The ongoing trial of Norwegian mass murderer Anders Breivik has raised questions over how psychiatrists and courts, and the public, diagnose insanity. Is it possible to "sanely" kill in cold blood?
According to Dr Jane Anderson, a forensic psychiatrist who specialises in the relationship between the law and medicine, it depends on your point of view and even on the country you're in.
In a blog for the Huffington Post UK, Dr Anderson writes that massacres such as the one committed by Breivik last July, which saw 77 people brutally killed, highlight the complex relationship between mental illness and criminal responsibility:
An understanding of the law on insanity is key to understanding what will take place in court. This is because the court is asked to decide not whether Breivik is mentally ill, but rather whether he is legally insane, which is a different question."
Dr Anderson discusses the complicated criteria for deciding someone's mental state and the strict legal process for ensuring that appropriate justice is done.
"We must remember that in the eyes of the law an insane person is someone who, on account of their mental illness, did not know the meaning of their actions, and should not be liable to punishment," she writes.