He Must be Crazy: Political Violence and Mental Illness
Shortly after news broke that Representative Gabby Giffords had been shot in Tucson, the cable news talking heads were on the telephone in search of explanations from psychologists and psychiatrists. Wolf Blitzer, for example, wanted to know what kind of person would commit such a crime, and the California based forensic psychologist he interviewed was glad to talk about schizophrenia and its symptoms and to venture a diagnosis on the basis of the suspect’s Myspace postings and You-tube videos. It didn’t take long for mental illness to emerge as a likely explanation of Jared Lee Loughner’s conduct. And observers were able to adduce plenty of evidence that the young man had some problems: incoherent ramblings about a new currency he would create, a list of favorite books that included Mein Kampf along with the Communist Manifesto, and a proclivity for bizarre outbursts in classes at Pima Community College in Tucson.
The attribution of a crime of this kind to mental illness tells us more about ourselves and our culture than it does about the crime itself or the individual who committed it. When bad things like this happen, people want to know why, they want to know fast, and they want to be comforted. They want reasons they can understand -- “he did it to protest the Congressman’s vote on heath care reform” or “he’s really a terrorist.” Absent motives for an action that people can make sense of, they want explanations -- “he did it because he’s insane.”
We feel comforted by the attribution of motives because they arouse the hope that we can change people’s minds and behavior. In coming days there will be much talk of gun control, toning down the violent images that have so often colored political rhetoric in this country, and enhancing the level of protection we accord to Members of Congress. I do not know if there are measures that would keep guns effectively out of the hands of people like Loughner, or if this would not have happened if Sarah Palin hadn’t put the cross hairs of a gun sight on Gabby Giffords, or if Members should be distanced from their constituents in the same way as the President now is. But I do know that discourse about these things will be energized mainly by a quest for reassurance -- yes, there is something we can do, a step we can take, a law we can pass.
Explanations also offer comfort, and those on which people typically rely do so in a particularly destructive, insidious way. Over the last fifty years psychological and psychiatric explanations have come to dominate our public discussion of tragic events. No doubt there is someone somewhere who attributes Loughner’s actions to spirit possession or witchcraft; and the eagerness of the Pat Robertsons of this world to explain acts of terrorism such as 9/11 as God’s punishment of our tolerance of homosexuality should remind us that bizarre religious views still flourish. But for the most part, the media will lead us in a discussion of this latest event as the result of insanity, mental derangement, schizophrenia, or some other version of “illness.” How do such explanations comfort and why are they destructive?
The answers depend in part on grasping the nature of both psychiatric and common sense understandings of mental illness. When do we decide that others are “insane” or “crazy?” What leads us to conclude that the wealthy woman who shoplifts has some kind of mental problem, or that a young man who shoots a Congressman might be mentally “disturbed.” The answer is fairly straightforward: we call people “crazy,” “disturbed,” or “insane” when we cannot put ourselves in their shoes and find a sensible motive for their conduct. Why would a well-off person shoplift? He or she must be disturbed, perhaps have the illness we call kleptomania, or at least be acting out psychological issues. We give some people a pass: we understand the motives of a poor person who steals food, for example. Though we may disapprove, we don’t attribute mental illness. Likewise, an infant who won’t stop crying isn’t thought crazy. Rather, we think there must be something causing the infant to cry that we haven’t yet figured out. We impute mental illness when role taking fails and we decide it isn’t our fault that it has -- when we cannot imagine the point of view of another and so understand the person’s conduct from their perspective.
There isn’t much difference between what we lay persons do in everyday life and what psychiatrists do in reaching diagnoses of various forms of mental illness. True, the psychiatrist is armed with the Diagnostic and Statistical Manual, with plentiful categories of illnesses, lists of symptoms, and differentiating criteria. The psychiatrist has clinical experience and the opportunity to closely observe and interview patients. And the psychiatrist has a handful of categories -- bipolar disorder, schizophrenia -- with at least a modicum of scientific evidence that something in the wiring and chemistry of the brain is ultimately responsible for the person’s thoughts, feelings, and actions. Yet at bottom, at that essentially “gut” level where assessments of others and their behavior are made, their criteria very much resemble ours. This person, we say and they say, must have some kind of mental illness because otherwise we can’t make any sense of why he or she feels depressed or has fired a gun at a Member of Congress. More often than psychiatrists would admit, the DSM is window dressing.
