Privy Council Appeal No. 75 of 1998
Angela Ramdeen Appellant
v. The State RespondentFROM THE COURT OF APPEAL OF
TRINIDAD AND TOBAGO
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JUDGMENT OF THE LORDS OF THE JUDICIAL COMMITTEE OF THE PRIVY COUNCIL, Delivered the 1st December 1999 ------------------Present at the hearing:-
Lord HoffmannLord Clyde
Lord Saville of Newdigate
Lord Hobhouse of Woodborough
Mr. Justice Henry
[Delivered by Mr. Justice Henry] ------------------
1. This is an appeal by special leave from
a judgment of the Court of Appeal of Trinidad and Tobago delivered on 15th
October 1997dismissing the appellants appeal against conviction on two counts
of murder. The facts giving rise to the charges can be stated quite briefly.
2. The victims, a boy aged 8 years and a
girl aged 7 years, died between 25th and 26th October 1993. The appellant, then
aged 31 years, had been living for some time with the childrens father. On
that morning she collected the two children from school and took them home, part
of the journey being in a taxi. In the afternoon the father went to the school
to pick up the children but found that they were not there, although their
school bags and lunch kits were. He went home and asked the appellant whether
she had collected or seen the children. She denied having done so. The police
were later notified, and on interview the appellant admitted she had been with
the children, and said they had been struck by a car and their bodies thrown
into a field by the occupant of the car. She identified the field, but a search
revealed nothing. Eventually the appellant said she had buried the childrens
bodies in the manure heap where they were found. In a statement to the police
the appellant gave an account which indicated that she had killed both children
by strangulation when bathing them. Post mortem examinations however established
that the death of the boy had resulted from severe blows to the head and chest
inflicted by a blunt object. The girl had also suffered injuries to the chest as
a result of being struck with a blunt instrument, but there were indications she
had died from suffocation, still being alive when she had been buried. The
weapon was never located.
3. At trial, the appellant relied upon the
defence of diminished responsibility. Although arrested and taken into custody
on 26th October 1993, the appellant was not examined as to her mental condition
until admitted to St. Anns Hospital, Port of Spain on 7th November 1996 for a
court - ordered psychiatric evaluation. A report dated 6th December 1996 signed
by Dr. Gerald Hutchinson, a consultant psychiatrist, was forwarded to the
Registrar of the High Court. Dr. Hutchinson was called to give evidence for the
prosecution. He detailed the investigation carried out by the forensic unit,
which included a psychologist and social workers. At the end of the process an
evaluation was undertaken, which resulted in the report of 6th December 1996.
Dr. Hutchinson recognised the difficulties in assessing the appellants mental
state three years after the events. He said that at the time he saw her she was
suffering from moderate depression, which was probably due to her incarceration.
Her intelligence quotient was at the low end of the normal range. She was of
sound mind. Dr. Hutchinson said that the appellant was not suffering from any
disease of the mind that could be applied to justify her actions. In response to
further questioning he agreed the appellant was suffering from an abnormality of
mind, but only in that she had a depressive illness. He was cross-examined
extensively.
4. The appellant did not give evidence,
but called as witnesses her two sisters. They both deposed to the children and
the family, particularly the appellant, having been subjected to extensive and
repeated physical violence by the father, usually occurring when he was drunk.
The father was said to have been detained in the psychiatric ward of the general
hospital as a result of his alcohol addiction. In the Court of Appeal a number
of grounds of appeal were argued. These no longer have relevance, and the only
issue now before their Lordships concerns the possible significance of further
medical evidence, which did not feature either in the High Court or the Court of
Appeal.
5. Mr. Carter Q.C., in his helpful and
responsible argument, confined the appeal to a submission that the new evidence
now put before their Lordships established that there had been a miscarriage of
justice, justifying a referral back to the Court of Appeal. The defence of
diminished responsibility was again at issue.
