Paranoid thinking in mass shooters
Introduction
Civilian mass murder is front page news and a number of high-profile school shootings have led to attempts to diagnose and characterize mass shooters. Unfortunately, psychological “diagnosis” of mass shooters is often based on symptoms that are shared with other diagnoses. We argue that inspection of diaries or disclosures to psychiatrists made by some mass shooters reveal profound disturbances in ego-identity and paranoia.
Section snippets
Existing typologies
Verlinden, Hersen, and Thomas (2000) examined nine cases of multiple victim school shootings and developed a list of risk factors at four levels, based on information available in the Lexis/Nexis legal database. These risk factors were categorized as individual, family, school/peers, and societal/environmental. Among the individual level factors were difficult temperament, impulsivity/hyperactivity, psychiatric conditions, a history of aggression, substance abuse, and beliefs. Common individual
Eric Harris
Eric Harris (age 18 years) was the leading force in the Columbine killings in Colorado on April 20, 1999. Eric Harris and Dylan Klebold were high school seniors who shot 27 people at their high school, killing 13. They then committed suicide in the school library. Harris had been making pipe bombs, with the plan to blow up the school (these bombs failed to detonate) as well as shoot students. Harris and Klebold may have been part of a group (of self-identified outsiders) called the Trenchcoat
Diaries/Web logs
The phenomenology of the perpetrator in the weeks or days prior to the shooting is available in that some shooters kept diaries or Web blogs or, in Breivik's case, wrote a manifesto. A central theme that runs through these diaries is one of feeling rejected, dismissed, disrespected, and devalued by an “in-group” invariably depicted as “jocks and preppies” and of wanting vengeance for this mistreatment. The “in-group” is despised for being “superficial” and for getting unwarranted status.
Paranoia in mass shooters
There are several elements in the thinking of school shooters that suggest a paranoid personality disorder blended with what Millon calls “malignant narcissism” (Millon & Davis, 2000, p. 428). Paranoid personalities have a pervasive mistrust of others, are suspicious and hyper-vigilant for “disrespect,” and actively seek “evidence” (i.e., of expected rejection or a “lack of respect” where it may appear absent to others). According to Blaney (1999) they persistently feel wronged—a victim of
Threat/risk prediction
Both the press and social science writers tend to focus on symptoms as “explanations” for school shootings, for example, Goth culture, guns, need for mental health services, homophobic taunting, and/or psychopathy. In this paper, we argue that this approach does not work; most of the mass shooters we reviewed had been assessed by psychiatrists (Cho, Harris, Breivik). Harris was given “anger management” as a condition of release. The assessments appear cursory and do not attempt to diagnose
Conclusion
Not all mass shooters keep diaries so we cannot generalize to others based on those that do. Unfortunately, the ones that do not keep diaries provide little information as to their inner processes. They are standoffish and those who knew them superficially said they seemed strange but that's all we have. Michael Carneal, who shot eight students at school in 1997, had written a story (not a diary) about a boy who was teased at school by popular students and subsequently murdered them. Carneal
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2019, Psychiatry ResearchCitation Excerpt :This is predicated on the notion that poor emotion regulation, limited impulse control, and enhanced reactivity to mildly provocative emotional stimuli are instead viewed as more salient predispositions for reactive aggression than neuromoral impairment (Lickley and Sebastian, 2018), whereas an impaired moral sense has greater etiological relevance in the context of more proactive, predatory, and planned use of aggression that requires a stronger immoral indifference to the well-being of victims (Kempes et al., 2005). At the more serious level of homicide, impaired neuromoral circuitry is hypothesized in serial killers who have a callous disregard for their victims, and to a somewhat lesser extent in mass killers who are instead more characterized by mental illness and paranoid thinking (Dutton et al., 2013; Stone, 2015). In contrast, those perpetrating domestic homicide are more likely to have more severe mental illness (psychosis) and less likely to have prior convictions and antisocial personality disorder compared to perpetrators of homicide outside the home (Hanlon et al., 2016).
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2016, Encyclopedia of Mental Health: Second EditionThe unique role and special considerations of mental health professionals on threat assessment teams at institutions of higher education
2019, International Journal of Law and PsychiatryCitation Excerpt :It is noteworthy that all but one of the perpetrators in this study were enrolled in primary or secondary schools at the time of their attack. More recently, research was completed that analyzed the diaries and online materials produced by a subset of mass shooters largely composed of perpetrators of school and campus shootings (Dutton, White, & Fogarty, 2013). It was reported that these perpetrators exaggerated the occurrence and severity of the negative social treatment inflicted on them by other individuals, and they may have viewed their violent acts as a means of righteous vengeance against the individuals and groups whom they identified as having persecuted them.
American Academy of Nursing on policy: Recommendations in response to mass shootings
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