Laurence is accused of assault and battery of an elderly woman after punching her repeatedly and breaking two bones in her cheek as well as knocking out several of her teeth. laurence informs his attorney that he engaged in this attack because he saw the devil in his victim, and that he still believes she is satan. he is unwilling to cooperate in or contribute to his defense, enter into a plea bargain, or recognize that his delusion was not real. which label would be most appropriate to describe laurence?