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THE CONSERVATIVE REVIEW - November 17, 2009
Medicalizing Mass Murder
by Charles Krauthammer
WASHINGTON - What a surprise -- that someone who shouts
"Allahu Akbar" (the "God is great" jihadist battle cry) as
he is shooting up a room of American soldiers might have
Islamist motives. It certainly was a surprise to the main-
stream media, which spent the weekend after the Fort Hood
massacre downplaying Nidal Hasan's religious beliefs.
"I cringe that he's a Muslim. ...I think he's probably just
a nut case," said Newsweek's Evan Thomas. Some were more
adamant. Time's Joe Klein decried "odious attempts by
Jewish extremists... to argue that the massacre perpetrated
by Nidal Hasan was somehow a direct consequence of his
Islamic beliefs." While none could match Klein's peculiar
cherchez-le-juif motif, the popular story line was of an
Army psychiatrist driven over the edge by terrible stories
he had heard from soldiers returning from Iraq and
Afghanistan.
They suffered. He listened. He snapped.
Really? What about the doctors and nurses, the counselors
and physical therapists at Walter Reed Army Medical Center
who every day hear and live with the pain and the suffer-
ing of returning soldiers? How many of them then picked
up a gun and shot 51 innocents?
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And what about civilian psychiatrists -- not the Upper
West Side therapist treating Woody Allen neurotics, but
the thousands of doctors working with hospitalized
psychotics -- who every day hear not just tales but cries
of the most excruciating anguish, of the most unimaginable
torment? How many of those doctors commit mass murder?
It's been decades since I practiced psychiatry. Perhaps I
missed the epidemic.
But, of course, if the shooter is named Nidal Hasan,
whom National Public Radio reported had been trying to
proselytize doctors and patients, then something must be
found. Presto! Secondary post-traumatic stress disorder,
a handy invention to allow one to ignore the obvious.
And the perfect moral finesse. Medicalizing mass murder
not only exonerates. It turns the murderer into a victim,
indeed a sympathetic one. After all, secondary PTSD, for
those who believe in it (you won't find it in DSM-IV-TR,
psychiatry's Diagnostic and Statistical Manual), is known
as "compassion fatigue." The poor man -- pushed over the
edge by an excess of sensitivity.
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Have we totally lost our moral bearings? Nidal Hasan
(allegedly) cold-bloodedly killed 13 innocent people.
In such cases, political correctness is not just an
abomination. It's a danger, clear and present.
Consider the Army's treatment of Hasan's previous behavior.
NPR's Daniel Zwerdling interviewed a Hasan colleague at
Walter Reed about a hair-raising Grand Rounds that Hasan
had apparently given. Grand Rounds are the most serious
academic event at a teaching hospital -- attending
physicians, residents and students gather for a lecture
on an instructive case history or therapeutic finding.
I've been to dozens of these. In fact, I gave one myself
on post-traumatic retrograde amnesia -- as you can see,
these lectures are fairly technical. Not Hasan's. His was
an hour-long disquisition on what he called the Koranic
view of military service, jihad and war. It included an
allegedly authoritative elaboration of the punishments
visited upon nonbelievers -- consignment to hell,
decapitation, having hot oil poured down your throat.
This "really freaked a lot of doctors out," reported NPR.
Nor was this the only incident. "The psychiatrist,"
reported Zwerdling, "said that he was the kind of guy who
the staff actually stood around in the hallway saying: Do
you think he's a terrorist, or is he just weird?"
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Was anything done about this potential danger? Of course
not. Who wants to be accused of Islamophobia and prejudice
against a colleague's religion?
One must not speak of such things. Not even now. Not even
after we know that Hasan was in communication with a
notorious Yemen-based jihad propagandist. As late as
Tuesday, The New York Times was running a story on how
returning soldiers at Fort Hood had a high level of
violence.
What does such violence have to do with Hasan? He was not
a returning soldier. And the soldiers who returned home
and shot their wives or fellow soldiers didn't cry "Allahu
Akbar" as they squeezed the trigger.
The delicacy about the religion in question -- condescend-
ing, politically correct and deadly -- is nothing new. A
week after the first (1993) World Trade Center attack, the
same New York Times ran the following front-page headline
about the arrest of one Mohammed Salameh: "Jersey City Man
Is Charged in Bombing of Trade Center."
Ah yes, those Jersey men -- so resentful of New York, so
prone to violence.
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