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Forensic Medicine · Sexual offences and forensic psychiatry: automatism
Sample itemAfter a complex partial seizure, an epileptic man assaults a bystander without any awareness or later memory. Which medicolegal concept describes an act performed without conscious volition in this way?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Automatism
Automatism is behaviour performed without conscious control or awareness, as after epileptic seizures or in sleepwalking. The act lacks mens rea. In irresistible impulse the person is aware that the act is wrong and cannot restrain himself.
Option by option
A. Compulsion
Compulsion is a repetitive urge that the person is aware of and tries to resist.
B. Malingering
Malingering is feigning for gain, and he has genuine amnesia.
C. Irresistible impulse
Irresistible impulse implies awareness and loss of control, not absence of awareness.
D. Automatism (correct)
Correct. Unconscious, involuntary behaviour after a seizure is automatism.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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