Act
Originally set out in s2 Homicide Act 1957, modified by s52 Coroners and Justice Act 2009
Qualifications for defence
D was suffering from an abnormality of mental functioning which arose from a recognised medical condition, substantially impaired D’s ability to understand the nature of D’s conduct, OR form a rational judgement, OR exercise self control. It must also provide an explanation for the result
Abnormality of mental functioning
R v Byrne - ‘a state of mind so different from that of ordinary human beings that the reasonable man would term it abnormal’
Recognised medical condition - psychopathy
R v Byrne - sexual psychopath
Recognised medical condition - depression
R v Gittes
Recognised medical condition - Battered Spouse Syndrome
R v Ahluwalia
Recognised medical condition - epilepsy
R v Campbell
Recognised medical condition - ASD
R v Conroy
Recognised medical condition - Paranoid Personality Disorder
R v Squelch
Substantially impaired
R v Byrne - whether impairment was substantial is a question of degree and for jury to decide
R v Lloyd - substantial does not mean total, nor does it mean trivial, it is something in between
R v Golds - confirmed Byre and Lloyd
Understand his own conduct
Covers situations where D may not know what they are doing, could be where D suffers from delusions or has a lower mental age
Form a rational judgement
This is where the D may understand the nature of their conduct and therefore know what they are doing but they have a condition which means they cannot form a rational judgement to know that it is wrong, e.g. BSS (R v Ahulwalia)
Exercise self control
Simply where D can’t control their actions, R v Byrne
Provides an explanation for the result
Link to causation
Intoxication
Voluntary intoxication is not generally a defence for diminished responsibility - R v Dowds
Intoxication + AMF
R v Dietschmann, R v Kay - if D has an AMF and is intoxcated, must ask if D would do it had they not been drunk
Alcohol Dependency Syndrome
R v Wood, R v Stewart - Can be a defence, circumstantially - depends on how dependent, if it caused the AMF, etc.