I dunno. It seems "personality disorders" are diagnosed by symptoms that could just as easily be explained by an extreme lack of character. Lack of self-control, lack of empathy, lack of humility, those kind of sound like sins to me.
I don’t know either. It could be a combination of both. It’s hard to tell between someone who is driven by sin and someone who truly has a mental disorder. Could you say that a person with dementia acts on their will or the will of the disease? I say it’s a combination of both. In part dropping inhibitions due to the illness itself. Logical thinking skills are clouded and impaired. The will is still there to do harm. And it has to resonate within that person first.
I don’t know the answers. But I do know that people who surrounded this woman should have not allowed her to teach based on the fact she was deemed un-fit to practice medicine as well.