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Regardless of any diagnosis, Mr. Samenow concluded that dela Rosa’s real problem was not any mental illness, but that she was a hateful person who reacted badly when things went against her.

“There is a lot of hate in this woman,” he said.

Jurors will begin deliberations Thursday. To find Mrs. dela Rosa not guilty by reason of insanity, they must conclude unanimously by a preponderance of the evidence that either Mrs. dela Rosa could not distinguish right from wrong or did not appreciate the nature or consequences of her actions.

If convicted, Mrs. dela Rosa faces up to life in prison.