This document provides information on forensic psychiatry and aspects related to determining criminal responsibility for mentally ill individuals. It discusses key topics such as:
- Forensic psychiatry deals with applying psychiatric knowledge to legal and justice systems.
- Various mental states and disorders are described, including hallucinations, delusions, and impulse control issues.
- Laws and tests for insanity are outlined, including McNaugthen's Rule which established the insanity defense.
- Civil responsibilities and ability to enter contracts are impacted by mental illness. Criminal responsibility depends on understanding the nature and wrongfulness of one's actions.
Psychiatry– it deals with study, diagnosis, treatment and prevention of mental illness.
Forensic psychiatry- application of knowledge of psychiatry
These are the person who are unable to cope with the ordinary social circumstance
Medico-legal responsibilities of mentally ill persons and recent amendments in Mental Health Act 2017, Procedures of restraint or admission of mentally ill person to psychiatric hospital.
Psychiatry– it deals with study, diagnosis, treatment and prevention of mental illness.
Forensic psychiatry- application of knowledge of psychiatry
These are the person who are unable to cope with the ordinary social circumstance
Medico-legal responsibilities of mentally ill persons and recent amendments in Mental Health Act 2017, Procedures of restraint or admission of mentally ill person to psychiatric hospital.
A POWER POINT PRESENTATION BY DR.SANGEETA CHOWDHRY & DR.SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
ON
INSANITY
Insanity
Mind in Psychology
DISORDERS OF COGNITION
DISORDERS OF AFFECT / EMOTIONS
DISORDERS OF CONATION / BODY FUNCTIONS
Classification of Psychiatric disorders ICD -10
LUCID INTERVAL- Psychiatry & Head Injury
Feigned Insanity
Test for determining criminal responsibilities
McNaughton Rules-The right or wrong test)
Durham’s Rule
Curren’s Rule
American law Institute Test
Civil and Criminal responsibility of an insane
Section 84 IPC
MENTAL HEALTHCARE ACT,2017
DISORDERS OF AFFECT / EMOTIONS
DISORDERS OF CONATION / BODY FUNCTIONS
Classification of Psychiatric disorders ICD -10
LUCID INTERVAL- Psychiatry & Head Injury
Feigned Insanity
Test for determining criminal responsibilities
McNaughton Rules-The right or wrong test)
Durham’s Rule
Curren’s Rule
American law Institute Test
Civil and Criminal responsibility of an insane
Section 84 IPC
MENTAL HEALTHCARE ACT,2017
A POWER POINT PRESENTATION BY DR.SANGEETA CHOWDHRY & DR.SUNIL SHARMA, DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY, GOVT. MEDICAL COLLEGE, JAMMU (JAMMU AND KASHMIR)
ON
INSANITY
Insanity
Mind in Psychology
DISORDERS OF COGNITION
DISORDERS OF AFFECT / EMOTIONS
DISORDERS OF CONATION / BODY FUNCTIONS
Classification of Psychiatric disorders ICD -10
LUCID INTERVAL- Psychiatry & Head Injury
Feigned Insanity
Test for determining criminal responsibilities
McNaughton Rules-The right or wrong test)
Durham’s Rule
Curren’s Rule
American law Institute Test
Civil and Criminal responsibility of an insane
Section 84 IPC
MENTAL HEALTHCARE ACT,2017
DISORDERS OF AFFECT / EMOTIONS
DISORDERS OF CONATION / BODY FUNCTIONS
Classification of Psychiatric disorders ICD -10
LUCID INTERVAL- Psychiatry & Head Injury
Feigned Insanity
Test for determining criminal responsibilities
McNaughton Rules-The right or wrong test)
Durham’s Rule
Curren’s Rule
American law Institute Test
Civil and Criminal responsibility of an insane
Section 84 IPC
MENTAL HEALTHCARE ACT,2017
Insanity or unsoundness of mind is not defined in the act. It means a disorder of the mind, which impairs the cognitive faculty; that is, the reasoning capacity of man to such an extent as to render him incapable of understanding consequences of his actions. It means that the person is incapable of knowing the nature of the act or of realising that the act is wrong or contrary to law
it deals with insanity in tort law, contract, and ipc
Latest Post
dicembre 8, 2011
The Insanity Defense
This article was written as a guest post by Paola Giannetakis, member of the International Research Centre for Investigative Psychology.
View this document in it’s full glory by downloading the pdf here.
What is the Insanity Defense?
The legal defense by reason of insanity is primarily used in criminal prosecutions and is based on the assumption that at the time of the crime, the defendant was not sound of mind, and therefore, was incapable of appreciating the nature of the crime and differentiating right from wrong behavior. Allowing such typology of defense is based on the principle that civilized societies do not punish people who do not know what they are doing or are incapable of controlling their conduct.
