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Self-Made Madness - Rethinking Illness and Criminal Responsibility (Hardcover, New Ed)
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Self-Made Madness - Rethinking Illness and Criminal Responsibility (Hardcover, New Ed)
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This multi-disciplinary text lies in the general areas of forensic
psychiatry, sociology, jurisprudence, criminal law and criminology.
It questions traditional assumptions about illness and particularly
mental disorder and deals with the controversial notion that they
are not at least in part the fault of the sufferer. It examines how
the law can take into account such culpable notions of mental
disorder in determining criminal responsibility (if a person
culpably causes a condition e.g. intoxication s/he cannot rely on
that condition as the basis of a defence at trial; hence the law
affords different levels of justification/excuse/mitigation to the
crimes of those who have got themselves drunk and those who are
drunk due to being slipped a mickey). This culpability for the
defence-causing condition (or responsibility for level of criminal
responsibility) is called meta-responsibility. illness models
relate to meta-responsibility; the insanity defence and other
mental condition defences; the relationship of clinical issues such
as medication non-compliance and insight to meta-responsibility
(with reference to critical psychiatric and social constructivist
models of mental disorder which cast it not as an affliction but as
a sometimes positive experience which may be under control of the
sufferer); and the counterfactual notion that considers how the
possible voluntary origins of mental disorder would benefit the
criminal and non-criminal mentally disordered. jurors, examining
the effect of a meta-responsibility insanity test (one which allows
jurors to reflect their consideration of the defendant's
culpability for their disorder in the jurors' verdict). The test
made no difference to the number of insanity verdicts rendered (in
comparison to a normal insanity test); however, the recommended
length of detention in hospital for insanity acquittees
significantly diminished using the new test. This suggests that the
post-trial disposal to hospital, which has long been pointed as
pseudo-therapeutic punishment by commentators (insanity acquittees
are likely to spend twice as long in hospital than if they had
simply pled guilty and gone to jail) is in part revenge by society
and the criminal justice system for beating the rap using a
condition which they deem to be at least partly the defendant's
fault.
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