“…Link & Stueve, 1998), as they are difficult to establish and may depend on specific subgroups (Hodgins, 2000). In approximately 45% of cases (Taylor, 1985 ;Humphreys et al 1992;Junginger et al 1998), the psychotic symptoms per se are judged to have directly elicited violent drives (Martell & Dietz, 1992 ;Junginger, 1996 ;Taylor et al 1998). Thus, some violent offenders with a major mental disorder (MMD) may not have been symptomatically driven (Swanson et al 1999), or even openly psychotic at the time of index crime.…”