Mass Killers – Can we identify a mass killer e.g. pilot, school shooter etc. in advance?

These are extremely rare events and it is almost impossible to predict with any degree of accuracy rare events. Nevertheless, we must try but at the same time realise that many of the individual features of the profile I describe about potential mass killers are not rare in the general population. It’s the more overall picture that is relevant.

We must look at:-

  1. 1.      Medical history pattern deviating from average medical history pattern of pilots, students, military personnel etc

 

  1. 2.      Childhood history of being bullied, being a loner, being very routine bound person with special interests in death, perversions, dead animals, serial killers, mass killing, police work, military activities, horror movies, killing of animals, e.g. cats etc showing callous and unemotional trails, moodiness and showing gross lack of empathy, problems reading other people’s minds emotionally, being excessively controlling and dominating, problems with reciprocal social relationships, having sensory problems, noise, taste, touch, being significantly clumsily, being very unpopular in school but having special talents with numbers, mathematics, technology, engineering, construction and logic.

Other features would include poor eye contact, problems reading non-verbal behaviour, problems sharing emotional thoughts, problems turn taking and being very poor at group games. Many or most readers will dismiss this profile as nonsensical. The only answered to them is to ask them to produce a better alternative approach to the problem. Clearly we have to be extremely careful in labelling people inappropriately. If one is totally anti-labelling or identifying potential mass killers then one has to accept the activity of mass killers.

If one hears of a person who is in an average job and who has never performed above the average or indeed less than the average level and they state they will one day be famous and that “everyone will know my name” and they have the profile outlined above then airline management or schools managers or army commanders should ask some questions and explore the background and motive of this person a little more. If in addition to the above profile already described, a person is depressed, has recently experienced stress at his job, has had personal relationship breakup or conflict with his employers or problems with his work performance, is in a position of major responsibility e.g. airline pilot, then they should be examined further, if they make unusual and bizarre statements which could be taken as a joke if one wasn’t listening carefully.

Another scenario is a pupil (almost always male) with the profile described, who shows strange comments on his social media sites, has been bullied (or is being bullied in school), is depressed, ostracised, can’t relate to girls, is a loner, has had an academic crisis or access to guns at home or elsewhere and makes violent threats, these should be investigated by the health and safety officer in school (who should be responsible for gun attacks in school) in conjunction with the management of the school where a thorough investigation should take place. People like the readership keep Adam Lanza, Harold Shipman and Timothy McVey in mind.

 

References:

Autism Spectrum Disorders - Recent Advances - New Book Cover ’Autism and School Shooting’

by Michael Fitzgerald

has been published in April 2015 in the book ‘Autism Spectrum Disorders – Recent Advances’

by InTech Publishing in a book edited by Michael Fitzgerald.

Click here to download for free

 

young violent dangerous to know

 

Young Violent and Dangerous to Know’, a book by Michael Fitzgerald

was published by Novinka, New York in 2013 and focuses on mass killers and serial killers.

Click here for more details

 

Psychopathy -Risk Factors, Behavioural Symptoms and Treatment Options

 

A new book called “Psychopathy”

published in 2014 by Nova Science, New York, edited by Michael Fitzgerald,

has a chapter on ‘Criminal Autistic Psychopathy’ by Michael Fitzgerald, a not uncommon diagnosis in mass killers.

Click here for more details

Mass Killers – 2 New Books – Can we identify a mass murderer (e.g. pilot, school shooter etc) in advance?

BTB 2 Young Violent and Dangerous to know

These are extremely rare events and it is almost impossible to predict with any degree of accuracy rare events. Nevertheless, we must try but at the same time realise that many of the individual features of the profile I describe about potential mass killers are not rare in the general population. It’s the more overall picture that is relevant.

