She's definitely insane. The issue wasn't whether or not she was sane, but whether or not her condition fit into the legal definition of insanity... which requires the defense to prove that the defendent didn't know the difference between right and wrong. I think this is going to spur a lot of debate over whether the definition of legal insanity should be changed... I've already seen a bit of that kind of debate on Court TV.
Still, I think she should serve a life sentence (not death, because I don't believe in the death penalty... far too many innocent people die in our conveyor-belt justice system).
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