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Every criminal can be represented as a poor soul who was misunderstood. But of course we know from experience that accepting this argumentation is NOT harm-reducing whatsoever.

I think a better question is whether we're better off for EVER tolerating a "not guilty by reason of insanity" defense. If someone commits murder because they're insane, perhaps they'd better be treated like a rabid dog.

If "not guilty by reason of insanity" is justifiable, then we should have data to show that insane murderers become beneficial members of society once they gEt ThE tReAtMeNt ThEy NeEd.

And if "not guilty by reason of insanity" is a reliable defense, then there is no longer law...

So I think it comes down to this: If you are not willing to burn witches for civilization, then you do not deserve civilization.