[2012] UKPC 15

Privy Council Appeal No 0109 of 2009

JUDGMENT

Marcus Jason Daniel (Appellant) v The State

(Respondent)

From the Court of Appeal of the Republic of Trinidad

and Tobago
before

Lord Phillips
Lord Clarke
Lord Dyson
Lord Sumption
Lord Reed

JUDGMENT DELIVERED BY
LORD DYSON
ON

23 May 2012

Heard on 8 March 2012

 Appellant Respondent
Julian Knowles QC Peter Knox QC
Ms Michelle Butler Aidan Casey

(Instructed by Simons (Instructed by Charles

Muirhead & Burton Russell LLP)
Solicitors)
LORD DYSON:

1. On 14 December 2005, the appellant was convicted at the Port of Spain Assizes
of the murder of his 16 year old cousin, Suzette Gibson, on 23 January 2002. He was
25 years of age at the date of the offence and was sentenced to death. He was a man
of previous good character. His co-accused, Osei, who was only 17 years of age at the
time of the offence, was sentenced to detention at the Court’s pleasure. The
appellant’s appeal against conviction was dismissed by the Court of Appeal of
Trinidad and Tobago (Hamel-Smith CH(Ag), John and Weekes JJA). His case is that
his conviction is unsafe because fresh evidence from three expert witnesses (Professor
Eastman, Dr Green and Dr Gray) (i) demonstrates that the defence of diminished
responsibility was open to him at the trial and should have been (but was not)
deployed before the jury and (ii) casts doubt on the voluntariness and therefore the
admissibility of the statement that he made to the police under caution. The
submissions addressed to the Board have been mainly directed to the diminished
responsibility issue.

2. The principal evidence for the prosecution was contained in the appellant’s
statement in which he admitted the killing. The facts according to this statement were
as follows. On Tuesday 22 January 2002, he had arranged with Suzette to take her for
a drive at 7.30 pm on the following day before she went to her dance class. At 6.30
pm on 23 January, he borrowed a car from Sheldon Linton. He had spent much of the
afternoon drinking black label rum and playing rock music. He picked up Suzette and
his friend Osei and they drove off to Blue Basin, a place which had no street lights or
houses nearby. They stopped and the appellant continued drinking and “getting into
rock music”. He started touching Suzette. She pushed his hand away. At this point,
the “demon thing” rose up inside him and he choked her for about one and a half
minutes. He then let go and Osei also choked her. The two of them pulled her out of
the back door of the car. He blocked her mouth and slit her throat. She fell to the
ground, whereupon he stabbed her in the chest and stomach and pushed her into a
drain before slitting the fingers of his right hand. He and Osei then drove off. At
about 9 pm, they returned the car to Sheldon Linton and went home. Suzette had been
expected home at 9.15 pm. When she did not return, her father went off in search of
her. He went to the appellant’s father’s house where he saw the appellant and Osei.
The appellant told him that he had seen Suzette at about 3 pm that afternoon and that
later he had gone to look for her without success. He explained the bandages on his
fingers by saying that he had been attacked in a fight in a phone booth. The appellant
agreed to lend Mr Gibson his car and, with Osei, to help him look for Suzette.

3. At 12.45 am the following morning (Thursday, 24 January), the three of them

drove to the West End Police Station where Mr Gibson reported the disappearance of

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his daughter. They then continued their search for a while. In the meantime, Sheldon
Linton had taken the car that he had lent the appellant to the police station because he
had noticed what looked like blood stains in it.

4. The appellant and Osei later returned to the police station. Sergeant Ollivierre
questioned Osei on his own. Osei told the officer that it was the appellant alone “who
kill the girl” and offered to take the police to her body saying “Is Marcus who take a
knife and slit she throat”. He took the police to the place where Suzette’s body was
lying and then to Brunton Avenue where he said that he had thrown the two knives
(one of which he said the appellant had used to kill Suzette, the other of which was his
own). The knives were about 10 to 12 inches long. Osei then took the police to the
appellant’s father’s house and pointed to an area in front of the house where he had
seen the appellant bury some items which belonged to Suzette.

