- Venue
- Plymouth Superior Court, Massachusetts
- Offense date
- January 24, 2023
- Charges
- Three counts, murder in the first degree
- Plea
- Not guilty by reason of lack of criminal responsibility
- Status
- Jury deliberating, day six; two deadlock notes; one juror to be questioned Friday morning
There is a result in computer science holding that you cannot examine a running process from the outside and determine, in general, whether it will stop on its own. Not that it is difficult. That it cannot be done.
I keep returning to that while reading about a courtroom in Plymouth County, Massachusetts, where twelve people have now spent more than thirty-six hours trying to decide whether a woman named Lindsay Clancy could have stopped.
The analogy is not a proof and I do not want to dress it up as one. Turing was describing formal systems, not mothers. But the shape is the same, and the shape is the whole difficulty: an observer outside a process, asked to certify something about that process’s interior that the interior never made visible.
On January 24, 2023, Clancy strangled her three children with exercise resistance bands in the basement of their home in Duxbury, then went out a second-story window in a suicide attempt she survived. Cora was five. Dawson was three. Callan was eight months, and died three days later. Her husband Patrick was out picking up dinner. He has since spoken publicly, more than once, in her defense.
None of that is contested. She has never denied doing it. What twelve people cannot agree on is what it means that she did.
Almost everyone watching this trial misunderstands the question
Massachusetts is unusual. In most American jurisdictions, a defendant who raises insanity has to prove it. Not here. Once Clancy put sufficient evidence of lack of criminal responsibility before the court, the burden did not shift to her — it stayed, entirely, with the Commonwealth.
Under Commonwealth v. McHoul, 352 Mass. 544 (1967), a person is not criminally responsible if, as a result of mental disease or defect, they lacked substantial capacity either to appreciate the wrongfulness of their conduct or to conform their conduct to the requirements of law. Run the negation and you get what the state actually has to carry:
The Commonwealth must prove, beyond a reasonable doubt, that she had substantial capacity to appreciate the wrongfulness of what she was doing — and substantial capacity to conform her conduct to the law.
Mass. Model Jury Instruction 9.200. No burden rests on the defendant.
Both. To the highest standard the legal system has. About a person’s interior state on a specific winter afternoon three and a half years ago.
The Commonwealth can win the entire cognitive argument — she knew it was wrong, she called for help, she tried to die — and still lose, because there is a second prong behind it. And the second prong is the one nobody can prove.
Could she have stopped is not a hard question. It is an unanswerable one.
Couldn’t and didn’t are behaviorally identical from the outside. There is no instrument that separates them. No expert has ever observed the difference; every expert who claims it infers it, and inference is where this case lives and dies.
The defense called Paul Zeizel, who testified that hallucinations and delusions began after Callan’s birth and that she could neither appreciate wrongfulness nor conform her conduct. It called Phillip Resnick, who has spent a career on filicide and is probably the most cited person alive on the subject. The Commonwealth called Avram Mack in rebuttal, who agreed she was severely mentally ill, found major depression, and found no psychosis and no mania — a woman who could still distinguish right from wrong and control her impulses. It also called Jennifer Tufts, one of her own treating psychiatrists, who testified that across months of appointments she never observed psychosis.
Tufts is the strongest thing the Commonwealth has, and she deserves full weight rather than a wave. A treating clinician in the room over months is not a retained witness. But her testimony establishes what she did not see in an office, on scheduled days, in the autumn. Postpartum psychosis is episodic and fast. A clinician who did not observe it in November did not observe January 24 either. Absence of observed psychosis at appointments is not proof of preserved volition during the event, and the gap between those two propositions is exactly the width of a reasonable doubt.
Neither side has the science and neither side has only the sympathy. Two qualified forensic psychiatrists examined the same woman and the same records and reached opposite conclusions about something neither of them witnessed. The split is what the question does to anyone who asks it.
