PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home » News

Psychiatric Times. Vol. 28 No. 2
NEWS 

Who Can Forgive Jared Loughner?

By Ronald Pies, MD | March 2, 2011
Dr Pies is professor of psychiatry and lecturer on bioethics and humanities at SUNY Upstate Medical University in Syracuse, NY, and clinical professor of psychiatry at Tufts University School of Medicine in Boston. He is also editor emeritus of Psychiatric Times.

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 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 schoolhouse 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 Telushkin3 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. Similarly, Rabbi Abraham Joshua Heschel—commenting on “forgiving” the Nazis for murdering 6 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.”3

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, Gangdev4 notes, “. . . the literature on forgiveness in psychiatry is very sparse,” despite “the benefits of forgiveness as a therapeutic intervention.” 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 article by Stein and Kaminer,5 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 and colleagues6 suggests that “. . . specific regions of the human brain activated by empathy and forgivability judgments changed with symptom resolution in PTSD.” From a more practical standpoint, Stein and Kaminer5 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 for some.

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. Gangdev4 (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 [Dr Pies’ italics].” 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.

 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.





References

1. Burnham S. The Arizona shooting: at what point can we forgive? Guideposts. January 12, 2011. http://www.guideposts.org/blogs/inspirations-and-angels/do-we-forgive-jared-loughner-after-arizona-shooting. Accessed January 25, 2011.
2. Shapiro J. Amish forgive school shooter, struggle with grief. October 2, 2007. http://www.npr.org/templates/story/story.php?storyId=14900930. Accessed January 25, 2011.
3. Telushkin J. The Book of Jewish Values: A Day-by-Day Guide to Ethical Living. New York: Bell Tower/Crown Books; 2000.
4. Gangdev P. Forgiveness: a note for psychiatrists. Indian J Psychiatry. 2009;51:153-156.
5. Stein DJ, Kaminer D. Forgiveness and psychopathology: psychobiological and evolutionary underpinnings. CNS Spectr. 2006;11:87-89.
6. 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.

Additional Reading

Mahoney A, Rye MS, Pargament KI. When the sacred is violated: desecration as a unique challenge to forgiveness. In: Worthington EL Jr, ed. Handbook of Forgiveness. New York: Brunner-Routledge; 2005:57-72.
Pies R. Becoming a Mensch. Lanham, MD: Hamilton Books; 2011


 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Developmental Psychopathology Comes of Age
  • Grief and Depression: The Sages Knew the Difference
  • The Moral Struggles of Practicing Psychiatrists
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Developmental Psychopathology Comes of Age
  • Psychiatry and the Myth of “Medicalization”
  • An Update on ADHD
  • Eco-Psychiatry: Why We Need to Keep the Environment in Mind
  • DSM-5: Where Do We Go From Here?
  • Suicidal Behavior: A Separate Diagnosis
  • New Insight Into the Neurobiology of Depression
  • Cultural Psychiatry and the 'No-Chicken' Doctor
Click here to subscribe to our newsletter
 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy