The Dolhenty
Report
A Commentary on the
Human Condition
by Dr. Jonathan Dolhenty
JUNE 1999
Some
Comments on the "Mental Illness"
Issue
Now, to the "mental health" issue which has come
to the forefront in recent weeks. Clinton is
proposing legislation regarding this matter --
including, employment protection for the "mentally
ill" -- and Tipper Gore is leading the charge
(anything to do with her husband's candidacy?). I
actually thought the "mentally ill" were already
protected since so many of them are working in the
White House, the Congress, and the various federal
agencies.
Of course, I don't believe in so-called "mental
illness," which is why the quotation marks are used
in the last paragraph. It seems to me that things
come down to two points:
- First, there are some people who suffer from
brain disfunctions, most likely caused by
chemical imbalances, misuse or overuse of
various brain-affecting drugs, or some sort of
damage in the brain (tumors, etc.). These are
not "mental," but physical. It is the brain, a
physical organ, that is affected. If there
really is such a thing as a "mental illness,"
what is it that is "diseased"? If it is the
brain, that is a "physical" illness, not a
mental one. If it is claimed it is the "mind,"
then we have a problem. How can a simple,
non-material thing such as the mind or the
intellect be diseased or ill? I would argue, for
instance, that schizophrenia is a physical
disease or disorder, not a "mental" one.
- Secondly, there are some people who exhibit
behaviors which we find socially or morally
unacceptable. Our attitude toward these
behaviors changes from time to time. There are
very few human behaviors which have been
universally condemned throughout human history.
Sometimes people consider certain behaviors to
be "crazy," "insane," or "psychopathic." They
want to consider the person to be "mentally ill"
or "mentally disturbed" or (even worse!) "sick."
But this makes no sense. It would mean that a
person would be "sick" or "diseased" in one
society or culture or historical period but not
in another. This would be like saying that a
person has cancer or not, or leprosy or not, or
whooping cough or not, depending on the society
or culture or historical period he or she lives
in. An example of this absurdity was when the
American Psychological Association "voted" to
declare that homosexuality was no longer a
"disease" and that homosexuals were, therefore,
no longer "sick." Incidentally, in my opinion,
homosexuality never should have been considered
a disease or sickness in the first place.
(I have to ask: Considering the above, why
doesn't the American Medical Association simply
vote to declare that cancer is no longer a disease?
Instant cure!)
So, it seems to me, we have two things here: (1)
physical diseases (some which may, in fact, cause
certain odd behaviors -- think of the diabetic, for
example, whose behavior may be affected by his
physical disease or illness, or the schizophrenic
or the "depressed" individual, whose behavior
appears to be the result of some chemical
imbalance), and (2) certain behaviors which we deem
socially or morally unacceptable and should be
treated as crimes or sins, or treated with simple
social sanctions (vocal disapproval of the person
who picks his nose in public). Criminal behavior is
the province of the law; sinful behavior is the
province of the church (and, for heaven's sake,
let's keep these separate!).
I submit we tend to use the term "mental
illness" inappropriately to apply to all sorts of
behaviors we simply don't like. This seems to me to
be a travesty and also dangerous, since we justify
incarcerating people on this basis.
There is a lot more to say about this issue and
I will in upcoming notes. In the meantime, you can
read my thoughts about this "game" as I call it in
my essay The Psychiatric
Game.
Should Those With "Brain Disfunction" Who
Commit Crimes Be Excused From
Incarceration?
On a recent evening, CBS's "48 Hours" dealt with
the matter of teen violence and the recent school
shootings. One segment was about some ongoing
research showing a difference in the brains of
violent children and non-violent children. It was
suggested that these brain differences may account
for some teens carrying out violent acts. The
researcher conducting the study has testified in
several criminal trials and apparently has
convinced juries to be lenient with those criminals
who have this brain disfunction.
This raises the issue of "responsibility" for
one's actions and whether or not not a
psychological disfunction, brain impairment, or
so-called "mental illness" should be considered an
excuse for going easy on the defendant or
determining whether to imprison the perpetrator or
send him or her off to a psychiatric hospital.
I submit that some form of brain impairment
certainly may be a "reason" or an "explanation" for
committing a criminal act or an "influence" or a
"condition" which helps to "cause" a criminal act,
but I fail to see it as "excuse" which would
somehow make the criminal act -- especially a
violent one -- more acceptable or lessen the
severity of the sentence granted to the criminal.
Regardless of the "causes" or the "influences"
surrounding a violent criminal act, the perpetrator
cannot be allowed to roam around in the community
at will.
Frankly, I don't care if the criminal was
possessed by "demons" or "voices" or was under the
influence of drugs (including alcohol). If
convicted, the person needs to be incarcerated and
remain incarcerated even for life if the crime is a
particularly violent one. I have my doubts about
so-called "mental" hospitals because they have been
known to set some of these free as "cured," only to
have them commit further violent acts. The
psychiatrists are about as good at diagnosing
"cures" as the average guy on the street.
In short, some sort of mental impairment may be
a "reason" or an "explanation" for committing a
violent act, but it certainly is no "excuse."
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