Fitness to Stand Trial
The legal system distinguishes between two essential components used to evaluate an individual’s fitness to stand trial: competency and insanity. Competency refers to the capacity of a defendant to assist the case attorney and comprehend the contents of the allegations, while insanity refers exclusively to the mental state of the defendant at the time of the crime. The legal standards for defining insanity vary from state to state and from country to country. For example, in the US, a criminal act is not only regarded illegal, but it must also be accompanied by mens rea (a guilty mind). The defense of insanity derives from the M’Naghten rules in 1843, asserting, “It must be clearly proved that, at the time of committing the act, the party accused 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, that he did not know he was doing what was wrong.” (Post, 1963). Although the M’Naghten rule is still used, there are limitations.
Conceptualizations of Insanity
There is a twofold conception of the insanity defense. One type of insanity may be defined as “cognitive insanity”, where a defendant was suffering from a mental disease or defect at the time of the crime, which impaired his/her psychological ability to appreciate the wrongfulness of the act. A second type of insanity is based on the concept of “irresistible impulse”, where a defendant is psychologically able to appreciate and distinguish between right and wrong behaviors, but who has suffered from a mental disease leading to an inability to control his/her actions. Is also possible to define insanity as being:
1. Legally determined: the defendant is not considered criminally responsible if, as a result of a mental disorder or defect, he/she lacked the capacity to appreciate his/her misconduct as a violation of the law.
2. Morally determined: the defendant lacks criminal responsibility if, as a result of a mental disorder or defect, he/she lacked the capacity to appreciate his/her misconduct as a violation of what a society deems unethical.
3. Subjectively determine
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. PSYCHIATRY
It is branch of medicine which deals with the study, diagnosis and treatment of psychiatric
illness.
3. FORENSIC PSYCHIATRY
Forensic psychiatry deals with the application of knowledge of psychiatry in the administration
of law and justice.
Law Psychiatry
Forensic
Psychiatry
8. HALLUCINATION
A false sensory perception without external stimulus.
Not always a sign of psychosis.
Causes:
1. HALLUCINATIONS OCCUR IN FEVER, INTOXICATION OR INSANITY.
2. Person may commit suicide or homicide.
9. HALLUCINATION contd..
Types of Hallucination
1.Auditory
1.hearing imaginary voices.
It is most common type.
Visual
perceiving non existent
images.
Olfactory
perceiving non existent
odour.
Gustatory
perception of taste without
any apparent stimulus.
Tactile hallucination
person imagines that rats
and mice are crawling into
his body. Eg. Magnan
symptom or cocaine bugs or
formication.
VOFA: Visual (Organic Brain Disorder) (Functional Brain Disorder) Auditory
Gustatory and olfactory: Temporal lobe epilepsy
Auditory: Paranoid Schizophrenia
10. ILLUSION
Misinterpretation of a real external stimulus.
May misinterpret a dog as a lion or a rope to be a snake or a branch of a tree to be ghost or a
man as a wild animal.
A sane person may experience an illusion but is capable of correcting it.
An insane person continues his perception even when the real facts are clearly pointed out.
11. DELUSION
It is a false, firm, fixed belief in something which is not a fact and inconsistent with his social
background and persists even after its falsity is clearly demonstrated.
It is a disorder of thought/cognition.
It is medico-legally important because the person cannot be regarded as fully responsible for
anti-social acts as delusion may lead a person to commit suicide, murder or any other crime.
12. Delusion contd.
Types of
Delusion
1.Delusion
of grandeur
or
exaltation
Delusion of
persecution
Delusion of
influence
Delusion of
infidelity-
Also known
as OTHELLO
SYNDROME
.
Delusion of
nihilism- It
is seen in
major
depression.
Delusion of
hypochond
riac
Self
reproach-
the person
accuses
himself for
things that
happened
in past.
Erotomania
(deClemba
urat
Syndrome)
Fregoli
Syndrome
Capgras
Syndrome
(delusion of
misidentific
ation)
13. IMPULSE
A sudden and irresistible force compelling a person to the conscious performance of some
action without motive or forethought.
A sane person is capable of controlling the impulse but an insane person does things on impulse.
Suicidal and homicidal impulses are commonly encountered in acute mania.
May lose self control and commit crime eg out of anger.
Criminally responsible unless insanity is present.
15. Phobias
Excessive and irrational fear of a particular object or situation
1. Agoraphobia – fear of open space.
2. Acrophobia – fear of height.
3. Claustrophobia- closed space fear.
4. Nyctophobia- fear of darkness.
5. Mysophobia – dirt.
6. Xenophobia- excessive fear of strangers.
16. SOMNAMBULISM
Walking during sleep.
