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What is the difference in evil and mental illness?

Say someone killed someone, how do you know it was mental illness or just evil?
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Carla1951 · 70-79, F
http://www.bing.com/images/search?q=schizophrenia&qpvt=schizophrenia&qpvt=schizophrenia&qpvt=schizophrenia&FORM=IQFRML
Grew up with my Mother like this. I cannot answer your question with my own personal experience, Sometimes I was able to snap her out of her temporary vision. I loved My Mom and felt I was her protector. Later my sister and I have discovered she was sexually abused as a young child.