We must look at:-

1. Medical history pattern deviating from average medical history pattern of pilots, students, military personnel etc

2. Childhood history of being bullied, being a loner, being very routine bound person with special interests in death, perversions, dead animals, serial killers, mass killing, police work, military activities, horror movies, killing of animals, e.g. cats etc showing callous and unemotional trails, moodiness and showing gross lack of empathy, problems reading other people’s minds emotionally, being excessively controlling and dominating, problems with reciprocal social relationships, having sensory problems, noise, taste, touch, being significantly clumsily, being very unpopular in school but having special talents with numbers, mathematics, technology, engineering, construction and logic.

Other features would include poor eye contact, problems reading non-verbal behaviour, problems sharing emotional thoughts, problems turn taking and being very poor at group games. Many or most readers will dismiss this profile as nonsensical. The only answered to them is to ask them to produce a better alternative approach to the problem. Clearly we have to be extremely careful in labelling people inappropriately. If one is totally anti-labelling or identifying potential mass killers then one has to accept the activity of mass killers.

If one hears of a person who is in an average job and who has never performed above the average or indeed less than the average level and they state they will one day be famous and that “everyone will know my name” and they have the profile outlined above then airline management or schools managers or army commanders should ask some questions and explore the background and motive of this person a little more. If in addition to the above profile already described, a person is depressed, has recently experienced stress at his job, has had personal relationship breakup or conflict with his employers or problems with his work performance, is in a position of major responsibility e.g. airline pilot, then they should be examined further, if they make unusual and bizarre statements which could be taken as a joke if one wasn’t listening carefully.

Another scenario is a pupil (almost always male) with the profile described, who shows strange comments on his social media sites, has been bullied (or is being bullied in school), is depressed, ostracised, can’t relate to girls, is a loner, has had an academic crisis or access to guns at home or elsewhere and makes violent threats, these should be investigated by the health and safety officer in school (who should be responsible for gun attacks in school) in conjunction with the management of the school where a thorough investigation should take place. People like the readership keep Adam Lanza, Harold Shipman and Timothy McVey in mind.

References:

1. ‘Autism and School Shooting’ by Michael Fitzgerald has been published in April 2015 in the book ‘Autism Spectrum Disorders – Recent Advances’ by InTech Publishing in a book edited by Michael Fitzgerald.

2. ‘Young Violent and Dangerous to Know’, a book by Michael Fitzgerald was published by Novinka, New York in 2013 and focuses on mass killers and serial killers.

3. A new book called “Psychopathy” published in 2014, edited by Michael Fitzgerald, published by Nova Science, New York, has a chapter on ‘Criminal Autistic Psychopathy’ by Michael Fitzgerald, a not uncommon diagnosis in mass killers.

