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Due process prohibits the trial of a criminal defendant who, due to mental illness, is unfit to stand trial.1 To be fit, a defendant must have "'sufficient present ability to consult with his lawyer with a reasonable degree of rational understanding-and. . . a rational as well as factual understanding of the proceedings against him.' "2 Antipsychotic drugs3 can be used to improve the cognitive functioning of persons suffering from psychosis, 4 and persons who would otherwise be unfit to stand trial have been held to meet the fitness requirement when treated with antipsychotic drugs.' Although these rulings have worked to the benefit of mentally ill defendants wishing to go to trial under medication,6 they have also

Antipsychotic Drugs and Fitness to Stand Trial: The Right of the Unfit Accused to Refuse Treatment