When It Comes To Mental Illness & Guns, The NRA May Be Crazy Too

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In the wake of the Navy Yard massacre, the argument about gun control has shifted away from background checks and now has landed on fixing the mental health system. This is my second blog on mental illness and gun violence and I’m going to write several more. But here’s my latest thoughts on the subject so follow my drift.

I am an NRA-certified trainer and, as such, spent the weekend with a group of NRA trainers qualifying in a new training certification recently developed by the NRA. Two things impressed me about the training. First was the character and caliber of the other trainers. Many are active law enforcement or military personnel, all are ‘first responders’ and would think nothing of charging into a burning building to rescue me. Second, the NRA training course, like all NRA courses, mentions gun safety and gun responsibility on every page. Anyone out there who thinks that the “average” gun owner doesn’t know and understand the basic rules of gun responsibility doesn’t know any average gun owners and certainly hasn’t been paying attention to the endless calls for gun safety voiced by the NRA.

But when it comes to moving from rhetoric to reality, in particular the issue of mental health and gun safety, the NRA’s behavior is so at odds with their own rhetoric that they seem to be suffering from a new form of organizational schizophrenia that may only be found in the gun business and perhaps Wayne LaPierre can become an expert on this type of mental illness as well. He certainly seems to be an expert on mental health issues that lead to mass shootings, at least he never misses the opportunity to call for “fixing” the mental health system as a way to eliminate the kind of tragedy that just occurred at the Navy Yard in DC.

But here’s where the schizoid behavior of the NRA sets in, because at the same time that they call for more effective ways to identify and treat the mentally ill, they’re also try to make it impossible for medical professionals to figure out whether a patient who reports mental illness symptoms, such as depression or anxiety, is a threat to engage in gun violence at all. Why? Because the NRA, believe it or not, wants to prevent physicians and other medical professionals from responding to the earliest warnings about gun violence provoked by mental illness by criminalizing any attempt to discern whether a depressed or anxious patient has access to a gun.

In 2011 the NRA backed a law passed in Florida that made it a felony for any physician to inquire about the existence of guns in the home even if the patient reported symptoms of mental distress. The rationale behind this stupidity was that such a question (not that a patient ever has to answer any question during a consultation) was an invasion of the patient’s right to privacy under the 2nd Amendment, as if the 2nd Amendment says anything about privacy at all. In the arguments before Federal Judge Marcia Cooke, the NRA-backed attorneys rolled out their ‘slippery slope’ defense which basically says that any kind of gun regulations will eventually lead to total confiscation. How do we know this is will happen? Because the NRA says it will happen.

The good news is that Judge Cooke permanently blocked the legislation, but the NRA claims it will appeal the decision to the 6th Circuit Court. But while the issue meanders through the appeals process, physicians and mental health professionals in Florida and elsewhere (similar bills sat in various state legislatures waiting to see what would happen to the Florida law) will actually have the opportunity to notify both the mental health system and the requisite law enforcement authorities when and if they learn that a gun-owning patient might do harm to himself or someone else because he exhibits or admits to mental distress. Isn’t that how we should begin to “fix” the mental health system? Sounds fairly logical to me even though mental health expert Wayne LaPierre will probably disagree.

  • NRA: Get ‘Homicidal Maniacs’ off Streets - ABC News (abcnews.go.com)
  • NRA chief Wayne La Pierre wants ‘broken’ mental health system fixed but rejects … - New York Daily News (nydailynews.com)

Mental Illness Leads To Gun Violence: They Finally Agree On Something And So What?

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Final_cover__08585.1377691165.220.290 Available in print or e-book on Amazon.

One thing that both sides in the gun debate seem to agree on is the notion that we would suffer much less gun violence if we did a better job of dealing with people who are mentally ill. After all, what normal person would walk onto a navy base and kill twelve people, or walk into an elementary school and end the lives of several dozen adults and young kids?

Wayne LaPierre

Wayne LaPierre

One of America’s foremost authorities on mental illness, Wayne LaPierre, made this point when he was interviewed following the massacre at the Navy Yard in DC. The NRA chief said, “This outrage was [because] of a mental health system that is completely broken.” How do we know that Wayne’s a mental health expert? Because he talks about it all the time. He made the same, exact point in his first public comment after Sandy Hook, then he repeated his demand to fix the ‘broken’ mental health system in his speech before the membership of the NRA.

First time on my blog.

First time on my blog.

But Wayne’s only an executive of the NRA. What if you’re the Chief Executive of the United States? The President is also convinced that tightening up the process for getting mental health records into the FBI background-check database will also protect us from the damage caused by guns. In January, the White House said it would help states remove barriers for sending mental health data to the FBI background check system known as NICS. Then in April Obama directed the CDC to begin figuring out how to increase the flow of mental health information to the FBI without violating the privacy provisions of HIPAA and other privacy laws.

So while we can all feel pleased that the leaders of the pro-gun and anti-gun movements can finally agree on something, it’s not clear that this new-found alliance really means anything at all. For one thing, calling someone “mentally ill” because they commit an outrageous act doesn’t mean that the way they behave fits the definition of ‘mentally ill.’ Consider the definition that is held by the real experts, such as the National Alliance on Mental Illnesss: “A mental illness is a medical condition that disrupts a person’s thinking, feeling, mood, ability to relate to others and daily functioning.” The same definition is used by the CDC.

Note the fact that we are dealing with a ‘medical condition,’ which means something that should be treated by medical professionals. But what does the treatment consist of? A visit or two to a therapist and perhaps a brief regimen of pills? Not a single one of the recent mass murderers – Lanza, Alexis, et. al., - sought or received medical treatment that could have resulted in their names being added to a mental health watch-list that would have been sent to the FBI. And note that the definition of mental illness also incorporates the idea that the condition “disrupts” daily functioning. Not true in the case of the Aurora shooter, not true for the young man who shot Gabbie Giffords, not true for Virginia Tech, not true, not true, not true.

Wouldn’t it be nice if all we had to do to end gun violence was to crank up the computers and stuff some more data into NICS? If the NSA can record, analyze and store one billion cell-phone calls every day, it can’t be that difficult to enlarge the capacity of the NICS system to track a few million loonies who otherwise might be able to buy guns.

But it’s not the unfortunate individuals suffering from real mental illness who walk into a building and begin shooting everyone in sight. It’s the guys you don’t notice, the ones who walk around seemingly normal and functioning who all of a sudden just snap. Want to keep those types from getting their hands on a gun? We’re right back to where we started arguing whether it’s guns or people who do the killing.

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