Attributions of mental illness thus do not really explain much about a particular individual’s conduct, nor in many cases lead to useful actions. Is Jared Lee Loughner “crazy” in lay terms? Perhaps so, but is this “knowledge” of any particular use to me? I don’t think so. My classifying the people I see on the streets muttering to themselves or cursing the world as “disturbed” or “off their meds” is of use mainly because it leads me to cross the street to avoid unpleasant contact with them. Is Loughner, in psychiatric terms, a schizophrenic with paranoid tendencies? Does he have a distorted view of reality? Perhaps so. But this knowledge is similarly not of tremendous value, either before or after the fact of his shooting Gabby Giffords. Had authorities known that he was mentally ill, could they have taken actions that would have interfered with his plans? Possibly, had he made specific threats against her, they could have investigated him more closely. But note that in that event it wouldn’t be a formal diagnosis of mental illness (or a neighbor’s tip that “this guy is crazy”) that led to police intervention, but his actual behavior in making a threat that might have led to the diagnosis. A person’s mental illness does not in itself provide a basis either for preventive confinement or for predicting violence. Institutionalization requires due process to establish danger to self and others, and the statistical correlation between mental illness and violence is extremely low. And if we now know or believe that Loughner is “insane” or “paranoid,” how exactly does that enable us to do anything about future tragedies?
At an interpersonal level, the function of mental illness categories -- as of deviance categories more generally -- is to create distance between onself and others. In some cases, the creation of distance is a practical matter: one does not want contact with those whose previous behavior has been violent or unpleasant. But more generally, such categories create social distance -- between the sane and the insane, the normal and the deviant, the clean and the unclean, those whom we will admit to our company and those we will not. Toward the mentally disturbed we profess concern and human sympathy, of course, in contrast to the criminal, whom we want to punish. But in either case, we make a distinction between them and us, and the satisfaction we take in the fact that we do not share their stigma, while usually unspoken, is nonetheless real.
At the level of political discourse, the social function of mental illness explanations of violence is to terminate discussion or at least to direct it along safe lines. If Jared Lee Loughner is a person who speaks in complete sentences and articulates a political philosophy that valorizes assassination, we have a problem that no amount of denial can escape. In that case, his words and deeds fit into larger contexts of political discourse in which the Sarah Palins and Glenn Becks of this world have to bear responsibility, along with the Tea Partiers and their enablers in the Republican Party, and perhaps all of us who do not speak against the rhetoric of violence. If he is a man with rational motives, then he might be, heaven forfend, much more like us than we would care to acknowledge. But if he is crazy, if we can find evidence of paranoid tendencies, if there are voices telling him to act as he did, if his thinking seems disordered, then all of us are off the hook. He’s crazy, he’s different, he’s not like us. We need take no responsibility for him.
Mental illness explanations individualize and particularize problematic behavior and isolate it from the social contexts in which it develops. A diagnosis of schizophrenia does, of course, displace responsibility for conduct from the individual and locate it more ambiguously in the individual’s “illness.” But of far greater import, such diagnoses divert our attention from the social and cultural circumstances in which illnesses arise, become defined, flourish, and shape conduct. We will, no doubt, learn that Loughner was a loner, not socially adjusted in his school days in Marana, Arizona. People will wring their hands over what can be done to help such individuals, to bring them healing therapy before things get too far out of hand. No doubt armies of grief counselors are at this moment marching toward Tucson with healing therapies on their minds. Perhaps therapy at some point would have helped him; perhaps it could help others who have not yet had occasion to do harm to others.
