Explains how the condition affects D must prove the effect by impairing Ds ability to understand nature of conduct/judgement/self-control - Byrne
Firstly - nature of conduct, e.g, automatic state, suffers from delusions, severe learning difficulties, low mental age, lack of understanding
Second - rational judgement, might understand by cannot form a rational judgement such as schizophrenia, paranoid (King), battered women syndrome
Third - ability to exercise self-control, Byrne - sexual psychopath unable to control perverted desires