what state had perry been in when he killed mr. clutter according to dr. satten's conclusion?

Perry describes his motivation for the first of the killings. It begins with a rivalrous confrontation with Dick over whether Dick will go through with his promise to “blast hair all over the walls”; this is quickly eclipsed by Perry’s feelings of shame and self-loathing while reflecting on the indignity of the botched robbery and, by association, the indignity of his life as a criminal. He is hardly conscious of slitting Herb Clutter’s throat; the murder comes as a kind of automatic response to the memory of other frustrations and insults he has endured, of which the Clutter household is symbolic

what state?

Did you mean mental state or like state in the Country?

ah sorry read the answer wrong. but yes mental state. thank you for the answer