Category Archives: Insanity

The Making of a Lone Wolf Terrorist

By Liah Greenfeld

A beheading in a workplace, a hatchet attack on a busy street, a shooting in a public high school – events following so closely one upon another and amid others, in a way very much like them, just across the border, in Canada – seemingly irrational, shocking, and yet already quite expected, they make one’s head spin. What’s going on around us – in the best, most prosperous, most open, liberal, societies on earth, most dedicated to the values of freedom and equality, most vigilant about safeguarding human rights? It cannot escape one’s attention that these hair-raising events, which happen with oppressive regularity, happen precisely in such societies – our own United States, Canada, Australia, Great Britain.

Is it a coincidence that the frequency of random shootings, without a clear ideological motivation (such as yesterday’s tragedy near Seattle, the Newton massacre, or the one in a Colorado movie theater) increases together with that of targeted ideologically motivated attacks? No, it is not. These tendencies are related. To begin with, both kinds of violence are irrational in the sense of not being able to benefit the individual committing it in any objective way and often implying a great cost to this individual. At the same time, random violence without a clear ideological motivation is a phenomenon different from ideologically motivated violence.

These phenomena are related but different. They are related through a common social cause which leads to different psychological effects. These effects then, under certain conditions, may result in these two different kinds of violent behavior. Such enabling conditions, in the case of ideologically motivated violence, obviously include the specific motivating ideology. But it is important to understand that the elimination of the specific ideology, won’t eliminate the primary cause of such violence (the social cause), or its secondary cause (the psychological effects of the social cause), and that any other ideology can take the place of the one that is eliminated.

The primary – social – cause responsible for the frequency of irrational violence in the United States and other open, prosperous and liberal, societies is the systemic inability of such societies to offer individuals within them consistent guidance in the construction of their own individual identities. (In social science such systemic inability is called anomie). The very values of our societies – equality and liberty in the sense of freedom of choice for how to define oneself and live one’s life – forces our societies to leave the construction of their own identities to the individuals themselves. In less open societies (for example, in religious societies, in societies with strong secular norms, or rigid systems of stratification) one learns who one is from the environment, depending on the social position to which one is born. In our societies, given the fundamental equality, and interchangeability, of all their members, one is left free to choose who to be. A personal identity is our cognitive map, everyone must have it to know what one’s rights and duties, expectations, relationships with other, and behavior in general are and should be. An identity, this cognitive map, tells us how to live our lives. In our open societies, we have no help from the outside in construction such a map. For many of us this is a great boon: we love the freedom and the control of our destinies this gives us. But for many others this is a heavy psychological burden, a task they cannot accomplish.

Our sense of self and, therefore, our mental comfort (sense of ease or dis-ease) depend on having a clear and stable identity. People with malformed identities go through life confused and insecure, they are uncomfortable with themselves and maladjusted socially, because they never know who they are and where they belong. They lack an inner compass. A minority of them develops a functional mental disease as a result, which can be diagnosed as schizophrenia, manic depression, or major unipolar depression. Such disease is called “functional,” because, while the organic bases of it are uncertain and in many cases no organic irregularity may exist at all, the people who suffer from it lose the ability to function in society. They may be unable to distinguish between what happens in their mind and outside, taking one for the other, their maladjustment becomes an acute distress, and they cannot control themselves. This impairment of will – the immediate cause of their inability to function – most commonly expresses itself in a complete lack of motivation, but can also be expressed in uncontrollable actions which the individual feels are either willed by some force beyond him/herself, which must be obeyed, or are actually committed by someone else populating his/her body. The phrases “I was not myself,” “I was out of my mind” in retrospective accounts of such actions reflect these feelings. Given this impairment of will in clinically mentally ill individuals, it is extremely unlikely for such individuals to be acting under the influence of any shared ideology, though they may develop an elaborate delusion (an ideology entirely their own), which would include some common cultural elements.

In common parlance such truly sick individuals are called “crazy,” “insane.” These terms may convey certain insensitivity, but the understanding behind them, in case of violent crime that comes to trial, justifies insanity defense, because such people cannot be held responsible for their actions. This is not so in regard to ideologically motivated acts of irrational violence. The very fact that the individuals committing such acts shape their behavior (i.e., control their actions) in accordance with an ideology testifies to their fundamental sanity.

