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A Crazy Defense

As the story goes, a young man kills his mother and his father and then throws himself on the mercy of the court because he's an orphan. That was a joke. This week, it was no joke when the CNN's headlines read "Oregon teen will use a mental-illness defense in school shooting."

The teen is Kip Kinkel, accused of shooting both his parents and then, the following morning, two students at his Springfield, Oregon highschool cafeteria, leaving an additional 22 wounded.

Young Kinkel's health history reveals no evidence of traditional symptoms of mental illness -- hearing voices, hallucinating or the like -- and he was able to answer questions posed to him after the shootings in a clear, rational, responsive way. The mental disease defense will probably mean he will one day walk freely us.

Mental health is big news lately. About ten days ago, former First Lady Roselyn Carter, Actress Patty Duke, Vice President's Wife Tipper Gore and Larry King chatted live on his show shining a very bright light on mental illness. Patty Duke's "life was saved" when she was finally diagnosed as having bipolar disorder, formerly called manic depressive illness, and received treatment. Roselyn Carter's interest appears to be more humanitarian than personal and Tipper Gore is a front-and-center champion of the cause after a personal run-in.

President Clinton named Mrs. Gore his mental health advisor after learning that, like him, she was raised by grandparents. In her case, it was because her mother struggled with clinical depression, something she rarely admitted.

In this interview -- as well as other live talk show interviews for the rest of the week, and reported in USA Today and the Wall Street Journal, Mrs. Gore talked about depression. Would she have talked about it were her husband not running for President, where everything swept under the rug or hidden beneath the bed will be brought out?

Would she be depressed at all if circumstances did not place her where she faces the number one cause of stress? According to "Alice!" -- Columbia University's Health Education Program, one of the greatest sources of stress is time -- or the lack there of -- to successfully accomplish our many daily and weekly tasks.

Tipper proudly insists she's as serious about being a "soccer mom" as she is about lobbying for the mentally ill and the homeless ... another of her causes. Being "Second Lady" means being groomed for the part 24 hours a day with hair and nails perfectly done and a smile perpetually placed. She has to be warm and flexible to counterweigh her husband's being perceived as cool and rigid. Their four children are the ages I would not like to revisit in the lives of my own.

But, that's only Tipper Gore. Look in any home in America and find some of the millions with more to do than time enough to do it. Experts tell us all to prioritize tasks in the minutes before falling asleep or just after waking up. They advise we estimate the time needed for each task and then add about 20 minutes for unscheduled interruptions. Stress management professionals say we must build "quiet time" into the planned day where there will be no phone calls or visitors, when we use the time to write thoughts in a journal.

When such advice found in self-help books only compounds the problem ..."where the hell is my quiet-time journal?" ... and we know we're being hard on the family, "Dammit, I said, 'in a minute'," we know we need help. Tipper went to one of her health agency contacts and said "I'm not here campaigning this time." She needed to talk to someone about her acute depression. I don't know if she talked it out or got pills to adjust her serotonin levels, but she's comfortable and in control again.

Asking why some people can cope and others apparently can not, is like asking why some people are psychic while most aren't. We don't know. We do know that if you're a hot reactor, chances are your level of serotonin is imbalanced. Prozac™ adjusts your reaction times while Zanax™ will take the edge off and carry you over the hump. It's like a parent saying "there, there, baby, Mommy will carry you."

I have to admit, I'm caught between new help for the stressors of life and old attitudes toward how to cope.. Tipper Gore wants the stigma of mental disease eradicated in this century. I think more and more everyday maladies are being categorized as mental illness.

Pre Menstrual Syndrome is now treated by sessions with a therapist, a prescription of Prozac™ and a mood ameliorator. And, by the way, insurance companies are letting the $200 prescription for Prozac™ become affordable for $8.00 if you're a participant. Additionally, they pay for the therapist's time. That's a costly coping mechanism.

Talking it out has taken the place of thinking it through. This gives us someone else's take on the subject, borne of the therapist's own sensory memory not our own. All the self-help books, designed to be "self" help, are really instruction manuals based on someone else's thoughts and experiences.

I know it's simplistic to think saying "get a grip, get hold of yourself, stop getting in your own way, you're not the first one who...." will cure clinical depression. But, every day we spend down in the dumps will not require a psychiatrist. Stress and our reaction to the stressors in our lives is not mental illness. Life is full of pressures but we have strategies for coping with the pressure -- coping before the pressure becomes so acute that the preventable stress becomes clinical depression.

Referring to stress in Newsweek's June 14th cover story, Jerry Adler says "The worst part is, we inflict it on ourselves."

Regarding Kip Kinkel: we have evolved to where we have freedom to choose. Kip Kinkel chose to kill his mother and father. Perhaps it was in a fit of rage, perhaps his murders the next morning were premeditated and he didn't want Mom and Dad to be "disappointed" in him.

Whatever he thought, he never before in his life displayed any symptoms of mental illness. Why must we assume he had to be crazy? Unless we mean, crazy to think he could get away with it.

I would hope all this media attention surrounding his defense does not taint the jury assigned to Kip's trial. How sad if they were so anxious to destigmatize legitimate illnesses like schizophrenia, paranoia, bipolar disorder, etc., they would make him a poster child for Tipper Gore's crusade.











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