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Psychiatric Times.
 

Who Can Forgive Jared Loughner?

January 24, 2011
Ronald Pies, MD

Is it possible to “forgive” Jared Lee Loughner for what he is alleged to have done? Is it morally justifiable to do so? I was surprised to see these questions already circulating on the internet, even before the dead were laid to rest.1 Aside from the legal issue of “forgiving” someone who has yet to be convicted of a crime, there are serious ethical problems with the notion that anyone other than the survivors of this horrific shooting can “forgive” the assailant. There are also psychological reasons why “forgiveness” is probably too much, too soon, for many of those directly touched by the horrific events in Tucson.

From the theological perspective, there are differing views as to when forgiveness is justified and who is justified in granting forgiveness. Some ethicists and theologians believe that all sins can and should be forgiven. For example, after the horrendous killings of 5 children in an Amish school house in 2006, some Amish community leaders advocated “forgiveness” of the murderer.2 We can admire the Amish for their generosity and compassion, while disagreeing with their concept of forgiveness. Indeed, in the ethics of the Judaic tradition, the Amish community had no right to forgive their children’s murderer. The Rabbis insist that we are prohibited from forgiving on someone else's behalf. As Rabbi Joseph Telushkin has argued, the only one who (in principle) can forgive a murderer is the person murdered—-and since that is impossible, the rest of us cannot act in the victim's stead by conferring “forgiveness” on the murderer.3 Similarly, Rabbi Abraham Joshua Heschel—-commenting on “forgiving” the Nazis for murdering six million Jews—-argued that, “No one can forgive crimes committed against someone else. It is therefore preposterous to assume that any Jew alive can grant forgiveness for the suffering of any one of the six million people who perished...even God Himself can only forgive sins committed against Himself, not against man.” 4
            
 Forgiveness in Psychiatry

A recent review by psychiatrist Prakash Gangdev observed that “All religions practiced in India emphasize the value of forgiveness...” and that forgiveness is emphasized in Buddhist, Christian, Sikh, and Islamic scriptures. In contrast, Gangdev notes,   “…the literature on forgiveness in psychiatry is very sparse”, despite “the benefits of forgiveness as a therapeutic intervention.”5 Perhaps the aim for “scientific objectivity” or a “values-neutral” psychiatry has made some of us a bit reluctant to deal with forgiveness. And yet, in my view, we cannot avoid dealing with such human values--embracing some and not others--in our work with abused or victimized patients.

I am therefore encouraged by the paper by Stein and Kaminer,6 which suggests that psychiatrists are becoming more interested in forgiveness, both from a theoretical and a therapeutic perspective. These authors even posit that “forgiveness in humans may have evolutionary underpinnings” and that “frontal-limbic circuits may mediate processes involved in forgiveness.” Some intriguing but preliminary research by Farrow et al suggests that “…specific regions of the human brain activated by empathy and forgivability judgments changed with symptom resolution in PTSD.”7 From a more practical standpoint, Stein and Kaminer note that, “…a growing database of controlled trials of “forgiveness therapy” has indicated its efficacy in decreasing anger, anxiety, and depression in various clinical contexts. At the same time, forgiveness may not always be appropriate.”

This last point is important for therapists as well as ethicists: each person who has been the victim of violence or trauma is unique, and no single approach to forgiveness will be helpful for everyone. Nobody should be pushed into a premature or feigned state of “forgiveness.” Yet if the patient appears to be moving in the direction of forgiveness, gentle encouragement could prove psychologically beneficial, at least in some cases. 
 

Relinquishing Hatred

There are some crimes so heinous, they may simply be beyond the human capacity to forgive: genocide, murder, and rape come quickly to mind. Gangdev (following Mahoney et al, 2005) defines forgiveness as the “…releasing or foregoing of bitterness and vengeance by a victim toward the perpetrator of an offence, while acknowledging the seriousness of the wrong.”5 (italics added) Thus, none of us--other than the surviving victims--is in a position to forgive the Tucson shooter for the wounding or killing of innocent bystanders. The rabbinical view holds that even the survivors of the Tucson shooting can forgive the shooter only for what was done to them—-not for what befell the slain. Furthermore, the rabbinical tradition stresses the dialectical nature of forgiveness: ordinarily, it requires both apology and restitution on the part of the transgressor. Fully-realized forgiveness is not a unilateral act on the part of the victim, but a process of reconciliation that begins with the victimizer.

