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Published on: March 8, 2018
Affective Violence, Self-Control, and Extreme Mental and Emotional Disturbance Law
1Dr. Acklin is Associate Clinical Professor of Psychiatry, Department of Psychiatry, John A. Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI. acklin@hawaii.edu.
Abstract:
Hawai'i's extreme mental and emotional disturbance (EMED) defense, drawn from the Model Penal Code (MPC), originated in State v. Dumlao with a conception of loss of self-control distinguished from insanity. For three decades, Hawai'i EMED jurisprudence has been read through a clinical theory treating intentional, organized action as evidence of retained self-control. The unvalidated theory displaced Dumlao's understanding while leaving its language intact. This article articulates a contemporary model of affective violence grounded in self-regulation theory, reactive aggression neurobiology, and the threat imminence continuum derived from animal psychology models. EMED-relevant affective violence is specified as catastrophic failure of self-regulatory override, occasioned by subjectively inescapable threat and expressed as defensive attack in the circa-strike phase. Threat may be exogenous or endogenous; what renders it inescapable is appraisal, not physical escapability. Intentional action is retained; effective prefrontal governance fails, producing a state-dependent loss of regulatory transcendence: the capacity to place immediate action in relation to alternatives, standards, future consequences, and reflective self-awareness. The model recovers Dumlao's framing, reconciles EMED doctrine with contemporary neuroscience, honors the statute's objective-subjective pairing, and proposes a testable evidentiary framework for forensic mental state evaluation.
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