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The Good Work of Texas Loves Children

By Dr. Grace Graham, Psychologist

To improve the lives of abused and neglected children, the non-profit organization Texas Loves Children (TLC) strives to better the legal representation they receive throughout the state and the rest of the nation. To accomplish this, TLC has developed a number of programs, including training programs to educate legal professionals about issues relating to child abuse, a national expansion platform that brings the organization’s model to other states, a website to provide the public with information about abuse, and Improving Outcomes, an initiative providing judges, lawyers, and other legal professionals with a network to inform them of best practices and other information.

TLC is always in need of volunteers and donations. To find out how you can provide support, visit

About Grace Graham: As a psychologist with an extensive background at providing trial support, Dr. Grace Graham is an active participant in Texas Loves Children.


About the Insanity Defense, by Dr. Grace Graham

The determination of one’s criminal responsibility or blameworthiness is a complex and controversial issue. When a crime or “actus reus” (Latin: bad act) has been committed, the assessment of one’s level of criminal responsibility depends largely on the person’s mental state and intention at the time when the criminal act was done. The decision on one’s guilt depends on whether there is evidence that the person accused of the criminal violation had acted with “mens rea” (Latin: guilty mind).

One of the best known approaches to define what insanity means is called the “M’Naghten Test.” The “M’Naghten Test” was drafted by the House of the Lords in Great Britain subsequent to a public outcry after the insanity acquittal of Daniel M’Naghten. Mr. Daniel M’Naghten set out to assassinate the British Prime Minister Robert Peel, but he killed Mr. Peel’s private secretary instead. The M’Naghten test stated: “To establish a defense on the ground of insanity, it must be clearly proved that, at the time of the committing of the act, the party accused was laboring under such a defect of reason, from disease of the mind, as not to know the nature and quality of the act he was doing; or, if he did know it, that he did not know he was doing what was wrong.”

Later, in a D.C. District Court of Appeals case (US v. Brawner, 1972), the Court decided to make the determination of whether the accused is criminally responsible or not based on a Model Penal Code drafted by the American Law Institute (ALI) which tested for insanity by: “A person is not responsible for criminal conduct if at the time of such conduct as a result of mental disease or defect he lacks substantial capacity either to appreciate the criminality [wrongfulness] of his conduct or to conform his conduct to the requirements of the law.” (American Law Institute, 1985, Sec. 4.01)

When there might be reasons to suspect that an accused might have committed a crime without “mens reas” (evil or guilty intent), a defense attorney (or the court) might raise the question of one’s criminal responsibility. Once the accused’s sanity is in question, a “Criminal Responsibility” evaluation is needed. The assessment of one’s criminal responsibility is usually conducted by a forensic psychiatrist or a forensic clinical psychologist.

According to the “Insanity Defense Reform Law,” passed in 1984 after a jury acquitted John Hinckley Jr. of the attempted assassination of Ronald Reagan, the burden of proof that the accused is insane lays on the defense. To qualify for an insanity defense, the defense has to prove to a standard of “Clear and Convincing” (i.e. more than 75% certainty) that the defendant is indeed mentally ill to the point that he “lacks the ability to appreciate the criminality of his conduct.”

For insanity defense, the volitional prong of argument and diminished capacity defense are also dropped. Court-appointed psychologists and psychiatrists might conduct interviews (with the defendant and other pertinent individuals), collect and review collateral evidence (such as letters, medical records, and other documents), and administer forensic assessment and forensic relevant tests to provide their professional opinions on the accused’s criminal responsibility.

About the author:
Dr. Grace Graham is a licensed clinical psychologist and therapist with over 20 years’ experience. She has testified as a forensic witness in several cases.

Psychological Assessment of Child Sexual Abuse

A claim of child sexual abuse is very serious, and one of the allegations sometimes alleged in acrimonious custody battles. Although some of the accusations are true, some of such charges may have resulted from misunderstandings, unintentionally planted false memories, or downright fabrications from the alleged victims or their parents.

Due to the magnitude of the potential outcomes the victims and/or the wrongfully accused might face, clinical psychologists involved in forensic assessment of child sexual abuse allegations must exercise extreme cautions. These clinical psychologists have to be well trained and experienced in interviewing and evaluating children, and to be familiar with the research literature on the assessment of true sexual abuse versus false/implanted memories.

Dr. Grace Graham, psychologist, says, “They are to balance their desire to protect the best interest of the children involved; as well as, to not wrongfully implicate others involved so as not to violate the civil rights of those who might have been wrongfully accused.”

For children who might have been abused, the evaluation process, though uncomfortable to endure, could lead to their protection, healing, and possible vindication, if the assailant is known, captured, and held accountable. However, if the allegations are false, a properly conducted assessment might prevent the wrongfully accused from being erroneously deprived of their civil rights (e.g., ranging from being denied their freedom to parent their children to defamation and jail sentences).

About the Author

Dr. Grace Graham is a licensed psychologist who possesses extensive experience in the clinical assessment of abuse victims.

Dr. Grace Graham on Insanity in the Courtroom (Part 2 of 2)

Dr. Grace Graham of Plano, Texas, continues to answer questions about forensic psychology in the courtroom.

How can a psychologist tell if a defendant is actually insane, as opposed to faking insanity to get a lighter sentence?

Dr. Grace Graham:
Most people have very little knowledge of mental illness. When a defendant tries to fake a mental illness, he often acts like a character from a movie, or invents delusions that might not consistently fit any known pattern of mental illness. Forensic psychologists use a combination of psychological tests, clinical interviews, clinical observation, and reviewing relevant collaborative documents to separate people with actual illnesses from people who are faking. Very few people can keep up an act every moment for days or weeks, and people with actual illnesses often have a long history of acting out or needing social services even prior to committing the criminal offense.

How can we prevent the crimes by people with severe mental illness?

Dr. Grace Graham:
On the one hand, we can’t prevent them. No system is perfect, and people can always slip through the cracks. However, as friends and neighbors, we can be involved. If we see someone caught in a downward spiral, it can be tempting to turn away and dismiss a problem as none of our business. If someone is suffering from severe mental illness, we need to intervene before things get out of hand, even if that means alerting family members or the authorities. The actions we take to prevent mental illness from marginalizing and isolating people can go a long way toward helping stop these sorts of incidents.