Person is not asleep but in a state of dissociated consciousness, in a hallucinatory state,
unrelated to his immediate environment.
He may commit suicide or meet an accident.
Usually no recollection of the event but may be repeated in a subsequent fit.
The person is NOT criminally responsible for his acts.
17. Psychosis
Characterized by withdrawal from reality and living in a world of fantasy.
Disturbance in personality.
Loss of insight.
Presence of delusions and hallucinations.
Eg schizophrenia, mood disorders.
18. Delirium
Crime may be committed due to hallucination or delusion.
Person is not responsible.
DELIRIUM TREMENS- Delirium in an alcoholic who is deprived of his dose for a 72-96hours. He is
restless, irritable, aggressive, abusive etc.
NOT responsible for his criminal acts.
19. Neurosis
NO loss of touch with reality.
Presence of insight.
Contact with surrounding preserved.
Eg anxiety disorders, phobias, OCD.
20. LUCID INTERVAL
Period of sanity between phases of insanity.
It has to be diagnosed by a doctor.
Person is responsible for acts done during this period.
Can give evidence.
Can make a valid will.
NB- LUCID INTERVAL is also found in epidural hematoma (Period of consciousness between two
periods of unconsciousness)
21. LAWS OF INSANITY
Laws of Insanity
A American Law
Institute Test
Adequate Capacity to
Appreciate the criminality
of conduct is lost
B Browner Law
Substantial capacity to
appreciate the
wrongfulness of act is
lost.
C Currens Law
Capacity to Regulate the
conduct according to
requirement of the law.
D Durhams Law
Product Test. Criminal Act
is product of mental
disease or illness.
E (IR) Irresistible
Impulse Test (New
Hampshire Doctrine)
Free agency of will is
destroyed.
ABCDE
22. Mc NAUGHTENS RULE, 1843
Daniel McNaughtens was a
Scottish Wood Worker
Suffering from Paranoid
Schizophrenia
Mc Naughten thought that
catholic priests were
conspiring to kill him and the
PM was helping them.
Killed Edward Drummond;
the private secretary to the
prime minister Sir Robert
Peel, thinking him to be the
PM himself.
23. MC NAUGHTEN’S RULE CONTD.
Mc Naughtens Rule Section 84 IPC
An accused person is not legally responsible if it is
clearly proved that at the time of committing the
crime, he was suffering from such a defect of
reason from abnormality of mind that he didn’t
know the nature and quality of the act he was
doing (or) what he was doing, was wrong.
“Nothing is an offence which is done by a person
who at the time of doing it, by reason of
unsoundness of mind is incapable of knowing the
nature of the act, OR that he is doing what, is either
wrong or contrary to the law.”
In Mc Naughten, the person is not legally
responsible for the offence
According to section 84 IPC, the act is not even an
offence.
Disease of mind unsoundness of mind.
24. ASPECTS OF BRAIN FUNCTION
Aspects
of Brain
Function
Cognitive
Emotional
Motor
25. RESPONSIBILITIES OF A MENTALLY ILL
PERSON
Civil responsibility
Criminal responsibility
26. Civil responsibilities
1. Management of property
Chapter 6 of mental health act 1987.
If the person is incapable of managing his property, the honorable court (or) the collector
may appoint a person to look after his property or sale the same to fulfill his expenses or to
pay his debts.
27. Civil responsibilities contd.
2. Consent – invalid ( section 90, IPC)
3. BUSINESS CONTRACT (Indian contract act 1872)
invalid if one of the party is of unsound mind.
Valid if unsoundness started after formulation of contract.
Valid if made during lucid interval.
28. Civil responsibilities contd.
4. Evidence – not incompetent if he understands the questions and can give rational answer
(section 118 IEA)
Can give evidence in lucid interval.
5. Tort liabilities- respect to general rights of others.
person is liable for tort as long as his disease is not so great that he does not understand the
nature and consequences of the act.
29. Civil responsibilities contd.
6. Guardianship- cannot act as a legal guardian for a minor.
7. Marriage- according to Hindu MARRIAGE ACT 1955, THE MARRIAGE becomes null and void if at
the time of marriage
either party was unable to give valid consent
Due to unsoundness of mind, is unfit for marriage or procurement of children
Has been subject to recurrent attack of insanity.
30. Civil responsibilities contd.
Christian marriage is voidable if either party was a lunatic or idiot.
Parsi marriage act- unsoundness of mind is not ground of annulment.
Muslim law- marriage is void but if the guardian of the person thinks the marriage to be in his
interest or in the interest of society and willing to take the monetary obligations of the marriage,
then such a marriage can be performed.
