“…As such, disorders negatively influencing a person's cognitive abilities, such as psychotic disorders or intellectual disabilities, tend to interfere with their ability to proceed to trial. Congruent with this assumption, research suggests psychotic disorder and/or intellectual disability diagnoses are consistently related to both IST (Cooper & Zapf, 2003;Gay, Ragatz, & Vitacco, 2015;Hubbard, Zapf, & Ronan, 2003;Pirelli, Gottdiener, & Zapf, 2011;Sakdalan & Egan, 2014) and a decreased likelihood of competency restoration (Advokat et al, 2012;Colwell & Gianesini, 2011;Morris & DeYoung, 2012;Morris & Parker, 2008;Mossman, 2007). To that end, a meta-analysis by Pirelli et al (2011), which relied on 68 studies conducted between 1967 and 2008, discovered defendants diagnosed with a psychotic disorder were over eight times more likely opined incompetent to stand trial.…”