Thursday, July 26, 2012

Sane and evil, or paranoid schizophrenic?

A commenter at the Have You Had Enough Therapy? blog makes these observations about the Aurora killer and mental health treatment programs: "The mental health system is pretty underfunded and uncoordinated.

No psychiatric hospital wants to keep any one for any length of time and when they do release people they are always "stable" with a GAF of 60. However, treatment after such a hospitalization is spotty and ad hoc.

Even if you are a danger to yourself or others, you only get to stay for 3 to 7 days and are then released.

The entire psychiatric system needs to be rethought and restructured so that people with serious organic disorders like schizophrenia and bipolar disorder are better handled over a longer term.

Fortunately for the public, most of the time those with serious organic disorders are only a danger to themselves or their immediate family.

Like one paranoid schizophrenic who decided to swim a mile in the ocean with one of his small children while leaving the other one alone on a beach. Or the guy who decided to dump gasoline around his daughter's house because she wouldn't let him in.

And those two examples are of relatively high functioning people with organic brain disorders.

Until I got into this line of work I had no idea that these disorders really even existed. It's not something that's generally discussed in suburbia.

 My brother-in-law's the psychiatrist.

I'm just the lawyer who has to read the psychiatric records to prove mental impairments in court. The fun part is interviewing the client about suicide attempts and hallucinations.

Never thought I would spend any part of my professional life talking about auditory and visual hallucinations.

I never really believed that mental illness existed until I took this job. The weirdest vibes come from the people who are manic. I'd never seen anything like that before.

This guy just seems like he's been hit with the onset of paranoid schizophrenia.

Columbine was evil (one was clearly a sociopath; the other one was an idiot sidekick). Not too much mental illness there. They wanted to kill people for fun.

This guy looks and acts like someone who actually did what the voices in his head told him to do.

He could be faking it, but the entire series of events seems off. If you wanted to kill as many people as possible for fun, why would you tell the police that your apartment was rigged with explosives after you just got done shooting up a theater?

If you're sane and evil, you would want the bomb to go off, so you would keep your mouth shut so that you would become even more famous/notorious to get a higher "kill count"."

Read more here:  http://stuartschneiderman.blogspot.com/2012/07/the-psychosis-of-james-holmes.html

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