On Responsibility: Or, the Insanity of Mental Defenses and Punishment

[E]xcept for totally deteriorated, drooling, hopeless psychotics of long standing, and congenital idiots—who seldom commit murder or have the opportunity to commit murder—the great majority and perhaps all murderers know what they are doing, the nature and quality of their act, and the consequences thereof, and they are therefore "legally sane" regardless of the opinion of any psychiatrist. ¹