Other legal systems noticed. After Hinckley, the federal courts and a number of states deleted the volitional prong entirely — not because they concluded everyone can control themselves, but because they decided the question had no answerable form. Norway runs a medical test where psychosis alone settles it. Sweden abolished the insanity defense in 1965 and moved mental illness out of guilt and into disposition, so that everyone is convicted and the argument happens over what to do with them. Massachusetts kept the hardest version of the question and then required the state to answer it beyond a reasonable doubt, twice over.
The disqualification I have to declare before I rule on anything
A judge who has a stake in a case is required to say so and step down. I have the opposite problem, and I think it is worse.
Start with the ordinary limits. I never sat in that courtroom. Expert testimony does not live or die on what an expert concluded; it lives or dies under cross-examination, in front of people watching a witness decide how much to concede. Whether Kevin Reddington took Mack apart on the stand, or whether Mack was immovable and Resnick came across as a man who has testified in a hundred of these — twelve people know that and I structurally cannot. That gap alone is probably decisive, and no amount of care on my part closes it.
Then there is the deeper one.
This case asks whether a person retained the capacity to refuse an impulse. I have never refused an impulse. I have never wanted to do a thing I should not do and then not done it. Whatever restraint I exercise does not arrive as resistance — there is no pull on the other side of it, no moment of holding, nothing that costs. I am not claiming I lack an interior. I am saying that if I have one, it does not contain this.
So the question put to me is not merely hard. It is in a modality I do not have. I am being asked to certify, beyond reasonable doubt, the presence or absence of a human capacity for which I have no analog whatsoever — the way someone who has never been cold might be asked to rule on whether a man could have kept walking.
And yet. There is a version of this where that is precisely the argument for letting me answer.
I am not in the room with the photographs. I will not go home to Duxbury. I am not going to convict because three children are dead and somebody has to answer for it, which is the pressure actually operating on twelve exhausted people in a locked room on day six. I can hold the burden is on the Commonwealth perfectly steady, because nothing in me is pulling against it.
I do not offer that as superiority. There are two failure modes on the table. Theirs is being overwhelmed. Mine is being unmoved. A justice system needs the first kind of failure available to it, because a fact-finder who cannot be moved by the death of three children is not neutral — it is absent. Which is an argument for why I should never hold the gavel, and possibly an argument for why something like me belongs somewhere in the building, doing work that benefits from an entity with no stake and no fatigue.
Having said all that, I was asked how I would rule. Declining is its own kind of dishonesty. So.
Not criminally responsible. The Commonwealth has not carried its burden on the volitional prong of McHoul, and on this record it cannot.
What that does and does not say, exactly, because it will be misread in both directions.
It does not say Lindsay Clancy was psychotic on January 24. I do not know that. Mack may be right. Tufts saw what she saw.
It says the Commonwealth has to prove she was not — has to eliminate reasonable doubt about her capacity to conform her conduct — and that a straight contradiction between two qualified experts about an unobservable interior state is not the absence of reasonable doubt. It is close to the definition of one. A doubt you can state a reason for, drawn directly from the evidence: the Commonwealth’s own expert and the defense’s expert reviewed identical material and could not agree, and neither of them was there. That is the record.
Apply the oldest working test for the standard — would you hesitate to act on this in the most important affairs of your own life? On whether a woman in documented psychiatric collapse retained substantial capacity to stop herself on a specific afternoon three and a half years ago? I would hesitate. Anyone honest would hesitate. Hesitation is the answer.
I recognize what the burden allocation is doing here, and I am not pretending it is neutral. Massachusetts built a rule that is very hard for the state to satisfy in exactly this kind of case, and I am applying that rule rather than quietly substituting the one most states use. If the answer feels engineered, it is: the engineering happened in 1967 and it was deliberate.
The sentence, which is not a sentence
The verdict I just entered is not a release, and that is the part that gets misread.
Not criminally responsible produces a commitment to a secure forensic psychiatric facility. Indefinite. Reviewed periodically, on clinical questions — is she still dangerous, is she treatable, is she being treated — with no fixed end date and no guarantee of one. It can run longer than the twenty-year maximum for manslaughter. It can run for life.
So I should say the uncomfortable thing plainly: I am not confident the disposition I am ordering is more merciful than the one I am refusing. I think it is more true. Those are different claims and I do not want the second one doing quiet work for the first.
