Lead Opinion
OPINION
This case raises two issues, the first legal and the second evidentiary, involving whether an intentional act exclusion of a homeowner’s liability policy applies to the conduct of an insured who, because of mental illness, may lack the capacity to form the intent to injure. In light of public policy favoring coverage where the injury threatens the general public, we construe the policy language as providing coverage where, because of mental illness, the insured’s act is the product of a failure of the insured’s volitional or cognitive capacities.
I.
On the early morning of December 31, 1982, Stephen B. Kintop stormed into the living room of his ex-girlfriend, Colleen Hughes, smashing through the front door with a pistol in his hand. Standing in Hughes’ living room was Paul R. Peterson, an acquaintance of Kintop’s who was then dating Hughes. Upon seeing the gun brandished by Kintop, Peterson fled through the back door into the street outside. Kintop pursued. Firing as he chased the fleeing Peterson, Kintop shot Peterson several times, wounding him in the hip and head. Collapsing but still conscious, Peterson heard Kintop whimper as he reloaded and approached. Kintop then killed himself.
Incidents of erratic, abusive, and violent behavior characterized the relationship between Kintop and Hughes. In April of 1981, Kintop threatened to kill himself should Hughes end their relationship, showing her a gun as he uttered the threat. A month later, while driving with Hughes, Kintop pulled to the side of the road and punched Hughes in the face several times. Again, while driving with Hughes in June of 1981, Kintop pulled Hughes’ head into his lap and accelerated, claiming he was going to kill them both. When Hughes finally ended the relationship in November of 1982, Kintop tried to rape Hughes and then shoved his head through her bedroom wall. On December 28, 1982, just days before his own death, Kintop again assaulted Hughes. While spending the night in her home as an invited guest, Kintop struck Hughes several times, pulled out her hair, spoke in weird language, and licked her head. The next morning, however, Kintop acted as though nothing unusual had happened.
Although Hughes had begun dating Peterson in November of 1982, Kintop continued seeing Hughes socially, and when Kin-top arrived at the Hughes home around 3:00 a.m. on December 31, 1982, Hughes allowed him inside. Once inside, the two conversed until Hughes received a telephone call from Peterson. Realizing that Peterson was on the phone with Hughes, Kintop attacked Hughes, tearing off her bathrobe as he thrust his finger down her throat to stifle her cries. Kintop then lifted Hughes over his head, threw her to the floor, and fled. A short time later, Kintop called to tell Hughes that she would never see him again. Peterson later arrived at the Hughes home and chatted with one of Hughes’ roommates, until Kintop, with gun in hand, burst through the door into the living room.
Despite severe injuries caused by multiple gunshot wounds, Peterson survived to sue Kintop’s estate for damages. Defense of the suit was tendered to State Farm Fire
1. Coverage L — Personal Liability and Coverage M — Medical Payments to Others do not apply to:
(a) bodily injury or property damage which is expected or , intended by the insured; * * *
After the trial court denied State Farm’s initial motion for summary judgment in August of 1986, the case went to trial before a jury in September of 1988, the sole issue being whether Kintop, at the time of the shooting, lacked the mental capacity to intend to injure Peterson. The jury found in Peterson’s favor, but the trial court later ordered a new trial, reasoning that it had violated Minn.R.Civ.P. 49.01(a) by disclosing to the jury how its special verdict would affect the outcome of the case. When the case was assigned to another judge in July of 1989, State Farm again moved for summary judgment.
Responding to that motion, Peterson submitted the trial testimony of Dr. William Brauer, the psychiatrist who testified at the jury trial. Dr. Brauer opined that Kin-top had, at the time of the shooting, a “deranged mental intellect which did deprive him of the capacity to govern his conduct in accordance with reason.” Counsel for Peterson elicited Dr. Brauer’s opinion through a hypothetical question that detailed the facts of the shooting and Kin-top’s bizarre behavior in the days preceding the shooting. The second trial court rejected Dr. Brauer’s testimony as lacking foundation because Dr. Brauer had never personally examined Kintop and had not complied with American Psychiatric Association standards, which the trial court said prohibited testimony regarding mental capacity of another without direct knowledge of the individual. The second trial court reasoned that intent could be inferred based on Kintop’s actions and his voluntary intoxication. It stated:
The actions of Mr. Kintop were * * * bizarre and certainly qualify as wanton and malicious. He came to his friends [sic] house, pulled a gun, chased the victim several blocks and shot him several times. A trier of fact could not conclude other than that there was an intent to injure the victim.
