The Psychiatrist’s Role in Determining Accountability for Crimes: The Public Anxiety and an Increasing Expertise

I. INTRODUCTION

In conjunction with the criminal law, the psychiatrist witness has been asked to evaluate people at four different stages. He has been asked to give his opinion whether the defendant understands the charges and is able to aid his defense, whether the defendant should be held responsible for his activity, to recommend a disposition and finally to recommend a stay for execution of sentence.' This comment will discuss the second of these functions, the role of the psychiatrist in determining whether someone should be held accountable for the consequences of his acts who has accomplished activity classified by society as criminal. This comment will discuss the legal tests for insanity only peripherally, by illustrating the legal semantical difficulty produced by the attempts of the District of Columbia Court of Appeals to deal with this problem. The legal tests have been so overtreated and overemphasized that one noted authority has remarked: "Rivers of ink, mountains of printer's

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