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Insanity is a legal term that describes a person’s mental incompetence and moral responsibility. It is a legal concept that helps the court distinguish guilt from innocence. It has no specific medical meaning and there is no “insane” diagnosis in the DSM. It was used in the past to denote severe mental illness.
Legal insanity is informed by psychiatrists who evaluate defendants and then submit written reports to the court. It answers such questions as whether the defendant can: distinguish reality from fantasy, distinguish right from wrong, form intent, conduct his/her affairs, or is subject to uncontrollable impulsive behavior.

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