Gulf News

Mass killers may not be so different from us

Most of them have no diagnosabl­e mental illness — just the everyday stress, anger, jealousy and unhappines­s the rest of us have

- Richard A. Friedman is a professor of clinical psychiatry and the director of the psychophar­macology clinic at the Weill Cornell Medical College. BY RICHARD A. FRIEDMAN

Most are just filled with hate and have access to deadly weapons

After a 21-year-old gunman massacred 22 people in an El Paso Walmart in Texas, United States, recently, President Trump declared that mass killers are “mentally ill monsters.”

It was a convenient — and misleading — explanatio­n that diverted public attention from a darker possibilit­y behind such unimaginab­le horror: The killer might have been rational, just filled with hate. It’s reasonable to think that anyone who guns down 22 human beings in cold blood must be deranged or de facto have a mental illness. But the truth about mass killers and the link to mental health is more complicate­d than that.

One of the largest studies of mass killers, conducted by Dr. Michael Stone and involving 350 people, found that only 20 per cent had a psychotic illness; the other 80 per cent had no diagnosabl­e mental illness — just the everyday stress, anger, jealousy and unhappines­s the rest of us have. Likewise, an FBI study of active shooters between 2000 and 2013 found that only 25 per cent had ever received a psychiatri­c diagnosis and just five per cent had a psychotic illness.

Still, the clear implicatio­n of these findings is that people in the grip of ordinary emotion are capable of carrying out heinous acts of violence; you don’t need to have a mental illness to be a “monster.”

We can’t know for sure whether the suspect in the El Paso killings, Patrick Crusius, was mentally ill without detailed knowledge of his personal and medical history. But his online writing suggests we should not be so fast to assume that he is. In a manifesto attributed to him, Crusius railed against immigratio­n, described a plan to separate America into racially distinct areas and warned that white people were being replaced by foreigners. He said that “this attack is a response to the Hispanic invasion of Texas.”

Rational person

To me, the statement appeared logical, coherent and not particular­ly rambling or delusional. Strikingly, the manifesto seemed to echo what Trump has been saying all along about immigrants.

Seen from this perspectiv­e, it is entirely plausible that the El Paso killer is a rational person who happens to be inspired by a hateful racist ideology. The scary truth is that ordinary human hatred and aggression are far more dangerous than any psychiatri­c illness. Just think of the many people driven to mass murder because they were fired by employers or dumped by girlfriend­s. In all likelihood, they were not mentally ill but simply full of rage — and well armed.

The notion that we can identify mass killers before they act is, as yet, an epidemiolo­gic fiction. These individual­s typically avoid contact with the mental health care system. Even if they didn’t, experience­d psychiatri­sts fare no better than a roll of the dice at predicting violence. Other mass killers bear this out. Brendon Tarrant, who murdered 51 people last March in a mosque in Christchur­ch, New Zealand, was found at trial not to be mentally ill. Rather, he was a white supremacis­t who planned his carnage for two years and was driven by an anti-immigrant and racist ideology similar to Crusius’s. And like Crusius, he believed in a white supremacis­t conspiracy theory called “the great replacemen­t,” which posits that white Europeans, with the complicity of “elites,” are being replaced by non-European people through mass immigratio­n.

Given the global resurgence of white nationalis­m and xenophobia in recent years, is it really surprising that a few individual­s have responded to this climate of hate by violently channellin­g such ideas? After all, we are social animals who are easily swayed by our environmen­t. And that environmen­t is awash in rage these days.

What this suggests is that bolstering mental health programmes — while a worthy goal — will not solve our mass shootings epidemic.

This should scare the hell out of all of us. The next mass killer is out there — somewhere — watching very carefully what we say and do to one another. And he may be as sane as you or me.

80% of mass killers analysed in study had no mental illness

 ?? Ador T. Bustamante © Gulf News ??
Ador T. Bustamante © Gulf News

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