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Gail A. Hornstein

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The Case of Norway's Anders Behring Breivik: Where Lies Madness?

Posted: 05/23/2012 2:57 pm

The inability of psychiatrists to agree on how to define categories of mental disorder has long been a subject of public concern, especially as a greater percentage of the population ends up diagnosed in one way or another. Current estimates are that one quarter of those in the U.S. will manifest symptoms sufficient to receive a diagnosis of mental illness during their lifetimes.

Yet the criteria for deciding whether a given behavior is or is not the result of a disorder remain unclear. Consider the case of Anders Behring Breivik, the man who proudly admits to murdering 77 of his fellow Norwegians last summer, and whose trial is currently taking place in Oslo. Mr. Breivik has been assessed by two separate teams of psychiatrists, who cannot agree on the basic question of whether he is sane or not. In current diagnostic systems, committing mass murder is not in and of itself evidence of mental illness.

Murderers are seen by psychiatrists either as delusional or as having antisocial personalities. Terrorists, in contrast, are treated as political actors rather than psychiatric patients. But surely some kinds of killing are the result of psychopathology, even if others aren't; the question is how to tell one type from the other. Since the killer's intentions and state of mind are key to interpreting his actions, Mr. Breivik's case is attracting special interest, because he gave himself up to authorities after the massacre (unlike many others, who die at the scene), and he has chosen to participate actively in his own defense.

The facts of what happened are not at issue. The 33-year-old Breivik, a white Norwegian, planted a bomb outside government offices in Oslo last July that killed eight people, and he then shot 69 teenagers at close range while they were attending a summer camp for political activists on a nearby island.

He says that he acted to prevent a Muslim takeover of Europe, and that advocates of multiculturalism like the young people he gunned down have created a climate that fosters excessive Muslim influence. He links his efforts to those of right-wing nationalist parties in the UK and The Netherlands, and has angrily claimed that it is only because of racism that his mental health is even being questioned. "If I were a bearded jihadist, no one would have asked for a psychiatric examination," he declared to prosecutors at the start of his trial.

The line between intentional political violence -- however despicable its ideology -- and mental disorder remains vague and subject to multiple interpretations. And psychiatrists seem strangely silent on this issue, choosing to focus their debates on the criteria for mental illnesses they can treat with medication or other interventions. Still, Mr. Breivik's case raises useful questions. Are people like him insane or extremists? What's the difference, and how do we make sense of their actions? Is it acting alone that makes a person seem more suspect?

Anders Breivik claims to be part of a broader network called the Knights Templar, but police have not located any other members. If they did, would his actions appear less pathological? Would he then be seen as part of an organization rather than a madman? Is he more like Timothy McVeigh or Charles Manson, and how can we go about deciding this?

The decision is an important one for all of us as citizens, and perhaps shouldn't be left only to psychiatrists in the first place. We all have a stake in understanding what motivates the disturbing acts of violence that increasingly unfold on the world stage.

One thing is certain: Since psychiatrists cannot agree on how to categorize Anders Breivik's state of mind, either now or last summer when he committed his crimes, this case is likely to generate continued controversy regardless of how the trial ends.

 
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The inability of psychiatrists to agree on how to define categories of mental disorder has long been a subject of public concern, especially as a greater percentage of the population ends up diagnosed...
The inability of psychiatrists to agree on how to define categories of mental disorder has long been a subject of public concern, especially as a greater percentage of the population ends up diagnosed...
 
