Diminished responsibility was recently reformed in the Coroners & Justice Act 2009, placing an emphasis on medical evidence given by doctors, which allows for future medical developments. It also examines the extent to which D was affected by their mental illness, following the definition "substantially impaired" given in R v Byrne.
The defence is misused in euthanasia cases, because the courts tend to treat these cases sympathetically, as in R v Mawditt, where D was given a three year conditional discharge under diminished responsibility, despite him not suffering from a mental illness.
A reform for this would be to change the laws on euthanasia, so that cases would no longer be classified as murder.
Some cases have not allowed the defence despite there being overwhelming evidence in support of it, as in R v Sutcliffe, where three well-respected psychiatrists confirmed that D was suffering from paranoid schizophrenia, but D was denied the defence and convicted of murder.
A reform for this would be to introduce a proper definition of what "substantially impaired" means, to make it harder for juries to misuse the law to achieve what they believe is 'moral' justice.
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