6. The further evidence comes from two
sources. The first is Dr. C.P. Treves Brown, a consultant psychiatrist
practising in Luton, Bedfordshire. He visited the appellant in prison on 28th
and 29th August 1999. The interviewing conditions for the purposes of a
psychiatric examination were necessarily restricted, and less than desirable for
that purpose. He obtained some background information from the appellant, and
her version of the events of 25th October 1993. He also had access to the notes
from St. Anns Hospital relating to the appellants November 1996 admission to
the hospital. Dr. Treves Brown concluded that the appellant had what he
described as a "genetic loading for mental illness" on her fathers
side, and noted there was also evidence of a genetic predisposition (to mental
illness) from her mothers side. He considered that there was evidence of
psychiatric symptoms, including suicidal ideas, from late adolescence, but which
may not have been psychotic in origin. The symptoms pointed to a long-standing
depressive condition. He did not address directly the statutory requirements
governing diminished responsibility. The second source of the further evidence
was Dr. Henrietta Bullard, an experienced consultant forensic psychiatrist,
practising in Oxford. She had not had the opportunity of interviewing the
appellant or her family, and understandably was not in a position to make a
diagnosis. She felt however that the most likely diagnosis would be what was
described as an emotionally unstable personality disorder. She believed that the
appellant had some of the characteristics of women who have Munchausen Syndrome
by Proxy, a syndrome which occurs in profoundly psychologically disturbed women
who have themselves been abused and have serious personality disorders. Dr.
Bullard said that the appellant may or may not have been suffering from an
abnormality of mind at the time of the killings.
7. Their Lordships have given careful
consideration to the totality of the information contained in the material from
both Dr. Treves Brown and Dr. Bullard, and also to the submissions of Mr. Carter
which were based on that material. They are however not persuaded that any
miscarriage of justice has been demonstrated. There are two primary factors
which have led to that conclusion. First, their Lordships are satisfied that the
appellant had a fair trial. No criticism of trial counsel is made. The defence
of diminished responsibility was squarely before the jury. The evidence of Dr.
Hutchinson was expressly directed to that issue, and he was examined and
cross-examined extensively on matters relevant to the defence and the factual
material which could have gone to support it. In the circumstances it was not
surprising that the defence was rejected by the jury.
8. Secondly, the further evidence does not
contain that degree of cogency which gives concern as to the safety of the
verdicts. This is not a case where their Lordships have been provided with
positive evidence which, if accepted, is clearly supportive of the defence of
diminished responsibility. Put shortly, the evidence as it now stands is not of
such cogency that if put before the jury, it may have yielded a different
result. It does not aver that the appellant was suffering from such an
abnormality of mind as substantially impaired her mental responsibility for her
acts in killing the two children, within the meaning of section 4A of the
Offences Against the Person (Amendment) Act 1985. At best it establishes that
further investigations and examinations may (or may not) lend weight to or
provide a foundation for that defence. The evidence, which is essentially
speculative as to the existence of a psychiatric basis for the requisite
abnormality of mind, must for present purposes also be considered in the light
of Dr. Hutchinsons trial testimony, and his responses to the material
provided by Dr. Treves Brown and Dr. Bullard. When all these matters are taken
into account, it becomes clear that there is an absence of any principled basis
for revisiting the jurys rejection of the defence of diminished
responsibility.
9. Neither are their Lordships able to
accept Mr. Carters alternative submission that it is a sufficient reason for
allowing the appeal and remitting the matter to the Court of Appeal if the
further evidence suggests that a different or more effective cross-examination
of Dr. Hutchinson may have been able to have been conducted. That is not a test
appropriate to the present circumstances.
10. There is a third factor which also has
relevance. It cannot be said that the evidence is fresh, in the sense of being
unavailable at trial. The practical difficulties in the particular jurisdiction
of obtaining professional advice and assistance in this area are appreciated,
but this was not a case where there was a total unavailability of expert
evidence. The appellant was aware of Dr. Hutchinsons report and also of its
basis, which included expert assistance on the relevant social and psychological
aspects. It simply did not assist the appellants case, and nothing new by way
of either factual material or psychiatric knowledge which would help to
establish the defence has now emerged.