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Unfitness to Plead Consultation Responses - Law Commission ...

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From: Ernest Gral<strong>to</strong>n<br />

Sent: 14 December 2010 14:43<br />

To:<br />

Subject: Dr Gral<strong>to</strong>n<br />

Dear<br />

RE: Feedback on <strong>Unfitness</strong> <strong>to</strong> <strong>Plead</strong> <strong>Consultation</strong> Paper No 197<br />

Thank you for sending me a copy of this extremely comprehensive and well written<br />

document.<br />

I am in agreement that a unitary approach is preferable <strong>to</strong> a disaggregated one- as<br />

having <strong>to</strong> assess an individual and take in<strong>to</strong> account the potential complexity of the<br />

evidence for every trial would be extremely problematic.<br />

The adolescents that I tend <strong>to</strong> see have a variety of co-morbid disorders- that is <strong>to</strong> say<br />

that they have combination of a variety of mental and developmental disorders like<br />

ADHD and Autism (with sensory sensitivities), learning disabilities & mental illness,<br />

that in themselves may be relatively modest, but taken <strong>to</strong>gether can produce much<br />

more significant impairment.<br />

A new test would I hope take in<strong>to</strong> account situations where there may be multiple<br />

fac<strong>to</strong>rs that are going <strong>to</strong> affect an individual’s overall ability <strong>to</strong> engage in the legal<br />

process -a gestalt view.<br />

Ernest Gral<strong>to</strong>n<br />

Consultant Forensic Psychiatrist in Adolescent Developmental Disabilities<br />

St Andrew's Healthcare<br />

Billing Road, Northamp<strong>to</strong>n, NN1 5DG<br />

T: F:<br />

E: W: www.stah.org

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