 
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08:08 PM on 06/04/2012
I also believe that Breivik is sane and also insane in some respects.
06:27 PM on 05/24/2012
I disagree that "some kinds of killing are the result of psychopathology". Life,including human beings, doesn't act, it REacts. And if the circumstances are/were extreme, it reacts in an extreme way. To put certain reactions down to psychopathology is tempting, because it exonerates society from its responsibility, but also dangerous to the extent that it feeds into the illusion that only individuals who, because of some discrete psychopathology, are fundamentally different from everybody else, can (re)act in certain ways, and that there is nothing so dysfunctional in our society that it could provoke certain extreme reactions, why these then only can be explained away as the result of an individual psychopathology. Those are the illusions that keep society's dysfunctionality alive and well.
02:02 PM on 05/24/2012
Like the Unabomber, he appears just another person with a tightly wound paranoid schiz. with some personality issues melded into it with a particular sociopathic mean streak. I don't know why anybody takes his philosophy seriously. There is nothing there, there.
04:29 AM on 05/25/2012
It doesn't stop to amaze me how carelessly some people go about labelling others on the basis of... exactly what? A thorough knowledge of the person labelled? Hardly. This is the same us-and-them philosophy that is at the root of Anders Breivik's reasoning, which led him to do what he did. Unfortunately, there's a lot of pain, fear, anger and hate contained in this philosophy, why it would be only wise to take it very seriously.
08:14 AM on 05/25/2012
I have had a long interest in forensic psychology and have read a lot on it and made detailed readings on the Manson family as their psychology is so interesting. If you read this characters ramblings and writings you can catch the little signs of mental illness and its big time. He is so like the Unabombers in some ways its scary. Giving lrespect to his baked ideology is just a wrong way to go on this. I have run into right wing people who think he is onto something, well there were tons of people who supported stalinn and hittler and foolishly turned over the gears of government to them with the attended results. 24 million dead from WW11. Going to a kids overnight camp and shooting everybody with an assult rifle was not the act of a sane man. comeon.
09:06 AM on 05/24/2012
It is amazing just how many murderers use the insanity defence in their favour when their trial is on.
In the Jaycee Dugard kidnapping trial which received intense publicity the offender used the insanity defence to his advantage for his serious crimes against the girl. It backfired of course but how quickly this clause is taken as a riddling out of responsibility card when the going gets tough. Cowards the whole lot of them. Breivik is a man guilty of horrendous killings and gets a field day in court as the cameras light up for him. How this is allowed is beyond me but such is the injustice of this world. The evil ones will get one ultimate judgement where there is no hiding place and it is the only justice I believe in, the only true judge and the only real justice, not life sentences which equate to twenty nothing years for murder, not the model prisoner escape route and not the cushy jails with hotel like facilities for criminals to live in at the taxpayers expense. Where the deterrent is for crime is beyond me, I'm not in favour personally of the death penalty, it brings us to the level of the scum that deserves a punishment for their crimes but we need to seriously question why murder is happening day after day after day and no one bats an eyelid. Shock passes and onto the next story and on it goes ------------- very sad world.
04:59 PM on 05/25/2012
Except the defence team & Breivik are fighting a hard battle to be convicted clinically -sane- so.
And our cosy hotel-like prisons obviously work since Norway is a country with some of the least crime in the world, under 20% ends up in jail again after release (unlike US were its almost 70%) AND we have some of the fewest incarnation rates in general. In Norway protecting society trumps the need for revenge.

Lastly, cameras don't lit up on Breivik. Filming inside the court isn't aloud in this case (all though I personally think it should) unless explicitly said so. Press can write and publish anything and everything that is being said though, which is necessary and important because the matter affects the whole nation .
07:47 PM on 06/04/2012
Well, I personally dislike seeing this horrendous little man getting the opportunity to pose for any cameras. I recognise your point that it is very important to get information about this particular trial. It is a unique one and a difficult case to watch. It is just a personal view that I dislike watching him get all this attention and see the smirk on his face.
I don't want to see Breivik living in a comfortable prison. I want to see him punished. I understand his human rights but a part of me wants to believe he will understand just how much pain and horrendous suffering he has caused. Again, just my personal view.
I did think his lawyer felt Breivik was insane when he said so at a press conference. It is Breivik's biggest fear to see himself sent to a mental hospital. This is going to be a interesting side to follow - what the conclusions from psychiatrists will be at the end, given their differing views so far. I do feel a bit sceptical when people use the insanity defence on the whole because I don't think it is always insanity that makes people do these crimes and I have a very old fashioned view when it comes to punishment but that again is just my problem I suppose. Perhaps, it is just as well that it is not up to me anyway at the end of the day. Thanks for responding to my opinions. Best wishes.
08:03 PM on 06/04/2012
Personally I don't like seeing Breivik get any opportunity to smile for the cameras at the beginning of the trial at all. I am pleased that he is not getting tv time for his speeches. I do recognise the importance of informing the nation and the international community about this case. It is unique, complex and tragic. I want Breivik to feel punished and remorse and this is why I wonder if the prison experience could become a little bit less comfortable for him. Just a personal view. I thought Breivik's lawyer did feel that Breivik was insane at first. He said so at a press conference. The aim of the defence team here is to keep Breivik out of the mental hospital and the lawyers are only doing their duty to represent their complex client as best they can and it must be a very hard job to have. I think the insanity card is sometimes used to wriggle out of criminal conviction and I disagreed with this strategy in the famous american kidnap case. Thanks for reading and responding to my opinions.
12:55 AM on 05/24/2012
Baruch Goldstein does the same thing. Now he is a hero to Israelis. Go figure.
10:40 PM on 05/23/2012
I have yet to meet a fully 'sane' psychiatrist and most are not risk takers when making 'assessements' ... Brevic is nuts..plain and simple ..If one takes the 'moral' example of common values set by various mystics such as Christ, anyone who kills other people, regardless of reason is NOT sane ... it might well be possible to be 'temporarily' insane however.... comparisons with other 'killers' mentioned :- T Mc Veigh was not deemed insane but was assessed as 'serious' by Dr J Smith who opined that Mc Veigh committed the crime mostly out of 'revenge' for the Waco killings by the US gov't (Mc Veigh was both educated and erudite ..in his reasoning he quoted judge L Brandeis "Our government is the potent, the omnipresent teacher. For good or ill it teaches by its example" ) Manson..probably a closer comparison to Brevic ..barking mad with a twist of pure evil would be an accurate description for Charlie ...