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Bringing together previously disparate discussions on criminal responsibility from law, psychology, and philosophy, this book provides a close study of mental incapacity defences, analysing their development through historical cases to the modern era. It maps the shifting boundaries between normality and abnormality as constructed in law, arguing that ‘manifest madness’ – the distinct character of mental incapacity revealed by this interdisciplinary approach – has a broad significance for understanding the criminal law as a whole.