New Book on Psychopathy edited by Prof. Michael Fitzgerald

Psychopathy: Risk Factors, Behavioral Symptoms and Treatment Options
Psychopathy: Risk Factors, Behavioral Symptoms and Treatment Options
Click to enlarge
Editors: Michael Fitzgerald (Department of Psychiatry, Trinity College Dublin (TCD), Dublin, Ireland)
Book Description:
Psychopathy is one of the most serious and challenging conditions that society and mental health professionals face. The consequences of the actions of persons with psychopathy on other individuals or society at large are very great. Persons with psychopathy are extremely difficult to treat and indeed some treatments in the past have been shown to cause deterioration affects. This book explores the issue of psychopathy from the point of view of the individual with psychopathy, brain aspects of the condition, cultural aspects, treatment aspects and it’s relation to autism and other empathy disorder which it can on occasion overlap with.
Offenders with high levels of psychopathy are among the most challenging persons mental health professionals have to treat. They need very careful and skilled interventions. Chromis is an innovative programme described by Tew, Bennett and Atkinson which shows promise. It is a future focused programme which pays attention to control and choice, collaboration and transparency and has a cognitive skills component, a motivation and engagement components. Marc Wilson and Samantha Harley have an interesting chapter on narcissism, psychopathy and Machiavellianism. They found a relationship between vertical individualism and all three constructs and between hierarchical and narcissism. Their conclusions suggest that hierarchical, autonomous societies may socialise members in such a way that may foster aversive personalities. Don Ambrose in his chapter on unmeritorious meritorocy focuses on a topic that severely affected almost everyone in the developed world in some way. He highlights the admiration for businessmen with psychopathic traits and the negative consequences of this. In the chapter on criminal autistic psychopathy Fitzgerald highlights the overlap between psychopathy and autism. Hans Asperger in his initial descriptions recognised the overlap between psychopathy and autism with his term autistic psychopathy. This idea faded from view over the last thirty years because there was a wish to separate autism from psychopathy. This wish did not prevent the overlap. Fitzgerald (2010) has introduced the sub group of autism spectrum disorders called criminal autistic psychopathy to cover the section of the spectrum where criminality occurs. It links with the new work on callous and unemotional traits (Fitzgerald 2003) and with mass killings, school and other location shootings where criminal autistic psychopathy is not rare.The chapter on cognitive neuroscience in child and adolescent psychopathy by Halty and Prieto point out among other issues that in the case of children with psychopathic features there is evidence of fewer references to welfare of victims when they have to justify transgressions. The chapter by Halty and Prieto on psychopathy in child and adolescent populations discuss the issue of psychopathy in children and adolescents and the importance of callous and unemotional traits as well as the influence of parenting practices in the development of child and adolescent psychopathy. Laura Nunes’s chapter on psychopathy: risk factors and behavioural symptoms focuses on treatment of options in extremely difficult area and proposes a biogram. In the chapter on Hans Asperger autistic psychopathy revisited focuses on the neglected paper of 1938 long before Leo Kanner wrote his paper on autism. Asperger worked on this topic throughout the 1930′s. It also focuses on the differential diagnosis of autism and schizophrenia, obsessive compulsive disorder and other personality disorders. Ana Calzada and colleagues give us a very important chapter on brain scanning and psychopathy. These neuroanatomic differences in violent individuals are very important in terms of aetiology diagnosis and treatment problems and important areas for future research. (Imprint: Nova)References:
Fitzgerald M. (2003) Callous-Unemotional Traits and Asperger’s Syndrome. Journal of the American Academy of Child and Adolescent Psychiatry 42, 9, 10-11.
Fitzgerald M. (2001) Autistic Psychopathy. Journal of the American Academy of Child and Adolescent Psychiatry 40, 8, 870.
Fitzgerald M. (2010) Young Violent and Dangerous to Know. Nova Science: New York.
Table of Contents:
PrefaceChapter 1. The Treatment of Offenders with High Levels of Psychopathy through Chromis and the Westgate Service: What have we Learned from the Last Eight Years?
(Jenny Tew, A.L. Bennett and R. Akinson, National Offender Management Service, Ministry of Justice, United Kingdom and The Centre for Forensic and Criminological Psychology, The University of Birmingham, Birmingham, England; The Westgate Personality Disorder Treatment Service, HMP Frankland, and National Offender Management Service, Ministry of Justice, UK)Chapter 2. Psychopathy: A Proposal for an Integrated Evaluation
(Laura M. Nunes, Fernando Pessoa University, Oporto / Portugal)Chapter 3. MRI Study in Psychopath and Non-Psychopath Offenders
(Ava Calzada-Reyes, Alfredo Alvarez-Amador, Mitchell Valdes-Sosa, Lester Melic-Garcia, Alonso Y. Aleman and Jose del Carmen Iglesias-Alonso, Department of Clinical Neurophysiology, Institute of Legal Medicine, Independence Avenue, Plaza, Havana City; Cuban Center of Neuroscience, Havana City and Department of Clinical Neurophysiology, Carlos Juan Finlay, General Hospital, Havana, Cuba)Chapter 4. Unmeritorious Meritocracy: The Ascendance of Psychopathic Plutocracy in the Globalized 21st-Century
(Don Ambrose, Rider University in Lawrenceville, New Jersey, US)

