Showing posts with label mental illness. Show all posts
Showing posts with label mental illness. Show all posts

Tuesday, May 27, 2014

The Tantrum of Masculinity - Omnivore

From Bookforum's Omnivore blog, here is a new collection of links themed on masculinity.The topics include patriarchy, male competition, academic masculinities, education, military masculinities, and pick up artists (PUAs).

And speaking of PUAs, there are also the mandatory links to articles blaming men, masculinity, patriarchy, and guns for the shooting rampage in Isla Vista. If only it were that simple.

The tantrum of masculinity

May 26 2014
9:00AM

Here are the requisite articles on the Isla Vista killings last Friday.

 from the 12:00 pm entry:
  • Rightbloggers say Santa Barbara killer Elliot Rodger's sexist rants have nothing to do with sexism (or guns). 
  • In the deadly aftermath of Elliot Rodger’s psychotic and suicidal shooting spree that left six others dead, the muted echoes of David Attias — who killed four people in Isla Vista 12 years ago — will be bouncing off Isla Vista’s blood-stained streets for some time to come. 

Sunday, May 25, 2014

Elliot Rodger - "Toxic Male Entitlement" or Mental Illness?

Elliot Rodger as a child
It did not take long for some "journalists" to take the easy path and blame "toxic male entitlement" for the shooting rampage of Elliot Rodger. Katie McDonough, a "lifestyle" editor at Salon has made the first move (of which I am aware). I have no doubt that "toxic male entitlement devalues women's and men's lives," the subtitle of her article. But, one must wonder, Did you WATCH the video this kid left behind?

Did anyone notice the delusional grandiosity in his video and manifesto, or the impotent rage, both expressed through ideas of omnipotence and entitlement? Did you notice how calmly, even calculatedly, he spoke in his final video statement, all the way down to the attempted "villain" laugh? Do you understand what it takes for a person to write 137 pages explaining his pain and his plan to kill those he blamed for his suffering?

This is not merely "toxic male entitlement," this is severe mental illness.

The record of events that is emerging suggests that people in his life have been concerned about him for some time. According to ABC News:
Brown said cops have had three previous contacts with Rodger before Friday's shooting, including when a member of Rodger's family asked police to check on him because of alarm over his behavior and videos. Brown said the cops found no reason to take further action on Rodger.
One of the other incidents occurred in January when he made a citizen's arrest of his roommate for allegedly stealing three candles, and again in July 2013 when he claimed he had been assaulted. Police determined that Rodger may have been the aggressor, Brown said. 

* * *

Schifman said in recent weeks that Rodger’s parents were concerned for their son's well being and reported his disturbing YouTube videos to police, which lead to an investigation. According to Schifman, police interviewed Rodger and found him to be “polite and kind.” He did not specify which law enforcement division conducted the interview. 

A social worker also contacted police about Rodger last week, said Schifman.
If you pay attention to his language, both in the video and in his manifesto, you will notice that his issues are all externalized, it is women who do not like him and there is no awareness of his own part in this issue. We call that an external locus of control, he is at the mercy of "powerful others," in this case attractive women.

Julian Rotter is the architect of the locus of control theory - this is from the Wikipedia entry on this topic:
Externals attribute outcomes of events to external circumstances. People that have external locus of control believe that many things that happen in their lives are out of their control.[9] They believe that their own actions are a result of external factors that are beyond their control. Rotter in his study suggested that people that have external locus of control have four types of beliefs which include the following: powerful others such as doctors, nurses, fate, luck and a belief that the world is too complex to predict its outcomes. People that have external locus of control tend to blame others for the outcomes rather than themselves. ... Due to their locating control outside themselves, externals tend to feel they have less control over their fate. People with an external locus of control tend to be more stressed and prone to clinical depression.[10]
What follows may be disturbing for some readers - these quotes are from the manifesto he left behind, 137 pages of rage and delusions, of blaming others for his suffering.

This first quote is about his plan to kill the men who have had successful sex lives, to even the score in his warped perspective:
All of that pleasure they had in life, I will punish by bringing them pain and suffering. I have lived a life of pain and suffering, and it was time to bring that pain to people who actually deserve it. I will cut them, flay them, strip all the skin off their flesh, and pour boiling water all over them while they are still alive, as well as any other form of torture I could possibly think of.

When they are dead, I will behead them and keep their heads in a bag, for their heads will play a major role in the final phase. This First Phase will represent my vengeance against all of the men who have had pleasurable sex lives while I’ve had to suffer. Things will be fair once I make them suffer as I did. I will finally even the score.
That is "phase one" of his plan. In "phase two," he goes after the women to punish them for denying him sex.
I will punish all females for the crime of depriving me of sex. They have starved me of sex for my entire youth, and gave that pleasure to other men. In doing so, they took many years of my life away.

I cannot kill every single female on earth, but I can deliver a devastating blow that will shake all of them to the core of their wicked hearts. I will attack the very girls who represent everything I hate in the female gender: The hottest sorority of UCSB.
Again, notice that he is blaming all of his pain, all of his loneliness, all of his frustration on the men who are successful with women and on the women who have denied him sex and love. I could go on quoting passage after passage, but this is already sufficient.

For the final phase of his plan, he believes he must, "kill my little brother, denying him of the chance to grow up to surpass me." This is indicative of someone who has split, whose ego no longer experiences dissonance between his beliefs about the world and the world itself.

He goes so far as to suggest that after he has murdered all of these people, "everyone will fear me as the powerful god I am," clearly a grandiose delusion of power and control, the things he has never felt himself to possess in his own life.

And there is the crux of this kid's mental illness. His reality, and his understanding of his reality, became so intolerable, so painful, that his psyche split into two separate parts: (1) the lonely, depressed, and socially impotent young man who once believed he could change his situation, and (2) the angry, rageful, and delusional rampage killer. This second persona became his sense of self, to the point that he acted on all of the fantasies he had been experiencing of making other people suffer as he has suffered.

All of this points to a paranoid psychosis. The DSM-IV recognizes paranoia as a personality disorder (possible here), as a subtype of schizophrenia (it seems that he has been in this space for less than 6 months, so it would be schizophreniform disorder), and "the persecutory type of delusional disorder (coded: 297.0), which is also called "querulous paranoia" when the focus is to remedy some injustice by legal action" (quite likely here, except that his delusions include himself as judge, jury, and executioner). He certainly experiences himself as persecuted.

It's far too easy to blame the PUA and MRA groups Rodger was interested in for spreading hateful misogyny, although they are loathsome in doing so.

The tougher, more relevant question is to understand how this young man who comes from a family of wealth and privilege became so alienated, wounded, and violent. For sure there is mental illness here, but mental illness does not grow without some fertilizer. What were the events and experiences that sent him into an alternate world where he can become a god through the murder of those he blames for his suffering and isolation?

In looking at this honestly and with a wider lens, we are confronted with the possibility that he could be anyone's son, or brother, or friend. But for different early life circumstances, different brain wiring, and different maturational experiences, I could be Elliot Rodger.

This is a reality too troubling to look at, so the media will take the easy way out and blame "toxic male entitlement."