The great majority of people who are unable to develop a clear, stable identity in the conditions of anomic, open society, and, as a result, lacking an inner compass, are not mentally ill in this clinical sense. They are confused, insecure, and maladjusted, to be sure, but they can very well distinguish between what is happening in their mind and outside, and, though they can often be unmotivated and moody, their will is not impaired to the point of making them unable to function in society. Their discomfort, the general mental malaise from which they suffer takes many forms: some turn to drugs and alcohol, some become extremely conformist to whatever social circles they frequent (that is, give up their individuality and unreflectively imitate what the others around them are doing and saying), some become envious, and some become very angry. Such disturbed but not insane individuals, in general, become attracted to all kinds of ideologies which justify their feeling uncomfortable in their society, and thus politically available. Those whose psychological discomfort takes mainly the form of envy and anger are likely to be particularly attracted to ideologies which specifically encourage the expression of these feelings, legitimating violence against those the maladjusted individual resents. At this point in the causal chain leading to violence, ideology becomes the enabling condition, and the specific character of the ideology chosen can explain the nature of violence and its targets.

[Originally published on Psychologytoday.com]

Shakespeare and Mental Illness

Alan A. Stone, Touroff-Glueck Professor of Law and Psychiatry in the faculty of law and the faculty of medicine at Harvard University, in Psychiatric Times, March 12, 2013:

The ancient Greek dramas of Aeschylus, Sophocles, and Euripides gave Western civilization its foundational myths: Prometheus, Oedipus, Antigone, and the Oresteia. Two thousand years passed until Shakespeare arrived and, according to literary critics, achieved something perhaps more important: he “invented the human!”1 I think of this invention as the secular conception of the human condition. Yes secular! it is a vision of the moral adventure of life constrained by no religious orthodoxy.

Scholars debate whether Shakespeare was Catholic or Protestant. He often draws on both the Old and New Testaments of the Bible and the Book of Common Prayer, but God is missing from his greatest plays. Nonetheless, to paraphrase Simon Russell Beale, the great British actor, to perform in those plays is to experience “redemption and transcendence.” Shakespeare’s understanding of the human condition miraculously transcends his culture, time, and place…     Continue reading

The Cradle of Madness

By David Phillippi

In the same 16th century England which brought the world ambition and love (see Madness: A Modern Phenomenon), a new form of mental disease—madness—appeared. While previously known forms of mental illness were temporary, related perhaps to an infection, an accident damaging the brain, a pregnancy, a bodily illness like “pox” (syphilis), or old age, madness was chronic—usually appearing at a fairly young age (without evidence of an organic cause) and lasting till death. Another of its names, lunacy, reflected the suspicion of a physical cause—specifically implicating the waxing and waning of the moon in the periodic alterations in the character and symptoms of the sufferers. The word insanity entered English at that time too, apparently referring to the same phenomenon as madness and lunacy.

The chronic nature of madness made it a legal issue from the very beginning; the first provision in English law for mentally disturbed individuals—referred to, specifically, as “madmen and lunatics”— dates back only to 1541. Also in the middle of the 16th century, Bethlehem Hospital—more commonly known as Bedlam, the world’s first mental asylum—became a public institution, transferred to the city of London in 1547. While there was probably little to be praised in terms of humane treatment and comfortable accommodations, Bedlam continued to expand into the 17th century to meet what seemed to be a growing need to house the severely mentally ill.

Physicians of the day sought to describe and understand this new phenomenon, but their methods, sources, and interpretations were thoroughly mixed. Their reliance on classical Greek and Latin terms of mental disturbance resulted in a liberal blend of (their interpretation of) the old ideas with the new reality, and though they attempted to draw distinctions between conditions, they were far from clear. The cause was usually assumed to be organic. The common attribution of madness to an imbalance of the four humors shows the strong influence of the classical medical understanding. (The use of the term melancholy as a name for mental illness in general or a particular variety of it is a prime example). Insanity might also be explained by the stars under which one was born. Some authors distinguished between organic madness and spiritual madness caused by demonic influence. Still others focused on mental states that could in turn affect the body.

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