May 12, 2008

Other Links Regarding Josef Fritzl

Speaking of Josef Fritzl, there are a couple of other links I'd like to point out regarding the case:

1) Karen Franklin has a great post covering several of the forensic angles involved, including treatment of the victims.

2) This article indicates police plan to question the wife of Josef Fritzl regarding what she knew.  While she is not considered a suspect, many are wondering how these crimes could have gone on for so long, right under her nose, without her knowing (this may be the subject of a future post).

3) Here is an article detailing how at least one tenant claims he was aware of the situation, but did not report anything to the authorities because he wanted to "keep his flat."  Words escape me...

4) In this article Fritzl compares his crimes to an "addiction," and disagrees with the media's portrayal of him as a "monster."  In this article, he blames for the Nazis for an uptight upbringing, and he provides many rationalizations for his unspeakable acts.  He is making the case for a diagnosis of psychopathy stronger every time he opens his mouth...

Josef Fritzl: More Forensic Psychology Consideration of the "Austrian Cellar Father's" Sanity

Back on April 30, 2008, I wrote a relatively brief post on Josef Fritzl, the "Austrian Cellar Father" who kept his daughter, Elisabeth, as a sex-slave in a specially built dungeon below their house for years.  In addition, he fathered seven children with her, including one who died soon after birth (and who he disposed of in a furnace).

As additional details begin to emerge, a picture is beginning to form on just what the relevant psycho-legal issues are regarding Fritzl's mental health, with the key question at this point (from a legal perspective) being whether Fritzl was legally insane at the time of the offense.  This issue was noted based on comments found in a link in my previous post, as well as in this article, where Fritzl's attorney, Rudolph Mayer, said: "In my personal opinion, Josef Fritzl is mentally ill and therefore not responsible for his actions." 

A broader question for the Austrian authorities is how to charge this man, and for what crimes (beyond the obvious).  The authorities appear to want to obtain as long a prison sentence as possible for Fritzl, based on this quote from Detective Inspector Polzer: "We want to see this man die in prison. It will take a lot longer than ten years for his victims to recover from what he put them through."  However, in Austria, even a double-murder would only carry a fifteen-year sentence, which may be reduced with good behavior. 

Based on the articles above, as well as this article and this article, there is some information trickling out about Fritzl's mental health status.  Not enough for anything more than a cursory view of the situation, but enough to discuss what sorts of issues are important for forensic evaluators to consider when conducting an evaluation for sanity at the time of the offense.

The first step is having a thorough understanding of the legal definition of sanity for the relevant jurisdiction. as well as related case law.  Unfortunately, I was not able to obtain any information regarding the specific definition of legal sanity in Austria (if anyone has access to the legal standard in Austria, please let me know!).  This is vitally important, because different definitions encompass varying types of offenses and mental health conditions.  For example, prior to John Hinckley's attempted assassination of President Regan, United States Federal Law regarding sanity carried two separate "prongs."  The first (which still exists) is that an individual, at the time of the offense, was suffering from a severe mental disease of defect, such that they did not appreciate the nature, quality, or wrongfulness of their actions.  In other words, the individual was so incapacitated by a severe mental health issue they did not know what they were doing was wrong.  This is a pretty high bar, which is why the insanity defense is rarely employed, and rarely successful when employed.

The second prong, since removed, spoke to an "irresistible impulse."  That is, the individual knew what they were doing was wrong, but (due to a severe mental health issue) were "compelled" to act anyway.  Without getting into whether this second prong is good or bad, one can see the second prong includes a whole lot more types of conditions and behaviors under the area of sanity.

So, the first step is to gain an understanding of the definition of legal sanity and insanity in Austria.  Once that understanding is obtained, we can examine Fritzl, and whether he meets the first criteria.  Whether there is one prong or more than one, the common denominator will be whether, at the time of the offense, Fritzl was suffering from a severe mental disease or defect.  The wording may be different, but the concept is the same - in order for the insanity defense to apply, there would have to be evidence Josef Fritzl was suffering from a severe mental health problem.  In this case, his attorney will have a tough road ahead of him.

