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Carol's Corner - April 2008
By Carol Ziolo

 VIOLENCE

The tragedy that occurred at Northern Illinois University on Valentine’s Day may be viewed at senseless and violent.  I have heard many “theories” of how we as a society can prevent similar future occurrences.  The suggestions range from tougher gun control, more security on campus, and housing all people with a mental illness in an institution! 

My emotions have taken me in many directions and caused me to have several questions.  First, will tighter control really stop determined people to get a gun?  Next, can security be everywhere to protect us from everything?  Finally, are people with a brain disorder really more violent? 

Personal experience as a family member and professional cause me to have conflicting thoughts.  I have seen some very agitated people through the years and some have brain disorders, but some do not.  What is the common factor in violence? 

An article released by SAMHSA states that the association between mental health disorders and violence is weak.  Furthermore, the American Psychiatric Association says that vast majorities of people who are violent do not suffer from brain disorders.  The U.S. Surgeon General agrees that the contribution of brain disorders to the level of violence in our society is small. 

However, many in our society view people with mental illness as dangerous and violent.  Seventy-five per-cent of television programs portray people with brain disorders as being involved in crime and violence.  The focus is on the negative characteristics instead of the positive side of recovery (SAMHSA).  Part of the general population (62-68%) is very reluctant to work or socialize with a person who has a brain disorder. 

The facts are that a person with a brain disorder is two and one-half more likely to be harmed by someone or harm him/herself than to hurt others.  The weak association between mental illness and violence comes when a person is not receiving treatment, has a history of violence, and abuses alcohol and drugs.  The relationship between psychological symptoms and violent behavior cause the person to feel threatened and have a loss of control.  This can occur when the person experiences command hallucinations and thinking that one’s mind is dominated by outside forces (CMHA). 

My final question is:  What can we do for our family members/friends?  Research shows that treatment prevention programs reduce repeat offenders of violence.  NAMI has stated that we need more education, early interventions, and a fully funded mental health system which promotes recovery.  This would include the use of new medications and evidence-based practices.  Lack of inadequate insurance, stigma, and financial issues make this very difficult for at least fifty percent of people who have a brain disorder.  Also, NAMI thinks that education is important in high schools and colleges so early symptoms can be identified and treatment started. 

My sympathies go out to everyone involved in the tragedy at Northern Illinois University.  Unfortunately, violence is a part of our society.  I truly hope that we finally recognize the need to have support services available for all people in crisis and help reduce the stigma that many citizens have been persuaded to accept.

Sincerely,

Carol Ziolo

carol@carolziolo.com