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Mental Illness and Political Violence: Reckless Rhetoric, Weapons, and the Media

By Allen Francis, MD | January 18, 2011

The recent mass murders in Arizona are the latest in our country's epidemic of horrible, hate inspired crimes. The 24/7 media punditry and political spinning has been disappointingly off point in a way suggesting that once again we will learn nothing from our mistakes and that such tragedies will continue to recur with distressing frequency. Three possibly interacting causal theories have been offered:
1.The killer is severely mentally ill and acted on a variety of delusional beliefs that converge on the notion that the government exerts a malign influence on him and on our country. His potential for violence was accentuated by drug use.
2.He was also responding, at least in part, to the vitriolic, violent and inciting discourse and conspiracy theorizing that has become increasingly acceptable on talk radio and the internet.
3. The tragedy was facilitated by the killer's easy access to automatic, assault weapons that can kill promiscuously and rapidly.   

Talk show hosts and apologists for the aggressive political discourse have jumped on the first hypothesis ("the killer was an isolated and unpredictable crazy man, who is really apolitical") and the airwaves and print have been filled with psychiatric testimony linking mental illness and violence. Much of what has been said in this regard badly misses the point and diverts attention from correctable problems that cry out for correction.

While it is never wise to diagnose at a distance, it seems a fairly safe bet that the murderer in this case does have a severe mental illness and has also  abused drugs. Indeed, both are definite risk factors for violence-- but it must also be strongly emphasized that violence is an issue for only a tiny fraction of those with severe mental illness and the mentally ill are responsible for only a tiny fraction of violent crime.

This brings us to the  real question that must be addressed. Why is it that ours is the one developed country experiencing this epidemic of repeated mass murders? To blame this episode (and its many similar predecessors) solely on the mental illness of the perpetrator ignores the fact that the rates of schizophrenia and drug use are similar across the developed world. If our people are not sicker than people elsewhere, what is it about our society that makes it more likely to provoke such tragedies?

The most obvious answer is that we are armed to the teeth-- too often with rapid-fire assault weapons that can promiscuously and within seconds kill dozens of innocent victims. Reasonable people can certainly disagree about the general right to bear arms, but it seems clearly absurd to allow the sale of such automatic weapons and condone their current easy availability even for those with severe mental illness. Since there is no way to legislate mental illness out of existence, we must focus on what we can control. We need a more rational policy regulating who can have guns and what kinds of guns are acceptable.

Then there is the increasing violence of political attacks. Free speech has too often deteriorated into violent and inflammatory speech-- just the kind most likely to incite and enable those made vulnerable by the poor judgment and impulsivity that occasionally accompany mental illness. Reckless political discourse is equivalent to lighting a flame to kindling. It is irresponsible for those who provide the spark then to blithely disavow the flame. All responsible leaders must disavow the cheap-shots, the demonization of opponents, the smears, the violent denunciations,and the outright threats.


A safe society must be a civil society.

Marking opponents with a gun scope and other similar acts of political theater can unwittingly become an incitement. Reckless speech is especially risky for those who are vulnerable to suggestion because mental illness renders them liable to take literally what may have been meant figuratively. Public figures must accept that the mentally ill inevitably form part of their audience and may possibly enact their provocative statements.

The media and the internet also have much to answer for. The 24/7 lurid coverage of violence inadvertently promotes imitation. Even more culpable is the conscious selection as media stars of the most reckless voices- promoting a degradation of civility and the encouragement of verbal abuse which can increase the risk of physical violence. Media ratings have obviously been given priority over our national safety.

So let's not take the easy way and again simply blame the mental illness in the individual-- without trying to correct the societal context which promotes its most tragic expression. Other countries have people just as crazy as ours, but they are much less likely to experience repeated mass murders. The carnage will continue unless we find our way toward a reasonable compromise on gun control, a more measured political discourse, and a responsible media.

 

 

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by Ronald Pies | April 01, 2011 11:14 PM EDT

 

Those readers interested in following up on my comments to Dr. Robertson are referred to the Op-Ed below.

http://pn.psychiatryonline.org/content/46/7/6.1.full?sid=99b315be-88af-4579-a84e-591e0bd0d0f6

Best regards, Ron Pies MD

by Daphne Huffman | February 18, 2011 10:52 AM EST

Does everything have to be evidence based these days before we consider its merit? Does it not make sense that if someone with anger issues listens enough to the mean spirited, vitriolic talk of some of the pundits out there, he or she might find the drive to do the unthinkable?

DS

by Daphne Huffman | February 18, 2011 10:49 AM EST

Mr. Smith, does everything have to be evidence based these days before we consider its merit? Does it not make sense that if someone with anger issues listens enough to the mean spirited, vitriolic talk of some of the pundits out there, he or she might find the drive to do the unthinkable?

by Robert J. Morris | February 08, 2011 4:06 PM EST

Please provide evidence that "reckless rhetoric"contributed in any way to the shootings. Until the accused shooter can be interviewed in depth by a forensic psychologist or psychiatrist, any statement that "reckless rhetoric" played a role in his motivation is pure speculation.

Bob Morris MD

by Cynthia Cheney | February 03, 2011 4:01 PM EST

Would someone be kind enough to post links supporting the assertion that "rates of schizophrenia and drug use are similar across the developed world."(quoted from original article above) I've read this, in regard to schizophrenia, but never in regard to drug use. It seems that definition of "drug use" would be rather difficult, across cultures. Would it include prescribed drugs that make life tolerable for some, or only illegal drugs? How much "use" qualifies? Even schizophrenia might be hard to pin down, say in cultures where hearing spirit voices is not considered aberration.

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