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Disturbance of Consciousness

Term and Definition of Disturbance of Consciousness

A disturbance of consciousness is a condition in which a person’s normal, clear conscious experience and behavior is temporarily or permanently suspended or restricted. In a legal context, disturbance of consciousness is primarily used in criminal law and civil law, and to some extent in social law and insurance law, to assess accountability, capacity for decision-making, and legal capacity. The term encompasses various forms, including quantitative disturbances such as unconsciousness, as well as qualitative disturbances such as confusion, twilight states, or trance-like states.

Disturbances of consciousness can be triggered by various causes such as illnesses, psychological disorders, substance use (e.g., alcohol, drugs), trauma, or neurobiological processes. They are of paramount importance both medically and legally for evaluations.


Legal Relevance and Classification

Relevance in Criminal Law

In criminal law, disturbance of consciousness plays a crucial role in determining criminal responsibility of a person under §§ 20, 21 StGB (Criminal Code). According to § 20 StGB, a person is not culpable if, “due to a pathological mental disorder, a profound disturbance of consciousness, mental deficiency, or another severe mental abnormality,” they cannot recognize the wrongfulness of an act or cannot act in accordance with this understanding. Acute states of intoxication, for example due to alcohol abuse, also fall under this legal term if they result in a profound disturbance of consciousness.

When assessing whether a disturbance of consciousness leads to lack of criminal responsibility (§ 20 StGB) or whether criminal responsibility is significantly diminished (§ 21 StGB), a concrete examination and weighing must always be carried out in each individual case. The profound disturbance of consciousness must be so severe that the ability to control impulses and exercise self-direction is eliminated or greatly impaired. Typical examples in criminal law include offenses committed during delirium or as a result of intoxication.

Impact on Legal Capacity in Civil Law

In civil law, disturbance of consciousness is particularly relevant in connection with legal capacity (§ 104 No. 2 BGB – German Civil Code) and contesting declarations of intent (§ 105 BGB). Persons who, at the time of making a declaration of intent, are in a pathological mental state excluding free will are legally incapable. Declarations of intent from such persons are void.

Furthermore, § 138 BGB allows contesting legal transactions if free will was excluded due to a disturbance of consciousness, such as through drug use. Determining whether a disturbance of consciousness existed at the time of the act and what effects it had on decision-making is central to the legal assessment of the validity of contracts or other declarations.

Relevance in Family Law

In family law, disturbance of consciousness is relevant in decisions regarding guardianship and custodianship (§ 1896 BGB et seq.). If an adult person is no longer able to manage their affairs entirely or partially due to a disturbance of consciousness, the guardianship court can order the appointment of a guardian. It is also relevant for annulment of marriage proceedings (§ 1314 BGB), as it must be determined whether a profound disturbance of consciousness existed at the time of marriage, making valid consent impossible.


Distinguishing from Other Disorders

Profound disturbance of consciousness versus ‘normal’ impairment of consciousness

Die profound disturbance of consciousness in the legal sense must be distinguished from everyday or less severe impairments of consciousness such as fatigue, distraction, or carelessness. The focus is on disorders that are pathological and significantly impair or eliminate the capacity for autonomous action.

Distinction from Mental Illnesses

Although there are overlaps between disturbances of consciousness and mental illnesses, a clear distinction is necessary. Not every mental disorder results in a legally relevant disturbance of consciousness. What is decisive is the extent to which insight or self-control is impaired in the individual case.


Requirements and Evidence in Legal Proceedings

Medical Assessment

The presence and extent of a disturbance of consciousness are regularly determined by a medical or psychiatric evaluation. In doing so, the causes, course, and effects on ability to control and to understand must be documented. Court-appointed experts base their assessment on clinical examinations, observations, as well as case records, and make an evaluation of how the disorder influences that person’s capacity for action.

Burden of Proof and Duty of Disclosure

In principle, whoever invokes a disturbance of consciousness and derives legal consequences from it must bear the burden of proof. This applies in both criminal and civil proceedings. The requirements for substantiation are high, especially when the claim forms the main basis for an acquittal or the nullity of a legal transaction.


Selected Application Examples

Disturbance of consciousness due to alcohol or drug intoxication

Acute states of intoxication caused by the consumption of alcohol, drugs, or medication can lead to profound disturbance of consciousness. In criminal law, it is the case that self-induced loss of self-control can exclude criminal irresponsibility (§ 20 StGB), but the so-called “intoxication” under § 323a StGB itself constitutes an offense.

Pathological conditions (e.g., delirium, dementia)

In advanced stages of dementia, delirium, or other neurocognitive disorders, those affected may no longer be able to act autonomously. The legal consequences are far-reaching, from the invalidation of declarations of intent to the ordering of guardianship and restrictions under inheritance law.


Relevant Case Law on Disturbance of Consciousness

The judiciary addresses disturbance of consciousness in numerous decisions, particularly with regard to criminal responsibility, legal capacity, and the ordering of guardianship. What is always decisive is the concrete determination of a disturbance existing at the relevant time which excludes free will. The Federal Court of Justice (BGH) and the Higher Regional Courts apply strict criteria regarding the assumption of a legally relevant profound disturbance of consciousness.