Yet it is important to distinguish the limits of forgiveness from the capacity to let go of hatred. Each of us, in principle, is capable of relinquishing hatred of the shooter. This does not mean that we should blithely “move on” and forget about the terrible deeds that occurred. It certainly does not mean “excusing” the shooter’s actions. Nor does it mean that we must cease hating the cruelty of the shooter’s act. Acts are not persons, and there is no ethical prohibition in any major faith against hating evil deeds.

And yet, I would respectfully suggest that we are also obligated to move beyond hatred. President Obama, in his recent Tucson speech, called upon us to “…use this occasion to expand our moral imaginations, to listen to each other more carefully, to sharpen our instincts for empathy, and remind ourselves of all the ways our hopes and dreams are bound together.” The President was not demanding that we “forgive” the Tucson shooter. But I do believe he was calling upon us, in the fullness of time, to transform our revulsion and rage into something higher and nobler.

 

 

 

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by PT Editors | March 07, 2011 9:25 AM EST

From Ronald Pies MD:
I would like to thank Dr. Sheryl Spielman for raising an important issue in an email she sent to me recently. Dr. Spielman wondered if I had insufficiently stressed the dimension of compassion, in my discussion of the rabbinical-Judaic view of forgiveness.

Indeed, compassion and forgiveness are cornerstones of Judaic ethics, notwithstanding the "rules"that the sages devised regarding the proper means of seeking and granting forgiveness.

The Talmud tells us that "The world stands on three things-on the Torah, on the Sacred Service, and on the practice of loving-kindness." (Pirke Avot 1:2). And, Rabbi Abraham Joshua Heschel once observed that the religious individual is one "whose greatest passion is compassion…"

Thus, in Judaism, forgiveness is ordinarily expected from the person who has been aggrieved, when the wrong-doer has sincerely apologized and made proper restitution. With only rare exceptions, one who refuses to forgive a wrongdoer who apologizes and makes restitution is considered "akhzari"-"cruel."

The issue becomes more complicated, however, when one proposes to forgive on someone else's behalf-and this is where the rabbis draw the line. For example, on Yom Kippur-the Day of Atonement-Jews are expected to ask God for forgiveness of their sins. But the Talmud is very clear that on that day, even God Himself cannot forgive on behalf of those individuals we have wronged: "The Day of Atonement atones for sins against God, not for those against man, unless the injured party has been appeased." (Mishna Yoma, 8:9). Of course, people of good will, and from other faiths, have every right to take a different view of forgiveness, and these individuals and faiths merit our respect.

How do these issues relate to Jared Loughner? Much will depend on whether or not he is found guilty; and if he is so found, what degree of remorse he expresses for his acts. But nothing he or anyone can do will bring back the lives of those he took--and, alas, in rabbinical ethics, these are the only persons who (were they able to speak from the great beyond) could forgive their murderer.  On the other hand, those who survived the shootings in Tucson may indeed extend forgiveness for what was done specifically to them. The rest of us, however, can work toward reducing hatred and increasing mutual understanding in the world--goals I know Dr. Spielman and I share.-Best regards, Ron Pies MD

by Susan Kweskin | January 24, 2011 3:13 PM EST

Ronald Pies responds to Dr. Moffic

I thank Dr. Moffic for his very astute observations concerning the "ripple"effect of the heinous crime committed in Tucson. I fully agree that many more were "injured" by the shooter's actions than those who were struck by the shooter's bullets.  As Dr. Moffic notes, we are all "survivors" in a sense, and each of us must search our hearts to discern how aggrieved we feel and how ready we are to forgive-but to just the extent we (personally) experienced harm.

