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The Violent Mental Patient Myth
mental health issues primer #1
produced by

The No Force Coalition

a group of individuals and
organizations against force in
psychiatry.
Ontario 1999

Some Key Facts:

1. Four out of five Canadians believe people labelled mentally ill are dangerous or violent.

-- MacLean's Magazine, August 10, 1998, based on Canadian Mental Health Association (CMHA) statistics.

2. Almost half the media stories we read on mental illness involve crime (46%).

-- Health Education Authority study, 1996, England's National Health Service.

3. People discharged from psychiatric hospitals are no more violent than others in their communities.

-- The MacArthur Risk Assessment Study, 1998:
http://macarthur.virginia.edu/violence.html

-- Henry Steadman, et al."Violence by People Discharged From Acute Psychiatric Inpatient Facilities and by Others in the Same Neighbourhoods", Archives of General Psychiatry, Vol. 55, May 1998;

-- J. Monahan & J. Arnold. "Violence by People with Mental Illness: A Consensus Statement", Psychiatric Rehabilitation Journal, Spr. 1996;

-- G.T. Harris & M. Rice. Psychiatric Services, Sept. 1997.

4. People labelled schizophrenic are no more violent than others. Rates of violence do not change according to diagnosis.

http://macarthur.virginia.edu/violence.html

5. Many believe that hallucinations and delusions make one more capable of violence, but regardless of their content, "delusions did not predict a higher rate of violent behavior. Violence was more likely to be associated with high levels of anger and high degrees of impulsiveness than it was with delusions."

-- Dr. Paul Appelbaum (MacArthur Risk Assessment Study), quoted in, “Mentally ill no more likely to be violent than anyone else”, Anita Srikameswaran, Pittsburgh Post-Gazette, May 9, 2000.

-- Press Release, Royal College of Psychiatrists, England.

6. The types of violence committed by people discharged from psychiatric hospitals are no different than those committed by others (most attacks happen in the family home).

http://macarthur.virginia.edu/violence.html

7. 1 in 5 Canadians are said to have mental illness, according to the Clarke Institute of Psychiatry and the CMHA. Yet only 1 in 25 crimes are committed by the mentally ill, including violent crimes.

http://www.atkinsonfdn.on.ca/publications/fellowship/simmie/simmie4.html

See: "Out of Mind" Series (Parts 4, 6), by Scott Simmie for the Toronto Star.

-- J. Monahan, researcher (MacArthur Risk Assessment Study).

8. The odds of psychiatrists predicting violence are known to be "no greater than chance", or flipping a coin.

http://macarthur.virginia.edu/violence.html

9. Prozac can trigger or cause suicidal or aggressive thoughts and behaviours.

http://www.breggin.com/prozacbook.html

-- P. Breggin, Disabling Treatments in Psychiatry (1997, p.81)
-- M.H. Teicher et al (1990) "Emergence of intense suicidal preoccupations during fluoxetine treatment". American Journal of Psychiatry, 147, 207-210.
-- Food and Drug Admninistration, Transcript of Psychopharmacologic Drugs Advisory Committee (1991, September 20).

10. Ontario has adopted "Community Treatment Orders", which will force people in the community to take medications against their will, even if they are not a threat. This was done to ensure "public safety".

New Brunswick has blocked Community Treatment Orders and funded strong community supports instead of costly institutions. This is a more workable option according to several studies and a majority of mental health advocates.

http://www.atkinsonfdn.on.ca/publications/fellowship/simmie/simmie7.html

See: "Out of Mind" Series (Part 7), by Scott Simmie for the Toronto Star.

11. Patients' treatment results and quality of life did not improve while on community treatment orders.

http://www.bazelon.org/opcstud.html

-- Policy Research Associates, Inc., Delmar, NY.

12. "The great majority of people who are currently disordered are not violent. None of the data give any support to the sensationalized caricature of the mentally disordered served up by the media, the shunning of former patients by employers and neighbours in the community, or "lock 'em up" laws proposed by politicians pandering to public fears. The risk associated with 'major' mental disorders such as schizophrenia and affective disorder is modest indeed. Clearly, mental health status makes at best a trivial contribution to the overall level of violence in society."

-- Dr. John Monahan "The Scientific Status of Research on Clinical and Actuarial Predictions of Violence", in D. Faigman et al (Eds). Modern Scientific Evidence: The Law and Science of Expert Testimony. vol. 1 (West Paul Publishing Company, 1997)

13. "The media blames 'random' violence on "nuts", the "mentally ill". Politicians react by scapegoating us with backward laws. Meanwhile, society's violence problems go unchecked and we become targets of worse abuses."


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