Psychopaths and Criminal Responsibility

AuthorElizabeth Shaw
Date01 June 2009
DOI10.3366/E136498090900064X
Published date01 June 2009
Pages497-502

The Criminal Justice and Licensing (Scotland) Bill1

Introduced into the Scottish Parliament on 5 March 2009. The Bill, accompanying explanatory notes and other documentation are available at http://www.scottish.parliament.uk/s3/bills/24-CrimJustLc.

will, if passed, implement the Scottish Law Commission's recommendations on reforming the defences of insanity and diminished responsibility.2

Scottish Law Commission, Report on Insanity and Diminished Responsibility (Scot Law Com No 195, 2004, available at www.scotlawcom.gov.uk). The directly relevant section of the Bill is s 117, which will insert new ss 51A and 51B into the Criminal Procedure (Scotland) Act 1995.

The Bill preserves the basic common law test for diminished responsibility but abolishes the rule excluding psychopathy from the scope of that defence.3

See Carraher v HM Advocate 1946 JC 108; Galbraith v HM Advocate (No 2) 2002 JC 1 at para 43 per the Lord Justice-General (Rodger).

It replaces insanity with a new special defence headed “criminal responsibility of mentally disordered persons” (henceforth “mental non-responsibility”). Psychopathy is excluded from mental non-responsibility. This note will examine whether this exclusion is justified DEFINING PSYCHOPATHY

The Bill refers to psychopathy as “… a personality disorder which is characterised solely or principally by abnormally aggressive or seriously irresponsible conduct”. The Scottish Law Commission observed that this phrasing “may be criticised from a psychiatric perspective as focusing on only some aspects of the disorder. But in a legal context the expression is clearly understood to mean psychopathy”.4

Scottish Law Commission, Report (n 2) para 2.62.

This statement is ambiguous. The Commission could mean that the courts use the term “psychopathy” to refer to nothing more than the definition just quoted. If this is the case, it is unclear why psychopathy should provide a possible basis for diminished responsibility as the Commission recommended – since this definition merely describes a typical criminal rather than a genuinely exculpating medical condition. In addition, if the legislative concept of psychopathy is meant to exclude all the other features of the richer psychiatric definitions, then it is misleading to call the legal concept “psychopathy” at all. Alternatively, the Commission could mean that this legislative phrasing is an accepted short-hand for a richer, more medically informed, concept. If this is the case, then the legislation should spell out precisely what this richer concept is, in order to make the law more transparent and in order to achieve consistency between cases

The standard tool psychiatrists use for diagnosing psychopathy is the “Psychopathy Checklist – Revised” (PCL-R).5

R D Hare, The Hare Psychopathy Checklist – Revised (1991).

This consists of 20 criteria. Traditionally these criteria are divided into two subsets or “factors”. Factor one comprises emotional deficiencies, such as lack of guilt and lack of empathy. Factor two is concerned with lifestyle issues such as impulsivity and parasitic lifestyle. “Primary psychopaths” score highly on factor one criteria and “secondary psychopaths” have high factor two scores.6

This distinction is not rigid, however. N Poythress and J Skeem, “Disaggregating psychopathy”, in C Patrick (ed) Handbook of Psychopathy (2007) provides further discussion of psychopathy subtypes.

The remainder of this note will focus on psychopathy as it is assessed by the PCL-R and will concentrate on primary psychopaths
IS PSYCHOPATHY A MENTAL DISORDER?

The Scottish Law Commission expressed some doubt about whether psychopathy was a mental disorder, but concluded that this was an issue for psychiatrists, rather than legislators. The psychiatric profession is divided about the status of psychopathy and matters are further complicated by the absence of any generally agreed psychiatric definition of mental disorder.7

Many, perhaps most, British psychiatrists are sceptical about personality disorders in general and about psychopathy in particular: see R E Kendell, “The distinction between personality disorder and mental illness” (2002) 180 British Journal of Psychiatry 110. Nevertheless, anti-social personality disorder, which is similar in many respects to psychopathy, is included in the two most influential classifications of mental disorder: World Health Organisation, The International Classification of Disease (ICD-10) (1992); American Psychiatric...

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