Homicide Act 1957,s.2 as amended by Coroners & Justice Act 2009, s.52:
"(1) A person... is not to be convicted of murder if D was suffering from an abnormality of mental functioning which -
(a) arose from a recognised medical condition,
(b) substantially impaired D's ability to:
to understand the nature of D's conduct;
to form a rational judgement;
to exercise self-control
(c) provides an explanation for D's acts and omissions."
Requirements for Using the Defence:
An Abnormality of Mental Functioning
Caused by Recognised Medical Condition
Substantially Impairs D's ability
And Provides and Explanation for D's actions.
R v Wilcocks 2016:
The burden of proof is on the defendant.
However this is only on the balance of probabilities.
R v Golds 2016:
The defence requires medical evidence in order to succeed.
R v Brennan 2014:
Where medical evidence is uncontested and shows a clear abnormality, the murder charge should be withdrawn from the jury.
Abnormality of Mental Functioning (AOMF):
Means the defendant's mind is not working in the same way as a "normal" persons.
R v Byrne 1960:
Is "a state of mind so different from that of ordinary human beings that the reasonable man would term it abnormal"
D was sexual psychopath who strangled young woman and mutilated her body. The medical evidence was that, because of a condition e experienced 'irresistible impulses' and he was unable to control his perverted desires.
On appeal, his conviction was reduced to manslaughter on basis of diminished responsibility.
Recognised Medical Condition:
This can be physical or psychological condition, as long as it is recognised by the World Health Organisation's International Classification of Diseases (ICD)
R v Dowds 2012:
The medical evidence must show that the condition caused the abnormality of mental functioning. This does not include voluntary intoxication.
Recognised Medical Condition: (condition)
R v Byrne 1960 - Perverted sexual desires (Irresistible Impulses (Psychopathic)
R v Alhuwalia 1993 - Killed abusive husband (Battered Wives Syndrome)
R v Wood 2008 - Unwanted sexual advance (Alcoholism)
R v Stewart 2009 - Homeless man killed (Alcohol Dependency Syndrome)
Recognised Medical Condition: (condition)
R v Simcox 1964 - D killed wives (Paranoia)
R v Dietschmann 2003 - Broke aunt's watch (Adjustment Disorder)
R v Campbell 1987 - Killed hitch-hiker (Epilepsy and Frontal Lobe Damage)
R v Smith 1982 - Killed barmaid (Pre-Menstrual Tension)
Recognised Medical Condition: (condition)
R v Reynolds 1988 - Killed mother (Post-Natal Depression)
R v Moyle 2008 - Killed man at pub (Paranoid Schizophrenia)
R v Gittens 1984 - Killed wife/daughter (Depression & Alcoholism)
R v Martin 2001 - Killed a burglar (Paranoid Personality Disorder)
Substantially Impairs:
The medical condition must cause the Abnormality of Mental Functioning and this stops the Defendant being able to do one of three things.
R v Golds 2016:
The jury can decide if the impairment was 'substantial' enough to lead D to kill.
It does not have to be total impairment, but it should be more than minimal and the judge can advise the jury that this needs to be 'large'.
Substantially Impairs:
The Defendant's ability to do one of three things must be impaired:
To understand the nature of his conduct - e.g. D is in an automatic state, or delusional, or has severe learning difficulties.
To form a rational judgement - e.g. D has paranoia, schizophrenia or BWS so cannot make common sense decisions.
To exercise self-control - e.g. D is unable to control their impulses (as in Byrne)
Provides an explanation:
The Abnormality of Mental Functioning must explain why the D killed.
There must be a causal link between D's abnormality of mental functioning and killing.
It does not need to be the sole cause or even the most important cause, but it must be more than a trivial factor.
The defence should not succeed where the medical condition made no difference to their behaviour (e.g. they would have killed anyway).
Diminished Responsibility and Intoxication:
Intoxication alone cannot be enough for Diminished Responsibility. However, courts will allow D's intoxication (drink/drugs) to be taken into account for Diminished Responsibility if:
D has brain damage as result of alcohol misuse - R v Wood 2008
D is intoxicated involuntarily - either through being spiked or through alcohol dependency - R v Wood 2008, R v Stewart 2009
D was intoxicated but has recognised medical condition which remained the cause of killing despite intoxication - R v Dietschmann 2003