“15.2 [...] it is my opinion that Mr Anderson suffers with a recognised mental disorder namely Emotionally Unstable Personality Disorder (ICD 10 Code F60.3) which is a condition characterised by pervasive patterns of dysfunctional behaviours across life domain, and exhibited signs of Morbid Jealousy in the lead up to and at the time of the alleged index offence. 15.3 Emotionally Unstable Personality Disorder and Morbid Jealousy are both recognised as ‘mental abnormality’ by the courts, and in my opinion, there is a clear and robust medical basis for the jury reasonably to conclude that, in this case, they substantially impaired Mr Anderson’s mental responsibility for his acts and omissions at the material time. 15.4 In coming to this conclusion I have taken into consideration, not only Mr Anderson’s behaviours in the lead up to the alleged index offence, which are diagnostically significant […]; but also of the seemingly bizarre acts at the material time, for example cutting his wife’s hair or being confused about the identity of his own brother when he called.” (Emphasis added)
“4.1.2 The nature of his personality issues seems to meet the criteria for being problematic, persistent and pervasive. In some settings, such as work, issues have possibly been more suppressed and he seems to have developed strategies to cope. Coping is less evident in interpersonal relationships. 4.1.3 In terms of my opinion, I feel that there is sufficient evidence of personality issues to argue for diminished responsibility in this case [...] he endorsed the key criteria: acts unexpectedly, quarrelsome when thwarted or criticised, intense and unstable relationships and excessive efforts to avoid abandonment which appear to be significant areas when considering the circumstances of the alleged offence. These could be considered a mental abnormality and have ‘substantially impaired his mental responsibility for his acts and omissions in doing or being party to the killing’.” (Emphasis added)
“Whilst Mr Anderson still endorses a number of symptoms for ICD-10 Emotionally Unstable Impulsive type (F60.30) the scoring criteria would suggest he does not meet the diagnostic criteria. However, the additional evidence further endorses the probable diagnosis of ICD-10 Emotionally Unstable Borderline Type (F60.31). More importantly the summary formulation set out above highlights how such personality traits may have impacted significantly upon Mr Anderson in the events leading to the death of Mr Roberts which could constitute an argument for diminished responsibility in this case.”
“However, in [the relevant] setting, disinhibited by alcohol, with the build up of an escalation in his feelings of abandonment, vacillating emotions and unstable mood, he may have responded impulsively and violently. His personality characteristics would therefore be directly linked to the violence. It is for the jury to decide on the issue of […] diminished responsibility. However, it would be my view that at the material time his responsibility would have been diminished.”
“You'd be please to know that [Professor Shaw] now agrees with my view (and Dr Bradley's) about personality disorder and Diminished in this case. She has given the prosecutor a heads up and will be completing an addendum next week. We might therefore not have to contest this in court after all.”
“I must say that reviewing the phone calls and your follow on interview has led me to move to your view. I have given the prosecutor the heads up about this and will send addendum next week.”
“This is because initially, I thought that he did not fulfil criteria for borderline personality disorder but on consideration of further evidence, I concluded that he probably did fulfil the criteria. Similarly, Dr Bradley concluded from IPDE testing that the diagnosis was probable. Over the years, the impact of his personality disorder on his day to day activities has not been very significant. These factors would need to be taken into account by the jury when the issue of degree to which his responsibility is diminished is considered.”
“(1) Where a person kills or is a party to the killing of another, he shall not be convicted of murder if at the time of his act he is suffering from such mental abnormality as substantially impaired his mental responsibility for his acts and omissions in doing or being a party to the killing. (2) On a charge of murder, it shall be for the defence to prove that the person charged is by virtue of this section not liable to be convicted of murder. (3) A person who but for this section would be liable, whether as principal or accessory, to be convicted of murder shall be liable instead to be convicted of manslaughter (4) The fact that one party to a killing is by virtue of this section not liable to be convicted of murder shall not affect the question whether the killing amounted to murder in the case of the other party to it. (5) In this section, ‘mental abnormality’ means mental illness, arrested or incomplete development of mind, psychopathic disorder, and any other disorder or disability of mind.”
“It seems to me, Mrs Jones, that unless you were to put those two of the doctor (sic).”
“We're in a bubble.”
“Yes, he in reality can't give his opinion on them.”
“Again, in relation to Mr Anderson, was that abnormality [vizemotionally unstable personality disorder] present at the time of the killing?”
“Personality disorder is a pervasive condition. It develops over a period of time and it is accepted that the personality is fully developed by mid-twenties and once a person has a personality disorder that is a pervasive illness or a pervasive disorder with no remissions or relapses. So, in answer to the question it is my opinion that at the time of the killing, Mr Anderson would have still been suffering from a personality disorder.”
“The phrase then is ‘substantially impaired his mental responsibility for his acts and omissions in doing or being party to the killing’, so if we [can] concentrate [on] the words ‘substantially impaired his mental responsibility’, what are your conclusions in relation to that?”
