By THE ASSOCIATED PRESS
Published: August 27, 2011
Jared L. Loughner, the man accused in the shooting rampage in Tucson, kept himself awake for 50 hours straight after an appeals court stopped his forced medication. He walked in circles until he developed sores and then declined antibiotics to treat an infected foot. Already thin, he stopped eating and shed nine pounds.
U.S. Marshal's Office, via Associated Press
Jared L. Loughner                            
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 Judge Larry Burns of Federal District Court described Mr. Loughner’s  behavior in explaining his refusal to overrule prison doctors who  decided to resume forced medication on July 18. The drugging, he said,  “seems entirely appropriate and reasonable to me.”        
 The ruling came in a pretrial hearing on Friday that offered insight  into Mr. Loughner’s condition at a federal prison in Springfield, Mo.,  where he is on suicide watch. Mr. Loughner’s lawyers had argued that a  court should review whether the forced medication could resume.        
 Christina Pietz, a psychologist who is treating Mr. Loughner, testified  by telephone that he was “less psychotic” than he had been and that she  was now more concerned about depression.        
 She worried that videotaping her sessions with him — as Mr. Loughner’s  lawyers requested — would only exacerbate his ills. She said he turned  “almost defeated” and withdrawn when she broached the idea on Wednesday.         
 “He feels as though he has no control about what’s going on around him, and this is just one more element,” she said.        
 Ms. Pietz said Mr. Loughner sobs uncontrollably at times and steps aside during their meetings to cover his face.        
 Judge Burns reaffirmed his earlier ruling to prohibit the videotaping,  even after Mr. Loughner’s lawyers agreed to limit their request. He said  it would add to Mr. Loughner’s stress and impair the psychological  evaluation.        
 Mr. Loughner has pleaded not guilty to 49 charges in the Jan. 8 shooting  that killed six people and wounded 13 others, including Representative  Gabrielle Giffords of Arizona, at a meet-and-greet event held by the  congresswoman outside a grocery store.        
 Mr. Loughner has been at the Missouri prison since late May after  experts determined that he suffers from schizophrenia. Judge Burns ruled  him mentally unfit to stand trial.        
 He was forcibly medicated from June 21 to July 1 after prison doctors  found that he was a danger to others. The federal Court of Appeals for  the Ninth District halted the medications while it considered an appeal  of Judge Burns’s decision to allow the drugs. The appeals court has  scheduled a hearing in San Francisco on Tuesday.        
 The prison decided to resume the forced medications on July 18 after  doctors found that Mr. Loughner’s condition had significantly worsened  and that he was a danger to himself. Defense lawyers argued that the  prison was violating the district court’s order, but the appeals court  refused to step in.        
 Friday’s hearing was held in San Diego, where Judge Burns is based. He  was appointed to the case after all federal judges in Arizona recused  themselves. John Roll, the chief federal judge for Arizona, was killed  in the shooting.        
