Competency and Insanity Flashcards

1
Q

What is competency in legal terms?

A

A legal, not psychological, concept about the defendant’s ability to understand and participate in legal proceedings.

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2
Q

What is the most common type of competency evaluation?

A

Competency to Stand Trial (CST).

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3
Q

At what stage of the legal process is CST relevant?

A

During trial proceedings (including pleading guilty).

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4
Q

What case established the modern CST standard?

A

Dusky v. United States (1960).

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5
Q

What is the Dusky two-part test?

A

1) Understand the charges and legal proceedings,
2) Ability to assist in one’s own defense.

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6
Q

What is the burden of proof for CST?

A

Defense must prove incompetency by a preponderance of the evidence.

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7
Q

What are some tools used to assess CST?

A

CST Screening Test (CSTST)

CST Assessment Instrument (CSTAI)

Interdisciplinary Fitness Interview (IFI-R)

Georgia Court Competency Test (GCCT)

MacArthur Competence Assessment Tool (MacCAT-CA)

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8
Q

What tools assess malingering?

A

M-FAST, TOMM.

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9
Q

Can a defendant be forced to take medication to restore CST?

A

Yes, especially if deemed dangerous (Sell v. United States).

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9
Q

Name other types of legal competency.

A

Competence to waive Miranda, refuse the insanity defense, be sentenced, be executed, etc.

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10
Q

What makes Ralph Tortorici’s case significant?

A

It raises questions about CST in the legal vs. clinical sense.

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11
Q

Is insanity a psychological or legal concept?

A

Legal — it is an excuse defense based on mental illness.

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12
Q

How often is the insanity defense used?

A

Used in ~1% of trials; only 25% of those are successful (NGRI).

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13
Q

What percent of insanity cases involve murder?

A

Less than 5%.

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14
Q

What is the ALI (MPC) Test?

A

Due to mental illness, lacked substantial capacity to appreciate wrongfulness or conform behavior.

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15
Q

What is the M’Naghten Rule?

A

Due to mental illness, the defendant did not know the nature of the act or that it was wrong.

16
Q

What federal act changed the insanity defense?

A

Insanity Defense Reform Act of 1984.

17
Q

What case prompted the Insanity Defense Reform Act?

A

John Hinckley Jr.’s attempted assassination of President Reagan.

18
Q

Do different insanity standards affect verdicts in mock trials?

A

Not significantly; jurors rely more on personal beliefs and context.

19
Q

What did the 1984 Act change?

A

Removed the volitional prong, shifted burden of proof, limited expert testimony.

20
Q

Why do insanity definitions often fail in practice?

A

Poor comprehension of legal standards, individual juror beliefs, use of commonsense reasoning.

21
Q

What’s required to assess legal insanity?

A

Review of records, interviews, mental health history, and behavior at the time of the crime.

22
Q

What is the R-CRAS?

A

Rogers Criminal Responsibility Assessment Scales — assesses 25 quantifiable variables across 5 domains.

23
Q

What does R-CRAS evaluate?

A

Organicity, Psychopathology, Cognitive control, Behavioral control, Reliability of report.

24
Q

What happens to those found NGRI?

A

Committed to a secure mental health facility; potentially longer than a prison term.

25
Q

Are NGRI defendants more dangerous after release?

A

Evidence suggests equal or lower recidivism rates compared to typical offenders.

26
Q

What types of release are available for NGRI individuals?

A

Conditional and unconditional release.

27
Q

What is GBMI?

A

A verdict where defendants are guilty but also mentally ill; sent to treatment first, then prison.

28
Q

Is GBMI effective in ensuring treatment?

A

No consistent evidence; may lead to harsher sentencing.