Below is the article from Salon mentioned above. Is this the way we want to view this tragedy as a nation, or would we rather struggle to fathom the events as indicative of a young man whose soul became infected with pain, isolation, and rage?

Elliot Rodger’s fatal menace: How toxic male entitlement devalues women’s and men’s lives

In moments after unspeakable tragedy we must not rush to conclusions. But here's one thing we already know too well

Katie Mcdonough
Sunday, May 25, 2014


Elliot Rodger (Credit: YouTube)

We don’t yet know much about the six innocent women and men who were killed in Isla Vista, California late Friday night, but we have come to know a few things about the man who is alleged to have murdered them. Hours before he is believed to have fatally stabbed and shot six people and wounded 13 others in that coastal college town, Elliot Rodger filmed a video of himself — palm trees behind him, the glow of an orange sun highlighting his young face — and vowed to get “revenge against humanity.”

There’s a lot more in the video, and the 140-page “manifesto” he left in his apartment. Rodger felt victimized by women, whom he appeared to desire and loathe simultaneously. He expressed anger and resentment toward other men, often because of their relationships with women. He seemed to be a profoundly troubled, profoundly lonely young man. According to a statement from the Rodger family’s attorney, he was receiving care from mental health professionals after his parents were alarmed by his Internet footprint — a series of YouTube videos and men’s rights chat groups where he expressed his violent views about women, men and himself.

It’s hard to say what any of this actually tells us. Maybe nothing. I won’t pretend to know. What role did Rodger’s misogyny play in this tragedy? And what about his apparent struggle with mental illness — that big, blanket term we never talk about except to throw it around as if it explains why someone would murder six people? And what about guns? What of our cowardice — the cowardice of our elected officials — when it comes to regulating deadly weapons so that we stand a better chance of keeping them out of the hands of men like Elliot Rodger? What about these things? As a friend and I discussed earlier while trying to grapple with the tragedy as we learned each new chilling detail, all of these things matter, but none seem sufficient to explain what happened. They couldn’t possibly, and yet they’re all we have.

It would be irresponsible to lay this violence at the feet of the men’s rights activists with whom Rodger seemed to find support for his rage. Rodger is alleged to have murdered six women and men. No amount of Internet vitriol — no unfulfilled threats of violence — can equal that. But it also denies reality to pretend that Rodger’s sense of masculine entitlement and views about women didn’t matter or somehow existed in a vacuum. These things matter because the horror of Rodger’s alleged crimes is unique, but the distorted way he understood himself as a man and the violence with which discussed women — the bleak and dehumanizing lens through which he judged them — is not. Just as we examine our culture of guns once again in the wake of yet another mass shooting, we must also examine our culture of misogyny and toxic masculinity, which devalues both women’s and men’s lives and worth, and inflicts real and daily harm. We must examine the dangerous normative values that treat women as less than human, and that make them — according to Elliot Rodger — deserving of death.

There is an angry part of me — a frightened part of me — that wants to tear Rodger’s video manifesto apart in the pettiest terms imaginable. Point to how cliched it all is — the tired self-importance, the god comparisons, his lazy use of “sluts” and “brutes” to describe the women and men he would allegedly target and murder only hours later. I have seen these videos before. Women have heard these threats before, and been forced to consider how seriously they should take a man who tells them on Twitter that he knows where they live and that, “You are going to die and I am the one who is going to kill you.” If Rodger had posted his angry monologue to YouTube or fired it off in an email to a woman online and then gone about his day — seething privately and without violence about his wounded sense of entitlement and the sting of having his resentful and warped desires unfulfilled — the country wouldn’t be talking about him. Because until the moment that he is alleged to have killed six women and men, Elliot Rodger was every bit the same as the other men who are defined by their resentment toward women and their sense of bitter victimization in the world. Men who threaten women in person and online in an attempt to control their lives. Men who feel that girls and women owe them adoration, sexual gratification, subservience. Men whose sense of rage and entitlement has rotted their brains and ruined them.

And this anger — this toxic male entitlement — isn’t contained to random comment boards or the YouTube videos of disturbed young men. It’s on full view elsewhere in our culture. Earlier this week, a writer for the New York Post quoted a member of a men’s rights group as the sole source in a report on Jill Abramson’s ouster at the New York Times. Mel Feit of the National Center for Men told columnist Richard Johnson that Abramson was systematically firing men and replacing them with women. He said that our society gives women preferential treatment. On his website, Feit bemoans a culture in which men are subject to the powerful whims of vindictive women who exist on “sexual pedestals.” He argues that men can’t be blamed for rape after a certain point of arousal. These views about women and violence are replicated in our criminal justice system. They filter into our media. This is what makes Rodger’s misogynistic vitriol so terrifying — the fact that in many ways it’s utterly banal.

The news out of Isla Vista is still painfully fresh, and in the coming days we will continue to struggle to understand this pattern of violence. And while we do that — the work of considering what laws, support systems and cultural shifts must be put in place to prevent these tragedies from destroying more lives, families and communities — I can’t help but be reminded of all of the women who have been victimized by a culture and a system that denies their humanity.

I’m reminded of Marissa Alexander, whom the state of Florida is trying to imprison for 60 years because she fired a warning shot to ward off a man who had a history of violently abusing her and had told her that he was going to kill her. I’m reminded of CeCe McDonald, a trans woman of color who was incarcerated for defending herself during a brutal assault. “Her gift for survival was a prison sentence,” trans actress and activist Laverne Cox recently observed. I’m reminded of the 276 Nigerian schoolgirls who were abducted more than a month ago and remain missing because they had the audacity to go to school.

I think of the millions of other women and girls whose names the public does not know, but who have been forced all the same — by institutional forces larger than themselves, by systemic and enduring misogyny and racism, by the sheer bad luck of being at a given place at a given moment — to become statistics or symbols of our culture’s profound disregard for the humanity of women and girls. I am reminded of all of them and I don’t know where to put the pain and anger that comes with that. There is no possible vessel large enough to hold it all.

Katie McDonough is an assistant editor for Salon, focusing on lifestyle. Follow her on Twitter @kmcdonovgh or email her at kmcdonough@salon.com.

Saturday, May 24, 2014

What We Know About Elliot Rodger, The UC Santa Barbara Gunman [UPDATED]

ElliotRodger.jpg

Another young, disaffected male goes on murderous shooting rampage, killing seven people, including himself (it's currently unclear if he shot himself or was shot in one of the two shootouts with police following his shooting spree), and left an additional seven injured.

Pundits are going to have their say, and some are likely going to target Rodger's affiliation with pick-up artist (PUA) and men's rights advocates (MRA) sites.

[UPDATE: Slate now has an article up looking at the PUA responses, and the anti-PUA responses (these are guys who feel they got scammed by PUA marketing, but still think, "women are scum") to the shooting, and more interestingly, the shooter: “Nobody gives a shit about some socially deprived, narrow-clavicle twink with a delusional sense of self. He's a poser.”]

OllieGarkey at the Daily Kos has been looking into some of the You Tube accounts Rodger was subscribed to:
"The Player Supreme Show" which rails against the feminization of men and talks about how to pick up women.

"RSDfreetour" which is a series of self-help seminars run by RSD Nation, a "pick up artist" site.

