Kemp case example: not enough blood to the brain, temporary at the time of committing the offense, considered insanity with no risk of reoffending, a momentary lapse
In cases where the individual didn't know the nature or quality of the act, they were in a state where they didn't know what they were doing, like in the Kemp hammer attack case
Johnson case example: the individual didn't know the nature or quality of the act due to suffering delusions and didn't know it was wrong, leading to a successful defense