Frank Spisak suffers from a schizotypal personality disorder and an atypical psychotic disorder.

Frank Spisak did not get a fair trial:

He had insufficient counsel. Justice Stevens wrote that his “counsel’s argument grossly transgressed the bounds of what constitutionally competent counsel would have done in a similar situation….the argument [Spisak’s defense attorney’s closing argument] shares more in common with a prosecutor’s closing than with a criminal defense attorney’s. Indeed, the argument was so outrageous that it would have rightly subjected a prosecutor to charges of misconduct.”The jury was given sufficient instructions during the sentencing stage about the consequences and possibilities of a sentencing other than the death penalty.