That's not my logic.

If you have a disease that causes an involuntary action, that removes choice.

I could extend that - the more something slides towards coercion, the less choice there is. Rather than a complete removal, a person's punishment should be evaluated in light of the circumstances in which they act.

>Things like that should only really be a factor in choosing sentencing and rehabilitation.

That's kinda what I'm talking about - a sentence of being known as a scumbag.