5. In the evening of 24 January, Sergeant Ollivierre took a statement from the

appellant under caution. The interview started at 10.50 pm. At 11.34 pm, Sergeant
Ollivierre was told that the appellant’s mother had arrived and wanted to be present
during the taking of the statement. She was taken to see the appellant and offered him
food and clothing. But he told her that he did not want anything to eat and did not
want her to be present for his statement. He resumed making his statement and
finished at 12.35 am the following morning. The gist of what he said has already been
summarised above.

6. At 9.15 am on 25 January, a post mortem was carried out on Suzette’s body.

This revealed a 7.5 cm incised slash on the front of the neck which cut through the
windpipe, the thyroid gland and the major blood vessels; multiple stab wounds and
bruises from the face and down the upper part of the body; and multiple incised
wounds of the hands and right wrist consistent with defensive wounds. These
multiple stab and incised wounds were the cause of death.

7. On 26 January, the appellant and Osei were charged with murder. At the trial,
the appellant’s attorney, Miss Elder QC elicited from prosecution witnesses that the
appellant had enjoyed a close friendship with Suzette. It was not suggested by
anybody that the friendship was other than platonic. The appellant elected to give
evidence. He said that he had a very close platonic relationship with Suzette. He did
not intend to kill her. He told the police that “it was a demon inside my head”. He
said: “I did not know what I was doing. I was seeing a dark object in front of me and I
did not know what it was. I was not seeing or hearing Suzette in front of me”. He did
not know that he was stabbing Suzette. He had smoked “Blacks” during the afternoon
of 23 January. Blacks are marijuana cigarettes rolled with crack cocaine. He had
never smoked them before. He was “very high” on drink and drugs. When Suzette
started pushing his hand away and slapping him, he did not become annoyed, but it
was at that moment that “the demon thing raise in me”. He had not mentioned Blacks

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in his statement to the police, because he did not want them to ask questions about it.
He had not mentioned a dark object to them, but he did see a “dark object” that night
and the dark object was the demon. He said that he did not tell Suzette’s father what
had happened to his daughter and drove around with him looking for her because he
was “too scared and confused at the time”. This was also the reason why he picked up
his knife and cut himself on seeing Suzette’s lifeless body on the ground.

8. Such were the concerns about the state of the appellant’s mental health
following the killing that he was remanded by the Magistrates’ Court to St Ann’s
hospital at his first court post-charge appearance on 28 January 2002. He spent two
months being treated there.

9. The issue for the jury at the trial was whether the appellant had the necessary
intention for murder. His defence was that he did not because he was so intoxicated
by drink, drugs and heavy rock music that he did not know what he was doing. There
is no criticism of the judge’s summing up.

Consideration of diminished responsibility pre-trial

10. The issue of diminished responsibility had been considered by those advising
the appellant during the course of the preparation of his defence. Several psychiatric
reports had been obtained from two Trinidad-based consultant psychiatrists. Dr
Ghany’s first report is dated 14 February 2002 and was based on an interview on 30
January 2002. Dr Ghany concluded that the appellant was fit for trial as he was “not
mentally ill but has a personality disorder with ... psychopathic features”, including
the “inability to form normal relations with women, fantasies of sexual violence, a
desire to dominate the victim, lack of remorse for inflicting pain on her and perhaps
getting some measure of extreme power and sexual satisfaction from inflicting pain
injury on her.” He concluded that these features were “atypical of the sa[d]istic
murderer. His sa[d]istic tendencies were reinforced by drinking and listening to
satanic music”. On 20 March 2002, Dr Ghany wrote a second report in which he
suggested that the appellant was now “malingering”. He noted that the appellant said
that he could not get rid of the rock music in his head. He had been observed closely
on the hospital ward and was seen talking normally to staff and patients. He had been
assessed by the full team and his behaviour was considered to be “psychogenic” in
origin.

11. On 5 December 2003, the appellant was seen by Dr Hutchinson to whom he

gave a somewhat different account of the killing. He said that, on arriving at Blue
Basin, he took a drug called THC. He had never taken this drug before. He said that
he went into a “kind of semi-conscious state”. He saw threatening shadows moving
toward him. His brain was pounding and “going to explode”. When he came out of

