Public opinion data show that the most prevalent concern expressed reg
arding the insanity defense is that it is a loophole through which wou
ld-be criminals escape punishment for illegal acts. This article exami
nes the extent to which the public's perceptions of the insanity defen
se are consistent with newly collected empirical data. Specifically, i
t compares perceptions of the use, success, and outcomes associated wi
th the insanity defense to data derived from a large-scale study of in
sanity pleas in eight states. The analysis reveals that the public ove
restimates the use and success of an insanity defense and underestimat
es the extent to which insanity acquittees are confined upon acquittal
. The role of selective media reporting in the formation of public per
ceptions is discussed.