Why?  There are several reasons.  First, simply look at "the time of the offense."  We are talking decades here.  Even the most serious of mental health issues fluctuate in severity, with periods of clarity.  It is difficult to imagine any scenario where an individual was suffering a mental health disorder chronically for such a long period of time.  Of course, there are cognitive deficits, which are stable.  But Josef Fritzl does not appear to have had any difficulty with cognition - he worked as an electrical engineer, obtaining employment even after a previous conviction for rape due to his ability to invent new devices. He also invested in a restaurant, and conducted real estate deals.  Individuals with cognitive impairments severe enough to qualify as a "severe mental disease or defect" are not able to participate in these types of activities.  During the entire time of his crime, he was able to present as reasonably logical, organized, and functional - to an extent that precludes a serious mental disease or defect.

So, if he does not suffer from a severe mental disease of defect (usually reserved for diagnoses like schizophrenia, schizoaffective disorder, Bipolar I Disorder, etc.), what is his deal?  Without a thorough evaluation, there is no way to say for certain.  However, certain traits appear to be likely, based on information from the news articles linked to above.  For example, there appears to be a strong narcissistic streak, as evidenced by his overwhelming sense of entitlement, lack of empathy, arrogance, exploitative streak (and not just of his daughter), and sense of grandiosity.  Here was a man who was vain enough to "dress up" and wear a hair piece when he went into his basement to rape his daughter.  He forced her to wear skimpy outfits and lingerie, exhibited extreme jealousy of his daughter prior to enslaving her, and did all of this in the very home of his family.  In addition, it appears he had his wife actually do most of the work on the various businesses while he took the credit, he went to Thailand for trips without his family (one can only speculate why at this point, but obviously the police will be examining this as well), and demanded obedience to his authority in the home.  Even now, while incarcerated, the authorities note he is "obsessed" with watching the news coverage of himself on the television.

Beyond Narcissistic Personality Disorder, it is quite possible Fritzl is a psychopath.  A discussion of the definition of psychopathy is beyond the purpose of this post (just click the link to learn more), but psychopathy is basically formed by the presence of two separate factors: an aggressive narcissism (which was addressed above), as well as a socially deviant lifestyle (as roughly accounted for by Antisocial Personality Disorder).  Antisocial Personality Disorder (APD) is accounted for by such symptoms as chronic lying and deceitfulness, chronic rule and law-breaking, lack of remorse, impulsivity or failure to plan ahead, involvement in fights or assaults, and chronic irresponsibility.  In addition, one will generally see early behavior problems, a parasitic lifestyle,  multiple relationships/marriages, and poor behavioral controls.  Assessing for psychopathy is not so much an "either/or" process, but rather "how much?"  That is, is there a minimal, low, moderate, or high degree of psychopathy present?  A thorough evaluation would be necessary to pin this down(based on the Hare Psychopathy Checklist - Revised, or PCL-R), but it would appear based only on what we know so far Fritzl would meet the criteria for at least some of these symptoms.

Beyond that, I'm not sure.  However, the presence of personality disorders, even psychopathy, does not rise to the level of a "severe mental disease or defect," at least in a legal sense.  Behaviors resulting from these diagnoses are considered to be volitional in nature (at least in America), and are not grounds for a finding of not guilty by reason of insanity (NGRI).

Without the severe mental health diagnosis, the second part (unable to understand wrongfulness) would be moot.  However, for argument's sake, we can examine this issue fairly quickly.  He built a dungeon.  He created an elaborate ruse (stating his daughter ran away to a cult), which he bolstered with letters that he wrote, as well as forcing his daughter to write.  He created other alibis and excuses.  In addition, he had been previously convicted for a sexual offense, suggesting a knowledge of wrongfulness.  Lastly, Fritzl himself stated he "knew the whole time that was he was doing was wrong." He sometimes wondered "whether he was crazy for doing such acts."In this case, asking the question answers it, in that he acknowledges an awareness the acts were wrong.

The "irresistible impulse" prong would, however, be tricker.  Again, I am not aware of the particulars of Austrian law, but generally speaking, commission of sex offenses does not fall under this concept.  He set up a situation for himself to act of his desires at will, but but he still demonstrated an ability to resist his impulses, and to plan ahead, when necessary.  In addition, his other crimes (including a non-sexual crime, insurance fraud - he burned a property for the money) demonstrate more of an antisocial personality disorder than an impulse restricted to one discrete area of his life.  In short, this prong does not appear to be available either, though I would imagine if his defense pursues this, and this prong is available in Austria, this would be the prong they would pursue.

