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Individuals who offend during dissociative states may not be criminally responsible if they meet the legal standard for insanity, however, insanity pleas based on dissociative symptoms are rare. This review examined Federal appellate case law for potential legal barriers to the insanity defense for dissociative conditions and any restrictions imposed on related expert evidence. Few rulings directly addressed these questions but there do not appear to be any unique barriers for dissociation\u2010related insanity pleas. Some cases provided valuable insights regarding the admission of expert evidence, effective expert testimony, and the role of defense counsel.<\/jats:p>","DOI":"10.1111\/1556-4029.15567","type":"journal-article","created":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T23:54:15Z","timestamp":1718409255000},"page":"1782-1788","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dissociation and the insanity defense: A review of U.S. Federal appellate case law"],"prefix":"10.1111","volume":"69","author":[{"given":"Haseeb","family":"Haroon","sequence":"first","affiliation":[{"name":"Department of Psychiatry Aga Khan University  Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371105600407"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2018.20.3\/rloewenstein"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414527523"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2022.2079796"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2017.17010025"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722001647"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838003259321"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.156.2.321"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/nmd.0b013e318275d285"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0272\u20107358(96)00006\u20102"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/nmd.0b013e3181b3afaa"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2011.537248"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440\u20101614.2005.01700.x"},{"key":"e_1_2_8_16_1","unstructured":"American Jurisprudence 2d Vol. 21. 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