3. The abnormality Substantially impaired D’s ability to do at least one of these three:
⁃ Understand the nature of their conduct
⁃ Form a rational judgment
R v Llyod: ‘substantial’ - means more than trivial or minimal (not total )-> plays a significant role in affecting their actions and decision-makings, judgment is noticeably affected by their mental state, (jury to decide) R v Golds: issue was if d was in a psychotic state at the time of the killing and was ‘substantial’ (if the defendant's psychotic state was significant enough to impact their actions)