The Brain Defense is a very impressive book. Its writer, Kevin Davis, is neither a neuroscientist nor criminologist; his degrees are in journalism, and it is probably because of this background that he writes in educated English and is able to explain certain complicated medical concepts reasonably intelligibly. His approach is very balanced - he interviews and quotes a large array of highly-regarded neuroscientists and some very committed defense lawyers. He uses a case study of a financially successful 70-year-old whose only criminal act in a lifetime is strangling his wife and throwing her out an 8th-story hotel window. Although all exams and tests show him to be mentally normal, a final MRI reveals the presence of a brain cyst the size of an orange. The question raised at his trial has to do with the extent of his culpability for the murder given this highly-unusual (and presumably disabling) condition. The writer shows that this brain-damage defense (PTSD, TBI, CBE, etc.) is becoming more common in death penalty legal arguments, and on the surface that is what the book is about.
As Davis acknowledges, this is only one instance of the unanswer[able] question of free will; of whether anybody actually chooses any course of action or always behaves as he does as the result of inexplicable, unpredictable chemical and/or electrical processes in a bodily organ. Do the concepts of crime, responsibility, benevolence, guilt (and on & on & on) have any meaning? Is “mind” something categorically different from (and more complicated than) “brain”?
A much less philosophical but probably considerably more practical question has to do with the problem of what to do with the shoplifter or home invader or kidnapper whose damaged brain relieves him of legal and moral responsibility for his crimes … and will likely compel him to repeat them? This difficulty is not unique to The Brain Defense; I’ve read several books on the woefully inadequate and abusive U.S. system and although some point out the futility of revenge, and all discuss the actual counterproductiveness of mass incarceration, none suggest a remote workable way of safeguarding society from the damaged - and damaging.
Needless to say, The Brain Defense is highly recommended, especially to readers with an interest in true crime or mental illness.
I could add pages of insightful quotations here, but I’ll confine myself to words from three different perspectives:
The legal system assumes that people make deliberate choices and what we choose determines what we do.
We [should] regard punishment as an aggrieved society’s path to emotional satisfaction and ‘true justice,’ … We should punish only to the extent that the punishment causes people—both the person punished and others who may be deterred—to behave better.
The Weinstein case is a glaring example of the misuse of neuroscience in the courtroom. It was, at its core, an insanity defense, concerning a person’s mental state and behavior Mental disorders are defined entirely by behavior … not by brain scans, so the question is always going to be—always—does whatever clinical or scientific information you’re trying to use help you answer the behavioral question or not?” A person’s mental state is based on observation and some clinical testing. So, he asks, does a brain image offer anything to help diagnose a mental disorder … the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, the definitive reference work for mental health professionals, does not include biomarkers or references to brain scans to diagnose mental illness.