Overall, this story is horrific.  I can't even begin to imagine what the life of Elisabeth and her children was like in that 15'x15' dungeon, let alone what the recovery process will be.  I would imagine only the five-year old has any real shot at anything close to a full recovery, though human resiliency can sometimes be amazing.  I cannot help but question a legal system that allows someone who has done this to be free in ten years, though that is obviously a question for the people of Austria to address.  It may be that a finding of insanity is better in the long run, assuming Austria has an indeterminate length on their insanity holds.  That may be the only way from keeping Josef Fritzl from victimizing anyone else, including his family, who should never have to set foot in his presence again.   

   

May 11, 2008

Best Action Film Ever???

When considering the movie that is the best action film ever made, my standard answer (like many people's) is Die Hard.  The movie has everything - great lead, great villain, non-stop action that is both exciting and clever - it has it all. 

However, as I sit here watching Raiders of the Lost Ark (for the 100th or so time, but the first time in a long time), I may need to re-evaluate my top spot.  What a...perfect movie.  Again -  great lead, great villains, great action sequences, all supporting characters perfectly cast, compelling story, perfect pacing, intellect as well as brawn...perfect.  One of the few movies that instills a sense of excitement and wonder in me, even though I know exactly what going to happen at each step along the way.

In fact, this leads me to one of the phases of my fatherhood I am eagerly anticipating - introducing certain movies to my boys.  My oldest is six (going on seven soon), close enough that I can start to at least consider watching certain classics with him.  Raiders, Star Wars, Harry Potter, etc., will be among the initial entries.  I am dying to see the look on his face after the opening scene of Raiders, with the tomb, the giant ball, etc.  It'll probably be another year or two for Raiders (it's a bit more complex, as well as violent, than the others I mentioned), but I am already excited about it!

Along these lines, I really hope the new Indy movie turns out to be at least okay.  One of the worst happenings in Hollywood over the last 10 years has been the demise of Harrison Ford's career.  For my generation, there was no more reliable, bona fide movie star than Ford.  His Han Solo and Indiana Jones alone buy his ticket to Movie Immortality, yet he was so good for so long in tons of feature films that he really was the premier actor for almost two decades.

What happened?  I don't know.  I generally don't pay attention to the personal lives of celebrities (talk about boring), but the bits of news that did catch my attention seemed to portray a man who had a bit of a mid-life crisis.  I don't know about that, but it does seem that his film choices progressively worsened to the point where he was no longer a "slam dunk."  Time was, one went to a "Harrison Ford film" irrespectively of the topic or genre.  Not anymore.  Now, I'll go to see Indy IV at some point, but mostly out of nostalgia and a hope the magic can be captured one more time.

Anyway, we'll always have Raiders, and for that I'll be thankful! 

The Impact of Parenting on a Child's Response to Trauma

On the heels of my post here, this article briefly discusses how important parents are in their children's recovery from trauma.  From the article:

Effective parenting practices provide a protective environment surrounding children and the authors have proposed a framework that draws on positive parenting practices that promote healthy child development.

The goals of parenting following trauma would be to provide structure, security, emotional warmth, and an environment that addresses the traumatic event. Skill encouragement, monitoring, interpersonal problem-solving, and positive involvement would support these goals and enable parents to provide an environment to promote their children's resilience after trauma.

The article is just a brief overview, serving more as a reminder than anything else.  Of course, it speaks to the larger point, which is that the functioning of children is significantly impacted by the parenting they receive in most cases.  When the attitude of the adults involved in the treatment of a child is to "fix the kid," the results will be spotty at best.

May 10, 2008

May is Mental Health Month - "Get Connected"

Last month I posted this on the "Get Connected" effort for Mental Health Month.  What I like about this concept for a drive such as this is the recognition of the importance of social connectivity as it relates to people's functioning and well being.  People are social animals - we do better when we have healthy relationships, both formal and informal.  When we have positive relationships in our life, we experience a significant reduction in our anxiety and depression, gain an increase in our sense of self-worth and self-efficacy due to our sense of belonging, and also perceive a "safety net" should we need to rely on others for help.

