One of the things that scares me about the US criminal justice system is that it relies almost entirely on magical thinking and torture to secure convictions. I don't believe anyone is guilty unless they were literally photographed holding the bloody knife while standing over the body and even then I'll need some convincing to rule out potential mitigating circumstances.
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Yeah, theres some debate over how much was him "getting off" on it and how much would be fueled by the long term delusions, but the situation of being stuck with delusions of your blood turning to powder or your heart stopping and having your arteries stolen, for years on end without treatment, is just a complete nightmare to read about. Then to at least get some kind of meds to try and treat it(regardless of how fucked up the side effects in themselves can be) and being released into the care of his parents, just to have the mother wean him off them, absolutely fucked.