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Research ArticleRegular Articles

Ongwen and Mental Health Defenses at the International Criminal Court

Lee Hiromoto and Landy F. Sparr
Journal of the American Academy of Psychiatry and the Law Online March 2023, 51 (1) 61-71; DOI: https://doi.org/10.29158/JAAPL.220034-21
Lee Hiromoto
Dr. Hiromoto is Resident Physician, Department of Psychiatry at Oregon Health & Science University (OHSU). Dr. Sparr is Associate Professor at Department of Psychiatry and Program Director at Forensic Psychiatry Fellowship Training Program, Oregon Health & Science University (OHSU).
MD, JD
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Landy F. Sparr
Dr. Hiromoto is Resident Physician, Department of Psychiatry at Oregon Health & Science University (OHSU). Dr. Sparr is Associate Professor at Department of Psychiatry and Program Director at Forensic Psychiatry Fellowship Training Program, Oregon Health & Science University (OHSU).
MD, MA
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Abstract

The International Criminal Court (ICC) case against Lord's Resistance Army commander and former child soldier Dominic Ongwen of Uganda resulted in a guilty verdict and 25-year prison sentence. Mr. Ongwen unsuccessfully raised defenses based on mental health. These included fitness to stand trial, insanity under Article 31(1)(a) of the Rome Statute (a first at the ICC), mitigation in sentencing based on diminished mental capacity, duress (also a first), and the cumulative effects of mental health and duress. These defenses were hampered by limited and ambiguous textual support, which occurs in a politico-legal context that is cautious regarding such defenses. Another group of challenges comes from the inherent difficulty of international forensic practice. In regard to how mental health affects the duress defense, the text of the Rome Statute and the Ongwen decision create a burdensome legal framework for defendants, particularly where mental illness limits but does not “destroy” decision-making, as Article 31(1)(a) requires for an insanity acquittal. Going forward, defense teams may attempt to address the court's all-or-nothing conception of mental illness, perhaps arguing a diminished mental capacity theory that accounts for psychiatric function that is reduced but not destroyed.

  • insanity defense
  • International Criminal Court (ICC)
  • international forensic psychiatry
  • Ongwen
  • Rome Statute
  • trauma/stress

Footnotes

  • Disclosures of financial or other potential conflicts of interest: None.

  • © 2023 American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 51 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 51, Issue 1
1 Mar 2023
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Ongwen and Mental Health Defenses at the International Criminal Court
Lee Hiromoto, Landy F. Sparr
Journal of the American Academy of Psychiatry and the Law Online Mar 2023, 51 (1) 61-71; DOI: 10.29158/JAAPL.220034-21

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Ongwen and Mental Health Defenses at the International Criminal Court
Lee Hiromoto, Landy F. Sparr
Journal of the American Academy of Psychiatry and the Law Online Mar 2023, 51 (1) 61-71; DOI: 10.29158/JAAPL.220034-21
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Keywords

  • insanity defense
  • International Criminal Court (ICC)
  • international forensic psychiatry
  • Ongwen
  • Rome Statute
  • trauma/stress

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