There were seventeen people One of the 30th mass shootings of the year killed and several injured at a high school in Parkland, Florida. The president tweeted: “So many signs that the Florida shooter was mentally disturbed. … Always such instances should be reported to the authorities, over and over again!” In a subsequent speech he said: “We are committed to working with state and local leaders to help secure our schools and deal with difficult mental health issues.”
After Sutherland Springs, Texas, the last time the church shooting fell, he was more clear: “This is not a gun situation … it is a mental health problem at the highest level.”
Mental health services need to be strengthened, of course, but they should not deviate from real solutions to the social disorder that is violence.
I was privileged more than 15 years ago as a psychiatrist to participate in the launch of the “World Report on Violence and Health” by the World Health Organization, which has prevented violence worldwide through a public health approach Helped to revolutionize. Since applying the ecological model to violence, we have found that social, cultural, economic, and environmental factors are far more reliable predictors of violence than individual factors. Predicting violent behavior in individuals Trying is a foolish act, because when and how violence occurs, almost incidentally, depends on situational factors, state of mind, social support, environment, and access to weapons. Probability more accurately in the context of a long-term process , While the rates of violence in society are almost entirely predictable and preventable.
What do we mean by this? Where social trends and epidemics are concerned, personal characteristics tell us very little, while social situations tell us a lot: 30 years of in-depth research has told us a lot about violence. What we can do to treat a person is, at one time, important and limited, while there is a great thing that we can do to prevent enormous suffering and tragedy at a very low cost. For example, the World Health Organization and two United Nations bodies created documents on how 133 countries changed policies, instituted laws, offered services, strengthened law enforcement, and increased global suicide rates over 12 years to 16. Implemented programs to reduce percentage.
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First of all, we should not face mental illness with violence. Mentally ill individuals are no more violent than the general population, and even where they are violent, those acts themselves arise more from social causes, such as substance use or lack of social networks, a Compared to specific mental disorders.
Nor is it productive only to blame the person. Certainly the person has a role in executing the act, but it is also part of the cycle of violence, where the perpetrator is almost always the victim of trauma and stress. Social and cultural norms are highly influential, such as the acceptability or glory of violence and extremist ideology. However, the most powerful prophets are almost all socio-economic policy-based: at the social level, the rate of violence rises and falls almost equally as the rate of inequality.
Second, as horrific as mass murders are, they account for only a fraction of the murder victims in America. Single-victim homosexuals are killed more than 90 percent, and are “normalized” as part of the normal conditions of our lives. Therefore, if we want to reduce the toll of violent deaths, we need to pay more attention to the 160 lives that are lost to violence every day, most of which are hidden from public view.
Third, although its effects are less recognized by many, structural violence is an important concept. It refers to the avoidable limits that society places on groups of people, which may be political, economic, religious, cultural, or legal in nature, and usually originate in institutions that are subject to the power of particular subjects. Use.
There is a reason why we call it “violence”: it is the deadliest. The combined mortality from suicide, murder, mass murder and war due to structural violence is more than 10 times. And because these boundaries are inherent within social structures, it is not uncommon for people to see that they do nothing more than simple problems that they face in their day-to-day life.
Structural violence can be described as a hypothetical situation where people are in dire need of health care, education, political power or legal aid, but are unable to reach them easily due to restrictions in the current social system. Unlike more explicit forms of violence, where one person or group of individuals causes bodily harm to another person or group, structural violence occurs without notice. It is the most powerful and immediate cause of many other forms of violence, including gun violence.
Individuals should not be considered in isolation. Everyone is part of an ecology, and the most effective way to prevent personal violence, is to take care of society before it becomes an issue. A correct understanding of the problem is paramount in providing effective, appropriate care.
That the National Rifle Association had stopped the Center for Disease Control and Prevention, the nation’s public health agency, from gun research for more than two decades was perhaps the most damaging effect of all. The American Psychiatric Association prohibits psychiatrists from educating the public in major public speeches about the dangers of endorsing a powerful leader of violence, and how it can lay down at the grassroots for a culture that is prone to an epidemic of violence Gives rise to, possibly adds to the dangers.
The deadliest violence is silence. Therefore, while responding to the urgency at hand, we must work towards fixing larger social, cultural, economic, and even political systems that contribute to the deteriorating state of collective health. Policies that prevent violence not only save lives, misery, medical and mental health expenditures and criminal justice expenses, but enhance unity and integration in our communities, society and nation. So we should consider violence as a whole, and stop it like our own problem, because we are all responsible.