To assess where people in America are with respect to their relationships (their perceptions of them, anyway), this survey was conducted.  From the article:

"Individuals who feel valued and cared for are better equipped to deal with stress and adversity and even experience less severe illnesses than those with little social support," said David Shern, Ph.D., president & CEO of Mental Health America. "The results of this survey are overwhelmingly positive because they show that most Americans do, in fact, have supportive relationships and that they recognize the vital role these relationships play in protecting them from depression and other illnesses."

This article states 97% of people surveyed report having someone they trust and can turn to in a time of need.  In addition, over half the respondents reported having more than five different people on whom they can rely, and another one third had as many as five.  Only three percent indicated they had no one in their life who fit this category.  People reported, in general, they relied most often on either their significant other or family members.  Interestingly, men reported more reliance on their partners, while women stated they more often turned to family for support.

The survey respondents also appeared to recognize the benefits of having these relationships.  The survey asked their opinion about the following statements regarding social connectivity, with the percentage endorsing the statement following:

- Have close relationships that help them cope with stress (91%)
- Feel a strong emotional tie with at least one other person (93%)
- Have someone to talk to about decisions in their life (95%)
- Say there are several people they can talk to when they feel lonely (93%)
- Say there are people they know will help them if they really need it (96%)
- Have people who appreciate them for who they are (96%)

I agree with the writers of the article that these findings are good news.  However, I also believe most people would benefit by both increasing the amount of time spent with their current friends and family, as well as by forming new formal and informal relationships in a wider variety of settings.  As I noted in my review of the book Bowling Alone, the facts are clear - people have been slowly disengaging from interpersonal interaction over the last five decades, and this has had a significant impact on many facets of our individual and collective health.  I think the results of survey show people still recognize the benefits of relationships, but I can only hope this knowledge will lead to a reversal of the recent trend towards isolation.
   

May 06, 2008

For All You Prince Fans Out There...

..you have to check this out.  Holy Purpleness, Batman!  I'm not sure I'm in a place in my life anymore where I'll buy something like this, but back in the day, there'd be no doubt. 

May 05, 2008

The Sarah Connor Chronicles - Was a Second Season Ever in Doubt?

Well, apparently it was, but according to Wired, a second season has now officially been ordered.  I'm surprised there was any debate.  The show was well-done, and appeared to garner both good ratings and good reviews.  And on a personal note, to borrow from Paul Rudd in The 40-Year Old Virgin, I thought TSCC "rocked the sh!t!"  In other words, you know at least one show I'll be watching next year...

Proof Everything Eventually Has a Sequel

According to Wired, sequels are soon to be released for both War Games and The Lost Boys.  Clips are included, and Bonus! both Coreys are back.  Thank goodness at least the War Games flick will be direct to DVD (where it will likely turn a profit).

Excellent Post on Impact Bias

Check out Psyblog's post on impact bias, which is an over-estimation of our emotional response to future events.  They cover the concept in detail, and it is very well-written.  I would only add that individuals suffering from anxiety and depression appear to be particularly vulnerable to this type of issue.  That, of course, is worthy of its own post - perhaps at a later date.  Anyway, a really good read, click on the link.

Depressed People Have Higher Rates of Physical Illnesses

This article reports of research suggesting people with depression experience certain medical difficulties, above and beyond that accounted for by age, gender, and BMI.  In addition, due to higher levels of BMI (which may be due, in part to the depression), other difficulties are also more frequent in those with depression.  From the article:

It was found that 15 physical disorders were significantly more frequent in people with recurrent depression than in controls. However, when BMI, age and gender were taken into account, depression was found to predict 6 disorders - gastric ulcer, asthma, rhinitis, hypertension, thyroid disease and osteoarthritis.

For the remaining physical health problems - diabetes, epilepsy, hypercholesterolaemia (high blood fats), kidney disease, liver disease, heart attack, osteoporosis, rheumatoid arthritis and stroke - the difference between those with and without each disorder could be accounted for by BMI, age or gender.

Research like this is important for a number of reasons, including the fact that most people seek treatment for depression when their mood problems manifest physically.  As long as the problem is confined to the neck up, people are more likely to muddle along.  When the problem becomes physical, however, people are more likely to seek help.  This is why screening by general practitioners is crucial for the initial identification of depression, and encouragement by them for treatment of the depression. 

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