Psychologist testifies Lindsay Clancy was not criminally responsible in killing of her 3 children

PLYMOUTH, Mass. (AP) — Lindsay Clancy didn’t appreciate the “wrongfulness” of killing her three children because of her mental health issues, a psychologist testifying for the defense said at her murder trial Wednesday.

The testimony of Paul Zeizel is the strongest evidence yet to support the defense contentions that Clancy should not be held legally responsible for murder because she has bipolar disorder and was in the grip of a rare mental illness called postpartum psychosis when she killed her three children before trying to kill herself. Zeizel began seeing Clancy as a patient at a hospital after the deaths.

“She was unable to conform her behavior to the rule of law. She had no appreciation for the wrongfulness of her act,” Zeizel said, adding that she had “a mental disease or a defect.”

EDITOR’S NOTE: This story includes discussion of suicide. If you or someone you know needs help, the national suicide and crisis lifeline in the U.S. is available by calling or texting 988.

Clancy, 36, has pleaded not guilty to murder charges in the deaths of Callan, Dawson and Cora Clancy, who ranged from 8 months to 5 years old. Postpartum psychosis is linked to the stress, sleep deprivation and hormonal changes that follow childbirth. Researchers estimate that the condition — which is more serious and less common than postpartum depression — afflicts 1 to 2 per 1,000 women after delivery.

Prosecutors say the former labor and delivery nurse planned the January 2023 killings and contrived to get her husband out of the house by sending him to pick up medicine for one of their children and dinner for the family.

Zeizel, who said he spent more than 35 hours with Clancy over dozens of visits and reviewed her medical records, said she went to a perinatal clinic in December 2022 because she felt her “brain was damaged,” “she should kill herself” and that she “is never going to get any better.” She also showed signs of psychosis, was paranoid and feared that people could hear her thoughts and that she would lose her children.

“She was worried that her children would be removed from her and that she would never see them again,” he said.

But just because she was in a psychotic state, Zeizel said, that didn't mean she couldn't do “everyday tasks of living” like driving and searching the internet, a reference to the fact that the day of the killings she took her daughter to the doctor, played with the children in the snow and searched online for a pharmacy and a restaurant.

“So the fact she is not talking about the unicorns in the corner, she is not slurring her words and she is not unable to walk, to your opinion to a degree of medical certainty, does that mean she is not in a psychotic state?” Clancy's attorney Kevin Reddington asked.

Zeizel responded: “It does not.”

On cross-examination, prosecutors pointed out mistakes Zeizel made in his report about Clancy and questioned whether he could be objective about her diagnosis when he was seeing her as a patient and working with the defense including appearing with Reddington at a news conference.

Zeizel acknowledged that there was nothing in Clancy's medical records in which she reports hearing voices telling her to kill herself, only that she told her caregivers that “she wanted to die.”

Prosecutors have questioned the seriousness of Clancy’s suicide attempt. After strangling her children, Clancy jumped from a second-story window and remains paralyzed from the waist down.

Prosecutor Shanan Buckingham also read from daily reports from Tewksbury Hospital, the state psychiatric hospital where Clancy stays, that included the anniversary of the killings and what would have been her children's birthdays. Those reports mentioned her parents sometimes visiting or her talking with other patients. But they never mentioned anything she did to remember her children.

Reddington asked Zeizel if he saw anything in the record from the hospital about her “laughing, and partying and having a good time” while in the hospital.

“Lindsay Clancy has bad days and worse days,” Zeizel said.

Zeizel also said Clancy often talks about her children, aiming to dispel prosecutors' contention that she never mentions them. “She really loves them and misses them and thinks of them every single day, almost every moment of the day,” Zeizel said.

If convicted of murder, Clancy faces life in prison without parole. If found not guilty because of a lack of criminal responsibility, she would be committed to a state mental health facility.