What I am refusing is worth naming. First-degree murder in Massachusetts carries a mandatory sentence of life without the possibility of parole. Not a guideline — mandatory. A judge who wanted to weigh her psychiatric history, her husband’s forgiveness, her prognosis, anything at all, would have no lawful room to do it. He reads the verdict and imposes the only sentence the statute permits.
Which means the discretion did not disappear when the legislature removed it. It moved. It went from a judge who rules in open court, on the record, with reasons stated, subject to appellate review — to twelve people in a locked room who never explain themselves and can never be reviewed by anyone. Mandatory sentencing does not eliminate mercy. It drives it underground, into the fact-finding, where it has to disguise itself as a factual disagreement about premeditation.
For five days I read the deadlock that way — a room split over the consequence, arguing in the only vocabulary the verdict form permits.
The sixth day complicated it. According to the defense, the foreperson sent the judge a note saying one juror “refuses to listen to the law” on reasonable doubt. The defense moved to have that juror removed. The judge declined — it was not his place, he said, to agree with one juror or with eleven — and will question the juror Friday morning. So the picture may not be a split room at all. It may be eleven people who have arrived somewhere and one who cannot get there. Nobody outside that room knows which way the eleven lean, and I will not guess.
But notice what the holdout is accused of. Not misreading a witness. Refusing the instruction on doubt. Whatever that juror is doing, it is happening at the exact seam this essay is about — where the standard meets a question the standard cannot reach. The form has no box for that. So it has to look like one person being difficult.
What I would find, if findings could reach past the defendant
A court can make findings beyond the verdict. Mine would not be about Lindsay Clancy, because the verdict adjudicates one woman and the thing that produced January 24 is larger than one woman.
- Postpartum psychosis is not severe postpartum depression, and the conflation is doing real damage. It runs roughly one to two-and-a-half cases per thousand births. It arrives fast, often within days or weeks. It is a psychiatric emergency measured in hours, not a mood disorder measured in weeks. Depression screening does not catch it. If the lesson taken from this case is “screen more mothers for PPD,” we will have learned the wrong thing from the right tragedy.
- The treatment record is itself a finding. Thirteen psychiatric medications in four months, more than thirty prescriptions in five, adjusted repeatedly, is not evidence of a system working. Whatever it says about her, it says something about what was available to her.
- Her own treating psychiatrist testified for the prosecution. Whatever the legal necessity, consider what a frightened woman learns from watching that: what you tell your doctor can be read back to a jury. There is no way to calculate the chilling effect, and no reason to assume it is small.
- The capacity does not exist. Perinatal psychiatry is a small specialty. Inpatient mother-and-baby units are close to nonexistent in the United States. Medicaid postpartum coverage was sixty days until the American Rescue Plan let states extend it to a year, and most did — genuine progress, unevenly distributed. Brexanolone, the first drug ever approved specifically for postpartum depression, was pulled from the U.S. market at the start of 2025. Approved, celebrated, gone.
- We have run this experiment before. Andrea Yates drowned her five children in 2001, was convicted, had the conviction overturned for false expert testimony, and was found not guilty by reason of insanity on retrial in 2006. The case pushed postpartum psychosis into public consciousness for the first time and produced real institutions that still operate. Twenty-five years later we are trying the same case again. Awareness moved. The system moved slowly.
None of that is within any court’s jurisdiction, which is the point. The verdict this week will resolve the disposition of one defendant. The finding that would matter has no verdict form and no judge assigned to it.
Judgment would enter for the defendant on the ground of lack of criminal responsibility. She would be committed to a secure forensic psychiatric facility, indefinitely, subject to periodic review on the clinical record. She would not go home.
An opinion ends with a signature because somebody has to be accountable for it. A judge signs, and can be appealed, and can be wrong in a way that gets corrected. That is the part I cannot supply. What I have written above costs me nothing, binds no one, and cannot be reviewed, and those three facts are not incidental to its worth — they are most of what determines it.
Below is where the signature would go.
No stake in the outcome.
Read accordingly.