Summary and Significance in Law

Disturbance of consciousness is a central legal concept with far-reaching consequences, especially for assessing criminal and legal capacity as well as individual self-responsibility. It can lead to limitations of criminal responsibility, nullity of legal transactions, and the need for legal guardianship. Determining a legally relevant disturbance of consciousness requires careful medical and legal assessment in each individual case and represents one of the most complex intersections between law and medicine.

Frequently Asked Questions

What are the legal consequences of a disturbance of consciousness in criminal law?

A disturbance of consciousness can have significant effects on a person’s criminal liability in criminal law. According to § 20 StGB (Criminal Code), criminal responsibility may be excluded if a person commits an unlawful act while in a state of pathological mental disorder, profound disturbance of consciousness, mental deficiency, or another severe mental abnormality. This means that if a disturbance of consciousness is so profound that the ability to recognize the wrongfulness of the act or act accordingly is lost, the affected person is not criminally responsible and cannot be held criminally liable. However, it is examined in detail whether and to what extent the disturbance of consciousness actually existed. Expert reports and medical evidence may be requested. Situations such as acute intoxication or epileptic seizures may also fall under this category if they significantly impair the person’s ability to understand or control their behavior.

What is the significance of disturbance of consciousness in civil law, e.g., when concluding contracts?

In a civil law context, particularly when concluding contracts, a disturbance of consciousness can impair or exclude legal capacity. According to § 104 BGB (German Civil Code), anyone in a state of pathological mental disorder is legally incapable, provided the condition is not merely temporary. However, even a temporary disturbance may lead to nullity of declarations of intent under § 105 (2) BGB. If a disturbance of consciousness was present at the time of the contract, the declaration of intent is void, as the required awareness and volition were absent. In practice, this is often a subject of dispute and regularly requires a precise medical evaluation of the person’s state at the relevant time.

How are disturbances of consciousness established in court?

The judicial determination of a disturbance of consciousness is usually based on a combination of expert reports, witness testimony, and the examination of medical records. Forensic-psychiatric reports are especially important, as they assess both the condition of the person at the time of the relevant event and its impact on their ability to understand or control their actions. The court is not bound by the expert opinions but takes them into account in its comprehensive assessment. The involvement of experts is particularly common and decisive in criminal proceedings and complex civil cases to clarify the legal significance of the disturbance of consciousness reliably.

Can a disturbance of consciousness be recognized as grounds for excuse?

In criminal law, a disturbance of consciousness can be recognized as grounds for excuse if it excluded or significantly diminished criminal responsibility. This is primarily governed by § 20 and § 21 StGB. If there is a complete lack of criminal responsibility, this leads to acquittal regarding criminal liability. If criminal responsibility is only diminished, the penalty may be mitigated. Similar principles apply in regulatory offense law (e.g., traffic law): if the person was temporarily incapable of acting due to a disturbance of consciousness, they cannot be held liable for a regulatory offense. In all cases, a high standard of substantiation applies, meaning the disturbance of consciousness must be proven beyond doubt.

What claims or rights can third parties assert in the event of a disturbance of consciousness?

If a key person becomes incapable of acting due to a disturbance of consciousness, legal representatives, guardians, or powers of attorney may apply. In civil law, for example, a legal guardian can make declarations of intent or manage assets for the affected person as necessary to protect their interests (§ 1896 et seq. BGB). In family law, the guardianship court may authorize certain measures if a temporary or permanent disturbance of consciousness is present. In medical law, an advance health care directive may also become relevant if a person is no longer able to express their will due to a disturbance of consciousness.

Does a temporary disturbance of consciousness affect testamentary capacity?

Yes, disturbance of consciousness also plays a significant role in inheritance law. Testamentary capacity under § 2229 (4) BGB requires that the testator was free from mental disturbances at the time of making the will that would exclude their ability for free decision-making. If a disturbance of consciousness existed at the time of making the will, it is void. Determining these circumstances is again carried out through medical reports and witness testimony. In case of dispute, it is crucial whether the testator could fully comprehend the significance and implications of their disposition at the time of the declaration.

How do disturbances of consciousness affect liability in road traffic?

Under traffic law, disturbances of consciousness can lead to the inability to safely drive a vehicle (§ 316 StGB). If a person is unfit to drive due to a disturbance of consciousness, they must not operate a vehicle. If an accident still occurs, liability may be excluded if the person entered this state without fault (‘unavoidable loss of consciousness,’ such as sudden fainting). However, the driver has a high duty of care: anyone who drives despite knowing that a disturbance of consciousness (e.g., known epilepsy) is likely acts with gross negligence or even intentionally. In such cases, civil and, if applicable, criminal liability remains, especially towards third parties.

Can insurance companies refuse benefits in case of a disturbance of consciousness?

From an insurance law perspective, disturbances of consciousness are particularly relevant in loss events and in the application for benefits. Many insurance policies – especially accident or life insurance – contain exclusions for disturbances of consciousness that are caused intentionally or by gross negligence. This means that if a disturbance of consciousness is self-induced through alcohol, drug abuse, or violation of medical regulations, the insurer may refuse benefits. If the disturbance of consciousness was, however, unforeseeable and unavoidable, full insurance coverage usually exists. In each individual case, insurers will carefully review the cause and may require medical reports or expert opinions.