Can Inhibit Freewill

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After researching classical and neoclassical theories, I find myself siding with the assumption of freewill associated with the classical theory. Although, the neoclassical theory concedes there are factors that can inhibit freewill, I believe people still have a choice, but simply choose what they believe is best for them at the time, giving little care for the consequences. Therefore, I believe people are completely responsible for there actions, even with potentially inhibiting factors. Just look at several of the recent premeditated mass murders being committed by individuals who were later determined to be insane; should they not be held accountable simply because some psychological exam has determined them to be mentally diminished?
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