The document discusses several issues and defences related to criminal law, including insanity and automatism defences. It notes that the burden of proof differs depending on whether the defence or prosecution raises insanity, which may confuse juries. The definition of insanity has also been criticized as outdated and irrelevant. The effectiveness of the verdict of not guilty by reason of insanity is also questioned. Reforms to modernize rules around fitness to plead and legal insanity are needed to make the law consistent with modern psychiatric understanding.