There's also a user called McHenry Cruiser who in addition to being a pickup artist is a comedian who has some kind of beef with Louis CK, and another called "Squatting Cassanova," who seems to be your average PUA.

I'm still digging through some of the folks he's subscribed to.

He is what the Men's Rights movement calls an "Incel" which is short for involuntary celibacy. It's a hot topic in various parts of the manosphere.

Rather than seeking mental help for some obvious issues, he sought out the Men's Rights Movement. He watched their propaganda. He internalized their hatred of women. (There's no shortage of anti-woman rhetoric and nonsense. For some of the worst of it, check out The Red Pill's "Pussy Pass" forum, where they take isolated incidents, remove them from any rational context, and blow them way out of proportion.)
As much as I dislike the PUAs and MRAs, I suspect they will painted as the villains here (other than the kid), as the writer at the Daily Kos is already doing. Difficult as it is, I am afraid that blaming these hate-mongering groups for the actions of a disturbed kid is about as unfair as is blaming hard rock/heavy metal for teen drug abuse or violence.
So this kid who needed some serious mental help sought out the destructive, BS views coming from the men's rights movement. He felt entitled to sex with women. He blamed women for not providing him with sex. He exposed himself to hateful rhetoric about women.

And then he acted on that hatred, and targeted college girls for a drive-by shooting, killed six, wounded seven, and then shot himself.

I don't think we should be at all surprised that when hateful rhetoric is trained on any group, lone wolves like this guy get triggered.
The author is correct about the mental illness aspect - and his family has revealed that he was receiving psychiatric care (they say he has high functioning Asperger's, but that alone cannot explain this episode of murderous rage). The real failure here is with the parents and possibly with a mental health system that did not catch this kid's rage and social isolation, or take it seriously enough. In some ways, the situation is very similar to Jared Loughner, minus the schizophrenia with which Loughner clearly suffered. 

I am not going to post the video manifesto Rodger's left behind, or its transcript - if you are interested you can view them for yourself: video | transcript.

To wrap this up, here is some information from Journalist's Resource, by John Wihbey (April 3, 2014) - the article includes links to a lot of relevant research.
What some researchers call “rampage violence” — such as the shootings in Newtown, Conn., at Columbine High and Virginia Tech, and at Rep. Gabrielle Giffords’s political event in Tucson — plays a prominent role in the national consciousness, often touching off political debates over gun control laws, shifts in the culture and the role of violent media, particularly video games.

Though each act of violence has a distinct context, over the past decade the social science research community has continued to search for more general frameworks of understanding. But some researchers believe that establishing more precise psychological/criminal profiles in the hope of preventing such events through interventions may ultimately prove elusive. Though much speculation is offered in the media immediately afterward, scholars often note the limits of existing knowledge. (For a review of the research literature on such profiling, see the first article below.) It should be said that the connection between violence and severe mental illness is often over-simplified in the news media, and claims should be framed and informed by the existing empirical research. A 2013 survey and report published in The New England Journal of Medicine has data on the public’s views on mental illness issues and violence, in the wake of the Newtown, Conn., school shooting incident.

In terms of violent acts in a school context, the FBI compiles useful background materials and data, as does the Centers for Disease Control.

Below are studies that provide a window into the state of knowledge in this area:
______

“The Nature of Mass Murder and Autogenic Massacre”
Bowers, Thomas G.; Holmes, Eric S.; Rhom, Ashley. Journal of Police and Criminal Psychology, 2010, 25:59-66. doi: 10.1007/s11896-009-9059-6


Abstract: “Incidents of mass murder have gained considerable media attention, but are not well understood in behavioral sciences. Current definitions are weak, and may include politically or ideologically motivated phenomenon. Our current understanding of the phenomenon indicates these incidents are not peculiar to only western cultures, and appear to be increasing. Methods most prominently used include firearms by males who have experienced challenging setbacks in important social, familial and vocational domains. There often appears to be important autogenic components … including dysthymic reactions and similar antecedents. There have been observations of possible seasonal variations in mass murders, but research to date is inadequate to establish this relationship. It is recommended behavioral sciences and mental health researchers increase research efforts on understanding mass killings, as the current socioeconomic climate may increase vulnerability to this phenomenon, and the incidents are not well understood despite their notoriety.”

“Rampage Violence Requires a New Type of Research”
Harris Jr., John M.; Harris, Robin B. American Journal of Public Health, June 2012, Vol. 102, No. 6, pp. 1054-1057. doi: 10.2105/AJPH.2011.300545


Abstract: “Tragedies such as school shootings and the assault on Congresswoman Gabrielle Giffords share features that define them as acts of “rampage violence.” These types of events can lead to despair about their inevitability and unpredictability. To understand and prevent rampage violence, we need to acknowledge that current discipline-based violence research is not well suited to this specific challenge. There are numerous important, unanswered research questions that can inform policies designed to prevent rampage violence. It is time to develop alternative research approaches to reduce the risk of rampage violence. Such approaches should incorporate transdisciplinary research models; flexible, outcomes-focused organizational structures similar to those used to investigate other catastrophic events; and an expanded inventory of analytic tools.”

“The ‘Pseudocommando’ Mass Murderer: Part I, The Psychology of Revenge and Obliteration”
Knoll, James L. Journal of American Academy of Psychiatry and the Law, March 2010,  38:1:87-94


Abstract: “The pseudocommando is a type of mass murderer who kills in public during the daytime, plans his offense well in advance, and comes prepared with a powerful arsenal of weapons. He has no escape planned and expects to be killed during the incident. Research suggests that the pseudocommando is driven by strong feelings of anger and resentment, flowing from beliefs about being persecuted or grossly mistreated. He views himself as carrying out a highly personal agenda of payback. Some mass murderers take special steps to send a final communication to the public or news media; these communications, to date, have received little detailed analysis. An offender’s use of language may reveal important data about his state of mind, motivation, and psychopathology. Part I of this article reviews the research on the pseudocommando, as well as the psychology of revenge, with special attention to revenge fantasies. It is argued that revenge fantasies become the last refuge for the pseudocommando’s mortally wounded self-esteem and ultimately enable him to commit mass murder-suicide.” (Also see Part II of the article.)

“Attributing Blame in Tragedy: Understanding Attitudes About the Causes of Three Mass Shootings”
Haider-Markel, Donald P.; Joslyn, Mark R. American Political Science Association, 2011 annual meeting paper. Accessed through Social Science Research Network.


Abstract: “Individuals develop causal stories about the world around them that explain events, behaviors, and conditions. These stories may attribute causes to controllable components, such as individual choice, or uncontrollable components, such as systematic forces in the environment. Here we employ motivated reasoning and attribution theory to understand causal attributions to the 2007 Virginia Tech shootings, the 2009 Fort Hood shootings, and the 2011 Tucson, Arizona shootings. We argue that causal attributions stem from individual reasoning that is primarily motivated by existing dispositions and accuracy motives. Both motivations are present for attributions about these mass shootings and we seek to understand their significance and whether dispositional motives condition accuracy drives. We are able to test several hypotheses using individual level survey data from several national surveys to explain attributions about the shootings. Our findings suggest a substantial partisan divide on the causes of the tragedies and considerable differences between the least and most educated respondents. However, our analyses also reveal that while education has virtually no influence on the attributions made by Republicans, it heightens the differences among Democrats. We discuss these findings for the public’s understanding of these tragedies and more broadly for attribution research.”