But this young man’s mind, deranged or not, did not emerge in a vacuum. Jared Lee Loughner is, I fear, tragically representative of the culture that spawned him. And not just the culture of Arizona, although I do hope there is an especially hot place in hell for its many politicians who seem hell-bent to put a gun in every hand in every bar and to administer severe punishment for the sin of breathing while Hispanic. Too much of America is too much like the Arizona that I came to know in a decade there: filled with inchoate anger, punitive, politically uninformed, inarticulate, racist, selfish, fearful of outsiders, gullible in the face of Fox news and internet hoaxes, economically illiterate, obsessed with guns, always ready uncritically to wave the American flag. The Great Recession has made matters worse, but this pot has been simmering for a long time.
Do not therefore be comforted by the conclusion that Jared Lee Loughner is “crazy” or a “paranoid schizophrenic.” We will, of course, never know if he “really” is or is not, for once the psychiatrists get their hands on him, the world’s view of him, and his own view of himself, will be set in whatever mold they decide. It doesn’t matter whether he is or is not mentally disordered, for it is the inevitable conclusion that he is that matters. “Crazy,” he can be set apart from the rest of us and his behavior viewed as tragic, but not indicative of who and what the rest of us are. “Insane,” he lives in his reality, not ours. He is not one of us.
To say this is not to lay responsibility vaguely at the feet of “society” rather than place it squarely either on Loughner’s shoulders or on those, like Sarah Palin, whose words arguably goad people like him into reprehensible actions. For what it’s worth, I don’t think he is insane. Weak-minded, yes, gullible, perhaps, inarticulate, possibly narcissistic, angry, confused, ill-informed -- maybe all of these things. I think he’s responsible for his actions. (And, alas, in his presentation of self on the internet his disorganized mind too closely resembles the minds of too many students I encountered in nearly forty years of university teaching for me to be persuaded easily that he’s crazy.) But even the insane and the weak-minded live partly in our world; they resemble us more than they differ from us. Jared Lee Loughner is, alas, one of us.


Salon.com
Comments
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Please sign the petition to indict Sarah Palin for inciting violence in the attempted assassination of Rep. Gabrielle Giffords. It was started by Dr Stuart Jeanne Bramhall and is directed to the US Dept of Justice:
http://www.petitiononline.com/IndictSP/
Words that have caused murder and assassination should have consequences, and those consequences should be legal. Feel free to repost, email, feature the link. Everywhere. And John, it's time to stop overintellectualizing and backing down with these people.
Rated.
My parents had the news on last night and on it they were talking about how much of a "monster" Loughner is. I looked at my parents and said something similar to what you were conveying in this blog post.
While it's true that Loughner may be a monster we should never forget that he is our monster. And no more a monster than the one that resides within you and me.
Absolutely, and we are all the worse for it.
When something startling happens it is only natural for people to try and understand. Someone going to a public meeting and opening fire with an automatic weapon is not in the normal routine of most people. Hence, we try to figure it out. If one believes that the devil possess people than that would be their explanation. Evil took over. If one is very religious then their explanation would be that he had not enough faith and had not been close enough to God. If one works with schizophrenics every week for years and recognizes some common signs and symptoms of the disorder then he, in this case me, comes to the conclusion that the man is ill.
I actually agree with many of your points and enjoyed reading this. The separation thought is the most valid and interesting. I have one thing I am wondering about, however. Why did you feel it necessary to put illness in quotes throughout the article? You do know that schizophrenia is a genetic illness don't you? Mental illness is real and help is available. We have learned much about how the brain works in recent years.
I offered my view of things based on my life experiences. I labeled it as an educated guess. If someone yelled at me, "How dare you!", I wouldn't even argue. I don't know the kid. I also don't give him a free pass or absolve him. Perhaps, you have had other experiences that do not mesh with mine. Anyway, thanks for sharing your elegant writing and profound thoughts.
"I am he as you are he as you are me and we are all together."
