Law and Mental Health: Settled Insanity: Substance Use Meets the Insanity Defense

Law and Mental Health: Settled Insanity: Substance Use Meets the Insanity Defense - Paul S. Appelbaum

Paul S. Appelbaum, M.D. is the Elizabeth K. Dollard Professor of Psychiatry, Medicine, and Law, and Director, Center for Law, Ethics, and Psychiatry, Department of Psychiatry, Columbia University. He directs Columbia’s Center for Research on Ethical, Legal, & Social Implications of Psychiatric, Neurologic, & Behavioral Genetics. The author of many articles and books on law and ethics in clinical practice and research, Dr. Appelbaum is a Past President of the American Psychiatric Association and chairs the DSM Steering Committee. A graduate of Columbia College and Harvard Medical School, he has been elected to the National Academy of Medicine.

Learning Objectives:

1. Summarize the doctrine of settled insanity, using a recent decision of the Massachusetts Supreme Judicial Court.
2. Describe the moral and legal basis for settled insanity to the usual exclusion of intoxication-based claims of insanity.
3. Describe the controversy over settled insanity and the justifications for its use.

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