Ian Brady has occasionally been visible on the video link to Manchester, busily writing notes and occasionally asking questions of his solicitor.
He appears to be taking a keen interest in proceedings, and seems very energetic and focussed for a man who has reportedly not taken solid food since 1999.
Dr Grounds conceded that Brady was aloof, disinterested in others and formed no close relationships. But he claims he has "not seen the typical deterioration seen in schizophrenia".
He also concedes the possibility Brady was lying when he claimed he had been "simulating" the symptoms of mental illness.
There has also been debate as to whether or not Brady's shouting at the televison should be regarded as "abnormal behaviour".
More top news
The founder of an academy and two former staff members have been jailed for defrauding the Department for Education of thousands of pounds.
Pino Pagliara told ITV News a lucrative salary meant he told undercover reporters posing as football investors "what they wanted to hear".
She was best known for playing Ethel Meaker in the children's show Rentaghost and Grandma on stage in Billy Elliot the musical.