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It also covers situations where the D is suffering from delusions and believes, for
example, that he is killing the devil when he is actually killing a person.
It would also cover situations where the D has severe learning difficulties and their
mental age is so low that they would not understand what they were doing.
Even if the D does know the nature of his conduct he may
not be able to form a rational judgement about his acts or
omissions.
There must be a causal link between the abnormality and the killing.
Did the abnormality of mental functioning cause the killing?