 The judge may not impose the insanity defense upon an unwilling defendant if an intelligent defendant voluntarily wishes to forgo the defense.The court said that a defendant may feel hospital is worse than prison, that the term of incarceration may be longer, that the stigma and legal consequences of a criminal or an insanity defenses are different.Using the U.S. Supreme Court decisions in "North Carolina v. Alford" and "Faretta v. California", the court concluded that 

The court listed several disadvantages to choosing the insanity defense, including