Because [Kintop] committed an act, an element of which is intent, and because [Kintop] was voluntarily intoxicated at the time of the commission of the act, his act is deemed to have been intentional regardless of his mental capacity to form intent. The assault is therefore within the intentional acts exclusion of the insurance policy.
The issue of [Kintop]’s alleged mental capacity under these facts should not, as a matter of law, have been given to the trier of fact.
The second trial court granted summary judgment for State Farm, and Peterson appealed both that ruling and the previous order for new trial.
On appeal, the court of appeals panel affirmed the order for new trial, but reversed the grant of summary judgment. State Farm Fire & Cas. Co. v. Wicka,
II.
The law and society have always approached a person’s claimed mental illness with a degree of skepticism and disbelief.
The first line of cases holds, as a matter of law, that the intentional act exclusion does not apply if the injury results from an insane act.
By contrast, the opposing, more narrow view, holds that injury caused by a mentally ill insured is intentional where the insured understands the physical nature of the consequences of the acts and intends to cause injury, though being incapable of distinguishing right from wrong.
While instructive, neither of these opposing views adequately describes when or why an insured’s mental illness affects the exclusionary clause. Using words of uncertain meaning and effect, the more liberal view is ill-defined and sweeps too broadly. The rule embraced by the court of appeals suffers from these same shortcomings. Wicka,
Although we reject the formulations advanced under both the liberal and narrow views, we agree that an insured’s mental illness can defeat the application of the intentional act exclusion. The question in need of answer remains, however: When and under what circumstances does an insured’s mental illness defeat the application of the intentional act exclusion? To answer the question presented in this case of first impression, we examine the existing principles of law in this state regarding insurance and the application of intentional act exclusions.
As it applies to sane individuals, the law in Minnesota is well-settled: an intentional act exclusion applies only where the insured acts with the specific intent to cause bodily injury. See Woida v. North Star Mutual Ins. Co.,
It is axiomatic that before an insured can be held liable the insured must have been able to entertain the proscribed intent to cause bodily injury and must have, in fact, done so. See Restatement (Second) of Torts § 895J, comment c (1979); Rajspic v. Nationwide Mut. Ins. Co. (Rajspic I),
Under the criminal presumption of cognitive capacity, the law presumes sanity and places the burden of proving incapacity on the party asserting it. See State v. Bouw-man,
The law rests on a postulate of free will — that all persons of sound mind are presumed capable of conforming their conduct to the requirements of the law, and when any person freely chooses to violate the law or intrude upon another’s rights, that person may justly be held responsible. See People v. Drew,
This court held in Sipple that the submission of the intent issue to the jury was warranted where the facts were in dispute and suggested that the insured acted instinctively in the form of a reflex when the insured struck a farmer during a heated exchange. Sipple,
The law in Minnesota strikes a delicate balance between societal and individual interests when dealing with the rights and responsibilities of the mentally ill. See Minn. Const, art. VII, § 1 (insane or mentally incompetent persons ineligible to vote); Minn.Stat. § 595.02(f) (1990) (person of unsound mind incompetent to testify); Minn.Stat. § 611.026 (1990) (excusing criminal liability where the actor, because of mental illness, did not know the nature of the act or that it was wrong); see also Meils v. Northwestern Bell Telephone Co.,
This rule not only addresses the cognitive and volitional components already existing in the law concerning intentional act exclusions, but the rule also construes the insurance policy in accordance with the reasonable expectations of the insured. Atwater Creamery Co. v. Western Nat’l Mutual Ins. Co.,
[W]e are not inclined to create a situation where the more drunk an insured can prove himself to be, the more likely he will have insurance coverage.
Peterson,
In conclusion, our holding does not imply that this or any court could adequately describe the intellectual process in which the human mind transforms intangible thoughts into concrete action. With cognitive and volitional capacities serving as the essential parts of the intent equation, the rule containing these elements serves only a limited purpose of identifying those persons who, owing to mental incapacity, did not act with the intent excluded under the insurance contract. By drawing on cognitive and volitional aspects already existing in our insurance law, trial courts and juries will be better able to assess when and under what circumstances an insured’s mental illness defeats the application of the intentional act exclusion.
III.
