Actus Reus-Voluntariness and Causation
R v Lipman (CA 1969)
Facts
The defendant voluntarily consumed LSD and then murdered his friend while under the influence.
Issue
Voluntariness
Judgment
Widgery LJ
For the purposes of ascertaining voluntariness there is no distinction between drugs voluntarily taken and drunkeness voluntarily induced.
It may affect the mens rea but has no effect on the voluntariness of the actus reus
Fenton Atkinson LJ (concurred)
James LJ (concurred)
R v Larsonneur (UK CCA 1933)
Facts
The plaintiff was a French citizen allowed into the UK on the condition that she leave on a certain date.
On that date she went to Ireland from where she was deported back to the UK.
Issue
Voluntariness – State of Affairs
Judgment
Lord Chief Justice
The statute requires only that a state of affairs exist (the alien being present in breach of the conditions of her being allowed to land) and if they exist then the crime has been committed.
Avory J (concurred)
Humphreys J (concurred)
R v White (KB 1910)
Facts
The accused's mother had been found dead with a drink laced with cyanide beside her.
The accused was shown to have purchased cyanide shortly before this happened but the medical evidence showed that cyanide had not been the cause of death.
Issue
Causation
Judgment (Bray J)
The actus reus did not cause death, hence the crime is attempted murder.
R v Jordan (UK CCA 1956)
Facts
The accused stabbed a man in a brawl and the victim was subjected to palpably wrong medical treatment (administered drugs to which he was allergic and abnormal quantities of intravenous liquid) and died.
By the time the medical treatment was undertaken, the stab wound was mainly healed and drugs were administered not to treat it but to prevent infection.
Issue
Causation – Poor medical treatment
Judgment (Hallett J)
The symptoms which were the direct and immediate cause of death arose not out of the stabbing but out of the medical treatment.
Thus the death had not been caused by the actions of the accused.
R v Smith (CMAC 1959)
Facts
The accused stabbed a man during a fight.
The victim had been dropped twice on the way to the hospital, and due to lack of time and other factors the doctors gave the wrong treatment, resulting in the victim's death.
Issue
Causation – Poor medical treatment
Judgment (Lord Parker)
If at the time of death, the original wound is an operating and substantial cause, then the death can be said to be caused by the wound.
It is only where it can be said that the original wound is merely the setting in which another cause operates can it be said that the death is not caused by the wound i.e. only if the second cause is so overwhelming as to make the original wound merely part of the history, can it be said that the death does not flow from the wound.
R v Jordan distinguished
Turns on its own facts – death was caused by the administration of the wrong drug and the stab wound had already healed.
R v Blaue (CA 1975)
Facts
The accused stabbed a Jehovah's Witness.
The victim refused a blood transplant, which would have saved her life.
Issue
Causation – Refusal of medical treatment
Judgment
Lawton LJ
The cause of death was not the decision of the victim but the stabbing.
The assailant must take their victim as they find them – this includes not only any physical predispositions, but also their mental and spiritual ones.
Behaviour motivated by religious beliefs can not be impugned by the accused as unreasonable.
Thompson LJ (concurred)
Shaw LJ (concurred)
R v Cheshire (CA 1991)
Facts
The accused shot his victim in the leg and stomach.
While being treated in hospital, he developed a respiratory problem and the doctors performed a tracheotomy.
The accused developed chest infections and remained in hospital, during which time he died as a result of a rare but known complication arising out of the tracheotomy.
Issue
Causation – Complications arising out of medical treatment
Judgment (Beldam J)
When the victim of a criminal attack is treated for injuries by medical staff, it is only in the most extraordinary and unusual case that such treatment can be said to be so independent of the acts of the accused that it could be regarded in law as the cause of the victim's death to the exclusion of other acts.
The judge should direct a jury that the act must be found to have caused the accused's death where it contributed significantly to the death.
Even where medical treatment is the immediate cause of death, it should not be regarded as excluding the the responsibility of the accused unless the treatment was so independent of his acts and in itself so potent in causing death, that it renders the contribution of the accused insignificant.