Chapter 5. Narcissism, Psychopathy and Machiavellianism: Associations between Cultural Factors and Interpersonal Dominance
(Marc Stewart Wilson and Samantha M. Hartley, School of Psychology, Victoria University of Wellington, New Zealand)

Chapter 6. Hans Asperger’s Autistic Psychopathy: Revisited
(Michael Fitzgerald, Department of Psychiatry, Trinity College Dublin (TCD), Dublin, Ireland)

Chapter 7. Criminal Autistic Psychopathy.
(Michael Fitzgerald, Department of Psychiatry, Trinity College Dublin (TCD), Dublin, Ireland)

Chapter 8. Stability of Psychopathic Traits in Youth: Long-term Trends and Comparisons with the Stability of the Five Factor Model of Personality
(Mary Ann Campbell, Rosemary Beauregard and Fred Schmidt, Psychology Department & Centre for Criminal Justice Studies, University of New Brunswick-Saint John Campus, Saint John, New Brunswick; Children’s Centre Thunder Bay, Thunder Bay, Ontario; Psychology Department, Lakehead University, Thunder Bay, Ontario, and Centre for Criminal Justice Studies, University of New Brunswick-Saint John Campus,
New Brunswick, Canada)

Chapter 9. Disordered Self in Schizophrenia and Autism Spectrum Disorders. The Autisms and the Self.
(Michael Fitzgerald and Victoria Lyons, Department of Psychiatry, Trinity College Dublin (TCD), Dublin, Ireland)

Chapter 10. Exploring Treatment Options for an Allegedly “Untreatable” Disorder, Psychopathy: An Integrative Literature Review
(Chasity Bailey, Rahul Sehgal, Adrian Coscia, Deborah Shelton, University of Connecticut, Center for Correctional Health Networks-CCHNet, School of Nursing, CT, USA, and others)

Index

Series:
Psychiatry – Theory, Applications and Treatments
   Binding: ebook
   Pub. Date: 2014
   Pages: 7×10 – (NBC-C)
   ISBN: 978-1-63463-090-0
   Status: AN

A Road to Homicide in Ireland

The road to homicide in adolescents and young men can be quite a long one.  When you look back with 20-20 hindsight one can not uncommonly observe that the person when a small child had a difficult temperament.  They were unmalleable and very difficult to rear.  Temperament has genetic underpinnings.  The factors leading to homicide are a combination of nature and nurture or genes and environment.  By the age of three the child may be brought to a Child Psychiatrist because they are hyperactive and impulsive.  By the age of four they may very well have been in two or three preschool playgroups where they are unmanageable because of their poor attention and hyperactive impulsive behaviour.  At this stage they would meet the criteria for Attention Deficit Hyperactivity Disorder hyperactive type.  Unfortunately if they see professionals at this age their problems are likely to be attributed to parental management failures.  This is often absolutely untrue.  When they start primary school the same situation occurs in the classroom i.e. poor concentration, poor attention, forgetful, disruptive, hyperactive, impulsive.  Again the parents may be falsely blamed.

 

It is only a short time before an additional diagnosis is added in i.e. Oppositional Defiant Disorder.  This will cause the school and parents great problems, even more than the Attention Deficit Hyperactivity Disorder.  A few years later the diagnosis of Conduct Disorder will be added with significant disturbances of conduct including bullying, being cruel to people or animals, stealing, fire setting, staying out late at night without parental permission, etc..  Into adolescence indeed even early adolescence there will be the use of street drugs like cannabis and alcohol.  This drug and alcohol use will escalate during adolescence.  Suspension from school will not be uncommon and finally a pupil will be asked to leave school and will become a drop out. Then they are on the streets, which is probably the most dangerous place of any in Ireland where there is massive availability of drugs. Delinquent acts will then take place, which can escalate to assaults.  The drug and alcohol abuse will increase.  There will be linking up with peers of a similar persuasion and with similar problems and then grievous bodily harm or a homicide is waiting to happen.