 

The rabbinical point-with which I agree-is that we cannot and should not forgive what was done to someone else. On this view, I have no right to say, "I forgive the shooter for what he did to Rep. Giffords."  Nor do I have the right to say, "I forgive the shooter for what he put the nation through," or "I forgive the shooter for what he did to the public image of those with mental illness." For in each of those examples, I would be forgiving the shooter on behalf of someone else.  In short, "all adversely hurt" by the events in Tucson do indeed have the right to forgive the shooter, as Dr. Moffic  and I would agree-but, in my view, only for the personal harm each one suffered, directly or indirectly, from the attack.

 

I also agree with Dr. Moffic (and Dr. Lazare) as regards the power of apologizing-whether to a patient or to anyone else. Here, too, the Sages are instructive. They tell us it is not enough to say, "I'm sorry for anything I did that might have hurt you." We must be specific; e.g., "I'm sorry I failed to follow up on your phone call when you were in such distress. Can you find it in your heart to forgive me?"  The Rabbis also insist that, if our first apology is rebuffed, we must try again two more times…but not more than that.  I agree with Dr. Moffic that the apology and forgiveness is not only "healing" when done sincerely-it is arguably what make us most fully human.

 

 



by Susan Kweskin | January 24, 2011 3:11 PM EST

Steven Moffic, MD adds these comments:

The tragic actions of Jared Loughner bring up so many issues of concern for psychiatrists and society. In this blog, Dr. Pies discusses a most important topic for our patients and our public. He wonders whether "forgiveness"is too soon to give and whether anyone other than the survivors can "forgive him". I would answer yes to both considerations.

 

It is probably much too premature to forgive. Let grief take its course first. It is also often easier to forgive if the perpetrator asks for forgiveness. If we ever hear that from Mr. Loughner, I doubt it will be until there is a change in his mental status, which indeed could occur if he receives psychiatric treatment.

 

If Dr. Pies is saying that the "survivors" are only those directly shot by Mr. Loughner, I would suggest a much wider perspective. Like a boulder thrown into a turbulent stream, everything below will be crushed, but also the surrounding waters will be stirred up in some chaotic fashion, with the ripples fading as they extent outward. Not only those shot, but their immediate families, friends, colleagues, the police who were called to see him, those with the stigma of mental illness, politicians and pundits involved in inflammatory rhetoric, and even our country's self-image, all this and more could be adversely effected by Mr. Loughner's action. Surely, all adversely hurt to one degree or another have the right to consider whether we can "forgive" or not. I'm not suggesting we should do so, but we have the moral right to consider to do so, and as Dr. Pies pointed out, it can have some therapeutic benefit.

 

If we look at forgiveness from the other side of the coin, that of apologizing, there actually is a significant literature in psychiatry and medicine. Aaron Lazare, M.D., has written a book "On Apology" and several related articles. Here, we clinicians ask our patients for forgiveness for what we think we did wrong that may have harmed them, inadvertently or not.  This interaction can be healing for the clinician and the patient. Any path towards healing should be welcomed.-Steven Moffic MD

 

 







References
1. Burnham S. The Arizona Shooting: At What Point Can We Forgive? January 12, 2011. http://www.guideposts.org/blogs/inspirations-and-angels/do-we-forgive-jared-loughner-after-arizona-shooting
2. Shapiro J. Amish Forgive School Shooter, Struggle with Grief. http://www.npr.org/templates/story/story.php?storyId=14900930
3.Telushkin J. The Book of Jewish Values. New York, Bell Tower, 2000.
4.Heschel AJ. cited in Telushkin, op cit, p. 391.
5.Gangdev P. Forgiveness: A note for psychiatrists. Indian J Psychiatry. 2009 Apr–Jun; 51(2): 153–156. Accessed at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755173/?tool=pubmed
6. Stein DJ, Kaminer D. Forgiveness and Psychopathology: Psychobiological and Evolutionary Underpinnings. CNS Spectr/. 2006;11(2):87-89. Accessed at: http://www.cnsspectrums.com/aspx/articledetail.aspx?articleid=577
7. Farrow TF, Hunter MD, Wilkinson ID, et al. Quantifiable change in functional brain response to empathic and forgivability judgments with resolution of posttraumatic stress disorder. Psychiatry Res. 2005;140:45-53.


 
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