. . .knowing that he is 'disturbed' when not on them; making a conscious decision to not take them; says to me, one should be considered fully responsible for one's own, outcome based decision.
Applies to 'meds'. . .drugs; alcohol and any other impairment, people CHOOSE to operate under.
He was listed as a paranoid schizophrenic. One of the attributes of schizophrenia is stopping medication. Often the patient feels that the pills make them worse and the doctors are in on it. They are paranoid.
Over and over in the news you'll see references to crimes committed by schizophrenics who "stopped taking their meds". It is really common.