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"A person has to be able to understand what's happening and be able to participate with his lawyer in his own defense," said Dr. Anthony Lehman, chair of psychiatry at University of Maryland School of Medicine.
The court-ordered psychiatric evaluation concluded that Loughner suffers from delusions and hallucinations -- symptoms of paranoid schizophrenia, an illness that can distort a person's perception of reality.
"In people judged to have this type of psychotic illness, it's really that they have an inability to recognize a shared human reality,"