R v Kennedy (HoL 2007)
Facts
The accused had prepared a syringe full of heroin for the deceased at the deceased's request.
He was convicted of manslaughter.
Issue
Causation – Intervening act of a third party
Judgment
The criminal law assumes that individuals are autonomous actors.
The question of causation differs depending on the context and the objectives of the law under consideration – the criteria in Empress Car, a pollution case, do not apply.
Thus, as the deceased freely and voluntarily injected the heroin, the accused could not be guilty of manslaughter.
McCauley&McDermott, Criminal Liability, Intervening Acts
Two approaches to ascertaining a novus actus interveniens:
An act that is 'free, deliberate and informed' that contributes to the result OR
A contributing factor that is something other than the natural consequence of the original act
e.g. an unreasonable effort at self preservation
The desire to see those whose wrong-doing causes harm punished, often determines which approach is used.
Only in exceptional circumstances will subsequent medical treatment be found to break the chain of causation i.e. where the original act ceases to be a “substantial and operating cause” of the result.
The operation of the ordinary forces of nature has been found not to break the chain of causation
e.g. leaving someone unconscious on the beach as the tide comes in
Contribution of the victim to his own injuries, in the form of self-preservation or defence, will not interrupt the causal link unless it is 'unreasonable, an overreaction or 'daft'
Refusal of medical treatment tends not to be held as a novus actus interveniens
Such decisions to not fit well with the voluntary act approach, as they are usually 'free, deliberate and informed'
A suicide may occasionally not constitute a novus actus interveniens
Norrie, A Critique of Criminal Causation
A Critical Approach to Criminal Law
The criminal law fails to take account of the social context and nature of crime, thus creating intellectual problems as it attempts to establish causation and fix liability to a single individual.
The best approach is not to use legal concepts but to import policy grounds.
Causation in the Criminal Law: The Hart and Honore Way
Based on the idea that the human actions change the course of events – where an abnormal contingency or voluntary intervention occurs following an individual act, causal responsibility is no longer imputed to the original actor.
What constitutes a normal/abnormal contingency (dependent on socio-political judgments) and voluntariness (dependent on the assessment of people's social lives) are too flexible to be a good foundation for law.
Analysing the Causation Cases
Voluntary Acts
Depending on how one views a case, the causation will appear differently – Fireman in a building with a danger of explosion; foolish or brave?
The perception of reasonable conduct is also open to question – R v Blaue
Abnormal Occurences
In the medical treatment cases there is no consistent individualist analysis R v Smith, R v Cheshire and R v Jordan are not possible to reconcile.
Conclusion
The understanding of criminal causation is hampered by the use by the courts of unstable. legal concepts which are subject to interpretation based on socio-political analysis
Stannard, Criminal Causation and the Careless Doctor
Causation rarely arises because generally the defendant will have to have intended or have been reckless as to whether the consequences would occur.
The three principles of causation are A) the defendant must inflict an injury that is an operative cause of death or B) it was reasonably foreseeable that death would result from his acts and C) the defendant must take his victim as he finds him.
Cheshire involved a reliance on the 'foreseeable result' rather than the 'operational' principle – complications arising from surgery are not outside the bounds of what one would normally expect.
The test in medical negligence is A) was the wound operative? B) If not was the cause of death a foreseeable result? C) If not, was it due to some idiosyncracy in the victim's physiological, moral or psychological makeup?
Actus Reus - Omissions
‘It is not a crime to cause death or bodily injury, even wilfully, by any omission’ (Stephens Digest of Criminal Law, 1887)
Fagan v Metropolitan Police Commissioner (QB 1968)
Facts
The plaintiff accidentally parked a car on the foot of a police officer.
Having realised what he had done, he maliciously refused to move it.
Issue
Omission – Actus Reus
Majority Judgment
An omission can not ground criminal liability.
However, although there was no mens rea at the inception of the...