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8/21/2019

"MENTAL ILLNESS PULLS the TRIGGER"

The man who occupies the White House as president has once again presented a mistaken premise, backed by no factual evidence, to mislead his followers and anyone else who might be persuaded by bumper sticker mentality.
 
Following the two horrific mass shootings in El Paso, TX and Dayton, OH, Donald Trump spoke on Monday, August 5, 2019 from the White House during which he declared “mental illness and hatred pulls the trigger, not the gun.”  Although earlier in the day he had mentioned (in a tweet) a need for “background checks,” in this speech, he described the shooters as “mentally ill monsters.”   And, this wasn’t the first time he made such a statement.  Trump also suggested that mental illness was to blame for the killings that happened at the First Baptist Church of Sutherland Springs in Texas in November 2017. He continued to press this theme at his most recent rallies.

Definitions matter.  And so does Trump’s Rhetoric. 
“’Mental illness’ is a disease that causes mild to severe disturbances in thought and/or behavior, resulting in an inability to cope with life’s ordinary demands and routines.” 
There are more than 200 classified forms of mental illness. Some of the more common disorders are depression, bipolar disorder, dementia, schizophrenia and anxiety disorders.  Symptoms may include changes in mood, personality, personal habits and/or social withdrawal.
“Mental health problems may be related to excessive stress due to a particular situation or series of events … mental illnesses are often physical as well as emotional and psychological. Mental illnesses may be caused by a reaction to environmental stresses, genetic factors, biochemical imbalances, or a combination of these. With proper care and treatment many individuals learn to cope or recover from a mental illness or emotional disorder.”  (http://www.mentalhealthamerica.net/recognizing-warning-signs)

Basic questions that Trump needs to answer, based on his own words:
1.      how do you define “mental illness” and what proof (documentation) do you have that it “causes” the trigger-pulling? 
2.      are guns protected by the 2nd Amendment or is the peoples’ right to own and bear arms the subject of 2nd Amendment protection? Are you asking us to accept all guns (and gun manufacture) as constitutionally protected, even though these are potentially lethal weapons and killing machines sold for profit?  Strange, since potentially lethal (and even faulty) products -- like certain drugs, foods, toys, autos & trucks -- are generally well-regulated to assure people’s safety and tranquility!
3.      are you equating those who are mentally ill with being monsters?  are you saying that all persons who are shooters are mentally ill?  or are you saying that all mass shooters must be mentally ill and are therefore also monsters? do you even know what you are saying?
4.      was the NRA consulted in any way about this speech (and more recent rantings)?  After all, it is NRA propaganda that insists that guns are not any kind of problem, but that mass shooters who pull the trigger are mentally ill and that anything (like background checks) that restricts gun ownership (sales?) is a “slippery slope” toward confiscation of guns
5.      if hatred is part of the problem with these shooters, what actions are incumbent upon you to assure that hate speech and hateful behavior are curtailed?

MENTAL ILLNESS is NOT the main reason why mass shootings and domestic terrorism are increasing in this nation.  That is a figment in the imagination of a deficient president and his equally deficient conspiracy-prone followers.  Perhaps more relevant to the situation is a current atmosphere of violence as acceptable behavior contributed to by the following:
§  a history of violence toward people of color (from slavery to Jim Crow to white nationalism or white supremacy to immigration restrictions
§  election of a racist to the presidency with his vile language and behavior toward ‘others’ like immigrants, Muslims, Mexicans, Africans, etc.
§  a president who signals his approval and empathy with violent hate groups like Nazis, white nationalists and the KKK
§  a president whose intent is to destroy democratic values and replace them with:
o    absolute loyalty to him as leader (‘Fuhrer’ in German),
o   a constant din that government is the problem,
o   laws made useful for self-advancement; and,
o   violence and revenge seen as necessary in a war against people who disagree or criticize the Leader
§  the glorification of guns and easy access to them
§  protection of potentially lethal products by the NRA (for profit)
§  using violence as a means of control over others

Some responses to Trump comments on Mental Illness:
“Aug. 6, 2019 --
"…the American Psychiatric Association (APA) quickly issued a statement saying the "overwhelming majority" of people with mental illness are more likely to be victims of violent crime than to carry it out.
APA President Rosie Phillips Davis, PhD, added these thoughts:
“As our nation tries to process the unthinkable yet again, it is clearer than ever that we are facing a public health crisis of gun violence fueled by racism, bigotry and hatred. The combination of easy access to assault weapons and hateful rhetoric is toxic. 
“A small percentage of violent acts are committed by people who are diagnosed with, or in treatment for, mental illness. The rates of mental illness are roughly the same around the world, yet other countries are not experiencing these traumatic events as often as we face them. One critical factor is access to, and the lethality of, the weapons that are being used in these crimes. Adding racism, intolerance and bigotry to the mix is a recipe for disaster.”