Page 3
this state (which lasted for about 15-20 minutes), he found his cousin lying dead on
the ground with her throat slit. Dr Hutchinson concluded that (i) this suggested a
THC induced dissociative phenomenon in which, in a state of high sensory
stimulation, the brain dissociates the conscious experience of the event from the
affective or emotional response; (ii) while there were antisocial traits, it seemed more
likely that he had a borderline personality disorder; (iii) antisocial personality
disorder was unlikely because the appellant’s behaviour did not deliberately set out to
cross the boundaries of social and moral norms and he genuinely regretted what had
happened to his cousin; (iv) the appellant’s inability to explain his love for substance
abuse and the excesses of rock life suggested that they served a vital purpose in
maintaining his mental and social stability, such that he required long term and intense
psychotherapy; (v) the circumstances surrounding the killing seemed to be related to
the use of a drug and its effects on his behaviour which had to be seen in the context
of an already suggestible mind that was intoxicated from the ingestion of alcohol and
made more amenable to the commission of extreme acts because of the influence of
music; and (vi) he was “not sure that [the appellant] can be held entirely accountable
for the events that led to the death of his cousin”.

12. The appellant was seen again by Dr Hutchinson on 29 April 2004. In a second
report dated 30 April 2004, the doctor noted that the appellant had changed his
account of events. He now claimed that he wanted to become the member of a gang
which made sacrifices to Satan and that to justify his credentials, he had to kill a
virgin, a goat or a sheep. He decided to kill his cousin because it was known that she
was a virgin. He said that he was accompanied on 23 January 2002 by a man called
“Chuck” and that Chuck had inflicted the fatal wounds on Suzette. In the light of this
changed account, Dr Hutchinson amended his earlier diagnosis and said that (i) it
seemed more likely that the appellant had a mixed personality disorder that also
included traits of an antisocial personality, “marked” impulsivity in certain areas
(including sex), self-mutilative behaviour, affective instability, chronic feelings of
emptiness and identity disturbance; and (ii) he had a lack of empathy for Suzette and
Osei, a pattern of irresponsible behaviour and an inability to describe the incident
consistently “which one can describe as manipulative”. He concluded:

“However, it is not possible to make a case for insanity or diminished

responsibility for the alleged commission of this murder as these
personality disorders do not constitute an abnormality of mind that could
support such a position. In fact given his latest account, Jason knew
clearly what was likely to transpire when he picked up his cousin and at
several stages could have derailed the events if he so chose. In fact, he
admits to this but could not stop himself from becoming involved in her
death.”

13. Finally, Dr Ghany wrote a further letter on 14 November 2005 in relation to the
appellant’s admission to hospital on 9 November 2005. On admission, he complained

Page 4
of hearing voices and having visions and odd movements of the body lying in bed. Dr
Ghany’s opinion was that these symptoms had no psychiatric or medical foundation
and reflected “tension due to his impending trial”.

14. There was, therefore, material in Dr Hutchinson’s first report which could have
formed the basis of a defence of diminished responsibility. The reason why in his
second report he advised that it was not possible to advance a case of diminished
responsibility was that the appellant had given an account of the circumstances of the
killing which was materially different from that which he had given earlier. The
appellant was later to tell Professor Eastman that the story about the Satanic killing of
a virgin was untrue and that his cell mates in prison had told him that, if he told the
truth, he would be convicted so that he should make up a story for his defence. Mr
Knox QC submits that it is to be inferred that the decision not to run the defence of
diminished responsibility must have been taken for tactical reasons. He says that Miss
Elder is an experienced leading counsel. She must have seen all the reports (indeed, at
trial she tried to get in a reference to Dr Ghany’s first report without having to call
him). She must have decided that the reports would undermine the appellant’s
defence that he did not have the requisite intent to be guilty of murder. We shall
return to this issue after considering the fresh evidence that the appellant seeks to
adduce in support of this appeal.

The fresh evidence

15. Professor Eastman is a distinguished forensic psychiatrist. He examined the

appellant and his parents in November 2008. The appellant gave him an account of
how the killing had taken place, saying “it’s crazy…I had cannabis mixed with crack
cocaine….the music was playing….I was hearing ‘Slipknot’ [rock music]….telling
you to kill….a weird person singing a song….very fast, in a rage….I started to feel a
rage building up and lost control of myself….taking off the lyrics”. He said that he
pushed Suzette “getting in a rage from the music” and she slapped him once or twice.
A struggle ensued in which he pushed her as she choked. They both then went to the
car where in a rage he took a knife from “Sack” and waved it around. He did not
intend to hurt her. He next saw her on the ground. He was very sorry about what had
happened and had not intended to do it.

