A recent arti­cle in Mother Jones exam­ines lin­ger­ing ques­tions in the deter­mi­na­tion of which inmates are exempt from exe­cu­tion because of mental incompetency. 

In 1986, the U.S. Supreme Court ruled in Ford v. Wainwright that a per­son could not be exe­cut­ed if he or she was unaware of the pun­ish­ment they’re about to suf­fer and why they are to suf­fer it.” The 2007 rul­ing in Panetti v. Quarterman updat­ed that deci­sion, with Justice Anthony Kennedy writ­ing, A pris­on­er’s aware­ness of the State’s ratio­nale for an exe­cu­tion is not the same as a ratio­nal under­stand­ing of it.” 

Scott Panetti (pic­tured), the inmate involved in the 2007 case, knew that the state of Texas planned to exe­cute him for the mur­der of his in-laws, but also sin­cere­ly believed that he was at the cen­ter of a strug­gle between God and Satan and was being exe­cut­ed to stop him from preach­ing the Gospel. Even after the case with his name was decid­ed, Panetti remained on death row, and the Texas courts found him com­pe­tent to be exe­cut­ed based upon the tes­ti­mo­ny of a sin­gle psy­chi­a­trist who claimed Panetti was fak­ing his men­tal ill­ness. Panetti came with­in hours of exe­cu­tion on December 3, 2014, before the U.S. Court of Appeals for the 5th Circuit issued a stay. 

In Missouri, Cecil Clayton — a brain-dam­aged man with an IQ of 71 — was exe­cut­ed on March 17, 2015 with­out a hear­ing to deter­mine his competency. 

By con­trast, a recent men­tal com­pe­ten­cy hear­ing for Indiana inmate Michael Overstreet includ­ed four days of tes­ti­mo­ny from 13 wit­ness­es and near­ly 1,300 pages of med­ical records. In a 137-page opin­ion, the state judge con­clud­ed, Delusions or oth­er psy­chot­ic symp­toms can­not sim­ply be dis­count­ed because a peti­tion­er has a cog­ni­tive aware­ness of his cir­cum­stances.” Indiana’s Attorney General said that the deci­sion adhered so well to the Panetti rul­ing that there was noth­ing for the state to appeal.

Citation Guide
Sources

S. Mencimer, Executing the Insane Is Against the Law of the Land. So Why Do We Keep Doing It?,” Mother Jones, March/​April 2015.

See Mental Illness and U.S. Supreme Court.