Renee Binder, MD, a professor and director of the Psychiatry and Law Program at the University of California, San Francisco, says these types of shooters are "highly disturbed in some way or another," but there is not a strong connection between mental illness and violence.  In addition, using the term "monsters" to describe people who have mental illness "does a lot of harm," she says. "There's already so much stigma against people who have a diagnosis of mental illness."” (https://www.webmd.com/mental-health/news/20190806/experts-slam-trump-for-post-shooting-comments#1)

Research strongly suggests that Mental-health issues are not necessarily predictive of violent outbursts. 
v Although as many as one in five people in the US experience mental illness every year, people with serious mental-health problems account for just 3% of all violent crime.
v Psychiatrists and psychologists have been looking at the data on this for a long time, and there's just no evidence of a (direct) connection between mental illness and violence. Instead, researchers have discovered that people with major mental illnesses are 2.5 times more likely to be the victims of violent outbursts than the general public. (Business Insider)
v According to the National Center for Health Statistics, less than 5% of the 120,000 gun-related killings in the US between 2001 and 2010 were perpetrated by people diagnosed with mental illness.
v “If we want to address the gun violence that is tearing our country apart, we must keep our focus on finding evidence-based solutions. This includes restricting access to guns for people who are at risk for violence and working with psychologists and other experts to find solutions to the intolerance that is infecting our nation and the public dialogue.” (APA President)

Scientists say the real problem is that violent, impulsive, and angry men are (easily) getting their hands on guns.  There is…a well-established pattern among mass shootings: They're typically perpetrated by angry young men.

A 2017 report from the Department of Homeland Security on "mass attacks" in public spaces found similarly that "almost half" of the attackers studied that year were motivated by personal grievances, retaliating for various perceived slights, including being bullied, disliked, or wronged by peers or family members. It's a phenomenon that other researchers have noticed, too.
"Most mass murders are planned well in advance of the outburst, usually as acts of revenge or retribution for perceived slights and wrongs," psychiatrist Michael Stone noted in a 2015 report on "mass murder, mental illness, and men."

The forensic psychiatrist Liza Gold teaches at Georgetown and edited the book "Gun Violence and Mental Illness." She told Business Insider in 2017 that mass shooters tend to be "impulsive and angry about a lot of different things" and said many have a history with law enforcement or violence, especially around domestic violence.  

 “Domestic violence can be physical or psychological, and it can affect anyone of any age, gender, race, or sexual orientation.  While every relationship is different, domestic violence generally involves an unequal power dynamic in which one partner tries to assert control over the other in a variety of ways.  Some perpetrators may even use children… or other family members as emotional leverage...”

One of the outcomes of domestic violence for children involved can be the disorder called ’Intermittent Explosive disorder’ which appears to result from a combination of biological and environmental factors. Most people with the disorder grew up in families where explosive behavior and verbal and physical abuse were common. Being exposed to such violence at an early age makes it more likely for children to develop the same traits as they mature. There may also be a genetic component through which the susceptibility to the disorder is passed from parents to children. The majority of cases occur in persons younger than 35 years of age.  The disorder is probably more common than realized and may be an important cause of violent behavior. Some studies have found that intermittent explosive disorder is more common in men.” (Psychology Today, August 12, 2019)

This brings us to a point that does not receive enough attention.  Yes, mental illness may be behind the actions of mass shooters, but not just any form of mental disorder and certainly not mental illness that is being successfully treated.  What may be more accurate is that a disposition toward violence is behind these killings.  That violence may find its origin in mental disorder of one or another kind that has gone undiscovered, unreported, undiagnosed and untreated.  And therein may lie more truth than fiction.    

One writer describes the duplicitous approach of the psychological community and the media toward protecting those with mental illness from further stigma while also acknowledging that some untreated or uncured mental disorders do involve a tendency to the violence behind these shootings. Her work “as a writer, trainer, and coach focuses on educating the world to the true nature of what it's like to have bipolar disorder and/or a form of schizophrenia” as she does. 
  
