Book of the Week

The Insanity Offense

The Insanity Offense: How America’s Failure to Treat the Seriously Mentally Ill Endangers Its Citizens by E. Fuller Torrey. The book was featured on Book TV

Torrey has written frequently on this topic. The book opens with a description of the Lanterman-Petris-Short Act (LPS). This is a state law in California which had the effect of vastly reducing the patient population in state mental hospitals. The author says that LPS came from an unholy alliance of liberal activists concerned with folks being railroaded into mental hospitals against their will and conservative activists who believed that there is no such thing as mental illness.

Ronald Reagan as governor of California promised that mentally ill patients would be moved from state hospitals to community based treatment facilities. Funds were never provided so that this could happen. Instead, many mentally ill patients became homeless where they then became a huge problem for local police departments.

Torrey continues in this vein documenting what he calls the effect of LPS in California and similar ideas in other states. He recounts examples of mentally ill people who killed because they heard voices telling them to. These cases sound like the plot line of a Criminal Minds television show.

One of the most spectacular examples recounted is the Virginia Tech shooter. Torrey says that privacy laws prevent information sharing so that mentally ill people may go out and buy firearms which make their rampages just that much more deadly.

Torrey continues the book with another topic. That is Anosognosia which is impaired awareness of illness. See treatment advocacy center for a description. Mental illness has a legal definition and a clinical definition. In the legal sphere mentally ill persons are presumed to be competent to decide if they want to take their medications. See the story for more on this. Torrey says that the public is at risk because mentally ill persons frequently decide not to take their medications and then commit violent crimes as a result.

For public policy the question is who should be allowed to purchase firearms. Of course, if you believe there is no such thing as mental illness then anyone should be allowed to acquire weapons. I think this is an extreme position. Is the country destined to suffer more and more mass shootings by mentally ill people who exercised their Second Amendment rights? This is why “The Insanity Offense” is book of the week.

Posted by Gypsy Chief