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Home » Disaster Psychiatry

Psychiatric Times. Vol. 30 No. 2
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Mass Shootings: Research and Lessons

By James L. Knoll IV, MD | February 12, 2013
Dr Knoll is Associate Professor of Psychiatry at the SUNY Upstate Medical Center in Syracuse, NY, where he is Director of Forensic Psychiatry, and Director of the Forensic Psychiatry Fellowship at Central New York Psychiatric Center. Dr Knoll is also Editor in Chief of Psychiatric Times.

Narcissism and the news media

In response to the plea by Flannery and colleagues1 to examine other factors that contribute to mass shootings, particularly cultural and social ones, it is impossible to avoid the issues of narcissism and media responsibility. Narcissism is the classic American pathology, but there is concern that it may be proliferating “virally” and gaining momentum. In their excellent work The Narcissism Epidemic, Twenge and Campbell11 note that while crime has dropped overall since the 1990s as a result of a variety of factors, crimes due to narcissism or a wounded ego are directly relevant to mass shootings.

Harvard psychologist Steven Pinker12 laid out an impressive overview of how the “civilizing process” has reduced violence among homo sapiens over the centuries. Indeed, this was also seen by Freud,13 who noted that civilization itself required a strenuous renunciation of biological impulses. Pinker now wonders if we might have reached a point of limited returns—we no longer hack and impale each other at the drop of a hat, instead we seek further and comparatively smaller gains that are more difficult to appreciate and achieve. Those harder to achieve gains may arguably lie in the realm of facing and somehow attenuating the problem of narcissism.

Narcissism and social rejection are risk factors that work in tandem to cause aggressive behavior, and these have certainly been described in the histories of mass shooters. Twenge and Campbell11 note that “given the upswing in the narcissistic values of American culture since the 90s, it may be no coincidence that mass shootings became a national plague around the same time.” Extensive media attention in the 1990s may have provided a script and unwitting adulation of those who would seek an impatient route to their entitled respect. This hints at a deeper societal pathology—a culture that has “grown more focused on self-admiration and more enamored with celebrity and fame.” One might argue that we hold celebrity as the single greatest achievement of life—one that should be attained by any means.

It becomes difficult to deny that the media coverage given to mass shooting perpetrators has sent the message that committing a spectacular act of murder or killing is a great way to get attention. A study confirms that perpetrators who were captured alive were influenced by previous, heavily publicized cases of mass shooting.14 The news media has always been in the business of searching for “the right sort of madness” to capture the public’s imagination.15 This may involve exploiting violent and tragic acts and/or overemphasizing the alleged role of mental illness. A universal media reporting code has been recommended that would cover the tragedy yet reduce the impact of the copycat effect.16 Most recommendations involve ensuring that the perpetrator is neither glorified nor demonized and generally avoiding much emphasis on the perpetrator.

There are countries in which mass shootings are quite rare. Brazil has had only one major school shooting. The Scandinavian countries and Thailand are other examples of cultures with both a large social safety net and social structures that “buffer against narcissism.”17 And so the question is inevitable—can we see past the distracters, such as mental illness, violent video games, and armed teachers, and grasp the roots of the problem? Freud18 once observed that “those who love have, so to speak, pawned a part of their narcissism.” Can we, as a society, pawn part of ours?

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by Ronald Pies | February 20, 2013 10:03 PM EST

Good points raised by Dr. Knoll and Dr. O'Brien. My own take on "narcissism" and violence is summarized in this article:

http://psychcentral.com/blog/archives/2012/12/23/newtown-narcissism-and-the-romancing-of-rage/

It seems unlikely that any one legislative, societal, or cultural change by itself will stem the tide of violence in this country--only a combined, multi-layered approach will stand a chance, in my view.

Best regards,
Ron Pies

by James Knoll | February 19, 2013 10:34 AM EST

You raise an excellent point, and one which I do believe plays a role. See this related classic: The Case for Parental Licensure - Lykken, David T. (1998) The Case for Parental Licensure. [Book Chapter]

However, I think the trail does not end here......

Thanks!
James

by James OBrien | February 13, 2013 1:11 PM EST

Norway has a big safety net too (and strict gun control), that didn't stop Brevik. The first buffer against narcissism is the intact and involved family. The rise in narcissism correlates with the decline of the family. Funny how these articles always want to dance around that subject. Fifty years ago the family was seen as central in developmental mental health, now we are looking to expensive societal solutions, which aren't working and aren't going to work. BTW, what does the societal safety net have to do with the Sandy Hook shooting since his family was rich? Ditto Columbine and many others.

It's so impolite today to talk about horrible parenting, but everything else is a dodge.





References

1. Flannery DJ, Modzeleski W, Kretschmar JM. Violence and school shootings. Curr Psychiatry Rep. 2013;15:331.

2. Flannery DJ, Singer MI, Wester K. Violence exposure, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents. J Am Acad Child Adolesc Psychiatry. 2001;40:435-442.

3. Brown RP, Osterman LL, Barnes CD. School violence and the culture of honor. Psychol Sci. 2009;20:1400-1405.

4. Newman KS, Fox C, Harding DJ, et al. Rampage: The Social Roots of School Shootings. New York: Basic Books; 2004.

5. Lindberg N, Oksanen A, Sailas E, Kaltiala-Heino R. Adolescents expressing school massacre threats online: something to be extremely worried about? Child Adolesc Psychiatry Ment Health. 2012;6:39.

6. Lindberg N, Sailas E, Kaltiala-Heino R. The copycat phenomenon after two Finnish school shootings: an adolescent psychiatric perspective. BMC Psychiatry. 2012;12:91.

7. Fazel S, Grann M. The population impact of severe mental illness on violent crime. Am J Psychiatry. 2006;163:1397-1403.

8. Interdisciplinary Group on Preventing School and Community Violence. A Call for More Effective Prevention of Violence. http://curry.virginia.edu/articles/sandyhookshooting. Accessed January 17, 2013.

9. Small J, Foster B. Mother speaks out about son accused of plotting to shoot up theater in Bolivar. http://www.kspr.com/news/kspr-mother-of-man-accused-of-plotting-to-shoot-up-bolivar-theater-speaks-out-20121120,0,7523945.story. Accessed January 17, 2013.

10. National Alliance on Mental Illness. http://www.nami.org. Accessed January 17, 2013.

11. Twenge JM, Campbell WK. The Narcissism Epidemic: Living in the Age of Entitlement. New York: Free Press; 2009

12. Pinker S. The Better Angels of Our Nature: Why Violence Has Declined. New York: Viking Penguin; 2011.

13. Freud S. Civilization and Its Discontents. Reprint ed. New York: WW Norton & Company, Inc; 2010.

14. Mullen PE. The autogenic (self-generated) massacre. Behav Sci Law. 2004;22:311-323.

15. Ronson J. The Psychopath Test: A Journey Through the Madness Industry. New York: Riverhead Books; 2011.

16. Etzerdorfer E, Sonneck G. Preventing suicide by influencing the mass-media reporting. The Viennese experience 1980-1996. Arch Suicide Res. 1998;4:67-74.

17. Borowitz A. Terrorism for Self-Glorification: The Herostratos Syndrome. Kent, OH: Kent State University Press; 2005.

18. Freud S. On Narcissism: An Introduction. New Haven, CT: Yale University Press; 1991.


 
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