Homicidal Behaviours and Systemic Family Therapy (notes)

Triggering Warning: Fire Arms death ages 1 to 44 years of age are top leading deaths in the USA; Wilful killing by one person to another. Homicidal Behaviour is occurring - also suicidal behaviour and femicide behaviour if assessing, one need to assess another. Interview with one person who has lived with gun violence: Participant seemed nervous answering questions. He was looking at the time. He had seen people being shot but ideology has not changed. He believes people need guns to protect themselves. He wants to know his daughters friends and families, to see what they believe in. He used to carry a firearm for his work. One day he went to pick up his mother. There was a few men blocking the street. He realized they had guns. He had to make the decision if he was going to reverse his car or if he was going to go through where he would have to use his own weapon. He decided to turn around. After that incident he sold his gun. He said that if you carry a gun, you don’t know how you are going to respond. For a few weeks he had pondered if he had made the right decision of backing away. What is your lived experience of guns and homicide such as community distress, past experiences, Mental Health Disorders? How to deal with anger? (Adhia et..alll 2019 ) - Victims. Broken desired intimacy, jealousy, altercations. Gun Violence : 135 out of 150 adolescence were female. 66% were 15,1/2 to 18.1 years of age. 102 perps were 18 years or older, average age was 20. The hand gun: one male killed his girlfriend because of nude photos that had been distributed. The role of psychotherapy and childhood maltreatment is homicidal ideation. A study looked at psychopathy (lack of remorse, empathy). Incarcerated - if child maltreatment had occurred. As childhood maltreatment increased so did homicidality - men more so than women and gangs were not indicative of this. Leakage is the communication to a third person as an intent to harm or target. Communication can vary widely such as email, verbal etc…It can reveal feelings, attitudes (Meloy & Otoole, 2011). It is not motivated to be stopped. So often it has occurred in mass shootings (I will speak more about mass shooting since I attended a lecture on Violence). Don’t expect someone to actually do the harm. Must be joking, denying it. It is uncomfortable. We must not be a weak link. This is important information to minimize. We need to be able to assess leakage. Example: one teenager communicated he wanted to kill his girlfriend. Case Study: Mother had lost custody. Grandpa adopted 14 year old boy and his younger brother. 14 year old boy leaked out that he wanted to kill his girlfriend. He goes to the kitchen and cuts his wrists in front of the grandparents. He proceeds to get a gun. Grandmother calls police. He aims the gun at his grandmother when she gets in his way to leave. He tells her to move. There was a bullet in the chamber. We watched a video of a later interview with this family. The grandparents were about middle aged, much younger than I had expected. The 14 year old boy, I won’t describe. He comes in later. It could have been a better video if it was explained. I didn’t know who the therapist was initially. The grandmother was complaining that her grandson was carrying the gun and could have killed her. He told her he would. Her husband downplayed the incident saying the grandson didn’t mean it. It was a cry for help, he was “pissed”, testosterone. While watching this video I thought it would be good training for interns. The therapist or who ever was in the video had flip flops on which and her feet were moving which was distracting and her jeans were not on properly which was also distracting. I mention this because it is important for therapists to be aware of their own presence. It may be my own biases. However, I never saw anything like this before. Anyhow, the grandfather didn’t see anything is an issue. He downplayed that his grandson had pointed a gun at his wife. There are domains here: Safety - increase or decrease risk, 2. emotional risk - shame, guilt, fatal or non fatal 3. Neighbourhood factors - violence, community safety, gun presence, friends, traditions, shared commonalities, status, regret. Social Perspectives. A clinician can be easily triggered in working with a family due to a belief system. How they parent this child. Grandmother “he put my life in danger.” Grandpa doesn’t see it that way. We need to create safety - the sociology. How does the family respond when homicidal behaviours enter the room? Lead with second order change (relational change) Pull in first order change when needed (behavioural change). This boy did go out to the community and police arrested him. Lethal Means Safety Counselling: Be straight forward, practical and respectful. Where does access occur in the community. It only takes one bullet for someone to die. Talk about safer storage. Look at pros and cons of keeping a gun in the house and changing how it is stored. For some it is safety and protection of family. Assault and Homicidal Danger Assessment Tool. No predictable risk of assault/ homicide. Low risk -Moderate Risk - High Risk. How do we address the relationship, so homicide is not the solution. When child is distressed instead of turning to the caregiver, turned to a gun - homicidal behaviour. Difference of grandparents views make it difficult for the child to turn to them. Show how systematic family needs to change for behaviour of the child. Pretending what happens when not in the same page. We watched another film with this family now including both children. There is a demonstration of a crash but again the film was not explained prior or during the film. I cannot see if what is used is a toy car. Grandmother is supposed to (let’s say it is a car) crash her car into another. She doesn’t want to do this (it is not explained why). How do we address the relationship, so homicide is not the solution? When caregivers are in conflict, children are in conflict…… When you need us we are there for you and this allows children to be able to go to them. Any errors here will be mine. Also, I don’t have time to proof read so please forgive me. Though this was set in the States, this can apply anywhere. I would have really loved to have know why the children were removed from their mother’s care. How was the mom raised? Oh well. This was the first lecture of the three day conference. I will post these once a week and the rest of the week will be either a portion of my book and or theology. Happy Hallowe’en. It’s tonight! Goblins and spooky things. What do you think?