Most courts follow the decision of Frendak v. United States (1979), which allows a defendant to reject pleading insanity if he or she understands the alternative pleas available and the consequences of those pleas.

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Frendak v. United States (1979) established that a defendant may reject the insanity defense if they can demonstrate an understanding of the alternative pleas and the consequences of those pleas, emphasizing the importance of respecting a defendant's autonomy in making legal decisions.

Most Courts Follow the Decision of Frendak V