{"id":7420,"date":"2014-03-14T14:41:43","date_gmt":"2014-03-14T18:41:43","guid":{"rendered":"http:\/\/journals.law.harvard.edu\/crcl\/?p=7420"},"modified":"2016-11-16T19:29:06","modified_gmt":"2016-11-17T00:29:06","slug":"can-florida-invent-its-own-definition-of-mentally-retarded-in-the-capital-punishment-context","status":"publish","type":"post","link":"https:\/\/journals.law.harvard.edu\/crcl\/can-florida-invent-its-own-definition-of-mentally-retarded-in-the-capital-punishment-context\/","title":{"rendered":"Can Florida Invent its Own Definition of \u201cMentally Retarded\u201d in the Capital Punishment Context?"},"content":{"rendered":"<p>Serving a death sentence upon a person with severe intellectual disabilities is a violation of the Eighth Amendment. Several Supreme Court cases from the past few decades have explored the intersection between capital punishment and intellectual disabilities. In <a href=\"http:\/\/www.law.cornell.edu\/supremecourt\/text\/477\/399\" target=\"_blank\"><i>Ford v. Wainwright <\/i><\/a>(1986), the Supreme Court ruled that capital punishment of an \u201cinsane\u201d prisoner is a violation of the Eighth Amendment for two main reasons. First, an Eighth Amendment analysis should incorporate \u201cevolving standards of decency,\u201d as Justice Warren declared in <a href=\"http:\/\/www.law.cornell.edu\/supremecourt\/text\/356\/86\" target=\"_blank\"><i>Trop v. Dulles <\/i><\/a>(1954). \u00a0Second, the Court recognized the questionable retributive and deterrent value of capital punishment imposed on individuals who are unable to comprehend the consequences of their actions.<\/p>\n<p>In <a href=\"http:\/\/www.law.cornell.edu\/supremecourt\/text\/536\/304\" target=\"_blank\"><i>Atkins v. Virginia<\/i><\/a> (2002), the Supreme Court decided that an execution of a \u201cmentally retarded*\u201d criminal also violates the Eighth Amendment. The Court again used \u201cevolving standards of decency\u201d as one of the bases for its decision.\u00a0 In the 1990s and early 2000s, a number of states passed legislation consistently exempting people with \u201cmental retardation\u201d from the death penalty. Additionally, the Court recognized that capital punishment for persons with \u201cmental retardation\u201d could not be justified based on retributive and deterrence theories. \u00a0<i>Atkins <\/i>granted the States authority to \u201cdevelop[] appropriate ways to enforce the constitutional restriction upon [their] execution of sentences.\u201d Problems with this standard arise when states create their own (debatable) definitions of \u201cmentally retarded.\u201d<\/p>\n<p>On March 3<sup>rd<\/sup>, the Supreme Court heard oral arguments for the case of\u00a0<a href=\"http:\/\/www.scotusblog.com\/case-files\/cases\/freddie-lee-hall-v-florida\/\" target=\"_blank\"><em>Hall v. Florida<\/em><\/a>. Petitioner\u00a0Freddie Lee Hall, an intellectually disabled inmate, currently faces a death sentence in Florida. Hall\u2019s attorneys argue that Florida\u2019s definition of \u201cmentally retarded\u201d violates the standard set forth in <i>Atkins<\/i>. Florida chooses to preclude individuals with an IQ above 70 from qualifying as \u201cmentally retarded.\u201d The State argues that its own definition of \u201cmentally retarded\u201d need not to adhere to a particular medical definition or diagnostic criteria. The State includes a section in its brief entitled \u201cStates Should Not Be Forced to Agree With Authorities That Themselves Cannot Agree.\u201d The brief goes on to detail the minute differences between the guidelines proposed by the American Psychiatric Association and the American Association on Intellectual and Developmental Disabilities (AAIDD), as well as between the American Psychological Association and the World Health Organization (WHO).<\/p>\n<p>In its unnecessary focus on the differences between these organizations\u2019 standards, Florida fails to recognize what they all agree upon: that a clinician must consider a <i>variety<\/i> of factors in the diagnosis of intellectual disabilities. To the extent that the definitions include IQ, <i>none<\/i> of the organizations advocates for a strict IQ cutoff.** <i>Atkins <\/i>gives leeway to Florida to develop its own method of enforcing the constitutional restriction. However, <i>Atkins<\/i> does not allow Florida to invent an arbitrary standard that diverges from clinical norms through a wildly simplistic standard.<\/p>\n<p>Lastly, Hall could also prevail based on another aspect of the case: Florida\u2019s mathematical analysis of IQ tests. The problem with Florida\u2019s categorical cutoff is that it does not allow incorporation of standard error of measurement. By ignoring the <a href=\"http:\/\/eprints.hud.ac.uk\/4283\/1\/stability_of_IQ_\" target=\"_blank\">significant margin of error in IQ tests<\/a>, the State is excluding individuals, like Hall, who score just above 70 on the IQ scale. This glaring omission necessarily makes Florida\u2019s definition of \u201cmental retardation\u201d underinclusive. Such an underinclusive, clinically inaccurate definition carries profoundly disturbing implications for intellectually disabled individuals sentenced to death.<\/p>\n<p>&nbsp;<\/p>\n<p>*Petitioner, respondent, and the Supreme Court Justices in <i>Hall v. Florida<\/i> use the phrase \u201cmentally retarded\u201d in briefs\/oral argument. Note that leading organizations in the mental health field (including the <a href=\"http:\/\/www.dsm5.org\/Documents\/Intellectual%20Disability%20Fact%20Sheet.pdf\" target=\"_blank\">American Psychiatric Association<\/a> and the\u00a0<a href=\"http:\/\/aaidd.org\/intellectual-disability\/definition\/faqs-on-intellectual-disability#.UyNHt1FdVvY\" target=\"_blank\">American Association on Intellectual and Developmental Disabilities<\/a>)\u00a0have adopted the term \u201cintellectual disability.\u201d<\/p>\n<p>** <strong>American Psychiatric Association<\/strong>: After describing the characteristics of intellectual disability, an <a href=\"http:\/\/www.dsm5.org\/Documents\/Intellectual%20Disability%20Fact%20Sheet.pdf\" target=\"_blank\">explanatory report<\/a> based on the DSM-V (diagnostic manual) states \u201c\u2026IQ or similar standardized test scores should still be <i>included <\/i>in an individual\u2019s assessment\u201d (emphasis added).\u00a0The DSM-V determines severity of the intellectual disability <a href=\"http:\/\/www.psych.uic.edu\/docassist\/changes-from-dsm-iv-tr--to-dsm-51.pdf\" target=\"_blank\">based on adaptive functioning<\/a>, not IQ.<\/p>\n<p><strong>AAIDD<\/strong>: The <a href=\"http:\/\/aaidd.org\/intellectual-disability\/definition#.UyC9o1FdVvY\" target=\"_blank\">AAID<\/a> considers IQ \u201c<i>[o]ne <\/i>way to measure intellectual functioning,\u201d in conjunction with adaptive behavior and age of onset (emphasis added).<\/p>\n<p><strong>WHO<\/strong>: In the ICD-10 (International Classification of Diseases), the WHO <a href=\"http:\/\/www.who.int\/mental_health\/media\/en\/69.pdf\" target=\"_blank\">explicitly states<\/a>, \u201c[t]he IQ levels given are provided as a guide and should not be applied rigidly in view of the problems of cross-cultural validity.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Serving a death sentence upon a person with severe intellectual disabilities is a violation of the Eighth Amendment. Several Supreme 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