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Madness as the Foundation of Non-Culpability

Publiceringsår: 2015
Språk: Engelska
Publikation/Tidskrift/Serie: Lund University Faculty of Medicine Doctoral Dissertation Series
Volym: 2015:145
Dokumenttyp: Doktorsavhandling
Förlag: Lund University


Doctoral dissertation



The relation between mental illness and accountability, may at its best be described as unclear. A negative correlation them between was established thousands of years ago, and has since formed a more or less self-evident supposition. This dissertation is an effort to test this construction.

Aims and hypothesis

The overall aim of this thesis is to clarify the relation between mental illness and accountability and to scrutinize which variables may be considered to be of importance and significance when deliberating on someone’s criminal responsibility.


Initially some central notions were conceptually analysed. The next step consisted of interviews with Swedish forensic psychiatric patients (n=46) and professionals (n=150). Patients were asked to describe their experience of the circumstances leading up to the crime. Professionals were asked to assess 12 psychiatric diagnostic in terms of negative influence on accountability.


Swedish forensic patients (i) point to other circumstances than mental illness as the main cause of their crime and (ii) regardless of main psychiatric diagnosis sued to have been aware of the nature their action, stressing (iii) damaged action control and inability to identify attractive action alternatives. Swedish forensic professionals (i) stated to a large extent that they never before had acknowledge this relationship and (ii) regardless of sex, age, working experience, education and geographical location no significant differences was found in the result of their assessments.


The (i) understanding, (ii) diagnostics and (iii) treatment of persons with dysfunctional behaviour patterns will most certainly benefit from a paradigm shift, in which unconscious consensus and self-evident artefacts are replaced by first person experiences and skilled professional responsiveness.


Fernströmsalen, Biomedicinskt centrum, Sölvegatan 19, Lund
  • Niklas Juth (Bitr Professor)


  • Psychiatry
  • criminal responsibility
  • psychiatric care
  • psychiatric diagnostics
  • accountability
  • Mental illness


  • Helge Malmgren
  • Bengt Brülde
  • Meyer Lennart
  • Sten Levander
  • Björn Hofvander
  • ISSN: 1652-8220
  • ISBN: 978-91-7619-225-2

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