paula frendak shot a coworker. after four competency hearings, the defendant was adjudicated competent, although in the opinion of several experts she was likely insane when she committed the crime. however, frendak refused to use the insanity defense as she felt a hospital was worse than any prison. she attempted suicide, went on hunger strikes and refused medication to underscore her protests. however, she was forced by the court to plead insanity. thus, in this case a competent defendant was not allowed to reject the use of the insanity defense.