity. This put the burden on himself to prove by clear and convincing evidence that at the time of the crime he was afflicted with a mental disease or defect of such severity that he did not know the criminal act was wrong. Second, he aimed to rebut the prosecution’s evidence of the requisite mens rea.
Ruling that Clark could not rely on evidence bearing on insanity to dispute the mens rea, the trial court cited the Arizona Supreme Court’s decision in State v. Mott. That decision refused to allow psychiatric testimony to negate specific intent. It held that Arizona does not allow evidence of a mental disorder short of insanity to negate the mens rea element of a crime. As to his insanity, Clark presented lay testimony describing his increasingly bizarre behavior over the year before the shooting. This included testimony that Clark thought Flagstaff was populated with aliens trying to kill him and that bullets were the only way to stop them.
A psychiatrist testified that Clark was suffering from paranoid schizophrenia with delusions about aliens when he killed the officer. The psychiatrist concluded that Clark was incapable of luring the officer or understanding right from wrong and was thus insane at the time of the killing. In rebuttal, the State’s psychiatrist gave his opinion that Clark’s paranoid schizophrenia did not keep him from appreciating the wrongfulness of his conduct before and after the shooting.
The judge then issued a first-degree murder verdict. The judge found that Clark had not established that his schizophrenia distorted his perception of reality so severely that he did not know his actions were wrong. Clark moved to vacate the judgment and life sentence. He argued that Arizona’s insanity test and its Mott rule each violate due process. The trial court denied the motion. Affirming, the Arizona Court of Appeals held that the State’s insanity scheme was consistent with due process. The court read Mott as barring the trial court’s consideration of evidence of Clark’s mental illness and capacity directly on the element of mens rea. The Supreme Court of Arizona denied further review. The United States Supreme Court granted certiorari.
What distinguishes a severe mental disease or defect from other mental conditions?
The term requires a serious psychotic or comparable impairment that substantially affects cognitive or volitional capacity. Non-psychotic personality disorders, neuroses, antisocial tendencies, and voluntary intoxication do not qualify even if they impair appreciation of wrongfulness.
How does the term operate under the Durham product test?
Under the Durham rule a defendant receives an acquittal if the charged offense would not have occurred but for the mental disease or defect. The condition must be the originating source of the criminal conduct rather than a concurrent or post-hoc factor.
Is evidence of a severe mental disease or defect admissible at capital sentencing?
Yes. When a sentencer may choose between death and imprisonment, evidence that mental disease or defect impaired the defendant's capacity to appreciate wrongfulness or conform conduct to law is admissible in favor of a sentence of imprisonment.
What follows an acquittal based on mental disease or defect?
The court must order the defendant committed to the custody of the appropriate mental-health authority for placement in an institution for custody, care, and treatment. Release is possible only upon a later judicial finding that the person may be discharged without danger to self or others.
428 U.S. 153, 96 S.Ct. 2909, 49 L.Ed.2d 859
…the criminality [wrongfulness] of his conduct or to conform his conduct to the requirements of law was impaired as a result of mental disease or defect or intoxication. "(h) The youth of the defendant at the time of the crime." ALI Model Penal Code § 210.6 (Proposed Official Draft 1962). : As MR. JUSTICE BRENNAN noted in…