When someone shoots up innocent people, is that extremism or insanity? It often depends on if they are one of your own citizens.
After studying the 2011 case of Norwegian mass murderer Anders Breivik, University of Missouri School of Medicine scholars are suggesting a new forensic term to classify non-psychotic behavior that leads to criminal acts of violence. Breivikkilled 77 people on July 22, 2011 in a car bombing in Oslo and a mass shooting at a youth camp on the island of Utøya. Claiming to be a "Knights Templar" and a "savior of Christianity," Breivik stated that the purpose of the attacks was to save Europe from multiculturalism.
Two teams of court-appointed forensic psychiatrists later examined Breivik. The first psychiatric team diagnosed him with paranoid schizophrenia. However, after widespread criticism, a second team concluded that Breivik was not psychotic and diagnosed him with narcissistic personality disorder. Breivik was sentenced to 21 years in prison.
The fact that diagnoses can change due to public outcry would be nearly as worrisome as the label put on a murderer in most cases.
"Breivik believed that killing innocent people was justifiable, which seems irrational and psychotic," said Tahir Rahman, M.D., an assistant professor of psychiatry at the
University of Missouri-Columbia
School of Medicine and lead author of the paper. "Sometimes people think that violent actions must be the byproduct of psychotic mental illness, but this is not always the case. Our study of the Breivik case was meant to explain how extreme beliefs can be mistaken for psychosis, and to suggest a new legal term that clearly defines this behavior."
Rahman defines "extreme overvalued belief" as a belief that is shared by others and often relished, amplified and defended by the accused. The individual has an intense emotional commitment to the belief and may act violently as a result of that belief. Although the individual may suffer from other forms of mental illness, the belief and the actions associated with it are not the result of insanity.
"In courts of law, there are not clearly defined, standard methods of diagnosing insanity for legal purposes," Rahman said. "This new term will help forensic psychiatrists properly identify the motive for the defendant's criminal behavior when sanity is questioned."
Rahman said that more research on extreme overvalued beliefs is needed to understand how they develop. Identifying those at risk will give mental health professionals an opportunity to intervene before violent behavior occurs.
"Certain psychological factors may make people more vulnerable to developing dominating and amplified beliefs," Rahman said. "However, amplification of beliefs about issues such as immigration, religion, abortion or politics also may occur through the internet, group dynamics or obedience to charismatic authority figures. We already warn our youth about the dangers of alcohol, drugs, teen pregnancy and smoking. We need to add the risk of developing extreme overvalued beliefs to that list as we work toward reducing the violence often associated with them."