Medical Insanity Criterion

Medical Insanity Criterion: When Mental Disorder Leads to Insanity

Insanity is a condition in which a person cannot understand the meaning of his actions and bears limited or no responsibility for them. In medical practice, there is a criterion that determines when a mental disorder can lead to insanity.

This criterion requires the presence of certain mental disorders that are listed in a special list. These include, for example, schizophrenia, bipolar disorder, organic personality disorders and others.

When a person suffers from one of these disorders, their mental state may deteriorate so much that they no longer understand what they are doing or what the consequences of their actions may be. In such cases, a person may become insane and bear limited or no responsibility for his actions.

The determination of insanity is of great importance in medical practice because it determines whether a patient can be held responsible for his actions and whether he requires special treatment and supervision. If a patient is found to be insane, he may be subject to special medical supervision and treatment, and measures may be taken to protect the public from his actions.

In conclusion, the medical insanity criterion is an important tool for determining the patient's condition and taking measures for his treatment and observation. It allows us to determine when a mental disorder may lead to insanity and requires special measures to protect society and the patient.



The criterion of insanity is a legal concept that describes a person against whom a criminal case cannot be initiated due to his mental incompetence. Criminal proceedings may begin if a person is mentally impaired and is aware of his actions, but is not fully responsible for them. Article 21 of the Criminal Code of the Russian Federation defines the following criterion: “the inability of a person to realize the actual nature and social danger of his actions (inaction) or to direct them due to a chronic mental disorder, temporary mental disorder, dementia or other painful mental state.” The court has the right to declare a person insane only if his consciousness and psyche are impaired and in the case when his legal capacity suffers from this, and in short, the person is not able to realize his criminal actions. It is necessary to establish in the patient, during the examination of experts, a significant sign of the so-called persistent mental disorder. In case of such a violation, courts extremely rarely order compulsory medical measures (except for cases specifically provided for by law), and more often limit themselves to providing general assistance to persons suffering from mental illness.