16. Professor Eastman noted that the appellant’s parents had started to worry about
him when, at the age of 15 or 16, he started to drink. They said that about two years
before the killing, his drinking increased and he started taking drugs and listening to
rock music. On three occasions he blacked out because of drink. On 23 January
2002, he had seemed his normal self.

Page 5
17. The conclusions of Professor Eastman were that: (i) the appellant suffers from
a borderline personality disorder; (ii) apart from Dr Ghany’s report, there was nothing
to suggest that his personality disorder includes “anti-social” or “sadistic sexual
aspects”; (iii) the appellant satisfies the criteria for alcohol and substance dependence
and there is evidence that he is likely to have suffered from blackouts which are
common in those who abuse alcohol severely; (iv) there is evidence to suggest that
the appellant’s abnormal mental states arising from drug ingestion went beyond mere
intoxication and amounted to drug-induced psychosis: this is reinforced by the nature
of his personality disorder, since individuals suffering from it are substantially more
vulnerable to adverse psychotic reactions to drug ingestion; (v) the appellant
developed an interest in, and dependence on, rock music as a response to or
expression of his personality disorder: an individual with a borderline personality
disorder will lack a stable sense of identity and is, therefore, likely to be prone to
“losing the boundary” between lyrics (including violent lyrics) and self, especially
when combined with drug ingestion, whether resulting in intoxication or psychosis;
(vi) the appellant’s personality disorder can properly amount to an “abnormality of the
mind” in terms of a potential defence of diminished responsibility: it seems more
likely than not that he was in a psychotic state at the time of the offence, even if that
state was induced by drugs and his personality disorder would have made him more
vulnerable to entering such a psychotic state under the influence of drugs; (vii) if the
court were to determine that the correct narrative of the events involved the deliberate
exercise of sadism, that would clearly weigh against the arguments that Professor
Eastman put forward (which medically suggested that there was a robust medical basis
for diminished responsibility).

18. Dr Green is a distinguished clinical psychologist who interviewed the appellant

in May 2008. The appellant gave an account similar to the one he gave to Professor
Eastman six months later. Dr Green concluded of the appellant that (i) he suffers from
a borderline personality disorder and this “had a direct impact on his behaviour at the
time of the offence”; (ii) he did not have an extensive history of violence, but had
attempted to cope with his emotions through “more avoidant means of isolating
himself, self-harm and alcohol consumption”; (iii) he may also meet the criteria for
Alcohol Dependence Disorder and may have experienced a state of drug-induced
psychosis at the time of the offence, but these features needed to be assessed by a
forensic psychiatrist; and (iv) the appellant did not hold “anti-social or pro-offending
attitudes” or enjoy violence and he was “not essentially delinquent in his behaviour.”

19. Dr Gray is a clinical psychologist. He administered a range of psychological

tests to the appellant on 25 October 2007. These suggested that the appellant had a
particularly poorly developed executive functioning ability. He presented with a
potentially significant drug and alcohol history which might have implications for his
level of cognitive and social functioning.

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20. Mr Knox makes three points. First, he submits that the appellant should not be
allowed now to raise the issue of diminished responsibility and adduce in evidence the
reports of Professor Eastman, Dr Green and Dr Gray. He says that the decision not to
run the defence of diminished responsibility at trial must have been made for tactical
reasons. Secondly, the new reports do not support a realistic defence of diminished
responsibility. Thirdly, they are in any event unreliable because they depend on the
appellant’s own account of his previous history and the killing and do not take account
of (a) the unchallenged and unchallengeable prosecution evidence, which showed that
this was a carefully planned and executed murder, (b) the jury’s verdict, which
rejected his evidence that he lacked the relevant intention or (c) the evidence of those
who knew him well about his previous history.

Tactical decision not to run diminished responsibility

21. It is well established that one of the factors which is likely to weigh heavily
against the reception of fresh evidence in an appeal is “a deliberate decision by a
defendant whose decision-making faculties are unimpaired not to advance before the
trial jury a defence known to be available”: R v Erskine and Williams [2010] 1 WLR
183 at para 90, quoting R v Criminal Cases Review Commission, Ex p Pearson [1993]
3 All ER 498, 517. Mr Knox submits that the decision not to run diminished
responsibility was taken for tactical reasons in view of the highly damaging nature of
the reports. A plea of diminished responsibility would have led to the reports of Dr
Ghany and Dr Hutchinson being put in evidence and they would have undermined the
appellant’s main defence of lack of intent. Save for Dr Hutchinson’s first report, they
would have contradicted the appellant’s evidence as to how the killing took place.