 

For example on the night of the homicide it will not be uncommon for a group of these adolescents or young men to have taken a great deal of drugs and alcohol which make them even more impulsive and they will pounce on an innocent victim or possibly somebody who might have said something to them.  They will then go through the legal system, which will charge them with murder and give no credence to anything that has happened before.  Because persons with hyperactive impulsive behaviour are likely to have accidents it wouldn’t be rare as well that there might be some brain damage from previous accidents.  Over 18s receive a diagnosis of Antisocial Personality Disorder but their adult Attention Deficit Hyperactivity Disorder will be missed and therefore untreated.  What these children, adolescents, and adults need is early intervention and active treatment. Blaming parents so popular with right wing people.  This is completely unhelpful and only aggravates the situation.  Clearly this is not the only road to homicide as others will show evidence of psychosis, paranoid personality disorder, etc.. Clearly in Ireland the appalling abuse of alcohol in adolescents and young people is a major factor.  If the legal age for drinking was put up to 21 years it would help.  Unfortunately these very disturbed young men or adolescents would probably acquire it anyhow from some other source.  Nevertheless reducing availability could only help.

 

Early intervention is critical and it might be worth considering treating Attention Deficit Hyperactivity Disorder in those over age three with Dexamphetamine, which is licensed, in addition to behavioural interventions.  Oppositional and Defiant Disorder may need the addition of Clonidine or Risperidone which are both off label.  Anti-depressants will often need to be added in and these people in the course of their career will often show clear evidence of depression.  For adolescents and children who have difficulty remembering their medication there is an eight hour medication called Ritalin Long Acting is helpful. For those adolescents who have to study after school then Concerta XL which is 12 hours of duration once a day is helpful.  Finally for those adolescents and young men who need 24 hour treatment there is then Strattera the first non-stimulant treatment for Attention Deficit Hyperactivity Disorder which is available on a once daily medication. This is licensed in the U.K. and USA etc. and is available in Ireland at present on a named patient request.

 

Inappropriate focus on multidisciplinary teams means that there is wastage of professional time that could be used in seeing patients. This does not occur in adult psychiatry where the patient rather than the team is the major focus.

 

These very disturbed adolescents and young people described in this article need very energetic complex and multiple psychopharmacological intervention as well as multimodal other therapies including psychotherapy, family therapy, and behaviour therapy.  Schools also need small classes to deal with these very disturbed children and adolescents.  Ejecting them from schools something which is so common is the straw that ‘breaks the camel’s back’ and putting them on the streets massively increase their risks. Because of the disturbance in school they will not uncommonly need full time Special Needs Assistants and because they often have comorbid difficulties for example specific learning difficulties they will also need extra resource teaching.  What they don’t need is criticism or blame and their parents don’t need criticism or blame, which is so often available from a whole variety of professionals. Particularly those with right wing leanings.  The most negative factor that they can have in their career trajectory is endless criticism and blame.  This is an unnecessary and tragic environmental factor.  Children with ADHD should have equal rights to education and psychiatric treatment as all other children in the state.  Untreated the outcome may be tragic for themselves (e.g. completed suicide because of the impulsivity of ADHD) or fatal for other citizens because of homicide or death themselves in car accidents.  Adult ADHD is associated with high accident rates.

 

Attention Deficit Hyperactivity Disorder has highly significant genetic associations and occurs in 4.4% of the adult population. It is the most commonly missed adult psychiatric disorder in Ireland, the majority of persons with it not being diagnosed. Hopefully the Irish College of Psychiatrists / Irish Psychiatric Association will take up the matter soon. The Royal Academy of Medicine in Ireland is organising meetings on Attention Deficit Hyperactivity Disorder next year.

 

Adult Attention Deficit Hyperactivity Disorder is characterised by poor concentration, shifting of activities frequently, day dreaming, being easily distracted, problems organising time, poor attention to detail, difficulty listening, is impatient, acts without thinking, talks out of turn, has impulsive urges, has temper tantrums, has a restless feeling, has motor hyperactivity, has difficulty remaining seated during meetings, and difficulty working quietly.