Ineptitude: n. competence decreased and/or absent because of negligence and/or mental impairment caused by (absence of sleep and/or use of mind altering drugs) and/or impulsive mistakes
Ineptitude and incompetence mean the same thing in the dictionary so I have redefined ineptitude to mean incompetence under the influence of bad behavior in a normally competent human.
If you are a doctor who removes a spleen instead of a kidney you may try to blame it on an assistant nurse but ultimately you are to blame for your ineptitude which may be caused by your negligence, impulsive mistake, and/or mental impairment from the absence of sleep and/or drug use.
A competent professional may be inept some of the time but not all the time.
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