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Research ArticleAnalysis and Commentary

The Ontario Court of Appeal Takes a New Look at Automatism in R v. Sullivan

Graham Glancy and Kiran Patel
Journal of the American Academy of Psychiatry and the Law Online September 2022, 50 (3) 450-459; DOI: https://doi.org/10.29158/JAAPL.210138-21
Graham Glancy
Dr. Glancy is Associate Professor, Director Forensic Psychiatry, University of Toronto, Toronto, ON, Canada. Dr. Patel is Assistant Professor, Department of Psychiatry, University of Toronto, and Staff Psychiatrist, Forensic Division of the Complex Care and Recovery Programme at the Centre for Mental Health and Addiction, Toronto, ON, Canada.
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Kiran Patel
Dr. Glancy is Associate Professor, Director Forensic Psychiatry, University of Toronto, Toronto, ON, Canada. Dr. Patel is Assistant Professor, Department of Psychiatry, University of Toronto, and Staff Psychiatrist, Forensic Division of the Complex Care and Recovery Programme at the Centre for Mental Health and Addiction, Toronto, ON, Canada.
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    Table 1

    Summary of Key Points Regarding Voluntariness, Intent, and Automatism in Canadian Law

    Legal Source and TopicsKey Points
    R v. Rabey (1980)
     Definition of automatismUnconscious, involuntary behavior
    The state of a person who is not conscious of what he is doing
     Insane automatismMalfunctioning of the mind arising from a cause internal to the accused, e.g., psychological makeup, emotional makeup, organic pathology
     Non-insane automatismTransient effect caused by an external factor, e.g. a blow to the head, exposure to toxic fumes
    R v. Parks (1992)
     Insane automatismIs a disease of the mind
    Positive finding results in an NCR-MD
     Non-insane automatismIs not a disease of the mind
    Positive finding results in acquittal
     Burden of proofEvidence supporting that the condition exists resides with the defense
    Evidence supporting that voluntariness was present at the time of the offense resides with the Crown
    R v. Daviault (1994)
     Self-induced intoxicationThe Leary Rule; mens rea of a general intent offense cannot be negated by self-induced intoxication, offends the presumption of innocence under the Charter
    Wrongful intention to become dangerously drunk cannot substitute for the intention to commit a crime of sexual assault
    Automatism may apply in rare cases of extreme intoxication
    Bill C-72/s. 33.1 (1995)
     Voluntary intoxicationSelf-intoxication is excluded as a defense for general intent in offenses related to bodily integrity
    R v. Stone (1999)
     Two-step process for determinationFirst step is to determine existence of automatism (that the accused acted in an involuntary manner)
    Second step is to determine whether the involuntariness is due to a mental disorder or non-mental disorder automatism
     Factors for considerationInvoluntariness
    Presence of psychiatric illness
    Severity of triggering stimulus
    Corroborating evidence of bystanders
    Corroborating medical history of automatistic-like dissociative states
    Evidence of motive for the crime
    Whether the alleged trigger of violence is also the victim
     Burden of proofThe law presumes that people act voluntarily
    The burden of proof in regarding involuntariness resides with the defense
    s. 33.1 (1995)
     Voluntary intoxicationSelf-intoxication is excluded as a defense for general intent in offenses related to bodily integrity
    R v. Sullivan (2020)
     Extreme intoxicationExtreme intoxication is akin to automatism
     s. 33.1 struck downStruck down because:
     Breach of the principle of voluntariness of an act
     Impinges upon presumption of innocence
     Does not reach minimum standard of penal neglience
     Not a reasonable limit as can be justified in society
    • (Adapted from Glancy and Regehr29).

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    Table 2

    Forensic Assessment of Automatism

    Areas of AssessmentElements to Assess
    Presence of automatistic stateCorroborating witnesses
    Corroborating history of dissociative states
    Consideration of possible malingering
    Nature of the automatistic state (disease of the mind?)Presence of psychiatric illness
    Presence of medical illness
    Presence of sleep disorder
    Effects of alcohol/drugs
    Medical and psychiatric history
    Family history
    Laboratory results
    Precipitant or triggerSeverity of the triggering event
    Source (did the eventual victim trigger the event?)
    Context (accused’s interpretation of the trigger)
    Priming or vulnerability factorsSubstance use
    Life stressors
    Sleep deprivation
    AmnesiaPresence and duration
    Cause: organic, functional, alcohol blackout, conscious attempt to distort
    Incomprehension and possible horror on return to awareness
    MotivePossible gains
    Link between the victim and the trigger
    Specific concerns in sleep-related violenceHistory of sleepwalking or other parasomnias
    Evidence the individual was asleep prior to the offense
    Duration of sleep
    Concurrent factors (fatigue, drugs, alcohol)
    Source of arousal (touch, noise)
    Proximity of offense to arousal
    Specific concerns in severe intoxication and substance-induced psychosisNo independent psychotic disorder
    Symptoms did not precede substance use
    Symptoms do not persist after the cessation of acute withdrawal or severe intoxication
    Disturbance does not occur exclusively during the course of a delirium
    Risk of recurrenceUnique nature of the trigger
    Treatment for disorder leading to automatism
    • (Adapted from Glancy and Regehr29).

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Journal of the American Academy of Psychiatry and the Law Online: 50 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 50, Issue 3
1 Sep 2022
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The Ontario Court of Appeal Takes a New Look at Automatism in R v. Sullivan
Graham Glancy, Kiran Patel
Journal of the American Academy of Psychiatry and the Law Online Sep 2022, 50 (3) 450-459; DOI: 10.29158/JAAPL.210138-21

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The Ontario Court of Appeal Takes a New Look at Automatism in R v. Sullivan
Graham Glancy, Kiran Patel
Journal of the American Academy of Psychiatry and the Law Online Sep 2022, 50 (3) 450-459; DOI: 10.29158/JAAPL.210138-21
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Keywords

  • automatism
  • self-induced intoxication; criminal responsibility

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