“Psychological Profiles of School Shooters: Positive Directions and One Big Wrong Turn”
Ferguson, Christopher J.; Coulson, Mark; Barnett, Jane. Journal of Police Crisis Negotiations, 2011, Vol. 11, Issue 2. doi: 10.1080/15332586.2011.581523


Abstract: “A wave of school shootings in the mid- to late 1990s led to great interest in attempts to ‘profile’ school shooters with an eye both on identifying imminent perpetrators and preventing further incidents. Given that school shootings are generally rare, and many perpetrators are killed during their crimes, the availability of school shooters for research is obviously limited. Not surprisingly, initial profiles of school shooters were arguably of limited value. Although school shooting incidents, particularly by minors, have declined, some evidence has emerged to elucidate the psychological elements of school shooting incidents. School shooting incidents may follow extreme versions of etiological pathways seen for less extreme youth violence, and youthful school shooters appear more similar than different to adult perpetrators of mass shootings. The quest to understanding school shootings has led to several wrong turns, most notably the quixotic desire by politicians, advocates, and some scholars to link both school shootings and less extreme youth violence to playing violent video games, despite considerable and increasing evidence to the contrary.”

“The Autogenic (Self-Generated) Massacre”
Mullen, P.E. Behavioral Sciences and the Law, 2004, 22(3):311-23.


Abstract: “Mass killings can be of a variety of types including family slayings, cult killings, and the by-product of other criminal activities. This article focuses on massacres where the perpetrators indiscriminately kill people in pursuit of a highly personal agenda arising from their own specific social situation and psychopathology. Five cases are presented of this type of autogenic (self-generated) massacre, all of whom survived and were assessed by the author. Not only do these massacres follow an almost stereotypical course, but the perpetrators tend to share common social and psychological disabilities. They are isolates, often bullied in childhood, who have rarely established themselves in effective work roles as adults. They have personalities marked by suspiciousness, obsessional traits, and grandiosity. They often harbor persecutory beliefs, which may occasionally verge on the delusional. The autogenic massacre is essentially murder suicide, in which the perpetrators intend first to kill as many people as they can and then kill themselves. The script for this particular form of suicide has established itself in western society and is continuing to spread, and to diversify.”

“Mass Murder: An Analysis of Extreme Violence”
Fox, James Alan; Levin, Jack. Journal of Applied Psychoanalytic Studies. Vol. 5, No. 1 (2003), 47-64, doi: 10.1023/A:1021051002020.


Findings: “Mass murder involves the slaughter of four or more victims by one or a few assailants within a single event, lasting but a few minutes or as long as several hours. More than just arbitrary, using this minimum body count — as opposed to a two- or three-victim threshold suggested by others (e.g., Ressler et al., 1988, Holmes and Holmes, 2001) — helps to distinguish multiple killing from homicide generally. Moreover, by restricting our attention to acts committed by one or a few offenders, our working definition of multiple homicide also excludes highly organized or institutionalized killings (e.g., war crimes and large-scale acts of political terrorism as well as certain acts of highly organized crime rings). Although state-sponsored killings are important in their own right, they may be better explained through the theories and methods of political science than criminology. Thus, for example, the definition of multiple homicide would include the crimes committed by Charles Manson and his followers, but not those of Hitler’s Third Reich, or the 9/11 terrorists, despite some similarities in the operations of authority.”

“Predicting the Risk of Future Dangerousness”
Phillipps, Robert T.M. Virtual Mentor. June 2012, Volume 14, Number 6: 472-476.


Abstract: “A consequence if not a driving force of the pendulum swing away from benevolence and toward the protection of others has been increased attention to an individual’s dangerousness, with the operative presumption that dangerousness is often the result of a mental illness. But dangerousness is not always the result of mental illness. Individuals who commit violent or aggressive acts often do so for reasons unrelated to mental illness…. Research, in fact, confirms the error in associating dangerousness with mental illness, showing that ‘the vast majority of people who are violent do not suffer from mental illnesses. The absolute risk of violence among the mentally ill as a group is still very small and … only a small proportion of the violence in our society can be attributed to persons who are mentally ill.’ Violence is not a diagnosis nor is it a disease. Potential to do harm is not a symptom or a sign of mental illness, rather it must be the central consideration when assessing future dangerousness.”

“Predicting Dangerousness With Two Million Adolescent Clinical Inventory Psychopathy Scales: The Importance of Egocentric and Callous Traits
Salekin, Randall, T.; Ziegler, Tracey A.; Larrea, Maria A.; Anthony, Virginia Lee; Bennett, Allyson D. Journal of Personality Assessment, 2003, Vol. 80, Issue 2. doi: 10.1207/S15327752JPA8002_04.

Abstract: “Psychopathy in youth has received increased recognition as a critical clinical construct for the evaluation and management of adolescents who have come into contact with the law (e.g., Forth, Hare, & Hart, 1990; Frick, 1998; Lynam, 1996, 1998). Although considerable attention has been devoted to the adult construct of psychopathy and its relation to recidivism, psychopathy in adolescents has been less thoroughly researched. Recently, a psychopathy scale (Murrie and Cornell Psychopathy Scale; Murrie & Cornell, 2000) was developed from items of the Million Adolescent Clinical Inventory (MACI; Millon, 1993). This scale was found to be highly related to the Psychopathy Checklist-Revised (Hare, 1991) and was judged to have demonstrated good criterion validity. A necessary step in the validation process of any psychopathy scale is establishing its predictive validity. With this in mind, we investigated the ability of the MACI Psychopathy Scale to predict recidivism with 55 adolescent offenders 2 years after they had been evaluated at a juvenile court evaluation unit. In addition, we devised a psychopathy scale from MACI items that aligned more closely with Cooke and Michie (2001) and Frick, Bodin, and Barry’s (2001) recommendations for the refinement of psychopathy and tested its predictive validity. Results indicate that both scales had predictive utility. Interpersonal and affective components of the revised scale were particularly important in the prediction of both general and violent reoffending.”

“Violent Video Game Effects on Aggression, Empathy and Prosocial Behavior in Eastern and Western Countries: A Meta-Analytic Review”
Anderson, Craig A.; Shibuya, Akiko; Ihori, Nobuko; Swing, Edward L.; Bushman, Brad J.; Sakamoto, Akira; Rothstein, Hannah R.; Saleem, Muniba. Psychological Bulletin, March 2010, Vol. 136(2), 151-173


Abstract: “Meta-analytic procedures were used to test the effects of violent video games on aggressive behavior, aggressive cognition, aggressive affect, physiological arousal, empathy/desensitization, and prosocial behavior. Unique features of this meta-analytic review include (a) more restrictive methodological quality inclusion criteria than in past meta-analyses; (b) cross-cultural comparisons; (c) longitudinal studies for all outcomes except physiological arousal; (d) conservative statistical controls; (e) multiple moderator analyses; and (f) sensitivity analyses. Social-cognitive models and cultural differences between Japan and Western countries were used to generate theory-based predictions. Meta-analyses yielded significant effects for all 6 outcome variables. The pattern of results for different outcomes and research designs (experimental, cross-sectional, longitudinal) fit theoretical predictions well. The evidence strongly suggests that exposure to violent video games is a causal risk factor for increased aggressive behavior, aggressive cognition, and aggressive affect and for decreased empathy and prosocial behavior. Moderator analyses revealed significant research design effects, weak evidence of cultural differences in susceptibility and type of measurement effects, and no evidence of sex differences in susceptibility. Results of various sensitivity analyses revealed these effects to be robust, with little evidence of selection (publication) bias.”