The other issue raised in this appeal concerns the trial court’s rejection of the psychiatric opinion offered in response to the motion for summary judgment. Responding to State Farm’s motion for summary judgment, Peterson submitted the trial testimony of Dr. William Brauer, a psychiatrist, to show genuine issues of material fact existed regarding Kintop’s mental capacity at the time of the shooting. Testifying in response to a hypothetical question based on the shooting and Kintop’s unusual behavior days before, Dr. Brauer opined that at the time of the shooting Kintop had “a deranged mental intellect which did deprive him of the capacity to govern his conduct in accordance with reason.” The second trial court rejected this opinion as lacking foundation, stating:
[I]t is this court’s opinion that there was insufficient foundation for the tender of Dr. Brauer’s opinion. Dr. Brauer did not ever interview Mr. Kintop, nor did he ever treat him for any problem, either physical or mental, nor did he review anymedical records of Mr. Kintop. There was no evidence of Kintop being treated for any psychiatric problems. * * *
Dr. Brauer’s opinion is perhaps best described as “informed speculation”, not the type of certainty courts require of most opinion evidence. It is apparent that the American Psychiatric Association’s standards for rendering an opinion were not met here. The association’s standards set forth that one should not testify regarding anyone’s mental capacity without directly knowing that person. While Rule 703 of the Minn. Rules of Evidence is broad in its application, this appears to be beyond the scope of its intent.
Portraying this ruling as one questioning “whether Dr. Brauer’s opinion would be helpful to the trier of fact because of his lack of personal contact with Kintop,” the court of appeals held the trial court abused its discretion in excluding Dr. Brauer’s testimony on the narrow basis of there having been no personal contact with Kintop. Wicka,
No dispute exists over the accuracy of the facts presented in the hypothetical or whether a non-examining psychiatrist is “qualified” to give expert testimony regarding a deceased’s mental condition. Anderson v. Armour & Co.,
Expert opinion may be based on facts in evidence presented in the form of a hypothetical question. Scott v. Southview Chevrolet Co.,
IV.
Those parts of the decision of the court of appeals regarding application of the intentional act exclusion to acts committed by an insured suffering from mental illness and the foundational basis for the expert opinion are affirmed as modified.
Affirmed as modified.
Notes
. The court of appeals opinion erroneously states that Peterson, not Kintop, was insured under a homeowner’s policy issued by State Farm; however, it is Kintop who is insured under a homeowner’s policy issued to his parents by State Farm. State Farm Fire & Cas. Co. v. Wicka,
. Peterson sought leave to file a late petition for review challenging the court of appeals decision regarding the order for new trial. Notwithstanding this court’s denial of his motion, Peterson addressed the issue in his brief to this court. We will not entertain matters that are not properly before this court.
. Make mad the guilty, and appal the free,
Confound the ignorant, and amaze, indeed, The very faculties of eyes and ears.
Wm. Shakespeare, Hamlet, act 2, scene 2.
. Globe Am. Cas. Co. v. Lyons,
. Colonial Life & Accident Ins. Co. v. Wagner,
. Although cited by neither name nor number, the APA standard referenced by the trial court does allow a psychiatrist to ethically testify regarding another’s mental capacity without a personal examination. It provides:
On occasion psychiatrists are asked for an opinion about an individual who is in the light of public attention, or who has disclosed information about himself/herself through the public media. It is unethical for a psychiatrist to offer a professional opinion unless he/she has conducted an examination and has been granted proper authorization for such a statement.
American Psychiatric Association, Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry § 7(3) at 9 (1989 ed.) (the Goldwater Rule). Developed to protect both unsuspecting public figures and the psychiatric profession from the harms of psychiatric speculation, the standard is limited to public figures and would permit psychiatric testimony in criminal cases about the competency of a defendant without examination or consent. American Psychiatric Association, Opinions of the Ethics Committee of the Principles of Medical Ethics with Annotations Especially Applicable to Psychiatry at 37-38 (1989 ed.). The psychiatric profession is not without a moral rudder when opinions are offered absent a personal examination. Recognizing the delicacy of the situation, the American Academy of Psychiatry and the Law states:
Honesty, objectivity and the adequacy of the clinical evaluation may be called into question when an expert opinion is offered without a personal examination. While there are authorities who would bar an expert opinion in regard to an individual who has not been personally examined, it is the position of the Academy that if, after earnest effort, it is not possible to conduct a personal examination, an opinion may be rendered on the basis of other information. However, under such circumstances, it is the responsibility of the forensic psychiatrist to assure that the statement of his opinion and any reports or testimony based on this opinion clearly indicate that there was no personal examination and that the opinion expressed is thereby limited.
