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Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the...

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Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden by law (cognitive test). Irresistible Impulse (1887)—emotional inability to resist act (supplement to M’Naghten) Durham rule (1954)—not criminally responsible if behavior is product of mental disease (product test). ALI Standard (1962) American Law Institute —”lacks substantial capacity” to appreciate criminality, or conform behavior to law. Insanity Defense Reform Act (1984)—not guilty, if due to mental disease and was unable to appreciate the wrongfulness of act. Shift of burden to defendant to prove insanity. Back to M’Naghten Rule
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Page 1: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Legal Definitions of Insanity

• M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden by law (cognitive test).

• Irresistible Impulse (1887)—emotional inability to resist act (supplement to M’Naghten)

• Durham rule (1954)—not criminally responsible if behavior is product of mental disease (product test).

• ALI Standard (1962) American Law Institute—”lacks substantial capacity” to appreciate criminality, or conform behavior to law.

• Insanity Defense Reform Act (1984)—not guilty, if due to mental disease and was unable to appreciate the wrongfulness of act. Shift of burden to defendant to prove insanity. Back to M’Naghten Rule

Page 2: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Visualizing HysteriaMultiple Personality &

Suggestion

Page 3: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.
Page 4: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Jean-Martin Charcot (1825-1893)

Inscribed to Freud, on the day Freud left the Salpêtrière

Clinico-Anatomic Method

Page 5: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Charcot (profile, far left) at theatrical reading,

with writers Emile Zola and Edmond de Goncourt

Page 6: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Photographic Iconography of theSalpêtrière (1876-77)

Page 7: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Hugh Welch Diamond,Uses of Photography in Psychiatry

1856 Paper to the Royal Society, London

1. Provides physiognomical data to physicians regarding nature of disorder.

2. Allows for identification of escaped or returning patients.

3. Aids patients in contemplating and improving their own mental states.

4. Documents cured patients.

Page 8: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

PUERPERAL MANIA (Post-Childbirth)IN FOUR STAGES--Cured

Page 9: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Melancholy Passing into Mania

(Etching)

(Photograph)

Page 10: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

SENILE DEMENTIA

(Photograph) (Etching)

Page 11: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

“What words can adequately describe either the peculiar character of the palsy which accompanies sudden terror when without hope, or the face glowing with heat under the excitement of burning anger, or the features shrunk and the skin constricted und ghastly under the influence of pale rage? –Yet the photographer secures with unerring accuracy the external phenomena of each passion, as the really certain indication of internal derangement, and exhibits to the eye the well known sympathy which exists between the diseased brain and the organs and features of the body.” Diamond, On the Application of Photography to the Physiognomic and Mental Phenomena of Insanity, 1856

Page 12: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Suicidal Melancholy (Diamond 1856)

Page 13: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

INSANITY RESULTING FROM INTEMPERANCE(Diamond 1856)

Page 14: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Guillaume B. Duchenne (de Boulogne)(1806-1875)

The Mechanism of Human Facial

Expression (1862)

Page 15: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Duchenne’s double current volta-faradic

apparatus

Page 16: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Facial Musculature

Duchenne, 1862

Page 17: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Muscle of Reflection

Page 18: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Muscle of Aggression

Page 19: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Muscle of Sadness Muscle of Terror

Page 20: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Muscle of Joy and Benevolence

Genuine Laughter False Laughter

Page 21: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Charcot’s Four Stages of Grand Hysteria

1. Tonic rigidity: limb contractures that mimicked a typical epileptic fit.

2. Dramatic body movements: contortions, illogical movements; clownism.

3. Passionate Attitudes: expressions of vivid emotional states.

4. State of delirium

Page 22: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Stages of the Hysterical Attack

Page 23: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

“AUGUSTINE”

Page 24: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Beginning of the Attack

Page 25: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Tonic Rigidity—Stage 1

Page 26: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Contracture of the FaceStage 1

Page 27: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Stage 2—Clownisms, Illogical Movements “Circular Arch”

Page 28: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Passionate AttitudesStage 3

“Menace”

Page 29: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Passionate AttitudesStage 3

“Menace”

Page 30: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Passionate AttitudesStage 3

“Aural Hallucinations”

Page 31: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Passionate Attitudes: “Loving Supplication”

Page 32: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Passionate Attitudes“Ecstasy”

Page 33: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Passionate Attitudes:Crucifixion

Page 34: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Zones of Hysterical Anesthesia

Metalloscopy:Use of Magnets to

shift areas of anaesthesia

Page 35: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Artificial Contracture

Page 36: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Catalepsy produced by sound

Page 37: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Charcot and Blanche Wittman

Page 38: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.
Page 39: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

A Case of Traumatic Male Hysteria

Page 40: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Hippolyte Bernheim (1840-1919)

SuggestiveTherapeutics (1886)

head of the Nancy School

Page 41: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.
Page 42: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Pierre Janet (1859-1947)

Dissociation—Traumatic event and

accompanying memories split off from consciousness

Imperative Suggestion—suggestion that thesememories didn’t exist

Page 43: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Janet’s Somnabulisms• Monoideic—dominated by one idea,

usually a transient episode.

• Polyideic--complex states or ideas; called fugue states, could involve a loss of identity for extended period.

• Recriprocal or Dominating Somnabulism (double personalities)—relatively permanent transition into another state;

memory impaired across these states

Page 44: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Reciprocal SomnambulismLady MacNish/Mary Reynolds

Page 45: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Alfred Binet (1857-1911)

On Double Consciousness (1890)

Alterations of the Personality (1896)

Page 46: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Examples of Automatic Writing with an anesthetic hand

Binet (1890 and 1896)

Page 47: Legal Definitions of Insanity M’Naghten Rule (1843)—defendant was responsible if he knew the nature and consequences of his act, and that it was forbidden.

Insensible Arm—hearing aMetronome

Sensible arm

Insensible arm while subjectcounted to five

Sensible Arm

Subject held dynamometer,connected to a

recording cylinder.Binet (1896, p. 201)


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