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Medication state at the time of the offense: Medication noncompliance, insight and criminal responsibility

Caroline Titcomb Parrott1, Michelle A Jones2, Stanley L Brodsky3

  • 1Taylor Hardin Secure Medical Facility, Tuscaloosa, AL, USA.

Behavioral Sciences & the Law
|April 21, 2018
PubMed

Insights

Mock jurors considered defendants' meta-responsibility, including medication compliance and insight into schizophrenia, but this did not influence verdicts. Jurors struggled to adhere to legal duties when assessing criminal responsibility.

Area of Science:

  • Forensic Psychology
  • Legal Psychology

Background:

  • Assessing criminal responsibility in defendants with schizophrenia is complex.
  • Mock jurors' consideration of defendant meta-responsibility (medication compliance, insight) is not well understood.

Purpose of the Study:

  • To examine mock juror consideration of defendant meta-responsibility in schizophrenia cases.
  • To determine if medication compliance and insight influence verdicts and assessments of criminal responsibility.

Main Methods:

  • Mixed-methods study with 173 participants in 30 mock juries.
  • Randomized controlled trial varying expert testimony on medication compliance and insight.
  • Quantitative analysis (linear mixed-modeling) and qualitative focus groups.

Main Results:

  • Manipulations of compliance, insight, and expert testimony did not predict verdict or meta-responsibility outcomes.
  • Qualitative data revealed jurors strongly considered meta-responsibility.
  • Jurors appeared unable or unwilling to fulfill their duties as triers of fact.

Conclusions:

  • Mock jurors' consideration of meta-responsibility did not align with legal requirements.
  • Challenges exist in mock juror decision-making processes regarding defendants with schizophrenia.
  • Findings have implications for legal professionals, expert witnesses, and future research.

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