The workings of the law and psychology are inextricably linked in a complex
tangle, where “abnormal” behaviour crosses the line into illegal territory. The
insanity defense is a tool by which criminal acts can be excused by pleas of
mental illness. It is an indispensable device required to protect those who may
be suffering from psychiatric illnesses that are detrimental to their sense of
judgement and awareness of their actions. The darker side of the defense,
however, arises in the difficulties faced in proving the truth or falsity of
such claims – for those with genuine mental illness, to show that they were in
an unfit state of mind at the time of the crime, and conversely, its misuse by those
who may get away with grave crimes simply by pleading insane.
The defense is based on the assumption that “at the time of the crime,
the defendant was suffering from severe mental illness and therefore, was
incapable of appreciating the nature of the crime and differentiating right
from wrong behaviour” (Math, Kumar & Moirangthem). Section 84 of the Indian Penal Code draws the distinction
between medical insanity and legal insanity, and poses several challenges,
including inaccurate or outdated tests, proving a past mental state, and lack
of control in what mental disorders can qualify for the plea (Asokan). While
the insanity defense specifically is not always used, it is interesting to see how
the involvement of mental illness can play out in court trials, including the
ways in which it may be misused.
On July 24th, 2011, NDTV reported that MP Suresh Kalmadi, who
had been in Tihar jail for over two months, was suffering from dementia. He had
been arrested on 25th April for his involvement in a multi-crore
scam as the chairman of the Common Wealth Games Organising Committee. The
details regarding his diagnosis remained sketchy, however, and just two days
later, on 26th July, the Times of India reported that his dementia
was not yet confirmed. Kalmadi ended up being charged under multiple sections
of the IPC, including section 467, forgery of a valuable security, which
entails life imprisonment as the maximum punishment. His claims of memory loss
seemed to have helped him, as in a muddle of inconclusive reporting, he appears
to have got away with hardly more than a tainted reputation.
The problem, here, was the inconclusive diagnosis he received, or at
least that the media was able to report. In some cases, articles claimed that
an MRI showed “diffused cerebral atrophy with old ischemic changes in brain parenchyma
with calcified granuloma in caudothalamic groove on left side”. These do not
indicate a decisive diagnosis of dementia, and may also be caused by diabetes,
high blood pressure, and other such ailments (TOI). It was also reported that “dementia
at a preliminary stage was mentioned in the medical history submitted to Jail
authorities by the family members” (NDTV).
The DSM-5, which has redefined the category of dementia as “Major
Neurocognitive Disorder”, requires as a criterion for diagnosing depression that
“the cognitive deficits interfere with independence in everyday activities (i.e.,
at a minimum, requiring assistance with complex instrumental activities of daily
living such as paying bills or managing medications).” From when Kalmadi was involved
in the organising committee of the CWG, right through the trial and after, it’s
difficult to see any apparent signs of his illness. He was able to continue as
a sitting Congress MP (India Today) and was even permitted to visit London for
the 2012 Olympics, showing no “significant cognitive decline from a previous
level of performance” (DSM-5).
In the use of such a defense that is so important for those who require
it, it is of utmost necessity that care is taken to appropriately clinically
diagnose such a disorder and ascertain that at the time of the crime the
defendant was truly of unsound mind. Taking mental health seriously is
imperative, not arbitrarily punishing those who were not in control of their
actions, and worsening their conditions with imprisonment. It is important to
also take into account the precedent set when a powerful person, such as a
member of Parliament, can claim memory loss without a conclusive diagnosis and
get away with minor repercussions for a serious crime of corruption. On the
whole, a greater awareness of various mental illnesses and the threats they may
pose can help to reduce the number of these crimes that occur to begin with.
References
Asokan, T. V. (2016). The insanity defense: Related issues. Indian J
Psychiatry 58, S2:191-8.
Diagnostic and Statistical Manual of Mental Disorders: DSM-5. (2013).
Arlington, VA: American Psychiatric Association. Print.
India Today. (2014). Day-to-day trial in CWG scam case as per SC verdict.
Retrieved from https://www.indiatoday.in/india/north/story/cwg-scam-suresh-kalmadi-sc-verdict-commonwealth-games-190607-2014-04-27
Jha, D. N., & Basu, I. (2011). Kalmadi ‘dementia’ not confirmed. Times
of India. Retrieved from https://timesofindia.indiatimes.com/city/delhi/Kalmadi-dementia-not-confirmed/articleshow/9364914.cms
Math, S. B., Kumar, C. N., & Moirangthem, S. (2015). Indian J
Psychol Med 37(4): 381–387. doi: 10.4103/0253-7176.168559
NDTV. (2011). Kalmadi suffering from memory loss, trial may be affected.
Retrieved from https://www.ndtv.com/india-news/kalmadi-suffering-from-memory-loss-trial-may-be-affected-462637
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