Main rule: every man is
presumed to be sane and
to possess a sufficient
degree of reason to be
responsible for his crimes
Definition
D must be labouring under such a
defect of reason, from disease of the
mind, as to not know the nature and
quality of the act he was doing,or if he
did know it, that he did not know what
he was doing was wrong
Three elements
(1) A defect of reason
Powers of reasoning must be impaired
Clarke (1972) held that the defect must be
more than absent-mindedness or confusion
(2) Result of a disease of the mind
Legal term (not medical)
Mental or physical so long as it affects the mind
Kemp (1956):
Hardening of the
arteries causing
moments of
temporary loss of
conciousness can
be sufficient
Sullivan (1984): epilepsy comes within the defence. Lords also
ruled that the impairment can be permanent, transient or intermittent
This means that the disease can be of any part
of the body provided it has an effect on the mind
Hennessy (1989): high blood sugar levels because of diabetes
Hyperglycaemia.
Hypoglycaemia
comes under
automatism
Burgess (1991): some instances of sleep-walking
Internal cause
(3) D doesn't know the nature and quality of his act or that what he is doing is wrong
D is either is in a state of unconciousness or impaired conciousness or concious but
due to his mental condition he doesn't understand or know what he is doing is wrong
If D knows the conduct is
legally wrong it can't be used
Windle (1952)
Johnson (2007)
Special verdict
Successfully plead defence will see jury return a verdict of not guilty by reason of insanity
1991 Criminal Procedure (Insanity and Unfitness to Plead) Act allows J to impose
supervision orders or absolute discharges or a hospital order (with or without restrictions).
Prior to the act only the latter was available. However, for murder J must impose an indefinite
hospital order. D will only be released with the consent of the Home Secretary