31. Civil responsibilities contd.
Section 13, Hindu marriage act
divorce can be granted to the spouse on the basis that the other party has been incurably of
unsound mind and has been suffering continuously from such mental disorder that the
petitioner cannot reasonably be expected to live with the respondent.
Same is true also for parsi marriage act, special marriage act and divorce act.
32. Civil responsibilities contd.
A muslim woman can also seek divorce if her husband has been insane for two years.
Indian divorce act, 1869 amendment and 2001 amendment for christians- incurable insanity and
insanity for two years immediately before filing the petition are grounds for divorce.
33. Civil responsibilities contd.
8. Transfer of property – not competent.
9. Adoption- according to Hindu adoption and maintenance act 1956
A MAJOR HINDU MALE OF SOUND MIND CAN ADOPT A CHILD WITH CONSENT OF HIS SOUND
MINDED WIFE
A major and unmarried Hindu female of sound mind can adopt a child.
Adoption is not recognised among christians, parsi and muslims.
34. Civil responsibilities contd.
10. TESTAMENTARY CAPACITY Sec 31 IPC
CAPACITY OF A PERSON TO MAKE A VALID WILL
The person should be of sound mind.
Should understand the nature of the will.
Has knowledge of his property to be disposed.
Recognizes the persons having moral claims to heir his property.
Not under the influence of any person.
Can make will in lucid interval.
36. CRIMINAL RESPONSIBILITY
CRIME- A behavior which violates the law and is punishable.
PUNISHMENT- PENALTY GIVEN TO A PERSON FOR VIOLATING THE LAW.
AN INSANE PERSON-
1. Can’t be convicted if at the time of committing the crime, he was insane,
2. Can’t undergo trial,
3. Can’t be given capital punishment.
37. SECTIONS RELATED TO FORENSIC
PSYCHIATRY
SECTION 82- criminal responsibility of a child below 7 years of age. NOT responsible.
Section 83- responsibility of a child between 7 to 12 years. Maturity should be determined.
Section 84- criminal responsibility of insane.
Section 85- criminal responsibility of an intoxicated person.
Section 86- criminal responsibility of a voluntarily drunken person. Person is responsible.
38. MENTAL HEALTH CARE ACT, 2017
Indian Lunacy
Act, 1917
Mental Health
Act, 1987
Mental Health
Care Act, 2017
39. Mental Illness
“mental illness” means a substantial disorder of thinking, mood, perception, orientation or
memory that grossly impairs judgment, behaviour, capacity to recognise reality or ability to
meet the ordinary demands of life, mental conditions associated with the abuse of alcohol and
drugs, but does not include mental retardation which is a condition of arrested or incomplete
development of mind of a person, specially characterised by subnormality of intelligence;
40. SALIENT FEATURES MHCA, 2017
Mental asylums now called as Mental Health establishments.
MHRB Mental Health Review Board
CHAPTER 3: ADVANCE DIRECTIVE
Sec 5(a) how to be cared for;
Sec 5(b) how not to be cared for;
Sec 5 (c) Nominated Representative
41. RIGHTS OF PWMI
RIGHTS OF PERSONS WITH MENTAL ILLNESS
Right to live with
Dignity
Right to access mental
health diagnosis and
treatment
Right to information
Right to
confidentiality
Right to access their
basic medical records
Right to free legal aid
CHAPTER 5
44. ADMISSIONS IN MHE
Admission
Voluntary
Requests his/her own
admission Sec 86
Admission of Minor
Section 87
Involuntary/
Supported
When nominated
representative
requests Section 88
and 89
45. PENALITIES
Penalties
For establishing or maintaining mental
health establishment in contravention of
provisions of this Act
First Contravention: Rs. 20000
Second Contravention: Rs. 2lakh
Subsequent Contravention: Rs.
5lakh
Punishment for contravention of
provisions of the Act or rules or
regulations made thereunder
First Contravention: Rs. 50000 or
6months or both.
Subsequent Contravention: Rs. 5
Lakh or 2 years or both
46. TRUE INSANITY VS. FEIGNED INSANITY
Features True Insanity Feigned Insanity
Onset Gradual Sudden
Motive Absent Always motive is present
Predisposing Factor Usually present, such as mental shock, frustration,
monetary loss, mental illness in parents
Absent
Signs and symptoms All uniform all the time, even when observed or
not, they point to particular type of insanity
Are irregular or even exaggerated specially if he thinks
that he is being observed
Facial expression Vacant look or peculiar look of excitement or
depression
Voluntary exaggerated of facial
Appetite and food Can resist drink for a day or two and food for
several days.
Tries to pose so but fails always, can not stay without
food for days.
Sleep May suffer from insomnia for nights together May with difficulties pass sleepiness nights for 1-
2days but not thereafter.
Habits Ordinarily dirty and filthy Clean and not dirty in habits