Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
The legal procedure of the present day is based very largely on the
decisions made at the time of the McNaughton trial in 1843. In this
case the Chief Justice, as quoted by Lord Lyndhurst, addressed the
following words to the jury: "The point which at last will be submitted
to you will be whether or not on the whole of the evidence you have
heard you are satisfied that at the time the act was committed, for
the commission of which the prisoner stands charged, he had not that
competent use of his understanding as not to know what he was doing
with respect to the act itself—a wicked and wrong thing—whether he
knew it was a wicked and a wrong thing he had done, or that he was not
sensible at the time he committed this act that it was contrary to the
laws of God and man." This case led to a very serious consideration
of the subject in the House of Lords. As the result of an official
request for an opinion, the majority of the judges of the court, all
concurring but one, expressed the view that "to establish a defense on
the ground of insanity, it must be clearly proved that at the time of
the committing of the act the accused party was labouring under such a
defect of reason, from disease of the mind, as not to know the nature
and quality of the act he was doing; or if he did know it (sic) that he
did not know he was doing what was wrong."[80]
The importance and significance of these decisions, which one might
very readily assume to be obsolete and too ancient to be worthy of
consideration, will be made clear by a quotation from the penal code in
effect in New York today. "Sec. 1120 (Penal Law). Incompetency of idiot
or lunatic. An act done by a person who is an idiot, imbecile, lunatic
or insane is not a crime. A person cannot be tried, sentenced to any
punishment or punished for a crime while he is in a state of idiocy,
imbecility, lunacy or insanity so as to be incapable of understanding
the proceeding or making his defense. A person is not excused from
criminal liability as an idiot, imbecile, lunatic or insane person
except upon proof that, at the time of committing the alleged insane
act, he was laboring under such a defect of reason as 1, not to know
the nature and quality of the act he was doing; or 2, not to know that
the act was wrong." It will, I think, be conceded that we have, at
least, not lost ground in any way since 1843.
No less interesting is the legal definition of insanity in
Massachusetts: "The words 'insane person' and 'lunatic' shall include
every idiot, non compos, lunatic and insane and distracted person."
(Chapter 4, Sec. 7, General Laws of Massachusetts.) In New York the
terms lunatic and lunacy include every kind of unsoundness of mind
except idiocy. (Chapter 22, Sec. 28, Consolidated Laws.) This would
presumably include psychopathic personality and imbecility.
Public-domain text, read in full here on John Shaqi.
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