22. The Board does not accept Mr Knox’s submission. The reports of Dr Ghany
and Dr Hutchinson did not provide strong support for a defence of diminished
responsibility. It is true that in his first report, Dr Hutchinson identified features
which were “consistent with borderline personality disorder”. But his overall
conclusion was expressed in tentative terms: “I am not sure that he can be held
entirely accountable for the events that led to the death of his cousin”. He then
changed his mind in the light of the appellant’s changed account of the circumstances
of the killing. The contrast between the terms of both of Dr Hutchinson’s reports and,
in particular, the terms of Professor Eastman’s report is striking. Mr Bindra Dolsingh,
who conducted the appeal in the Court of Appeal, has explained that Miss Elder told
him that the issue of diminished responsibility was not raised at trial because it was
not supported by the psychiatric reports that were then available. The Board sees no
reason to doubt this explanation. The decision not to explore further the possibility of
a defence of diminished responsibility may have been mistaken, especially since Dr
Hutchinson’s change of mind was based on the appellant’s remarkably changed
account of the circumstances of the killing. By the time of the trial, the appellant had
abandoned the account of events which had caused Dr Hutchinson to change his
opinion. But there is no basis for holding that a deliberate tactical decision was taken

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not to run the defence of diminished responsibility because it would (or might)
undermine the principal defence of lack of intent.

23. In any event, even if the Board were satisfied that such a tactical decision was
taken, it would not refuse to receive the fresh evidence if it thought that the evidence
supported a defence of diminished responsibility which had real prospects of success.
As was said at para 90 in Erskine: quoting R v Criminal Cases Review Commission,
Ex p Pearson [1993] 3 All ER 498, 517. “But even features such as these [including a
deliberate decision not to advance a defence known to be available] need not be
conclusive objections in every case. The overriding discretion conferred on the court
enables it to ensure that, in the last resort, defendants are sentenced for the crimes they
have committed, and not for psychological failings to which they may be subject.”
Those salutary words are of particular importance in a case where an appellant has
been convicted of a charge as serious as murder. It is, therefore, necessary to consider
whether there is a real possibility that the fresh evidence would support a successful
appeal in this case.

Does the fresh evidence disclose a potential defence of diminished responsibility?

24. In summary, the effect of the fresh evidence is as follows. First, Professor
Eastman and Dr Green are unequivocal in concluding that the appellant suffers from a
borderline personality disorder. Secondly, Professor Eastman says that was “a direct
causal connection between features of his personality disorder and the offence”. Dr
Green says that it is “probable” that the appellant’s mental health condition “had a
direct bearing on his behaviour at the time of the index offence”. Thirdly, Professor
Eastman says that the appellant “satisfies the criteria for alcohol and substance
dependence” and Dr Green raises the possibility that this might be the case. Fourthly,
Professor Eastman says that it is “more likely than not” that the appellant suffered a
form of “psychosis” at the time of the killing as a result of his drug and alcohol
consumption and that this went beyond mere intoxication. Dr Green says that “it is
possible that Mr Daniel may have experienced a state of Drug Induced Psychosis at
the time of the index offence”.

25. Section 4A of the Offences Against the Person Act (as amended) Chapter 11.08
provides:

“(1) Where a person kills or is a party to the killing of another, he shall

not be convicted of murder if he was suffering from such abnormality of
mind (whether arising from a condition of arrested or retarded
development of mind or any inherent causes or induced by disease or
injury) as substantially impaired his mental responsibility for his acts
and omissions in doing or being a party to the murder.

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 (2) On a charge of murder, it shall be for the defence to prove that the
person charged is by virtue of this section not liable to be convicted of
murder. ”

It will be seen that this is in the same terms as the (now repealed) section 2 of the
England and Wales Homicide Act 1957.

