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Elderly man with Alzheimer’s says he doesn’t remember killing granddaughter

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In a courtroom in western Japan final month, Susumu Tomizawa, 88, admitted to killing his granddaughter Tomomi, 16, almost two years in the past — however, he mentioned, he does not bear in mind doing it.

Tomizawa has Alzheimer’s, a progressive and irreversible neurological dysfunction that destroys neurons and shrinks areas of the mind. In courtroom, his attorneys argued he shouldn’t be held criminally accountable as a result of his sickness causes dementia, a situation marked by a number of cognitive deficits equivalent to reminiscence loss.

“He was insane on the time on account of dementia and alcohol consumption … and due to this fact pleaded not responsible,” they mentioned.

However the courtroom in Fukui metropolis disagreed.

On Might 31, Tomizawa was to sentenced to four-and-a-half years in jail for homicide.

The case shocked many in Japan — an ageing nation the place the variety of aged dementia sufferers is rising.

The trial, live-streamed from courtroom, was carefully watched and drew sympathy from many who expressed pity for Tomizawa and the household’s lack of Tomomi.

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Stabbed to dying

Tomizawa and Tomomi had been dwelling at his house in Fukui metropolis, the courtroom heard.

On the night time of September 9, 2020, they obtained into an argument that resulted within the teenager’s dying.

Tomizawa recalled consuming closely that night. Upset and intoxicated, he took a 17-centimeter- (almost 7 inches) lengthy kitchen knife and entered Tomomi’s bed room, the place he repeatedly stabbed her within the neck, the courtroom heard final month.

The alarm was raised when Tomizawa referred to as his eldest son, saying he’d discovered Tomomi’s bloodied physique, the courtroom heard. Police arrived on the scene quickly after and arrested the aged man.

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Tomizawa’s psychological state was a serious focus in his trial as medical doctors, attorneys and judges debated whether or not or not he had knowingly killed his granddaughter.

Medical doctors who assessed his situation insisted he had a motive for committing homicide. “His actions have been purposeful and constant together with his intent to kill,” forensic psychiatrist Hiroki Nakagawa advised the courtroom.

Prosecutors mentioned the aged man was in a position to management his actions and “possessed the power to evaluate proper and fallacious,” regardless of his sickness.

In its ruling, the courtroom acknowledged Tomizawa’s Alzheimer’s, however mentioned he had understood the burden of his actions. “After cautious examination and session with the defendant, we [made] a cautious judgment,” decide Yoshinobu Kawamura mentioned.

“The defendant was in a state of psychological exhaustion on the time of the crime and he had nice issue in judging proper or fallacious or in dissuading himself from committing the crime — however he was not in a state the place he was unable to take action.”

Illness of the thoughts

Alzheimer’s is the most typical type of dementia affecting aged individuals, based on consultants.

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“It’s a degenerative mind illness,” mentioned Jason Frizzell, a psychologist who makes a speciality of felony courtroom circumstances. “In nearly all circumstances, there’s a gradual decline in an individual’s skills over time.”

The illness assaults the mind and reminiscence loss turns into worse because it progresses. Signs like paranoia, agitation, confusion and even violent outbursts are prone to happen, mentioned Frizzell, who can also be a professor at Arizona State College.

“In fact not each affected person will [display] the identical set of signs. Situational context can also play a job in aggression — whether or not a affected person feels scared of locations or individuals they don’t acknowledge,” he mentioned.

Jacob Rajesh, a senior forensic psychiatrist on the Guarantees Healthcare facility in Singapore, mentioned in circumstances of quickly progressing Alzheimer’s “will probably be tough to offer an correct account of what truly occurred.”

“There may be additionally the query of health to face trial — is an individual match sufficient to provide proof on the stand and plead responsible or not responsible?” he mentioned.

Crimes involving dementia sufferers are additionally extraordinarily advanced, consultants mentioned.

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“How a lot of their conduct can we fairly clarify via the illness itself versus different motivations equivalent to anger or retribution,” Frizzell mentioned. He additionally highlighted ethical and moral worth judgments.

“How can we successfully or fairly prosecute somebody who could also be absolutely debilitated by their sickness in only a few extra years? Is being compassionate towards a convicted particular person with dementia at odds with the group’s notion of justice?”

‘Prisons filled with aged inmates’

Japan has one of many largest aged populations on the planet. Greater than 20% of its residents are over the age of 65, based on authorities data, and the variety of Japanese centenarians is growing.

Dementia principally impacts the aged and there are believed to be greater than 4.6 million individuals in Japan who’re dwelling with the situation. Consultants say the quantity will rise considerably because the nation continues to quickly age.

Violent crimes dedicated by Japanese dementia sufferers are uncommon however a case much like Tomizawa’s in 2014 noticed a 72-year-old man with dementia strangle an 82-year-old girl to dying in a hospice. He acquired a decreased jail time period of three years on account of his situation.

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“Prisons in Japan are filled with aged inmates affected by dementia,” mentioned Koichi Hamai, a felony justice skilled and regulation professor at Ryukoku College in Kyoto. “The variety of aged prisoners is growing and we have now to take numerous measures to [address it].”

Tomomi had lived along with her grandfather in Fukui, one in all Japan’s least populated prefectures and the place about one in three residents is age over 65, based on authorities figures.

Particulars of their life have been sparse however observers highlighted points like aggression and home violence that Alzheimer’s sufferers and their annoyed caregivers usually confronted.

“Dementia sufferers are identified to behave out in opposition to the individuals taking care of them, those closest to them,” mentioned Rajesh, the forensic psychiatrist.

“Sufferers [like Tomizawa] want lots of monitoring and administration to be at house, and it wasn’t instantly obvious he had any.”

CNN’s Emiko Jozuka and Kathleen Benoza contributed reporting.

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