“Posttraumatic Stress Among Students after the Shootings at Virginia Tech”
Hughes, Michael; Brymer, Melissa; Chiu, Wai Tat; Fairbank, John A.; Jones, Russell T.; Pynoos, Robert S.; Rothwell, Virginia; Steinberg, Alan M.; Kessler, Ronald C. Psychological Trauma: Theory, Research, Practice, and Policy, December 2011, Vol. 3(4), 403-411. doi: 10.1037/a0024565


Abstract: “On April 16, 2007, in the worst campus shooting incident in U.S. history, 49 students and faculty at Virginia Polytechnic Institute and State University (Virginia Tech) were shot, of whom 32 were killed. A cross-sectional survey of 4,639 Virginia Tech students was carried out the following summer/fall to assess PTSD symptoms using the Trauma Screening Questionnaire (TSQ). High levels of posttraumatic stress symptoms (probable PTSD) were experienced by 15.4% of respondents 3 to 4 months following the shooting. Exposure to trauma-related stressors varied greatly, from 64.5% unable to confirm the safety of friends to 9.1% who had a close friend killed. Odds ratios for stressors predicting high levels of posttraumatic stress symptoms were highest for losses (2.6-3.6; injury/death of someone close) and inability to confirm the safety of friends (2.5). Stressor effects were unrelated to age, gender, and race/ethnicity. The exposures that explained most of the cases of high posttraumatic stress symptoms were inability to confirm the safety of friends (30.7%); death of a (not close) friend (20.3%); and death of a close friend (10.1%). The importance of high-prevalence low-impact stressors resulted in a low concentration of probable cases of PTSD, making it difficult to target a small, highly exposed segment of students for mental health treatment outreach. The high density of student social networks will likely make this low concentration of probable PTSD a common feature of future college mass trauma incidents, requiring broad-based outreach to find students needing mental health treatment interventions.”

“Adjustment Following the Mass Shooting at Virginia Tech: The Roles of Resource Loss and Gain”
Littleton, Heather L.; Axsom, Danny; Grills-Taquechel, Amie E. Psychological Trauma: Theory, Research, Practice and Policy, September 2009, Vol. 1(3), 206-219. doi: 10.1037/a0017468


Abstract: “Unfortunately, many individuals will be exposed to traumatic events during their lifetime. The experience of loss and gain of valued resources may represent important predictors of psychological distress following these experiences. The current study examined the extent to which loss and gain of interpersonal and intrapersonal resources (e.g., hope, intimacy) predicted psychological distress among college women following the mass shooting at Virginia Tech (VT). Participants were 193 college women from whom pre-event psychological distress and social support data had been obtained. These women completed surveys regarding their psychological distress, coping, and resource loss and gain 2- and 6-months after the VT shooting. Structural equation modeling supported that resource loss predicted greater psychological distress 6 months after the shooting whereas resource gain was weakly related to lower levels of psychological distress. The study also revealed that social support and psychological distress prior to the shooting predicted resource loss, and social support and active coping with the shooting predicted resource gain. Implications of the results for research examining the roles of resource loss and gain in posttrauma adjustment and the development of interventions following mass trauma are discussed.”

“Murder by Numbers: Monetary Costs Imposed by a Sample of Homicide Offenders”
DeLisi, Matt; Kosloski, Anna; Sween, Molly; Hachmeister, Emily; Moore, Matt; Drury, Alan. Journal of Forensic Psychiatry & Psychology, 2010, Vol. 21, Issue 4. doi: 10.1080/ 14789940903564388.


Abstract: “Prior research on the monetary costs of criminal careers has neglected to focus on homicide offenders and tended to minimize the public costs associated with crime. Drawing on expanded monetization estimates produced by Cohen and Piquero, this study assessed the monetary costs for five crimes (murder, rape, armed robbery, aggravated assault, and burglary) imposed by a sample of (n = 654) convicted and incarcerated murderers. The average cost per murder exceeded $17.25 million and the average murderer in the current sample posed costs approaching $24 million. The most violent and prolific offenders singly produced costs greater than $150-160 million in terms of victim costs, criminal justice costs, lost offender productivity, and public willingness-to-pay costs.”

“More Support for Gun Rights, Gay Marriage than in 2008, 2004″
Pew Research Center, April 2012


Findings: Opinions on gun rights have shifted significantly over time. In 2000, 66% of Americans said controlling gun ownership was more important than protecting gun rights, while just 29% said rights were more important. By 2012, 49% supported gun rights versus 45% favoring gun control. Support for gun ownership among both men and women has increased from 2008, with a 14 percentage point increase in support for gun rights for men and a 9 percentage point increase for women. Partisan division over gun control has also grown in recent years. Republican support for gun rights increased from 65% in 2009 to 72% in 2012, while Independent support for gun rights increased from 48% in 2009 to 55% in 2012.

“Firearms and Violence: A Critical Review”
Wellford C.F.; Pepper J.V.; Petrie C.V. National Research Council of the National Academies, 2004. Washington, DC: National Academies Press.


Findings: “Empirical research on firearms and violence has resulted in important findings that can inform policy decisions. In particular, a wealth of descriptive information exists about the prevalence of firearm-related injuries and deaths, about firearms markets, and about the relationships between rates of gun ownership and violence. Research has found, for example, that higher rates of household firearms ownership are associated with higher rates of gun suicide, that illegal diversions from legitimate commerce are important sources of crime guns and guns used in suicide, that firearms are used defensively many times per day, and that some types of targeted police interventions may effectively lower gun crime and violence. This information is a vital starting point for any constructive dialogue about how to address the problem of firearms and violence. While much has been learned, much remains to be done, and this report necessarily focuses on the important unknowns in this field of study. The committee found that answers to some of the most pressing questions cannot be addressed with existing data and research methods, however well designed. For example, despite a large body of research, the committee found no credible evidence that the passage of right-to-carry laws decreases or increases violent crime, and there is almost no empirical evidence that the more than 80 prevention programs focused on gun-related violence have had any effect on children’s behavior, knowledge, attitudes or beliefs about firearms. The committee found that the data available on these questions are too weak to support unambiguous conclusions or strong policy statements.”

Tuesday, March 4, 2014

Higher Risk of Mental Illness for Those With Older Fathers

Hmmmm . . . my father was 40 when I was born. I certainly got the ADHD thing. In my 20s, I was suicidal more than once. And according to my girlfriend, I am on the autistic spectrum a wee bit. Thanks dad!

