"Are you satisfied so that you are sure that at the relevant time, on4th January 2022 , the prosecution has proved that the [respondent] was not acting in a state of automatism?"
"[The] caring burden on him as a man of 81 was enormous. None of that evidence is challenged by the Crown, and indeed much of it is called as part of their case. All of it is relevant to the level of stress he was under, leading to the diagnosis of depression by the psychiatrists."
"The prosecution evidence in this case took only two and a half days. … There was no evidence called by the Crown as to the actual circumstances of the death … … … The evidence is that automatism is something which cannot be predicted; it can be temporary and it may never recur. Whether [the respondent] was or was not in a state of automatism on another occasion is not relevant to whether he was in a state of automatism on the 4th January. … Mr Wilshire relies on accounts given by [the respondent] on the day of his wife's death. … There is a grave danger in relying on anything said by [the respondent], not for the conventional reason that he might be lying or fabricating, but because the experts agree he has no memory of events. … … … in normal circumstances, [if] there are changing accounts and the weight to attach to it would be a matter for the jury, as would the person's demeanour, but in this case, analysis of both statements and demeanour has once again been part of the psychiatric evidence, and even Dr [S], who relied on an interpretation of [them adverse] to [the respondent] says that the state of automatism is possible. … For the defence of automatism to be rejected by a jury, it must be the case that a reasonable jury properly directed is sure that it does not apply. … the burden of proof lies on the Crown to prove that the [respondent] was not acting in a state of automatism to the higher standard. Automatism is very rare and juries should not, themselves, become amateur psychiatrists. In the absence of other cogent evidence, a jury could only reach a conclusion that they are sure the [respondent] was not in a state of automatism if there is psychiatric evidence upon which they can rely to be sure that it does not apply. Such evidence could only be from a psychiatrist who was himself or herself sure that it does not apply, because in a case such as this, which depends entirely on expert opinion, if the psychiatrist cannot be sure, then neither could a jury. In this case, none of the psychiatrists have said that they are sure the [respondent] was not acting in a state of automatism. They have all said at the very least it is possible. This is not a case where the psychiatric evidence could be buttressed by other evidence which would allow a jury to move from a psychiatrist unlikely or not probable to their own state of being sure, because there is simply no other such evidence adduced by the prosecution."
"Crown counsel suggested amendments to the Legal Directions (including paragraphs 9 & 10) which refer to an 'external factor' but no submission was ever made by the Crown that the 'external factor' could not properly arise from the evidence that the Respondent had most likely suffered an Acute Stress Reaction which had brought about a dissociative state. …"
"The Defence of Automatism 8. The defence have raised this and it is the prosecution who must make you sure that it does not apply. What that means is that unless you are sure [the respondent] was not acting in a state of automatism you must acquit him of murder. 9. A person acts in a state of automatism if, at the time they commit an act, the act is not voluntary. An act is not voluntary if at the time it is committed the person committing it has suffered a complete loss of voluntary control. The factor(s) leading to the complete loss of voluntary control must be external, in other words it must not be something that is or could be under the person's control. 10. In this case, the defence say the external factor which led to the [respondent] acting in a state of automatism was the extreme, full-time caring role he was undertaking in respect of [the deceased], who was suffering from Alzheimer's disease. This care included aggressive and ungrateful reactions to his care, to which was later added the additional stress of the positive test for Covid, meaning [the deceased] could not go to a Care Home for at least another three weeks. As a result of the extreme stress brought about by caring for his wife, [the respondent] developed depression. You will hear evidence from a number of psychiatrists about [the respondent's] mental health at the time (including his depression). Their evidence is central to the key issue of whether the condition of his mental health led, as the defence say, to a complete loss of voluntary control. (Lest there be any possible misunderstanding in saying what I just have, no blame attaches to [the deceased]. Her reactions were outside her control and as a result of her Alzheimer's disease.) 11. As I have said, it is for the prosecution to prove to you, so that you are sure, that [the respondent] was not acting in a state of automatism. If you conclude that he was or may have been acting in a state of automatism, you will acquit him of murder."
“.. the first thing I look at is there an external factor. That is what you need for automatism. Now, that can be looked at from two perspectives because what I do understand is that stress can be considered to be an external factor and stress is an external factor for the definition of automatism so that is one part. However, again, I don’t want to comment on Dr Brown’s, you know, report or the evidence she gave but my understanding from her evidence was that it wasn’t the stress but it was what led from the stress to the acute stress reaction and the dissociative disorder that led to the total lack of control”
"Therefore, it is possible that a dissociative state could lead to a total absence of voluntary control. Whether there was a total destruction of voluntary control on the [respondent's] part is a matter for the court [ we assume her to mean the jury] to decide."
"The Court of Appeal may not reverse a ruling on an appeal under this Part unless it is satisfied — (a) that the ruling was wrong in law, (b) that the ruling involved an error of law or principle, or (c) that the ruling was a ruling that it was not reasonable for the judge to have made."