TUCSON, Ariz. (AP) - The man accused of wounding Rep. Gabrielle Giffords in a deadly shooting rampage has improved to where he understands that he killed people and feels remorse about it, and can be be made competent to stand trial within eight months, a psychologist testified Wednesday in federal court.

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Jared Lee Loughner is still delusional but has made strides during the past four months at a Springfield, Mo., prison facility, Dr. Christina Pietz said.

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."

Pietz's testimony came at a hearing before U.S. District Judge Larry Burns, who must decide whether it's likely Loughner can be made competent to stand trial, and whether to grant prosecutors' request to extend his stay at the Missouri facility by eight months.

Loughner's attorneys argue prosecutors have failed to prove it is probable that Loughner's mental condition can be improved so that he can go to trial.

Testimony was still under way Wednesday evening. Loughner sat with his attorneys and listened quietly. 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.

As the 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.

The judge required Loughner's presence at Wednesday's hearing, even though his lawyers objected and argued traveling would be disruptive for their mentally ill client.

Loughner wanted to attend so he could see his parents, who live in Tucson and were at the hearing. They sat in a back corner of the courtroom, holding hands and whispering to each other.

Loughner has pleaded not guilty to 49 charges stemming from the Jan. 8 shooting that killed six and injured 13, including Giffords.

Several survivors of the shooting spree also were at Wednesday's hearing, including Giffords staffer Pam Simon and Daniel Hernandez, the intern who helped Giffords at the scene. Also in the courtroom was Giffords spokesman Mark Kimble, who stood only a few feet from the congresswoman when she was shot.

Pietz testified Wednesday that Loughner remains on suicide watch but is no longer having auditory hallucinations.

Extending his stay at the Missouri facility by eight months will give him enough time to become mentally fit for trial, she told the judge.