Anders Breivik, the right-wing terrorist who murdered 79 people in Norway in 2011, was initially diagnosed as schizophrenic, but a second evaluation declared him sane but suffering from personality disorders:
According to the [first] report, Breivik displayed inappropriate and blunted affect and a severe lack of empathy. He spoke incoherently in neologisms and had acted compulsively based on a universe of bizarre, grandiose and delusional thoughts. Breivik alluded to himself as the future regent of Norway, master of life and death, while calling himself "inordinately loving" and "Europe's most perfect Knight since WWII". He was convinced that he was a warrior in a "low intensity civil war" and had been chosen to save his people. Breivik described plans to carry out further "executions of categories A, B and C traitors" by the thousands, the psychiatrists included, and to organize Norwegians in reservations for the purpose of selective breeding. Breivik believed himself to be the "knight Justiciar grand master" of a Templar organisation. He was deemed to be suicidal and homicidal by the psychiatrists. According to his defence attorney, Breivik initially expressed surprise and felt insulted by the conclusions in the report. He later said "this provides new opportunities".
The outcome of Breivik's first competency evaluation was fiercely debated in Norway by mental health experts, over the court-appointed psychiatrists' opinion and the country's definition of criminal insanity. An extended panel of experts from the Norwegian Board of Forensic Medicine reviewed the submitted report and approved it "with no significant remarks". News in the meantime emerged that the psychiatric medical staff in charge of treating prisoners at Ila Detention and Security Prison did not make any observations that suggested he had either psychosis, depression or was suicidal. According to senior psychiatrist Randi Rosenqvist, who was commissioned by the prison to examine Breivik, he rather appeared to have personality disorders. Counsels representing families and victims filed requests that the court order a second opinion, while the prosecuting authority and Breivik's lawyer initially did not want new experts to be appointed. On 13 January 2012, after much public pressure, the Oslo District Court ordered a second expert panel to evaluate Breivik's mental state. He initially refused to cooperate with new psychiatrists. He later changed his mind and in late February a new period of psychiatric observation, this time using different methods than the first period, was begun.
If the original diagnosis had been upheld by the court, it would have meant that Breivik could not be sentenced to a prison term. The prosecution could instead have requested that he be detained in a psychiatric hospital. Medical advice would then have determined whether or not the courts decided to release him at some later point. If considered a perpetual danger to society, Breivik could have been kept in confinement for life. Shortly after the second period of pre-trial psychiatric observation was begun, the prosecution said it expected Breivik would be declared legally insane. On 10 April 2012, the second psychiatric evaluation was published with the conclusion that Breivik was not psychotic during the attacks and he was not psychotic during their evaluation. Instead, they diagnosed antisocial personality disorder and narcissistic personality disorder. Breivik expressed hope at being declared sane in a letter sent to several Norwegian newspapers shortly before his trial, in which he wrote about the prospect of being sent to a psychiatric ward: "I must admit this is the worst thing that could have happened to me as it is the ultimate humiliation. To send a political activist to a mental hospital is more sadistic and evil than to kill him! It is a fate worse than death."
https://en.wikipedia.org/wiki/Anders_Behring_Breivik#Psychiatric_evaluation
He's in prison now, of course, but he couldn't bear the possibility of begin declared insane because he's a narcissist. He's probably crazier than TFG but not crazy enough for the insanity defense.
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That's what I am talking about right there....