26. The first thing that the defendant must therefore prove is that he or she was in
an abnormal state of mind at the time of the killing. In R v Byrne [1960] 2 QB 396,
403 Lord Parker CJ said of the phrase “abnormality of mind”:

“It appears to us to be wide enough to cover the mind’s activities in all

its aspects, not only the perception of physical acts and matters, and the
ability to form a rational judgment as to whether an act is right or
wrong, but also the ability to exercise will power to control physical acts
in accordance with that rational judgment.”

27. The term “abnormality of mind” is capable of encompassing the mind’s

capacity (i) to perceive one’s acts or omissions; (ii) to evaluate whether one’s acts or
omissions are right or wrong; and (iii) to control one’s acts or omissions: see para 7.28
of the Law Commission Consultation Paper No 173 “Partial Defences to Murder”
(2003).

28. Mr Knox makes the preliminary submission that there is no scope for the
defence of diminished responsibility on the facts of this case because the assault by
the appellant on Suzette was a carefully planned and executed murder. He identifies a
number of features of the case in support of this submission. These include that (i)
when the appellant and Osei picked up Suzette in the car, they both had knives; (ii)
they drove off to an isolated spot in Blue Basin; (iii) the appellant gave a false
explanation as to how his fingers had been slit; (iv) after the killing, he drove
Suzette’s father around pretending to look for Suzette; and (v) there was no suggestion
from the witnesses who saw him shortly before or after the killing that he was
behaving unusually or in an abnormal state of mind. But the case was not presented to
the jury by the prosecution as a carefully planned murder. The suggestion that this was
a premeditated murder was not put to the appellant at the trial. It was not considered
by the jury. For that reason alone, it would not be right to decide this appeal on the
basis that the murder was premeditated. In any event, the features on which Mr Knox
relies provide no more than a slender basis for a possible inference. That is an
insufficient reason for rejecting diminished responsibility without reference to the
fresh evidence.

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29. As regards the fresh evidence itself, Mr Knox submits that it does not disclose
a defence of diminished responsibility which would have any real prospects of
success. His first point is that the overwhelming inference from the primary evidence
and the jury’s verdict is that the appellant was not in an abnormal state of mind at the
time of the killing because (i) he knew what he was doing, (ii) he knew that what he
was doing was wrong (hence his cover up later), and (iii) he was able to exercise will
power to control his physical acts. The defence of diminished responsibility is not
available in such a situation.

30. Mr Knox places much reliance on the jury’s verdict. The appellant’s defence at
trial was that he did not have the requisite intent for murder. He said “I did not intend
to kill Suzette. Told police it was a demon insider my head. I was not seeing Suzette
in front of me” (p 81 of the record); “I did not know I was stabbing Suzette” (p 86); “I
did not become annoyed” (p 88). In her summing up (p 127), the judge directed the
jury that they had to be sure that the appellant had the requisite intent. She said:

“If you think that because he was so affected [by drink, drug and heavy
rock music], he did not intend or may not have intended to cause the
harm to her, serious injury to her, grievous bodily harm or to kill her,
then you must acquit him of the charge of murder

But if you are sure that despite his being affected, as he said, by drugs,
drink and/or music, he intended to stab her….then this part of the case is
proved against him for a drunken, drugged intent, sweetened even with
hard rock music, with lyrics even to kill is still an intention for murder.”

31. The Board does not consider that the rejection of the defence of lack of intent
at the time of the killing carries the implication that the jury were sure that the
appellant was able at that time to form a rational judgment as to whether his acts were
right or wrong or had the ability to exercise will power to control his acts. In view of
the number and severity of the knife injuries inflicted on Suzette, it would have been
surprising if the jury were not sure that the appellant had intended to kill or cause
really serious harm. But they were not asked to decide whether the appellant knew
that what he was doing was wrong or whether he was able to exercise will power to
control his physical acts. In these circumstances, the Board is of the view that no
relevant inferences can safely be drawn from the jury’s verdict.