J. Lennon
As to making assumptions about mental illness and what role it served, you didn't talk about the reality that without proper evaluation and intervention at an earlier age, there would be no legal way to keep him incarcerated or institutionalized, or any weapons out of his hands because until Saturday he was legally a normal citizen in the eyes of the law. People knowing something is wrong doesn't mean they can do anything about it, legally, if he is an adult. Which he was. Many adults here purchase weapons, go to bars, vote republican, work with, hire and marry hispanics, and don't kill anyone.
What is salient about the symptoms of delusion and paranoia is not that he was out of his mind, but that he would resist getting mental health care on a voluntary basis. That he is intelligent and rational within the context of being a highly functioning person who can plot and organize ahead is important for understanding why most of us don't notice mental illness until it is well underway, as it is neither constant nor always overt or debilitating.
Conservative minds (decision making), no matter the politics, focus on finding ONE RIGHT WAY, and explaining all phenomena to support that view, regardless of facts. They toss out other options or opinions as acceptable. I suspect this is why mentally ill are vulnerable to "wingnut" type groups, strongly one sided. If one is already paranoid or delusional, having to "erase" the existence of "other" might be the only reasonable choice.
There is also no reason to think he might not also be sociopathic as well. Killing a lot of people is very hard for normal people to do, especially in the manner he did. He lacked a conscience about it, or lacked the inhibition, likely, as well as possibly got a thrill from the rush of it all. Not too different from many overly enthusiastic college age men in the rush of drugs, alcohol, testosterone, sports, military and sex. His expression was just far more sinister, and it scares us all to think any of us could have that inside us.
which reminds me of a quote....
"love is the only way to live that is not insane"
that may be, but possibly psychology as it is widely practiced in this country is itself dysfunctional. ie merely prescribing drugs for problems that are caused by a broken social fabric. by a sort of collective dysfunctionality..... obviously you are teetering on pointing this out yourself, but you never quite get there in all the circuitous wandering.....
"Institutionalization requires due process to establish danger to self and others, and the statistical correlation between mental illness and violence is extremely low. "
maybe so but there is strong correlation between PSYCHOPATHY and violence. and by the way there are indeed improved diagnostic criteria for PSYCHOPATHY. its a cutting edge area of neuroscientific research.
and I reject your downplaying the significance of mental health diagnoses. it is true that effective treatments are difficult but that does not mean that mental illnesses EXIST and are OBJECTIVE and not merely subjective interpretations, as you continually insinuate in your article....
As for myself, I do not believe Loughner's mental state is at all politically relevant. He gave himself a politics. His politics broadly conformed to content found within America's reactionary political culture. The massacre he committed expressed what the anarchists called the propaganda of the deed. The propaganda he expressed circulates among the reactionaries.
If some wish to indict Beck, Palin and others for inciting this act of violence, I expect their wishes to remain unfulfilled.
Nevertheless, the reactionaries in the United States have much to answer for in this case. Mr. Lougher's debilities do not change that at all.
Who else has noticed that every pic of loughner is the one of a "crazy" looking skinhead, deliberately put there to cause the sort of thinking that "they" want us to think of him?
what total pictorial bullshit.
As to all the ranting and raving about him being crazy, this is as the fox noise style haters are using to distance themselves from the very ligimate blame they deserve for their hateful rhetoric which leads the gullible on.
Is certainly IS the (new word) RIGHTORIC which has caused the deep divides we have seen in our country from the general public to families to one on one relationships.
Are any of you the sort who is being led on by that "crazy man" pic or, are you legitimately exploring the reasons for his act?
BTW-A gun didn't do this all by itself anymore than any other inanimate object could.
Finally, were those of us who were in Nam crazy because of the impetuses which led us to kill humans?
Perhaps you remember the controversies surrounding both Lee Harvery Oswald and Jack Ruby some 48 years ago. Of course none of the many killers our nation has produced benefited from their own Facebook page. Until now.
However, I believe that mental illness did play a role given what I have read. Mental illness is difficult to assess and still a very imperfect science. Dismissing the role mental illness plays in modern crime inhibits our society from preventing crime and violence associated with mental health issues.
That said, I did enjoy the article.