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Rights of mentally ill defendants to make trial decisions for themselves

What is the appropriate tradeoff between the rights of mentally ill defendants to make trial decisions for themselves and the state’s interest in protecting the rights of the mentally ill?
Is it unethical for a doctor to provide medication for a prisoner so that he or she will become competent to become executed?
What are the strengths and weaknesses of various tests and methods of evaluating CST (is one approach better than the other)?
Should there be an insanity defense? Why or why not Should courts and/or legislatures be allowed to abolish mental illness completely as a defense?
How should research on jury decisions in insanity cases affect the standards the courts employ?