This comes via Dr. Jeremy Dean at PsychBlog.

Higher Risk of Mental Illness for Those With Older Fathers


Massive study finds children with older dads much more likely to have autism, ADHD and bipolar disorder.

A new study has found that the children of older fathers have a much greater risk of serious mental illness.

The findings come from a huge number of people: everyone born in Sweden between 1973 and 2001 (D’Onofrio et al., 2014).

The researchers included over 2.5 million people, representing almost 90% of the population.

They found associations between older fathers and psychiatric conditions such as bipolar disorder, schizophrenia, autism and ADHD.

When they compared fathers who were 24-years-old with those who were 45-years old, they found that children of the older fathers were:
  • 25 times more likely to have bipolar disorder,
  • 13 times more likely to have ADHD,
  • 3.5 times more likely to have autism,
  • 2.5 times more likely to have suicidal behaviour.
The findings remained after they controlled for birth order, education and a host of other variables.

Brian D’Onofrio, the study’s lead author, expressed surprise at these numbers:
“We were shocked by the findings. The specific associations with paternal age were much, much larger than in previous studies.”
Faulty sperm

The authors suggest that the explanation for the association is that, while women are born with all their eggs, men continue to produce sperm, which degrades in quality over their lifetime.

People are exposed to all kinds of environmental toxins which could cause this kind of genetic mutation.

Molecular genetic studies have indeed found just this degradation in the quality of men’s sperm with age.

D’Onofrio concludes:
“While the findings do not indicate that every child born to an older father will have these problems, they add to a growing body of research indicating that advancing paternal age is associated with increased risk for serious problems. As such, the entire body of research can help to inform individuals in their personal and medical decision-making.”
With the average age at which men have children increasing in many countries, these findings could have important implications for both public policy and for individual decisions about when to procreate.

Image credit: Nisha A
Dr Jeremy Dean is a psychologist and the author of PsyBlog. His latest book is "Making Habits, Breaking Habits: How to Make Changes That Stick". You can follow PsyBlog on Facebook, Twitter and Google+.

Saturday, December 14, 2013

Danny Baker - 13 Myths Surrounding Mental Illness (Good Men Project)

Danny Baker offers an important post on the myths of mental illness over at the Good Men Project. For a lot of us, especially readers of this blog, these are common sense and we know better - but there are a lot of people who hold these beliefs or variations of them, especially men (it's weak to ask for health, we should just get over it, and so on).

13 Myths Surrounding Mental Illness

December 13, 2013 by Danny Baker

when you think of me-y JenXer-flickr

From the belief that mental illness doesn’t exist to being able to just “get over it,” Danny Baker lists 13 myths surrounding mental illness that can hinder recovery.

 
In no particular order, here are 13 of the most widespread myths surrounding mental illness in the 21st century.
  1. Mental illness doesn’t exist. Just because mental illnesses are invisible on the surface, it doesn’t mean that they aren’t real. We can’t see gravity, either – does that mean that that’s made up? Furthermore, through various brain image technology, it’s actually now possible to observe differences in the brain between people with certain mental illnesses and people without them.
  2. Mental illness is rare. On the contrary, approximately 1 in 4 people suffer from a mental illness.
  3. You don’t know anyone with a mental illness. Again, since mental illness affects 1 in 4, then unless you live by yourself on a raft in the middle of the ocean, then it’s almost certain that you do.
  4. If you have a mental illness, then it means you’re crazy. No! If you have a mental illness, then all it means is that you have a mental illness – a condition that can be treated just like physical illnesses can.
  5. Mental illnesses are lifelong and impossible to treat. I kind of gave the truth away in myth 4, but it’s worth emphasizing: treatments today are more refined than ever before, and as a result, most mental illnesses are able to be recovered from, or at the very least managed.
  6. If someone has a mental illness, than they’re to blame for it. While I do believe that sufferers need to take responsibility for their illness and be proactive in trying to recover, it’s critical to note that absolutely anyone can fall victim to a mental illness. Mental illnesses tend to be caused by a combination of genetics, brain chemical imbalances, psychological trauma and environmental stresses; since so much of this is out of a person’s control, then blaming them for developing a mental illness is extremely unfair.
  7. Only people who are weak ask for help. It’s really the complete opposite – it takes self-awareness to admit that you have a problem, and given the stigma surrounding mental illness, it takes a lot of courage to ask for support. And on a more fundamental level, seeking help is just the smart, logical thing to do. Just like physical illnesses, mental illnesses require treatment in order for the sufferer to recover – so if you want to get better and return to living a healthy life, then you have to get help. Otherwise your illness will always impair you.
  8. People with a mental illness can “just get over it”. Again, mental illnesses are illnesses. You can’t “just get over them”, in the same way you just can’t get over a physical illness like cancer.
  9. People with a mental illness are violent. This is nonsense perpetrated by the media and television shows. Numerous studies have shown this to be blatantly untrue. For example in the US, a nationwide study by NIMH showed that only 4% of violent crimes are committed by people with a diagnosed mental illness. Additionally, the study showed that people with a mental illness are 11 times more likely to be the victim of a violent crime than the general population.
  10. People with a mental illness are incompetent. Because mental illnesses are treatable, then most sufferers who are getting help are able to work and live productive lives. In fact, it’s well known that depression rates are particularly high in the legal profession, which is proof that people with a mental illness can still be extremely high functioning. Furthermore, since mental illness affects 1 in 4 people, chances are that you work with one or multiple sufferers, even if you don’t know it.
  11. Mental illnesses don’t affect teenagers – any problems they’re experiencing is just part of going through puberty. Granted that one’s adolescent years tend to be more of a roller coaster than most, but it’s ludicrous to assume that this is the root of all their problems and that it’s impossible for them to suffer from a mental illness. In fact, studies show that across Australia, the UK and the US, as many as 1 in 5 teens will experience depression before they reach adulthood – and that’s just one of a myriad of mental illnesses.
  12. People with a mental illness – particular those suffering from depression – are attention seekers or drama queens. In fact, it’s usually the opposite, which is why the majority of sufferers hide their pain with a smile, and why their most common response to “how are you” is “I’m fine”.
  13. I can’t do anything for someone with a mental illness. While it’s true that you can’t snap your fingers and make them recover, you can help immensely by being a good friend – by doing your best to understand them instead of judging them, by showing them respect, by listening to them when they need someone to talk to, and by putting your arm around them when they need your support.
What are some of the other mental illness myths you’ve heard? If you suffer from a mental illness, what are some you’ve heard that are specific to that particular illness?

Wednesday, September 18, 2013

Brent Girouex, Confesses to Having Sex with Four Teenage Boys and Gets NO Days in Jail

This is effed up in more ways than I count. Our system is so screwed up - even the original 17 years this pedophile received was not sufficient, especially considering he is clearly delusional based on his comments.

‘Rape Away The Gay’ Pastor Brent Girouex Gets Sentence Reduced 


Rape Away The Gay Pastor Will Not Serve Time

“Rape away the gay” pastor Brent Girouex, a 31-year-old Iowa man, will not serve jail time for confessing to police that he had sex with at least four youths, according to a recent report from KRMG.

