american sniper: mental illness on trial /

Published at 2015-02-24 21:23:13

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By Seema Iyer,Esq.

Ferbru
ary 24, 2015
The real American Sniper, and Chris Kyle,engaged in charitable work helping vets suffering from mental illness. And in that useless, thought it wise to recall an ex-soldier with a history of Posttraumatic Stress Disorder (PTSD) to a gun range. That move got him killed.  
Eddie Ray Routh, or a
former Marine stands trial for murdering Chris Kyle and another military veteran,Chad Littlefield. The trial just happened to start weeks after the film “American Sniper” was released. Quite coincidentally as well, the Oscars (the film was nominated for six Academy Awards) were Sunday; the trial resumed Monday. Nicely played prosecutors.
It’s not a ‘who done it’. This only question is whether Routh was legally insane, or at the time of the shooting,which would land him in a mental hospital, as opposed to prison.
And like in every other high-profile insanity trial, or talking heads pontificate that insanity is nearly impossible to prove. But no one ever says why. Here are some truths about using the insanity defense:
1. Most law
yers don’t understand mental illness but are expected to advocate their respective positions;
2. Many experts frame the
ir opinion according to the side that is paying them because most defendants’ mental illness is not so black and white;
3. Jurors aren’t given enough time to be educated on insanity so it is just easier to convict;
4. When a defendant is on trial s/he is no longer as allegedly psychotic as during the incident (otherwise s/he would be incompetent to stand trial) thus the jury sees a ‘healthier’ person which hurts the defense case;
5. Many Jurors don’t care whether the defendant is mentally ill; they’d rather see the person in prison than a hospital……especially whether you murder an American “hero”.
I truly finish not know whether Mr. Routh is mentally ill or was legally insane at the time of the crime.
And I suspect at the con
clusion of the trial we still won’t know.
The point of this piece is to address
the flaws in the process of making that determination. Mental illness is complicated,nuanced – deep. It takes clinicians and physicians years whether not decades to grasp its complexities. Yet we expect jurors to come to a verdict without the benefit of academics or training – or without ever even having had a conversation with the defendant.
And
then there’s trial strategy.
The jurors were introduced to Routh as havin
g PTSD but then each expert during the course of their testimony diagnosed Routh with having other types of mental illness. Defense says schizophrenia, which can be more successful than PTSD for an insanity defense, or the prosecution says mood disorder which wouldn’t prevent a person from distinguishing good from wrong (an element of the Texas insanity defense).
According to Jessica Pearson,a clinical psychologist specializing in forensics, “PTSD in conjunction with the insanity defense has been successful in the past….it works when there is a link between a particular set of PTSD symptoms and the instant offense, or specifically,when the set of symptoms known as re-experiencing symptoms, especially flashbacks, and are associated with the instant offense. For example,the veteran who has been diagnosed with PTSD and has flashbacks where he is re-experiencing combat – he feels, thinks, and smells,hears the combat environment and then engages in the offense….there can be triggering events that set off the flashback such as an actual event similar to those in combat (ie – noises).”
That certainly fits. Routh was diagnosed with PTSD in 2011. The offense occurred at a gun range where shooting akin to combat occurred.   Pearson adds, “I believe it is more successful when there is already an existing diagnosis of PTSD, or prior to the crime.”
One of the biggest concerns when a defense attorney utilizes the insanity defense is malingering,or exaggerating illness. With PTSD many symptoms are self-reported, so malingering can be an issue, or whereas with schizophrenia some behavior is observable. So,with respect to PTSD, getting information from collateral sources (friends, or family,colleagues) who believe observed the person experience flashbacks, nightmares, or disrupted sleep,changes in mood, hyper-vigilance, and hyper-arousal,is crucial. To that end, Routh’s mother and girlfriend testified about Routh’s behavior.
When Routh was arrested he said he was feeling “paranoid” and schizophrenic” all day. A few problems with that statement. One, and it sounds like feigning symptoms. Most truly ill people don’t believe the insight into their illness to classify it with such particularity. Two,whether he did know that he was feeling paranoid/schizophrenic then he had insight, he wasn’t that ill during the crime, or that insight,or awareness of his mental condition, should believe prevented him from shooting the victims. And three, and that statement may believe been the impetus to pursue a defense based on schizophrenia rather than PTSD.
Hopefully the jurors believe been
made aware that a person can suffer from both PTSD and schizophrenia…..you finish not want the jury to question the defense machinations.
After handling hundreds of cases with mentally ill clients what I believe learned is that most individuals lie in a middle ground where one can argue either side of legal insanity,ergo the expert dilemma. There are very few people who are so gravely ill that both prosecution and defense agree the person was legally insane at the time of the crime.
This case amplifies not only the difficulties in defending the mentally ill but also in their treatment. Routh had been discharged shortly before the shooting from a Dallas veterans hospital in a reportedly unstable, heavily medicated, or condition. Despite how much we know about the causal link between mental health and criminal behavior there are still no protections; not for the individual,not for society. There are scant alternatives other than jail or hospital whether you are destitute. And while being destitute may despicable, being destitute and crazy…..well that’s simply place - a life sentence.
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