Image: Jared Lee Loughner
AP
This Jan. 8 photo released by the Pima County Sheriff's Office shows Tucson shooting suspect Jared Lee Loughner.
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updated 9/28/2011 10:22:55 PM ET 2011-09-29T02:22:55

The man accused of wounding an Arizona congresswoman in a deadly shooting rampage that killed six people can eventually be made mentally fit to stand trial, a federal judge ruled Wednesday.

Jared Lee Loughner has pleaded not guilty to 49 charges stemming from the Jan. 8 shooting that also wounded 13, including Rep. Gabrielle Giffords.

U.S. District Judge Larry Burns said Wednesday that "measurable progress has been made" in restoring Loughner to the point where he could assist in his defense. Loughner has been at a prison facility in Missouri the last four months after Burns found him mentally unfit for trial.

Experts have concluded Loughner suffers from schizophrenia, and prosecutors contend Loughner can be made competent with more mental health treatment. But Loughner's attorneys argue prosecutors have failed to prove that it's probable his condition will improve enough.

Loughner listened intently and quietly at Wednesday's hearing. Burns noted the suspect's smirk was gone and that for once he's paying attention to the proceedings.

"There's reason to be optimistic he will recover and be able to assist in his case," he said.

Loughner listened intently and quietly at Wednesday's hearing. He looked thin and pale and was wearing a white T-shirt and khaki-colored prison pants. He had closely cropped hair and sideburns, and his wrists and ankles were shackled.

Earlier Wednesday, a psychologist testified that Loughner has improved to where he understands that he killed people and feels remorse about it, and can be made competent to stand trial within eight months.

Loughner is still delusional but has made strides during the past four months at the Springfield, Missouri, facility, Dr. Christina Pietz said.

Story: Doctors: Ariz. shooting suspect still not competent for trial

When he first arrived at the facility, Loughner was convinced Giffords was dead, even though he was shown a video of the shooting.

"He believed it had been edited" by law enforcement, Pietz said.

Now that the 23-year-old is being forcibly medicated with psychotropic drugs, "he knows that she (Giffords) is alive."

"He is less obsessed with that," Pietz testified. "He understands that he has murdered people. He talks about it. He talks about how remorseful he is."

As Wednesday's hearing dragged on, Loughner swiveled back and forth in his chair at times, and sighed as the talk turned to video surveillance of the shooting and later his delusions. But for the most part, he sat still and expressionless.

It was a stark contrast from Loughner's last court appearance, on May 25, when an angry, loud outburst got him kicked out the courtroom. According to court transcripts, he interrupted that hearing by blurting out: "Thank you for the free kill. She died in front of me. Your cheesiness."

Federal marshals whisked him from the courtroom, and he watched the rest of the hearing on closed-circuit TV from a separate room.

Prison officials have forcibly medicated Loughner with psychotropic drugs after concluding at an administrative hearing that he posed a danger at the prison.

Loughner's lawyers have been seeking to have the judge, rather than the prison, decide whether Loughner should be medicated.

Burns ruled Wednesday that officials could continue medicating Loughner based on the prison's finding that he's a danger to himself. He also said that Loughner's detention could be extended again after the next four months expires in January, but more "measureable progress" would need to be seen.

Loughner's medications include the sedative Lorazepam, the antidepressant Wellbutrin and Risperidone, a drug used for people with schizophrenia, bipolar disorder and severe behavior problems.

Copyright 2011 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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