The Journal of the American Academy of Psychiatry and the Law | 2021
Neurolaw and Responsibility for Action
Abstract
Neurolaw and Responsibility for Action is a multidisciplinary compendium addressing the new and controversial field of neurolaw. Chapters address whether connections can be made between modern research in neuroscience and legal responsibility. In other words, can various brain abnormalities be correlated with or causative of criminal behavior? Might such associations have legal ramifications and im-pacts on treatment or prevention? Contributors include those from the fields of law, neuroscience, philosophy, criminology, and psychology. From these disparate disciplines, the contributors debate the merits of linking brain and behavior in the courtroom. In her introduction, the editor is careful to use qualifiers such as “may” or “might” when describing any such linkage. Chapters range from philosophical arguments, which are likely to be soporific to most forensic psychiatrists, to more practical sections including mens rea/actus reus, admissibility, the insanity defense, the Fifth Amendment, psychopathy, and lie detection. Professor Michael S. Pardo of the University of Alabama School of Law critiques research claims that functional magnetic resonance imaging (fMRI) scans are useful in assessing when a defendant might be lying. In his chapter, Pardo takes issue with the artificiality of research and even the definition of a lie. The most interesting part of Pardo’s chapter is the discussion about United States v. Semrau, 693 F.3d 510 (6th Cir. 2012) and United States v. Semrau, 2010 WL 6845092 (W.D. Tenn. 2010). This case was the first attempt to introduce fMRI lie detection into a federal criminal trial. Dr. Semrau, a psychologist, owned two businesses that provided mental health care to patients in nursing homes. He was charged with multiple counts of money laundering and health care fraud. This concerned a scheme to defraud Medicare, Medicaid, and other government programs by submitting false claims for payments totaling nearly three million dollars. Dr. Semrau’s defense was that he hadn’t intended to commit fraud. Any mistakes in his billing, he claimed, resulted from confusion regarding unclear billing codes and instructions from insurance companies. He wanted to introduce fMRI evidence to prove he was not lying about being confused. Dr. Semrau’s expert, Dr. Steven Laken, was the CEO of Cephos, the company that produced the fMRI lie-detection results. The trial court prohibited the testimony under Federal Rule of Evidence 702, going through the four Daubert criteria. Dr. Semrau was convicted of three counts of health care fraud. He appealed on the grounds that the trial court erred in refusing to allow the fMRI results to be entered and in not allowing Dr. Laken to testify. The appeals court affirmed the trial court’s decision, noting that the prosecutor was not informed of the test before it was administered. The court also expressed concern about any purported lie detection method introduced at trial. Pardo writes of conceptual problems related to defining a lie and criticizes research that purports to show the value of using the fMRI in lie detection. In the following chapter, John Danaher, a lecturer in the philosophy of law in Galway, Ireland, writes that a specific type of electroencephalogram (EEG), detecting a brainwave known as the P300, has great value. This brainwave pattern occurs about 300ms after a stimulus presented to a test subject. Danaher argues research has shown that when the P300 is present, it means that a subject’s brain recognizes a stimulus. From this, writes Danaher, “Knowing that a person’s brain recognizes information can help place their physical body at the scene of a crime (provided other potential exposures to the information can be ruled out). This is surely forensically useful . . . .” (p 177) The final two chapters are devoted to psychopathy. The chapter by Elizabeth Shaw from the law school of Aberdeen University in Scotland is a discussion about possible “neurointerventions” that might offer useful treatment to psychopaths. She describes the implications of various treatments for psychopathy. Neurolaw is an exciting area of investigation. Many books and papers present varying points of