In response to a recommendation by the American Psychiatric Association regarding insanity pleas, current federal practice is MOST like the:

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The current federal practice in the United States regarding insanity pleas most closely aligns with the M'Naghten rule. This rule focuses on whether the defendant was able to understand the nature and quality of the act they were committing or if they were able to understand right from wrong at the time of the offense. This standard was reaffirmed in federal law by the Insanity Defense Reform Act of 1984, following concerns about the broad application of the insanity defense in the wake of the attempted assassination of President Ronald Reagan.

In Response to a Recommendation by the American Psychiatric Association