Emily Thorndike, a TikTok user and licensed clinical social worker who used to work at McLean Hospital, is questioned by defense attorney Kevin Reddington as she testifies before the judge only during Lindsay Clancy's murder trial Wednesday, Aug. 19, 2026, in Plymouth, Mass. (Amanda Sabga/The Boston Herald via AP, Pool)

Attorney Kevin Reddington works on his computer as prosecutors cross examine psychologist Dr. Paul Zeizel during Lindsay Clancy's murder trial Wednesday, Aug. 19, 2026, in Plymouth, Mass. (Amanda Sabga/The Boston Herald via AP, Pool)

Paula Musgrove, mother of Lindsay Clancy, looks on during Clancy's murder trial Wednesday, Aug. 19, 2026, in Plymouth, Mass. (Amanda Sabga/The Boston Herald via AP, Pool)

Psychologist Paul Zeizel answers questions during Lindsay Clancy's murder trial Wednesday, Aug. 19, 2026, in Plymouth, Mass. (Amanda Sabga/The Boston Herald via AP, Pool)

Lindsay Clancy listens during her murder trial Wednesday, Aug. 19, 2026, in Plymouth, Mass. (Amanda Sabga/The Boston Herald via AP, Pool)

JERUSALEM (AP) — Israel’s military on Wednesday announced its first criminal investigations into troop conduct in Gaza, focusing on the killings of 5-year-old Hind Rajab and her family and of 15 Palestinian paramedics.

The military said it would not probe three other attacks that killed aid workers from World Central Kitchen and Doctors Without Borders. It said it had completed reviews of 150 incidents of troop conduct in Gaza and made decisions on the five cases.

Chef José Andrés, founder of U.S.-based World Central Kitchen, condemned the decision on X as “wrong and painful.”

The investigations involve killings that drew a heavy international outcry. Hind was trapped in a vehicle with her slain relatives, pleading for help by phone before she too was killed in February 2024. After the shooting of the 15 medics in March 2025, troops bulldozed their bodies into a mass grave.

Israel’s campaign in Gaza has killed more than 73,000 people, including tens of thousands of women and children, according to the territory’s Health Ministry. Rights groups and U.N. commissions have said the campaign amounts to genocide and that Israeli forces have committed a litany of war crimes, including indiscriminate use of force and deliberate killings of civilians.

Israel denies accusations of genocide and war crimes and says it is targeting Hamas after its October 2023 attack on southern Israel. It blames civilian deaths on Hamas because the militant group operates in populated areas in the tiny, overcrowded strip.

Israeli officials contend the country's justice system can address any violations by its troops, but rights groups say soldiers are almost never held accountable.

Wednesday's statement did not mention many other high-profile killings that Israel has pledged to investigate, such as its strikes on a hospital in southern Gaza that killed five journalists in August 2025, including Mariam Dagga, a visual journalist who freelanced for The Associated Press and other news organizations.

Hind's grandmother, also named Hind Rajab, told the AP by phone that the Israeli investigation into her killing is not enough.

“An international investigation is required to uncover the truth and hold all those responsible accountable,” she said. “We call for justice, not only for Hind, but for all Gaza children.”

The military in Wednesday's statement admitted to firing at the car carrying the 5-year-old, four of her cousins and her aunt and uncle as they fled an Israeli invasion of Gaza City.

As gunfire sprayed around them, the girl's cousin, 15-year-old Layan Hamada, called the Palestinian Red Crescent paramedic center, telling staff there her family had been killed. Seconds later, more gunshots were heard, and Layan’s screaming stopped, according to the Red Crescent recording of the call.

Palestinian paramedics dispatched an ambulance to rescue Hind and stayed on the line with her until contact was lost. Hind, her five relatives and two medics from the ambulance were found dead 12 days later.

The military admitted Wednesday that troops had fired toward that ambulance, killing the two medics.

Dyab Abou Jahjah, director of the Belgium-based Hind Rajab foundation, told Al-Jazeera he considered the military investigations a “charade meant to whitewash the culprits instead of convicting them.”