Julie A. Fast, Take Charge of Bipolar Disorder, Mental Illness, Violent Behavior, and Mass Shootings  A balanced perspective.
Posted Aug 12, 2019 in “Psychology Today”
 “Currently, there are two messages in the mental health community: The public cry is, ‘We are not violent,’ and at the same time, behind the scenes, “Please do something about people with untreated mental illness who are violent, but don't tell the world or we will have more stigma.” We can't have it both ways.

“My approach is...I want the world to know that those of us with serious mental illness absolutely can get better if we say ‘yes’ to treatment when treatment is available. On the other hand, I feel the ravages of my own mentally ill brain that has violent thoughts and leads me to violent behaviors. This is reinforced by… clients who tell me first-hand stories of mental illness and violence in their own homes. 
 “Research — the kind reported after there is violence in a mass shooting—strongly points to people with untreated mental illness as the perpetrators of the majority of mass shootings in the U.S. In many cases, family members tried for years to get help for the child.”

Her conclusion is compelling:
“We need a balanced discussion. The majority of people with mental health disorders have depression and anxiety. They are not known to be violent. Those of us with SMI or SPMI on the serious mental illness scale who have a form of bipolar or a psychotic disorder--  We are the ones in jail and in hospitals. We are on the streets. We are the one who needs a health check before buying a gun.  No, not all people with serious mental illness are violent, but I can honestly say I have never met someone who is in a dysphoric manic episode with psychosis who is not violent to some extent.”

The mom of one of the recent shooters in El Paso tried to tell the police she was scared. They ignored her. "The kid is 21 and has a right to have an AK47," the police said. The young man opened fire at Walmart and killed innocent people. It is being called ‘domestic terrorism’ (which) will fit the agenda that mentally ill people are not violent…
“We can't end stigma while simultaneously giving the opposite message that none of us are violent. It sends a mixed message and, in my opinion, will lead to more killings.”

So, how do we approach this topic of gun violence.  Probably not in the way that Donald J. Trump has proposed: by considering all mass shooters as mentally ill. 

This stigmatizing error leads to all kinds of abuses, some of which Trump has already hinted at; institutionalization being the worst.  The fight to rid society of the scourge of incarceration (institutionalization) and non-human and inhumane treatment and isolation from the world, has been too long and arduous to return to that ignominious model of ‘treatment.’  Trump is a knee-jerk Regressive who has no idea how stupid and dangerous this is. It reminds one of the Nazi’s solution to mental deficiency which was to “lock ‘them’ up” and basically experiment on ‘them’ or let ‘them’ die. 

On the other hand, the mental health community, and our government leaders have failed to attend with money and commitment to treatment of mental illness in its many forms.  The worst has probably been the utter failure to provide adequate public resources for the diagnosis and treatment of those who suffer with mental disorders that may lead to violent outbursts.  Our community mental health system was so inadequate when de-institutionalization occurred that it could not provide adequate support and treatment for all those placed in our communities, too many ending up on the streets to become homeless or jailed.  Despite some improvements that have occurred, such as group residences and clinics, we still have inadequate community resources for the treatment needed by those experiencing mental illness or disorder.

The Trumpian solution for resolving gun violence is to target those with mental illness: to deny them access to guns, to lock them up in big buildings and to isolate them from the rest of us.  He has no idea what could or should be done about community resources to treat mental illnesses; even though that would cost less than building or re-furbishing all those institutions.  Indeed, he can’t even deliver on “meaningful” background checks for all gun purchases because he can’t stand up to the NRA (he can’t risk losing their support!). 

Once again – as with so many of this nation’s social issues – Mr. Trump has little or no understanding of the actual problems; and little regard or understanding for in-depth solutions.  He defines problems in terms of conspiracies (mostly against him) or in terms of personal whims or fantasies or prejudices; or simply in terms that someone else provides (like FOX News personnel).  As long as he remains in office (along with ‘Moscow Mitch’ and his silent majority of GOP Senators), solutions to gun violence and the tremendous need for effective treatment of mental illnesses that lead to violent eruptions, have slim chance of being undertaken.  
THERE IS BUT ONE SOLUTION – IMPEACH TRUMP NOW and VOTE Do-Nothing REPUBLICANS OUT IN 2020!