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Section 2
 
Track #2 - Nine Explanations Why, Part I
Question 2 
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On the last track, we discussed concerns regarding  therapist-client confidentiality in regards to the risk of a school shooting  incident.  We also discussed the six step  Action technique for fact based risk inquiry regarding confidentiality  ethics.  These six steps are attitudes  that support or facilitate violence, capacity, thresholds crossed, intent,  other’s reactions, and non-compliance with risk reduction interventions.
On this track, we will discuss the first five of nine current  explanations of school shootings, and how these theories hold up under  professional scrutiny.  These first  five  explanations of school shootings  are, mental illness, ‘he just snapped’, family problems, bullying, and peer  support.
With the increase in school shootings in the past decade,  academics, government groups, and think tank researchers have tried to account  for the patterns observable among school shootings.  Perhaps more than a dozen explanations have  emerged in this process.  However, I feel  that it is important to carefully analyze possible explanations from these  sources, and identify where these possible explanations may fall short.
The first of these explanations of school shootings is mental  illness.  As you know, very few school  shooters are diagnosed with mental illnesses before their crimes take place,  but a large percentage are discovered afterward to be mentally ill.  This post-incident diagnosis is made more  prevalent by the fact that many school shooters have committed suicide  following the attacks, and others have done so little to prevent being shot by  police officers that they have been referred to as committing ‘suicide by  cop.’  One case study that illustrates  the complex nature of mental illness as a causal factor is the case of Michael  Carneal.  In 1997, Michael, then 14, shot  several students at Heath High    School in Kentucky.  Michael had no known history of mental  illness before the shooting.  However,  after the shooting, a family history of mental illness was discovered.  When Michael was evaluated by forensic  psychiatrists, they reported he was able to understand the consequences of his  actions, but had nevertheless been mentally ill at the time of the shooting.  Michael went on to develop full-blown  schizophrenia while in prison, which needed to be managed with medication.  While there is considerable evidence that  mental illness may play a role in school shootings, the explanation does not  lend itself well to helping teachers and mental health professionals identify  potential shooters before events begin.  The  concept of mental illness being connected with school shootings would also  raise the question of the Tarasoff confidentiality boundary "duty to protect"  decision.  As you are aware, it is  exceptionally difficult for adults in children’s lives to spot disorders that  are in their early stages during the high school years, as children become  aware that they are different from others, and fearing the stigma of this  difference, work very hard to conceal all obvious signs of their troubles.
A second explanation of school shootings is that the shooter  "just snapped."  By this, most people  mean that a single, proximate, and immediate painful event was the catalyst for  the shooting.  There is little evidence  to suggest that this is actually the case, as you are well aware.  For example, Luke Woodham, who killed two  students and injured 7 in Mississippi  in 1997, broke up with his girlfriend a few months before the shooting.  Since his ex girlfriend Christine was one of  the first people shot,  opinion held that  this breakup was what caused Luke to "snap".   However, Luke carefully planned his attack in the months following the  breakup.  He did not act impulsively  immediately after the breakup occurred.
In addition to mental illness and ‘he just snapped’, a third  explanation of school shooting is family problems. However, as you know, the  actual picture of the families of adolescents who perpetrate school shootings  is very murky.  In a study conducted by  the Secret Service of 41 school shooters between the years of 1974 and 2000  found that perpetrators come from a wide variety of homes, from "intact  families with numerous ties to the community, to foster homes with histories of  neglect."  This, of course, is not to say  that factors such as parental neglect, domestic abuse and turbulent  parent-child relationships do not contribute to youth violence.  And certainly, a proportion of school  shooters have come from difficult family lives.   One FBI study reviewing 18 school shootings concluded that the following  were potential warning signs of a school shooting
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a       turbulent parent-child relationship
   
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family       acceptance of pathological behavior
   
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access       to weapons in the home
   
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lack       of closeness or intimacy with family members
   
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a       child who ‘rules the roost’
   
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no       limits or monitoring of internet usage or television viewing
   