American Academy of Psychiatry and the Law, Ethical Guidelines for the Practice of Forensic Psychiatry IV & commentary (rev. 1989).
Dissenting Opinion
(dissenting).
I respectfully dissent from the court’s formulation of what constitutes an intentional act.
If a sane person takes careful aim at and shoots another person, there is liability for an intentional tort, but, because the act is intended, there is no insurance coverage. Yet if an insane person aims at and shoots his victim, we say there is insurance coverage. But if there is insurance coverage, this means the intentional act exclusion is inapplicable, which means there is no specific intent to injure. But then, where is the tort liability? If there is no intent to injure there is no intentional tort, but neither, unless words are entirely cast loose from their moorings, can it be said that taking careful aim and shooting someone is an act of negligence.
The fact of the matter, it seems to me, is that an insane person does form a specific intent to injure his victim. Consequently, if there is to be insurance coverage, we must be able to say that the insured’s act of shooting his victim is both intended and unintended. But how can the law have it both ways?
We must, I think, distinguish the standard of personal responsibility as it applies in the criminal law, as it applies in civil tort law, and as it is contemplated for liability insurance coverage. Criminal law, with its emphasis on punishment and moral condemnation, stresses the mens rea (the guilty mind). 1 Tort law, with its emphasis on compensating the victim, prefers to hold the insane person to the same standard of personal responsibility as a sane person. The problem for the court, then, in construing the liability insurance policy in an insanity situation, is how to protect the insured from tort liability with its objective standard of personal responsibility, while at the same time respecting the language of the intentional act exclusion which adopts a subjective standard of personal responsibility.
I would use a liberalized version of the M’Naghten test in construing the intentional act exclusion. The majority opinion, however, seems to me to go further. It holds that an act is also unintended “where, because of mental illness or defect, the insured is deprived of the ability to control his conduct regardless of any understanding of the nature of the act or its wrongfulness.” But to tell the jury it' may find a lack of intention where there is an inability to control one’s conduct seems to me a return to an uncontrollable urge or irresistible impulse test. While I do not deny there is a volitional component to human actions, I would not introduce an overt volitional-type test into liability insur-
First of all, a mentally ill person, who knows he is doing wrong but does it anyway because he cannot help it, cannot be said to be committing an “unintentional act,” at least not if words are to be given their ordinary meaning. Put another way, the compulsion to injure, from whatever source it may arise, is not incompatible with the existence of an intent to injure. Hence the failure to resist temptation is ordinarily not considered as an excuse to avoid legal blame.
Secondly, there is no practical way of distinguishing between an uncontrollable and a controllable impulse. Because an impulse has not been resisted does not always mean that it could not have been. The problem is that there is simply no way to draft a jury instruction that can effectively guide a jury. The irresistible impulse test leaves too much to conjecture and unverifiable theorizing, not to mention self-serving excuses, which perhaps is why the test has not gained favor in our criminal law. Furthermore, I do not think a person’s cognitive and noncognitive impairments can be so neatly separated as the irresistible impulse test seems to assume they may be.
Third, I see no need for a volitional-type test. It seems to me that the M’Nagkten test can be construed broadly enough to satisfy the purposes of liability insurance coverage without doing violence to the ordinary meaning of the language of the intentional act exclusion.
M’Naghten excuses criminal culpability if the insane person is incapable of distinguishing between right and wrong even when the person knows the nature of his actions. A mentally ill person, for example, may know he is killing or attempting to kill someone but because of his delusion he thinks he is acting in self-defense or he is unable to understand the nature and consequences of the moral choices presented. See State v. Rawland,
I would instruct a jury somewhat along the following lines in an insurance coverage case: You are to determine whether or not the defendant’s intent to injure was intended within the meaning of the liability insurance policy. A person does not intend his wrongful actions if, because of mental illness or defect, he did not know the nature of what he was doing, or if he did know, he did not know it was wrong. A mentally ill person would not know that what he was doing was wrong if he was laboring under a mental disorder or delusion which rendered him incapable of ordering his thinking to evaluate rationally the matter then before him.
Under this approach, too, there would be a genuine issue of material fact to be resolved in this case, and consequently I agree the case must be remanded for trial. I join in the balance of the court’s opinion.
