Criminal Law and Mental Health:
The Insanity Defense of Past, Present, and Future.
#LuigiMangione

February 16, 2025by Jeffrey D. Cohen0

The insanity defense sits at the intersection of criminal law and mental health, sparking debates about accountability, compassion, and the very nature of justice. When I reflect on the role mental health plays in our legal system, I’m reminded of the complexities that arise in high-stakes cases, such as that of Luigi Mangione. While his case didn’t hinge on an insanity plea, it highlighted how deeply intertwined mental health and criminal law can be.

Tracing the Roots: A Historical Lens

The insanity defense has ancient roots, dating back to English common law. Its modern foundation, however, lies in the 1843 M’Naghten Rule, which established that defendants could be deemed legally insane if they were unable to distinguish right from wrong due to a mental defect. This groundbreaking principle reshaped the justice system, striving to balance compassion for mental illness with the demand for accountability.

In cases like Mangione’s, where psychological and emotional stress are central, historical perspectives remind us that the law seeks to provide nuanced solutions to complex human conditions. If you’re curious about how these legal principles apply in today’s courtroom, you can read more about criminal defense strategies on my practice areas page.

The Present Landscape: Challenges and Controversies

Today, the insanity defense remains one of the most debated tools in criminal law. It’s rarely used—less than 1% of felony cases—and even more rarely succeeds. New York, like many states, adheres to variations of the M’Naghten Rule or the Model Penal Code standard, which accounts for both cognitive and volitional impairments.

Mental Health Beyond the Insanity Defense

Even outside insanity pleas, mental health factors play a crucial role in shaping defense strategies. For instance, Mangione’s legal team highlighted the immense psychological toll he endured, though they didn’t pursue an insanity defense. This strategy underscores a broader trend: recognizing mental health not just as a defense but as a lens through which behavior and culpability are understood.

To explore how mental health can influence a case, visit my page on defense for complex criminal cases here.

The Mental Health Dilemma in Courtrooms

Despite its importance, the insanity defense raises critical questions about fairness and feasibility:

1. Stigma and Misconceptions

Mental illness remains heavily stigmatized, leading jurors and judges to approach insanity claims with skepticism. Public perception often frames the defense as an excuse, rather than a legitimate legal principle.

2. Defining Insanity

The binary nature of the law—sane or insane—doesn’t reflect the spectrum of mental health. Conditions like PTSD, depression, or anxiety might not meet the threshold for legal insanity but can profoundly influence behavior and decision-making.

3. Ethical and Practical Challenges

How do we balance justice for victims with compassion for defendants whose actions stem from mental or emotional duress? Mangione’s case illustrates how these ethical questions play out in real-world scenarios.

A Closer Look at Mangione’s Case

Luigi Mangione’s extradition battle revealed how mental health considerations influence legal narratives, even when they’re not the focal point of the defense. Accused of serious crimes, Mangione reportedly faced immense psychological strain. As his attorney, I would argue that understanding his state of mind was essential to ensuring a fair trial.

Building a Defense Around Mental Health

Psychological evaluations, expert testimony, and contextual evidence are vital in presenting a complete picture of a defendant’s actions. These tools help attorneys like me advocate for fairness and justice, especially in cases where mental health is a factor.

For more information on how mental health evaluations can shape a defense, you can visit my page on psychological defense strategies here.

Future Directions: Toward a Compassionate Justice System

The intersection of criminal law and mental health is evolving, shaped by scientific advancements and shifting societal attitudes. Here’s where we might be headed:

1. Integrating Neuroscience

Emerging technologies, such as brain imaging, could provide objective evidence of mental illness, reducing reliance on subjective interpretations. However, ethical concerns about privacy and potential misuse remain significant challenges.

2. Reforming Legal Standards

Current insanity standards may give way to more nuanced frameworks that account for a broader range of mental health conditions. This could include defenses that assign partial responsibility or expanded diversion programs for mentally ill defendants.

3. Strengthening Mental Health Resources

The justice system must invest in mental health courts, treatment facilities, and community programs to address the root causes of criminal behavior. These programs could significantly reduce recidivism and improve outcomes for defendants with mental health challenges.

4. Public Education

Breaking the stigma surrounding mental illness requires a commitment to educating the public about its role in criminal behavior. By fostering understanding, we can create a more compassionate and equitable legal system.

For more insights on innovative approaches to criminal law, consider visiting the American Bar Association’s resources on mental health (external link).

Reflections from the Courtroom

As a defense attorney, cases involving mental health often force me to navigate the tension between legal principles and human empathy. Representing clients like Mangione requires not only legal expertise but also a deep understanding of psychology and compassion.

These cases remind me why I chose this profession: to stand by those who might otherwise be overlooked and to ensure that justice is both fair and humane. Mental health challenges don’t erase responsibility, but they demand a system that recognizes the humanity of everyone involved.

Conclusion: Bridging the Gap

The insanity defense, while imperfect, reflects the justice system’s attempt to balance accountability with compassion. Cases like Luigi Mangione’s challenge us to think critically about how we handle mental health in the courtroom.

For me, Jeffrey D. Cohen, this isn’t just a legal issue—it’s a reflection of who we are as a society. By embracing a more compassionate approach to criminal law, we can create a justice system that values both fairness and humanity.

If you or a loved one needs help navigating a legal issue, I’m here to stand by your side. Visit my homepage to learn more about how I can help.

 

  • Photo Credit – Swedish podcast Poddtoppen.  I encourage you to visit their page

by Jeffrey D. Cohen

Considered by many as one of the best criminal defense lawyers in Queens as a drug charges lawyer, guns and weapons possession lawyer. Jeff Cohen also works as a Suffolk County lawyer.

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