The Tsiaras principles regarding the relevance of psychiatric illness to sentencing (moral culpability, general deterrence, specific deterrence, burden of imprisonment) apply to offenders with severe post-traumatic stress disorder from childhood war trauma. General deterrence is not eliminated but operates in a sensibly moderated fashion for such offenders. The burden of imprisonment on a mentally ill offender is a factor warranting considerable weight. Fresh evidence on sentence appeal requires showing that the extent of illness was not known or not fully appreciated at the time of the original sentence.
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