Since that confession, eight additional young men have admitted to being violated by the now-former pastor of Victory Fellowship Church in Council Bluffs, Iowa.

If you don’t want to be appalled, fair warning: you may want to skip over this next section.

Apparently, Girouex thought he could rape away the gay by “praying while he had sexual contact” with his victims in an effort to keep them “sexually pure” for God.

 He then allegedly told police that “when they would ejaculate, they would be getting rid of the evil thoughts in their mind.”

Girouex is a married father of four. Since the disturbing revelations have hit the Internet, his wife Erin has spoken out against him and the reduced sentence that he received after initially getting 17 years in prison.

Instead of upholding to that initial ruling, a judge decided to sentence Girouex to five years probation and mandatory sexual offender treatment.

Provided he doesn’t violate the terms of his probation — in other words, victimize someone else — he will not serve a day in jail.

In comments to KCCI, Erin Girouex had this to say about the idea of sending her husband to prison: “If that’s what it takes to get him away from people, then yes … I don’t want (my children) anywhere near him.”

She added that what she wants is for other victims of sexual misconduct to speak out before it’s too late.

Erin plans to file for divorce, but according to KCCI “the hang-up is that her husband wants to see their children.”

Currently, Brent Girouex has a court-ordered, twice-per-month visitation schedule, where he must be supervised by his own mother.

Here’s a mugshot: 

Rape Away The Gay Pastor Mugshot Brent Girouex


The sentence in this case has many Americans understandably perplexed at the lax attitudes toward sexual violence.

Following on the heels of a Montana judge, who only sentenced a convicted rapist to 30 days in jail after his 14-year-old victim committed suicide, it definitely establishes a horrible precedent.

Do you think the case of the “rape away the gay” pastor is proof the US does not take sexual crimes against minors seriously?


‘Rape Away The Gay’ Pastor Brent Girouex Gets Sentence Reduced Rape Away The Gay Pastor Will Not Serve Time “Rape away the gay” pastor Brent Girouex, a 31-year-old Iowa man, will not serve jail time for confessing to police that he had sex with at least four youths, according to a recent report from KRMG. Since that confession, eight additional young men have admitted to being violated by the now-former pastor of Victory Fellowship Church in Council Bluffs, Iowa. If you don’t want to be appalled, fair warning: you may want to skip over this next section. Apparently, Girouex thought he could rape away the gay by “praying while he had sexual contact” with his victims in an effort to keep them “sexually pure” for God. He then allegedly told police that “when they would ejaculate, they would be getting rid of the evil thoughts in their mind.” Girouex is a married father of four. Since the disturbing revelations have hit the Internet, his wife Erin has spoken out against him and the reduced sentence that he received after initially getting 17 years in prison. Instead of upholding to that initial ruling, a judge decided to sentence Girouex to five years probation and mandatory sexual offender treatment. Provided he doesn’t violate the terms of his probation — in other words, victimize someone else — he will not serve a day in jail. In comments to KCCI, Erin Girouex had this to say about the idea of sending her husband to prison: “If that’s what it takes to get him away from people, then yes … I don’t want (my children) anywhere near him.” She added that what she wants is for other victims of sexual misconduct to speak out before it’s too late. Erin plans to file for divorce, but according to KCCI “the hang-up is that her husband wants to see their children.” Currently, Brent Girouex has a court-ordered, twice-per-month visitation schedule, where he must be supervised by his own mother. Here’s a mugshot: Rape Away The Gay Pastor Mugshot Brent Girouex The sentence in this case has many Americans understandably perplexed at the lax attitudes toward sexual violence. Following on the heels of a Montana judge, who only sentenced a convicted rapist to 30 days in jail after his 14-year-old victim committed suicide, it definitely establishes a horrible precedent. Do you think the case of the “rape away the gay” pastor is proof the US does not take sexual crimes against minors seriously?
Read more at http://www.inquisitr.com/946459/rape-away-the-gay-pastor-brent-girouex-gets-sentence-reduced/#21F3izuySEzIyQTK.99

Tuesday, June 18, 2013

Obesity Leads to Brain Inflammation, and Low Testosterone Makes It Worse


This is some seriously bad news for American men, 66% of whom are overweight or obese. One of the most debilitating side effects of obesity is that fats cells create estrogen - the more fat cells, and the bigger the fat cells, the more estrogen in the body. It gets worse, fat cells also support high levels of aromatase, an enzyme that converts testosterone to estrogen. More fat, less testosterone due to the aromatization of testosterone into estrogen .

High fat levels (through increases in estrogen due to aromatase conversion) reduce testosterone, which has its own downside: depression, loss of libido, muscle wasting, bone density loss, heart attacks and other cardiovascular issues, and higher risk of early death.

The evidence has been building for years that many neurodegenerative disorders, such as Alzheimer's Disease and other forms of dementia are linked to neuroinflammation (see this article). More recent evidence is showing that inflammation may play a crucial role in depression, schizophrenia, and bipolar disorder.

A 2012 article (Maintaining Brain Health by Monitoring Inflammatory Processes: a Mechanism to Promote Successful Aging) in Aging and Disease looked at how inflammation contributes to mental decline, as well as structural and metabolic dysfunctions. The article is freely available at the link above.
Abstract 
Maintaining brain health promotes successful aging. The main determinants of brain health are the preservation of cognitive function and remaining free from structural and metabolic abnormalities, including loss of neuronal synapses, atrophy, small vessel disease and focal amyloid deposits visible by neuroimaging. Promising studies indicate that these determinants are to some extent modifiable, even among adults seventy years and older. Converging animal and human evidence further suggests that inflammation is a shared mechanism, contributing to both cognitive decline and abnormalities in brain structure and metabolism. Thus, inflammation may provide a target for intervention. Specifically, circulating inflammatory markers have been associated with declines in cognitive function and worsening of brain structural and metabolic characteristics. Additionally, it has been proposed that older brains are characterized by a sensitization to neuroinflammatory responses, even in the absence of overt disease. This increased propensity to central inflammation may contribute to poor brain health and premature brain aging. Still unknown is whether and how peripheral inflammatory factors directly contribute to decline of brain health. Human research is limited by the challenges of directly measuring neuroinflammation in vivo. This review assesses the role that inflammation may play in the brain changes that often accompany aging, focusing on relationships between peripheral inflammatory markers and brain health among well-functioning, community-dwelling adults seventy years and older. We propose that monitoring and maintaining lower levels of systemic and central inflammation among older adults could help preserve brain health and support successful aging. Hence, we also identify plausible ways and novel experimental study designs of maintaining brain health late in age through interventions that target the immune system.
Full Citation:
Rosano, C, Marsland, AL, and Gianaros, PJ. (2012, Feb). Maintaining Brain Health by Monitoring Inflammatory Processes: a Mechanism to Promote Successful Aging. Aging and Disease; 3(1): 16–33. PMCID: PMC3320802


Two easy ways to control and reduce inflammation are an anti-inflammatory diet and regular exercise. Over at Integral Options Cafe, I posted information this morning on foods and supplements that reduce inflammation.