“In my opinion, the personality disorder has a direct link to the violence and would have impaired his mental responsibility. Whether that impairment was substantial or not, I would not be able to comment on that. That would be for the respected jury.”
“I think the only query I would raise, sir, and maybe it's just to put my mind at rest as you can appreciate I've worried about this issue as to whether I had done something or failed to do something in relation to it and I took the view sir that I could not specifically ask, it was a leading question...”
“Now members of the jury it is a matter for you whether you accept their diagnoses but the test that the defence have tried to satisfy you on the balance of probabilities is that it as a substantial impairment. Dr Bradley gave absolutely no evidence as to the degree of impairment and when Dr Puri was asked he said that he couldn't comment on it whether it was substantial or not. He was either unable or unwilling to express his opinion as to degree of impairment. There is therefore no expert evidence that Mr Anderson was substantially impaired by a mental abnormality at the time of the killing. The defence will no doubt ask you to infer the case of substantial impairment from all the circumstances, from all the evidence, from all the history but really members of the jury doesn't that just give him the diagnosis. All the background relied on by the experts in coming those conclusions that there was an emotionally unstable personality disorder of borderline type. The information gathered leads this diagnosis but neither said that it was a substantial impairment. If they can't say that members of the jury can you? The prosecution say no.”
“(i) at the time of the killing the defendant suffered from an abnormality of mind; (ii) the abnormality of mind must arise either from a condition of arrested or retarded development of mind or any inherent cause or it must be induced by disease or injury; (iii) the abnormality of mind must have substantially impaired the defendant’s mental responsibility for what he did.”
“The third element is this, the abnormality of mind must have substantially impaired the defendant's mental responsibility for what he did, in other words, members of the jury, his acts which caused the death of Neil Roberts. Substantially means just that, you must conclude that his abnormality of mind was a real cause of the defendant's conduct. The defendant need not prove that this condition was the sole cause of it but he must show that it was more than a merely trivial one which did not make any real or appreciable difference to his ability to control himself.”
“As I've said both parties here are in agreement as to the real issue, ‘was the defendant's mental responsibility for the killing substantially impaired?’ I emphasise substantially because that's the crucial issue between the prosecution and defence. The defence stated that both Dr Puri and Dr Bradley had had considerable access both to all the material in this case and the defendant and Mrs Jones reminded you that Dr Puri had described the defendant's emotionally unstable personality disorder borderline type, had described that disorder as a severe disorder. She submitted that taking into account the medical evidence put forward by the defence and considering the evidence in this case as a whole the defence on a balance of probability that the defendant's impairment was substantial.”
“121. On the facts of this case we are satisfied that Deemster Montgomerie was entitled to leave Mrs Jones to conduct the appellant’s defence and that, not only was there no obligation on him to direct Dr Puri to answer the question as to substantial impairment, but that it would have been imprudent and inappropriate for him to do so. Dr Puri had already told Mrs Jones that he could not comment on whether the impairment was substantial or not and that such issue was for the jury to decide and for Deemster Montgomerie to have intervened in the way suggested could have proved fatal to the defence on this issue.”
“In relation to my answer in examination in chief where I state ‘whether that impairment was substantial or not, I would not be able to comment on that, that would be for the respective Jury.’ I answered in this way as I was unclear as to whether or not I was allowed to comment on the level of impairment. The approach of the courts has changed over the years, and the Isle of Man was not a jurisdiction in which I had ever previously appeared. Generally, as an expert I am conscious of not overstepping the rules of the Court and of giving evidence. I was therefore reluctant to answer this question as I was unsure whether I was allowed to do so. If either Mrs Jones or the Deemster had indicated that I was permitted to express my opinion on whether or not Mr Anderson’s responsibility was substantially impaired at the time of the killing, or to read out the relevant section of my report, I would have done so. It remained my view that, from a psychiatric point of view, there was a robust basis for a jury to conclude that it was indeed substantially impaired.”
“Assuming that the jury are satisfied on the balance of probabilities that the accused was suffering from ‘abnormality of mind’ […] the crucial question nevertheless arises: was the abnormality such as substantially impaired his mental responsibility for his acts in doing or being a party to the killing? This is a question of degree and essentially one for the jury. Medical evidence is, of course, relevant, but the question involves a decision not merely as to whether there was some impairment of the mental responsibility of the accused for his acts but whether such impairment can properly be called ‘substantial,’ a matter upon which juries may quite legitimately differ from doctors.”