However, the FBI study warned that many students fit this  profile, so distinguishing between shooters and nonshooters on the basis of  family characteristics is not possible.
A fourth explanation of school shootings is bullying.  Would you agree that this is perhaps the most  commonly accepted explanation for school shootings?  Of course, this is for good reason.  A majority of shooters express fury at being excluded,  teased, and tormented.  Clearly, bullying  is a nationwide problem.  According to  the National Association of School Psychologists, about 160,000 children miss  school every day, out of the fear of bullying.   Victims of harassment tend to exhibit lower levels of emotional and  social adjustment, and since it is harder for them to make friends, they feel  lonely.  The bullies themselves may get  involved in delinquency and substance abuse.    Evidence suggests that children who are both bullied and also bully  others may be at the highest risk for violence- already they are both victim  and aggressor.   There is supporting  evidence of this in the testimony of students who have known school  shooters.  In Michael Carneal’s case, for  example, he listed "being tired of being picked on" as a reason for his  actions.  However, some of his peers  expressed surprise at this, indicating that they knew Michael as likely to  tease and pull pranks on other students. 
In addition to mental illness, ‘snapping’, family problems,  and bullying, a fifth explanation of school shootings is peer support.  In almost half of the shootings studied by  the secret service, attackers were influenced or encouraged by others.  The Columbine shooting, for example, was  perpetrated by a pair of students, and in several other cases, law enforcement  officials have tried to link the events to several other youths.   In any case, it is difficult to substantiate  the amount of peer involvement, as those who may have had prior knowledge of  school shootings are likely to remain quiet after the event occurs.  In   addition, it can be hard to interpret a shooter’s testimony concerning  outside involvement, as shooters may either underplay peer involvement to  protect their friends, or in order to claim all the ‘credit’ for themselves.   Peer involvement raises confidentiality boundary  questions.  If a student were to tell you  in a session about another’s intent to harm, the criteria for taking action  varies from case to case.  What voice  tone, words used, mannerisms perhaps out of character would red flag for you a peer involvement that would cause you to violate the client confidentiality boundary  to perhaps prevent a school shooting?
Clearly, a discussion of peer support must include a discussion  of those students who, while not coconspirators, had forewarning of the  event.  Certainly in some cases, the  approval of peers, even if the peers feel the threat is a joke, may further  bolster a shooter’s resolve.  However, in  no case has a shooter appeared to have been overwhelmingly influenced or  manipulated by his peers.  In one case,  friends of one shooter learned he had a gun and was suicidal, and did their  best to take turn watching him to make sure he did not kill himself.  However, in the complex mix of factors that  lead to a school shooting, peer support, even perceived support, misinterpreted  by a socially marginal or psychological unstable youth, can lead an individual  further down the past towards violence.
My client Anne, 42, was highly concerned about her son  Dennis, 15.  Anne stated, "last week, one  of Dennis’s friends was caught bringing a knife to school.  When I asked Dennis what had happened, he had  said his friend Mark had told he and his friends he was going to bring the  knife.  I yelled at him… I mean, how  could he not tell someone!  But Dennis  totally shut down on me.  How can I make  him know how important it is to come to me, or a teacher, or just someone about  things like that?  If I try to sit him  down and tell him, he just spaces out or I get sarcasm!"
I suggested Anne might try the "Avoid the Big Talk"  technique.  I stated to Anne,  a "big talk" or lecture can be incredibly  stressful for kids.  You might find it’s  that way for you, too.  Instead of trying  to prepare what to say, and sitting Dennis down, you might try looking for  opportunities for small talks instead.   For example, if Dennis says he’s excited about a movie that contains a  lot of revenge violence, you might take the opportunity to state your concerns  in a neutral tone.  You might say, ‘Even  thought they are just actors, I don’t like the idea of people using violence to  get back at someone who has hurt them.’   This expresses your opinion, and gives Dennis the opportunity to share  his views.  This way, you both avoid the  stress of a planned talk, and you invite Dennis to be an active participant in  the discussion.  You might try using  television, the newspaper, even conversations you overhear as opportunities for  avoiding the big talk."  Think of your  Anne.  Would the Avoiding the Big Talk  technique be useful for him or her?
On this track, we have discussed the first five of nine  explanations of school shootings, and how these theories hold up under  professional scrutiny.  These first  five  explanations of school shootings  are, mental illness, ‘he just snapped’, family problems, bullying, and peer  support, as well as raising questions concerning certain confidentiality  boundary issues.
On the next track, we will discuss the second four of nine  explanations for school shootings.  These  second five explanations are, the culture of violence, gun availability,  violent media, and the copycat effect.
QUESTION 2
 
What  are the first five of nine explanations of school shootings? 
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