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A prosecution psychiatrist has directly challenged Lindsay Clancy’s insanity defense, telling jurors that she was criminally responsible when her three children were killed.

Dr. Avram Mack testified that Clancy understood what she was doing and remained capable of controlling her actions. His assessment conflicts sharply with the defense’s claim that she was experiencing postpartum psychosis at the time.

Mack said he found no evidence of psychosis or mania in the records he reviewed and instead believed Clancy was experiencing a major depressive episode. He also described her behavior around the killings as organized and deliberate.

“My opinion is that she retained the capacity required for having criminal responsibility for these actions,” Mack told the jury.

Clancy is charged with three counts of first-degree murder in the deaths of Cora, Dawson and Callan. She acknowledges killing her children but argues that severe mental illness made her legally not responsible.

The contrasting psychiatric opinions could become crucial as the trial moves toward closing arguments.

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Transcript
00:00And then finally, just to go back to the substantial capacity to conform conduct,
00:07you've told us a little bit about that, about the fact that her condition hadn't really changed all that much.
00:16You outlined what she did that day.
00:18But is there anything else to consider based on everything that you reviewed
00:22that would indicate to you that she did maintain the substantial capacity to conform her conduct to the requirements of
00:29the law?
00:34I think that in the household, she was engaging in this activity methodically,
00:45which highlights to me that there was an ability to conform her behavior to expectations of living in a household.
00:53What do you mean methodically?
00:56The, as described, as I understand the deaths, they were done methodically,
01:02and I think you asked me about that earlier, one by one in a way that was organized
01:09and that was intended to achieve a particular goal.
01:15Similarly, her attempt at suicide was organized and thoughtful in a sense that it included as many possible methods as
01:25possible.
01:26And as far as the killings of the children methodically,
01:32did she report to you in any way that she was given direction by this voice on how to complete
01:39the act
01:39and what exactly to do?
01:40No, she did not.
01:43And what about the call with Patrick?
01:47Is there anything about that that indicates that she maintained some control or the ability to control herself
01:53where she did engage in a short conversation with him?
01:56Well, that aligns with what we were talking about before in terms of not,
02:03or in terms of being aware that he would disapprove or disallow this,
02:07and yet she didn't say anything.
02:09She didn't say help or she didn't say I'm having these thoughts, so it wasn't stated.
02:21So, again, as far as your overall evaluation of this defendant, Lindsay Clancy,
02:28regarding the events of January 24, 2023,
02:32what ultimately is your opinion to a degree of medical certainty regarding criminal responsibility?
02:39My opinion is that she retained the capacity that required for having criminal responsibility for these actions.
02:45So, again, let's take a look at the questions.
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