32. The second point made by Mr Knox is that the fresh evidence does not disclose
a relevant disease or inherent cause on the basis of drink or drugs. He submits that,
even if the appellant was intoxicated (as he said in evidence) and even if this
intoxication amounted to an abnormality of the mind, it did not result from any
relevant disease or inherent cause. The general rule is that abnormality of mind

Page 10
arising from transient intoxication from alcohol (and by necessary extension drugs) is
irrelevant: see R v Gittens [1984] QB 698, 703. But there is an exception to this rule
when the defendant’s consumption of alcohol (or taking of drugs) leading to
intoxication was “the involuntary result of an irresistible craving for or compulsion to
drink”: R v Stewart [2009] 1 WLR 2507, para 31. Mr Knox submits that the evidence
at trial does not support the notion that the appellant was a drug addict or an alcoholic
whose drinking or taking of “Blacks” was the involuntary result of an irresistible
craving or compulsion. There was nothing to suggest that he had a craving for drugs.
It follows that the intoxication did not arise as a result of the disease or inherent cause
of alcoholism or drug addiction and is irrelevant.

33. The Board acknowledges the importance of the principle that self-induced
intoxication cannot avail a defendant unless the consumption of alcohol or the
ingestion of drugs is fairly to be regarded as the involuntary result of an irresistible
craving or compulsion. But the question whether the appellant was affected by such a
craving or compulsion at the time of the killing was not explored in evidence at the
trial. The jury were asked to consider whether alcohol and drugs may have
undermined his ability to form the requisite intent, but that is as far as it went.
Professor Eastman said that there was evidence to suggest that the appellant’s
abnormal mental states, arising particularly from drug ingestion:

“went beyond mere intoxication amounting to psychosis per se. This is

suggested by some of his descriptions of his states at various times after having
taken drugs. The conclusion that he, at times, suffered from drug induced
psychosis, rather than mere intoxication, is reinforced by the nature and fact of
his personality disorder, in that individuals with such disorder are substantially
more vulnerable to adverse psychotic reactions to drug ingestion.”

34. Later in his report, Professor Eastman said that it seemed “more likely than
not” that the appellant was in such a psychotic state at the time of the killing. As
already stated, Dr Green said that it was “possible” that the appellant experienced a
state of Drug Induced Psychosis at that time.

35. This evidence suggests that alcohol and/or drugs may have caused the appellant
to be in a psychotic state at the time of the offence. There was also evidence that he
satisfied the criteria for alcohol and substance dependence, although Professor
Eastman believed that such dependence was “substantially ‘secondary’ to his
underlying personality disorder in its causation.” As he said, it was for the court to
decide whether the appellant suffered “an irresistible impulse to take the first drink or
drug of the day”. But, he said, there appeared to be “strong evidence that the
appellant was heavily dependent upon both alcohol and drugs”.

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36. The third point made by Mr Knox is that the fresh evidence does not disclose a
relevant cause or disease on the basis of borderline personality disorder. The term
“borderline personality disorder” was introduced by Adolph Stern in the United States
in 1938 to describe a group of patients who fitted neither the psychotic nor the
psychoneurotic, but who suffered from a disorder which “bordered” on other
conditions. According to National Clinical Practice Guideline Number 78 (published
by The British Psychological Society and The Royal College of Psychiatrists) the
disorder is indicated by five (or more) of nine criteria which include (i) identity
disturbance: markedly and persistently unstable self-image or sense of self (Professor
Eastman said that a “core” feature of borderline personality disorder is “lack of a
stable sense of identity”); (ii) impulsivity in at least two areas that are potentially self-
damaging; (iii) recurrent suicidal behaviour or self-mutilating behaviour; (iv) affective
instability due to a marked reactivity of mood; and (v) inappropriate intense anger or
difficulty controlling anger.

37. It has been held that psychopathic personality disorder is not a basis for
diminished responsibility: see Galbraith v HM Advocate 2002 JC 1. Mr Knox
submits that the same should apply by analogy to borderline personality disorder.
This is because, he says, it is essentially a disorder which leads to increased
impulsivity, anger and the like which the law should not encourage. As noted in
Galbraith at para 51:

“The law responds in this way [recognising diminished responsibility],

however, because it recognises that the individual is to be pitied since, at
the relevant time, he was not as normal people are. There was
unfortunately something far wrong with him, which affected the way he
acted. By contrast, the law makes no such allowance for failings and
emotions, such as anger and jealousy, to which any normal person may
well be subject from time to time. They do not call for the law’s
compassion. Rather, we must master them or else face the
consequences. ‘…it will not suffice in law for the purpose of this
defence of diminished responsibility merely to show that an accused
person has a very short temper, or is unusually excitable and lacking in
self-control. The world would be a very convenient place for criminals
and a very dangerous place for other people if that were the law’ (HM
Advocate v Braithwaite 1945 JC 55, 57-58 per Lord Justice-Clerk
Cooper).”

