First, I would like to inform you that I currently have COVID-19 and may have to interrupt my presentation a few times to catch my breath. I apologize for that. Without further ado, I will begin my presentation.
In law, extreme intoxication can manifest itself essentially in two ways.
First, sometimes, but rarely, extreme intoxication disrupts the subject's consciousness to the point where the subject is no longer able to act consciously. In this case, the person can move, but is not aware of their actions. In fact, the person is like a robot. This is referred to as extreme intoxication akin to automatism. Substance-induced delirium is an example of extreme intoxication akin to automatism. This is exactly the diagnosis used by the Supreme Court in Brown.
The second manifestation of extreme intoxication occurs when the person is under the influence of delusions or prominent hallucinations as a result of their voluntary drug use. In this case, the person remains physically aware of their actions, but is unable, because of the psychotic episode, to appreciate the nature and quality of their actions, or to know that the actions were wrong. This is called extreme intoxication bordering on insanity.
To understand the distinction between the two types of extreme intoxication, consider the following example. A man takes cocaine and develops delusions of persecution. The man is convinced, because of his delusions, that his neighbour is a member of a criminal organization that wants to kill him. The man, in order to avoid being killed, takes a gun, goes to his neighbour's house and fires at him. Here, the accused is not in a state of automatism. On the contrary, this man is fully aware of his actions, insofar as he knows that he has a gun in his hands, that he has his finger on the trigger and that he is firing in the direction of the victim. Far from being unconscious, this man's act is in direct pursuit of the goal imposed on him by his delusions—that is, to save his life by killing his attacker. Although he is capable of consciously controlling his conduct, the accused is not capable, because of his delusions and psychosis, of knowing that his actions are wrong, hence the presence of extreme intoxication bordering on insanity.
I will now talk about extreme intoxication in medicine.
The presence of psychotic episodes without disturbance of consciousness is a well-known manifestation of drug intoxication. Discussing the symptoms associated with acute intoxication and the importance of considering psychotic episodes without disturbance of consciousness, Dr. Marie-Frédérique Allard, a leading forensic psychiatrist, writes that, as a forensic psychiatrist for many years, she regularly evaluates individuals who severely intoxicated while committing a crime. She also writes that altered consciousness may occur in very specific situations—for example, severe alcohol or benzodiazepine intoxication, delirium, and so on—but this is not the generality.
In Brown, it is a matter of delirium, but these situations are rather rare, indeed.
Dr. Allard writes that, when there is acute intoxication by drugs such as amphetamines and cocaine, which are often linked to behavioural disorders seen in criminal law, the individual's state of consciousness is not altered. On the contrary, psychostimulants have the property of stimulating alertness. These substances also have a high potential to induce psychotic symptoms that may even last well beyond the period of intoxication.
In fact, the first witness pointed this out very well a few minutes ago. Dr. Allard also writes that, when individuals suffer from stimulant-, cannabis-, or other substance-induced psychotic disorder, they generally remain able to control their actions and aware of their behaviours. According to her, the substance-induced loss of contact with reality therefore primarily affects their ability to know that the actions were wrong under the circumstances.
This is what explains all the importance of adding extreme intoxication to the threshold of insanity to that of automatism.
I will now turn to the problem with section 33.1 of the Criminal Code as it is currently written.
By limiting the definition of extreme intoxication to cases akin to automatism, the government is focusing on only one manifestation of extreme intoxication: automatism. It leaves out cases of intoxication that do not affect the accused's ability to consciously control their behaviour, but that prevent them from knowing that their act is wrong.
Unfortunately, I won't have time to make my entire presentation. That's too bad, because I took the time to write it all down and it's extremely important.
In other words, what will happen is that the person who finds himself or herself in a state of extreme intoxication at the threshold of insanity will be able to plead extreme intoxication because section 33.1 only focuses on states of extreme intoxication at the threshold of automatism. From that point on, a decision will be made, and it will definitely go to court. Section 33.1 will suffer exactly the same fate as the previous incarnation.
I have given you a report on this, but I cannot comment. Do what you want based on that.