“These cases make clear that upon an issue of diminished responsibility the jury are entitled and indeed bound to consider not only the medical evidence but the evidence upon the whole facts and circumstances of the case”
“38. […] medical evidence (nearly always forensic psychiatric evidence) has always been a practical necessity where the issue is diminished responsibility. If anything, the 2009 changes to the law have emphasised this necessity by tying the partial defence more clearly to a recognised medical condition, although in practice this was always required. Although it is for the jury, and not for the doctors, to determine whether the partial defence is made out, and this important difference of function is well recognised by responsible forensic psychiatrists, it is inevitable that they may express an opinion as to whether the impairment was or was not substantial, and if they do not do so in their reports, as commonly many do, they may be asked about it in oral evidence. […]”
“Whether an expert can give his opinion on what has been called the ultimate issue, has long been a vexed question. There is a school of opinion supported by some authority doubting whether he can (see Wright (1821) Russ & Ry 456, 458). On the other hand, if there is such a prohibition, it has long been more honoured in the breach than the observance (see the passage at page 164 in the judgment of Parker LJ in Director of Public Prosecutions v A and BC Chewing Gum Ltd[1968] 1 QB 159 and the cases cited at page 501 of Cross on Evidence (7th ed.). Professor Cross at page 500 of that work said: ‘It is submitted that the better and simpler solution, largely implemented by English case law, and in civil cases recognised in explicit statutory provision, is to abandon any pretence of applying any such rule, and merely to accept opinion whenever it is helpful to the court to do so, irrespective of the status or nature of the issue to which it relates.’ The same view is expressed by Tristram and Hodkinson (sic)in their work on Expert Evidence: Law and Practice at pages 152 to 153, where, after referring to the case of Wright they say that in that case the expert witness could not express an opinion as to whether the particular facts before the court constituted an act of insanity. He could, however, state what types of behaviour demonstrated insanity in persons generally, from which the jury could draw inferences in the particular case. The learned authors went on as follows: ‘There is little doubt however that such a distinction is not now rigorously observed, and given that expert evidence of this kind is to be put before a jury, it may be suspected that the often casuistic distinction between the general and the particular is either ignored by juries, or seen as a distinction of form rather than substance. It has been suggested too that some defences in criminal proceedings can in effect only be raised by adducing expert evidence, and that: “it would put an insuperable difficulty in the way of insanity” if such evidence were to be excluded by an ultimate issue or other analogous rule.’ The rationale behind the supposed prohibition is that the expert should not usurp the functions of the jury. But since counsel can bring the witness so close to opining on the ultimate issue that the inference as to his view is obvious, the rule can only be, as the authors of the last work referred to say, a matter of form rather than substance. In our view an expert is called to give his opinion and he should be allowed to do so. It is, however, important that the judge should make clear to the jury that they are not bound by the expert's opinion, and that the issue is for them to decide.” ‘It is submitted that the better and simpler solution, largely implemented by English case law, and in civil cases recognised in explicit statutory provision, is to abandon any pretence of applying any such rule, and merely to accept opinion whenever it is helpful to the court to do so, irrespective of the status or nature of the issue to which it relates.’ The same view is expressed by Tristram and Hodkinson (sic)in their work on Expert Evidence: Law and Practice at pages 152 to 153, where, after referring to the case of Wright they say that in that case the expert witness could not express an opinion as to whether the particular facts before the court constituted an act of insanity. He could, however, state what types of behaviour demonstrated insanity in persons generally, from which the jury could draw inferences in the particular case. The learned authors went on as follows: ‘There is little doubt however that such a distinction is not now rigorously observed, and given that expert evidence of this kind is to be put before a jury, it may be suspected that the often casuistic distinction between the general and the particular is either ignored by juries, or seen as a distinction of form rather than substance. It has been suggested too that some defences in criminal proceedings can in effect only be raised by adducing expert evidence, and that: “it would put an insuperable difficulty in the way of insanity” if such evidence were to be excluded by an ultimate issue or other analogous rule.’ The rationale behind the supposed prohibition is that the expert should not usurp the functions of the jury. But since counsel can bring the witness so close to opining on the ultimate issue that the inference as to his view is obvious, the rule can only be, as the authors of the last work referred to say, a matter of form rather than substance. In our view an expert is called to give his opinion and he should be allowed to do so. It is, however, important that the judge should make clear to the jury that they are not bound by the expert's opinion, and that the issue is for them to decide.”
“Expert reports (1) An expert report shall be admissible as evidence in criminal proceedings, whether or not the person making it attends to give oral evidence in those proceedings. (2) If it is proposed that the person making the report shall not give oral evidence, the report shall only be admissible with the leave of the court. (3) For the purpose of determining whether to give leave the court shall have regard- (a) to the contents of the report; (b) to the reasons why it is proposed that the person making the report shall not give oral evidence; (c) to any risk, having regard in particular to whether it is likely to be possible to controvert statements in the report if the person making it does not attend to give oral evidence in the proceedings, that its admission or exclusion will result in unfairness to the accused or, if there is more than one, to any of them; and (d) to any other circumstances that appear to the court to be relevant. (4) An expert report, when admitted, shall be evidence of any fact or opinion of which the person making it could have given in oral evidence. (5) In this section ‘expert report’ means a written report by a person dealing wholly or mainly with matters on which he is (or would if living be) qualified to give expert advice.”
“39. […] There may possibly be cases in which counsel’s misbehaviour or ineptitude is so extreme that it constitutes a denial of due process to the client. Apart from such cases, which it is to be hoped are extremely rare, the focus of the appellate court ought to be on the impact which the errors of counsel have had on the trial and the verdict rather than attempting to rate counsel’s conduct of the case according to some scale of ineptitude […]”