When boys are bullied they may fantasize about revenge. To dream of turning the tables on a bully is common to all eras, most cultures, and the source of drama, film and literature from the Elizabethan stage to the spaghetti Western. But whether a slowly evolving fantasy of mass murder is a product of mental illness, of bullying or of other sources, there are usually signs along the way.We do not have a sophisticated system of care and protection. If we did, Mr. Cho would not have killed 32 students at Virginia Tech. But America is really no worse than other nations when it comes to the numbers of seriously mentally ill, of violently mentally ill, of insufficiently treated violent mentally ill school-age boys. (Yes, we are talking about boys and young men; by far, they are the school shooters).
Violent role models, on the street, in the cinema, in the news, have been with us for as long as I recall, and are not limited to America. Back in the ’60s, an American counter culture leader said, «Violence is as American as cherry pie.» But other parts of the world, such as Northern Ireland, the Balkans, the children’s armies of Africa, the terrorist camps of the Middle East, have their violent role models. Machismo is not an American word, nor is Hooligan.We do not have more major mental illness than most other countries. But we may be less caring of our mentally ill. Back in the Kennedy era, we launched community mental health programs to care for people with schizophrenia and similarly severe disorders, including depression. We wanted treatment available close to home, with compassionate supervision and with proper medication. We tried to stop the revolving door to the asylum, and, in fact, we tore down the large state hospitals. Our best intentions failed.
The program was never fully funded and our American system of care leaves much to be desired. The most serious mental illnesses, schizophrenia and depression, often become overt in adolescence. A boy who is smart enough to get into a good college becomes deluded, obsessed, strange, scary – and he gets rejected, isolated and stuck in a fantasy world. Those fantasies can become lethal. These forms of mental illness are seldom the source of homicide (far more often they torment and demoralize the disturbed individual). But when they are dangerous to others, we need good answers.