Here is the press release:

Obesity Leads to Brain Inflammation, and Low Testosterone Makes It Worse


June 17, 2013 — Low testosterone worsens the harmful effects of obesity in the nervous system, a new study in mice finds.

The results will be presented Monday at The Endocrine Society's 95th Annual Meeting in San Francisco.

"Low testosterone and obesity are common in aging men, and each is associated with type 2 diabetes and Alzheimer's disease," said the study's lead investigator, Anusha Jayaraman, PhD, of the University of Southern California in Los Angeles. "Our new findings demonstrate that obesity and low testosterone combine to not only increase the risk of diabetes but also damage the brain."

The study -- which was conducted in the laboratory of Christian J. Pike, PhD, Professor in the Davis School of Gerontology at USC and funded by the National Institutes of Health's National Institute on Aging -- consisted of three groups of male mice that received a high-fat diet (60 percent of calories were from fat) to induce obesity. Each group had eight mice and varied by testosterone status. One group had normal testosterone levels, and the second group underwent surgical removal of the testes so that the mice had low testosterone levels. The third group also underwent castration but then received testosterone treatment through a capsule implanted beneath the skin.

The high-fat diet, Jayaraman reported, resulted in obesity and evidence of diabetes -- abnormally high blood glucose (sugar) levels and poor glucose tolerance, which is the ability to clear glucose from the bloodstream. Compared with the group that had normal testosterone levels, the testosterone-deficient mice had more body fat, higher blood sugar levels and poorer glucose tolerance, she said.

After blood testing, brain tissues from the mice underwent analysis for changes. The brains of obese mice showed substantial inflammation and were less able to support nerve cell growth and survival, according to Jayaraman. These damaging effects of diet-induced obesity were significantly worse in mice with low testosterone, she said, adding that control groups of mice fed a normal diet did not show these changes.

"Our findings suggest that low testosterone and obesity interact to regulate inflammation of the nervous system, which may increase the risk of disorders such as type 2 diabetes and Alzheimer's disease," she said.

Because many of the negative outcomes of the high-fat diet were eased in the group of mice that received testosterone therapy, Jayaraman said that "testosterone treatment may be useful in reducing the harmful effects of obesity and low testosterone on the nervous system."

Tuesday, December 4, 2012

Born This Way - Being Trans Is Not a Mental Disorder

Finally, after decades of effort, the APA has changed the status of transgender from a disorder (Gender Identity Disorder) to gender dysphoria, a more neutral designation that does not imply mental illness. This is great news for all of the trans folk carrying the GID diagnosis, and it's progress toward accepting that transgender is real, that human beings are not confined to an either/or gender binary.

First up a report from Slate on the change from the APA which will be official with the May 2013 publication of the DSM-5. Them, from All in the Mind, a podcast on transgender identity.

Being Transgender Is No Longer a Disorder

The American Psychiatric Association salutes the T in LGBT. 

A transsexual person displays a poster with the picture of a transsexual person who was murdered.
A transsexual person displays a poster with the picture of a transsexual person who was murdered in Uruguay. In May 2013, gender identity disorder will be replaced with the more neutral term gender dysphoria.

The Associated Press reported that the American Psychiatric Association’s Board of Trustees approved certain notable changes to that body’s Diagnostic and Statistical Manual of Mental Disorders on Saturday. The story began with the controversial announcement that Asperger’s syndrome will now be included in the autism spectrum disorder category, but another change buried at the bottom of the piece may prove to be even more divisive—and, if historical precedent is any indication, more influential on society at large.

Since the third edition of the DSM was published in 1980, some version of the diagnosis gender identity disorder has been included to describe patients whose subjective experience of gender does not match their biological sex. The common contemporary term for this group is transgender, the T in LGBT. Sources within the APA now confirm that in the DSM-5, which is due to be published in May 2013, GID will be replaced with the more neutral term gender dysphoria.

Approval of this revision has been years in the making and reflects a narrowing of psychiatrists’ focus to those who experience personal distress over their gender incongruity. Those patients who feel like they need psychological help dealing with their feelings can still seek it out, while those who feel fine need not be marked as ill.

Jack Dresher, a member of the APA group dedicated to considering this issue, explained to the Daily Beast back in 2010 that his subcommittee’s recommendation came from a desire to stop “pathologiz[ing] all expressions of gender variance just because they were not common or made someone uncomfortable.” Moreover, in a recent interview in the Advocate, Dresher acknowledged that “all psychiatric diagnoses occur within a cultural context,” adding that “We know there is a whole community of people out there who are not seeking medical attention and live between the two binary categories. We wanted to send the message that the therapist’s job isn’t to pathologize.”

As any student of the history of LGBT civil rights can attest, being deemed pathological by the medical establishment is considered to be one of the biggest obstacles to social and legal progress. Indeed, the removal of homosexuality from the DSM in 1973 was a watershed moment for the early gay-rights movement, as it neutralized the argument that gay men and women did not deserve equal treatment because they were somehow sick. Unsurprisingly, many in the transgender community see the label “disorder” as having a similarly restrictive effect on their fight against discrimination. But leaving the fraught term behind may bring some harm along with the good.

As Dresher points out in his thorough analysis (PDF) of the parallels and contrasts between the gay and trans campaigns to escape the bonds of medical judgment, one important difference is the desire of many (but not all) transgender people for hormonal or surgical intervention to better align their bodies with their internal identity. Currently, insurance coverage for these procedures can be justified on the grounds that GID is a medical problem—a disorder—needing treatment. Without that argument, some transgender people—a group that already suffers from a great deal of social and economic marginalization—may now find it more difficult to finance their transitions.

For those gender-variant individuals who do choose to seek treatment, the APA practitioners may soon be prepared to offer more organized care. While Dresher and his subcommittee were debating the differences between disorder and dysphoria, another APA group, called the APA Task Force on Treatment of GID, was busy deciding if enough empirical and clinical data existed to justify the creation of a standard set of “APA Practice Guidelines” for treatment. According to a report published over the summer, the answer was a strong yes. If the APA agrees with the recommendations, guidelines could soon be established for adults, adolescents, and even children. The task force additionally recommended that the APA begin making position statements supporting the “rights of persons of any age who are gender variant, transgender, or transsexual.”
* * * * *

Born this way: gender identity

Broadcast: Sunday 11 November 2012
For some people the sex they are born with doesn’t correspond to the way they feel. 

Researchers now know there are areas of the brain that differ among men and women and those who are transgender, and new psychiatric guidelines in the upcoming DSM V, due out in May 2013, are expected to acknowledge that.

We hear the moving stories of Craig Andrews and Julie Peters and how their transition to the opposite sex has improved their mental well-being.


Julie Peters: from childhood to now

 

Guests

  • Julie Peters: Born male, lives as a woman. Doctoral candidate in the school of health and social development at Deakin University
  • Craig Andrews: Born female, now lives as a man. Co-ordinator of the FTM Australia network
  • Dr Fintan Harte: Psychiatrist, Head of the Southern Health Gender Dysphoria Clinic Monash University, Melbourne
  • Professor Milton Diamond: Researcher in sexual development and identity, School of Medicine, University of Hawaii 

Credits

Presenter: Lynne Malcolm