tag:blogger.com,1999:blog-7772182113499451603.post3282283942656173644..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: Anger and Projection Are Not Political, Racial Or Gun Control ProblemsGeorge Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-7772182113499451603.post-81022693211314201462015-09-05T14:50:59.628-05:002015-09-05T14:50:59.628-05:00Thanks for your comment. That was also my experie...Thanks for your comment. That was also my experience in a community mental health center. Our social workers ran those groups. They initially started out as court mandated programs but eventually became a resource for people who self identified as having anger control problems. I think that there is a palpable bias against considering these problems as treatable. Even within the mental health community depression and anxiety are more acceptable than anger control or violence. Advocacy groups take pains to point out that most people with mental illness are not violent and in the process stigmatize those with that problem and create a barrier to acceptance and treatment.<br /><br /> George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-36339365359249033882015-09-05T13:13:57.481-05:002015-09-05T13:13:57.481-05:00Very well stated Dr Dawson! I have over 20 years e...Very well stated Dr Dawson! I have over 20 years experience in the legal system, working at the State Attorney's Office, 9th Judicial Circuit, and I have seen many defendants sentenced to Anger Management court ordered classes http://www.courtorderedclasses.com/?gclid=CjwKEAjwpaqvBRCxzIGoxs6v2TkSJADel-MIx4iPKe4SqPcw-t-ejy3mEwQ_b7HTAhvBngVirO-RsxoC6KPw_wcB So I wonder, since this is already in place, why couldn't it be extended into the public mainstream for awareness purposes? These classes help people to recognize their anger issues so much so, it caused a criminal case to come about. These situations almost always involve family members and friends. <br /><br />Lisa Davis Budzinskihttp://amzn.to/1JX0jDAnoreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-58582242495216561772015-08-29T12:33:07.441-05:002015-08-29T12:33:07.441-05:00Dr. Green,
Many thanks for your response.
I am ...Dr. Green,<br /><br />Many thanks for your response.<br /><br />I am hopeful based on some of my experiences. The commonest one is finding out how surprised some of these people are once their thought patterns are confronted. That leads me to think that being able to explain this phenomenon in simple language in public service type announcements will be useful. I think the recent use of cognitive behavioral therapy in severe psychiatric disorders is also reason for hope. Many of us have been doing this for decades under another name like supportive psychotherapy or the psychotherapy of psychosis, but it involves the same methods. Central to those methods is assisting the person to recognize some of these patterns of thinking. Societal biases also come into play. I agree that society needs to play a part in recognizing that violence ands aggression can be a sign of problems other than sociopathy or evil and that is can be treated rather than punished. During my years of inpatient work and in my personal life, friends and family members are always involved in situations like this – either as victims or concerned bystanders. <br />George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-31603067416325200322015-08-29T08:19:58.665-05:002015-08-29T08:19:58.665-05:00Dr. Dawson,
Very thought provoking post! Looking a...Dr. Dawson,<br />Very thought provoking post! Looking at this as a "public health" issue is an interesting, and perhaps helpful way to begin to try to reduce the likelihood of future horrific episodes. I would suspect very few of the individuals with this degree of "pathological" intense chronic anger will be willing (or able) to step forward and say "I need help" on their own volition. Most will lack the insight into their own condition, and many will feel "justified" in carrying out their fantasy of homicide. Therefore, for a public health approach to have any effect, it would need to raise the awareness of "close others", such as spouses, family members, friends, colleagues at work, etc. and therein lies a problem, in that they would feel "guilty" for "ratting out" their friend, family member, etc. <br />You raise a very interesting and potentially helpful way of approaching this, but it will be a very "tough sell" to get the general public to be willing to step forward and say "I'm worried about my friend (family member, etc.) becoming a mass murderer" beofore they display this type of behavior.William Green III, MD, DFAPA, FASAMhttps://www.blogger.com/profile/03747675006049182560noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-33013487675909907332015-08-27T16:23:26.151-05:002015-08-27T16:23:26.151-05:00I would add that the station strongly urged him to...I would add that the station strongly urged him to get counseling and he rejected the idea, which is not uncommon in people with this kind of psychological profile, because they don't see the problem being internal.<br /><br />This isn't an easy one. Apparently he was never able to be legally committed and he waited two years after termination to do this. <br /><br />Maybe people who are identified with this type of problem after a few frivolous lawsuits ought to be placed on the federal registry. Not just felons and people who have been psychiatrically committed. There has to be a cost and consequence to this kind of acting out and misuse of the civil legal system. This kind of law would have to be drafted carefully, for example, I think New York's law goes too far.James O'Brien, M.D.https://www.blogger.com/profile/14994350319492582321noreply@blogger.com