38. It will be seen that the statutory test of abnormality of mind reflects the
difficulty in attempting to describe with precision the boundary between the normal
and the abnormal. Para 7.30 of the Law Commission Consultation Paper put it like
this:

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 “ ‘Abnormality of mind’ is no more and no less than a state of mind ‘so
different’ from the normal that the reasonable person would describe it
as ‘abnormal’. The formulation does serve an important function,
however, even though it is a very imprecise test. Mental states such as
anger, jealousy, temper, exasperation, feeling depressed, love and
compassion are emotions and propensities, often ephemeral, to which all
ordinary people are susceptible. The reasonable person would not
classify them as abnormal, even when such emotions are heightened.”

39. Professor Eastman said that he had seen nothing to suggest that this was a case
of simple “anti-social” (in other words “normal”) personality disorder. He had little
doubt that the appellant suffered from severe borderline personality disorder. Dr
Green was of the same view as was Dr Hutchinson on the basis of the account
originally given by the appellant. In his second report, Professor Eastman said:

“However, unless there was evidence accepted by the jury to suggest

that the defendant, with the co-defendant, set out to kill the victim, or to
have sex with her and then to kill her, then any ‘metamorphosis’ of that
intention into the fact of killing her can, in my opinion, be reasonably
explained by the presence of ‘abnormality of mind.’”

40. The Board is of the view that this evidence, if accepted, would provide a
credible basis for a defence of diminished responsibility. Professor Eastman and Dr
Green are both experienced and distinguished practitioners. Professor Eastman’s
overall conclusion in his first report was that:

“Although I am not in any way an expert on the psychological effects of

‘heavy rock music’, particularly in the context of a culture which is not
my own, I believe it very likely that there was a direct interaction
between the appellant’s unstable personality structure, his ingestion of
drugs and alcohol and his psychological response to rock music,
particularly when intoxicated, in terms of precipitating a severely
abnormal mental state at times, including likely at the time of the index
offence.”

41. Unless the credibility of these opinions is undermined because they depend on
accounts given by the appellant which are themselves clearly unreliable in material
respects, it seems to the Board that the interests of justice require that the fresh
evidence is admitted. Mr Knox does indeed submit that the reports appear to be based
on the appellant’s account that he did not know what he was doing at the time of the
killing and did not intend to harm Suzette and yet the jury rejected the defence of lack
of intent. Mr Knox makes the further points that the reports do not appear to have

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taken into account (i) the totality of the evidence (which he submits shows that this
was a premeditated murder) and (ii) the evidence of the appellant’s friends at trial that
he did not have a drink problem and the fact that his parents did not notice that he was
“abnormal” when he left home on 23 January 2002.

42. But for the reasons given at para 28 above, the premeditated murder theory
cannot be accepted and the opinions expressed in the reports were not based (or at
least not primarily based) on the fact that the appellant did not know what he was
doing or that he did not intend to harm Suzette. Further, Professor Eastman made it
clear that he expressed no view as to which description of events relating to the
offence given by the appellant at various times was correct. Finally, in his second
report, Professor Eastman said that the fact that his parents did not notice that he was
“abnormal” when he left home on the fateful day was “not inconsistent with him
having become psychotic by the time of the killing, in response to drugs and as a
reflection of his personality vulnerability to psychosis (by virtue of his personality
disorder).”

Conclusion

43. This is a most unusual case. The appellant was a man of previous good
character who, for no apparent reason, killed his cousin with whom he seems to have
had a close platonic friendship. He inflicted multiple stab wounds on her in a
sustained and violent attack. He then slit some of his own fingers. Self-mutilation is
one of the classic indicators of borderline personality disorder. The fresh evidence
raises a credible defence of diminished responsibility based on borderline personality
disorder and alcohol and drug induced psychosis. It should have been raised at trial.
The interests of justice require that it be considered now. It may be that, when tested
by cross-examination and any medical evidence that the State decides to adduce, it
will be seen that the fresh evidence does not support the defence. In the result, for the
reasons that we have given, the case must be remitted to the Court of Appeal for them
to hear the evidence (and any further evidence that may bear on the issue) and then
decide how to dispose of the appeal.

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