The Palestinian Red Crescent also insists on an international investigation, according to Raed al-Nims, a spokesman for the organization in Gaza. “Israeli measures are not enough,” he told the AP.

A movie docudrama about Hind's death, “The Voice of Hind Rajab,” won international awards and was nominated for an Oscar.

In the killing of the paramedics, Israeli troops fired on an ambulance driving to retrieve casualties from an Israeli offensive in the southern city of Rafah, then fired on other emergency vehicles that came looking for the first one, according to phone footage and the sole survivor of the shootings. Fifteen medics and emergency responders from the Red Crescent and Gaza's Civil Defense were killed.

Troops then bulldozed over the bodies and vehicles, burying them in a mass grave. U.N. and rescue workers were only able to reach the site a week later to dig out the bodies.

The Israeli military initially said it opened fire because the vehicles were “advancing suspiciously” on troops without headlights or emergency signals. But it backtracked after the footage emerged, showing the teams driving slowly with their emergency lights flashing and logos visible. A deputy commander was directed to step down over the killings.

“We are not obligated to prove the truth because it is already proven to the whole world,” Eid Azizi, a Palestinian Red Crescent spokesperson, told the AP in a phone call. “We shouldn’t have reached this point if they respected and followed international humanitarian law.”

The military said it had decided against a criminal investigation into April 2024 airstrikes that hit a convoy of World Central Kitchen vehicles, killing seven staffers.

The aid group, which distributes food in Gaza, said at the time it had coordinated with the military over the convoy's movement. The vehicles, which had the group’s logo on their roofs visible from the air, were left incinerated and mangled.

Wednesday's military statement said individuals in the vehicles were mistakenly identified as armed Hamas operatives. But it concluded that the commanders' decisions "did not raise reasonable suspicion of criminal misconduct.” At the time, two officers were removed from their positions and three others reprimanded.

World Central Kitchen responded in a statement saying the military’s account of the strike was untrue, “conflates different timelines and events, muddies the story and shifts the blame.” It called for an independent investigation.

The military also decided not to take criminal action over the killings of four staffers from Doctors Without Borders in two separate instances in November 2023 and February 2024.

Military investigators will now take up the probes and present their findings to military prosecutors. The military advocate general can then decide to keep investigating, indict any soldiers involved or decline to charge them.

Any action will take a long time, if it comes at all, said Tal Steiner, head of the Israeli rights group HaMoked.

Indictments are very uncommon and convictions even more so, she said, recalling only one soldier who had spent time behind bars since Oct. 7, 2023, for alleged abuse of Palestinian prisoners. That soldier was imprisoned for seven months under a June 2025 plea bargain.

“It’s very rare that soldiers accused of harming Palestinians even go to court ... and even rarer that they get a severe punishment,” Steiner said.

Just 0.17% of all military investigations launched during three Gaza operations from 2014 to 2022 led to prosecution, according to an analysis by Israeli rights group Yesh Din.

The war began on Oct. 7, 2023, when Hamas-led militants killed 1,200 people, mostly civilians, in southern Israel and abducted 251 others.

Israeli strikes have continued in Gaza since a ceasefire deal came into effect in October, killing at least 1,270 people, according to the Health Ministry.

Magdy reported from Cairo. Associated Press writer Erin Cunningham in Jerusalem contributed to this report.

Hind Rajab poses in Gaza City, Wednesday, Aug. 19, 2026, with a photo of her granddaughter, Hind Rajab, a 5-year-old Palestinian girl who was killed alongside her family in Gaza in February 2024. (AP Photo/Jehad Alshrafi)

FILE.- Mourners gather around the bodies of 8 Red Crescent emergency responders, recovered in Rafah a week after an Israeli attack, as they are transported for burial from a hospital in Deir al-Balah, Gaza Strip, on Monday, March 31, 2025. (AP Photo/Abdel Kareem Hana,File)