Case History: Boy, Age 15, Killing Puppies

In my peer counseling practice, I have so far had two animal killers. One was a 16 year old boy in Germany. He came to me about violent thoughts but he didn’t and couldn’t pay. Nonetheless he was so profoundly disturbed (killing puppies) that I felt that he needed an immediate intervention so I simply worked with him for free. Also I sometimes work with teenagers for free as they can never pay.

This boy had rescued a dog and made a pet out of it. It was a female and soon enough it had puppies. The boy then strangled all of the puppies one by one.

I was very alarmed by this, but I had to tread very carefully. I did not get angry at him for killing the puppies, nor did I act shocked. My attitude was just, “Ok, so you killed some puppies.” I told him that killing puppies was wrong, and he should not have done that. This prompted a weepy apology session where he tried to defend himself by saying it wasn’t his fault. I accepted his apology and didn’t bother him about killing the puppies.

However, I did say that I wanted this puppy-killing to stop, and I didn’t want to hear about him killing any more puppies. I was emphatic about this. He readily agreed.

A lot of clinicians will freak out and get very angry at a client who is killing mammals, but I think that is the wrong approach. The client is just going to get his back up at best, and he may well get up and walk out of the room at worst.

Even if you are shocked and horrified by the mammal-killing, it is important to not show your feelings. You can raise your eyebrows, suck in your breath, say, “Wow”, things like that, but don’t get mad at them. However, you need to throw down a hard limit of no more mammal-killing at least while the client is talking to you.

Not all mammal-killers are bad human beings. A lot of them are but not all of them. Some of them are good people who are simply ill. Also it’s just a lower mammal. Killing a dog or a cat, as much as we love them, is simply not the same as killing a human, sorry.

I finally figured out that he was probably hallucinating voices although he denied that he was, as he called them thoughts and not voices. But you can tell through careful questioning and listening carefully to their answers whether you are dealing with thoughts or hallucinations. Sometimes what people describe as “thoughts” are actually auditory hallucinations. He was getting command hallucinations telling him to kill the puppies, and he was acting on them.

He also had some other problems. His mother was dead. At age 13, his mother had taken him and herself to the railroad tracks in order to get hit by a train and commit dual suicide. At the last minute the boy ran away from the train. The mother stayed on the tracks and was killed. That’s a pretty traumatizing experience!

He had a flat attitude about him where he was always saying, “I don’t care.” It seemed a bit odd how he seemed to not care about so many things.

He kept to himself at school and drew pictures a lot. For some reason his behavior was odd enough that his schoolmates bullied him. They often hit him. He would fight back vigorously, so he was getting into fights all the time. I didn’t think this was pathological, as he was just defending himself.

After he killed the puppies he felt so guilty that he put his hands in boiling water for a long time to punish himself. This had caused some injuries to his hands.

He also didn’t get along with his father at all for whatever reason.

He was extremely confused sexually and most of his early sexual experiences from 13-on had been with other boys. But now he had a girlfriend with whom he was having regular sex, and he said he had discovered that he liked sex with women just fine. I figured he was probably straight or at least not gay. He was one of the most sexually confused people I have ever dealt with.

He also told me that he had killed a pet rabbit when he was five years old. After a bit I figured out that this was in response to a command hallucination also.

I relayed the case to a former therapist, a clinical psychologist, and he told me that mammal killers are often either psychopaths or psychotic. He also suggested that this boy may be on the track to develop Borderline Personality Disorder. He was a Pre-Borderline if you will.

We have to say this because we cannot diagnose personality disorders in people under 18 because personality often changes quite a bit, especially in adolescence. In particular, a lot of adolescents appear psychopathic but then they age out of it as they become adults. A lot of juvenile delinquents are actually just “temporary” criminals.

The BPD did fit with the self-harm (Borderline men, like Borderline women, often self-harm), the constant fighting (Borderline men often pick fights a lot), the identity confusion, and the sexual confusion.

Borderline men are bad. They’re much worse than Borderline women.

I told him it was absolutely imperative that he get to a psychiatrist and find out what was going on with his head. His father convinced him to go to a psychiatrist, and he was diagnosed with schizophrenia as I suspected.

He had a rather apathetic and “so what?” attitude about that too.

People can be apathetic for various reasons. I had an OCD man who wrote to me once with a 10 page long history of his illness. He was from India.

He worried about every stupid thing under the sun, but he also kept saying, “I don’t care” through the paper. In this case, obviously he did care and in fact, he cared way too much. So the constant “I don’t care” was probably a defense against his over-caring and the illness that developed out of it. It was a thought compulsion to counteract the excessive caring that was causing the obsessions.

However, in this case, the apathy made sense to me after his diagnosis because schizophrenics often seem apathetic, and one of the symptoms of the illness is flat emotions.

So you see not all mammal-killers are psychopaths. There can be other things going on too.

However, I must say that this boy was one of the most seriously disturbed clients I have ever had.

Alt Left: Female Satisfaction and Women's Rights

A feminist criticized me for saying that women even under conditions of out and out femicide as in Mexico, Honduras, Guatemala, El Salvador, and Colombia are not self-harming (because women don’t do that in those places) and in fact, seem happier than women in the West who have much more rights and are self-harming at a dramatic rate. She suggested that I was saying that women down there were happy to be living under conditions of femicide, but that’s not what I said.
I don’t think the women in those places should be happy due to conditions down there, but perhaps they think this woman-killing is more or less normal.
Women in those places don’t self-harm.
I’m not sure how they feel. The women in those places are pretty beaten down, submissive, etc. and are not used to standing up for themselves.  They’re pretty much resigned to living under patriarchy, and they think it’s just normal. I doubt if any women are happy to be living in a femicidal country. But the main reaction of women in these places seems to be fear more than anything else. I know they are frightened. And they definitely don’t go out at night. I have heard that in Guatemala nowadays, as soon as the sun goes down, all of the women vanish from the streets. Perhaps it is better than when my mother visited a long time ago during the Civil War. She said that back then, when night fell, everyone  left the streets and the streets were empty save for soldiers who literally stood on every corner.
I recall a recent article about a young Mexican woman who was an illegal immigrant but who had lived in the US for some time. She was deported back to Mexico, but only to Tijuana! I’ve been there more than once. They interviewed her and she said that after dark it was not safe for women to go outside due to the all of the violence against women. She said that it was so much safer in the US and that she could go out at night there.
In my mostly Hispanic town, I see Hispanic recent immigrant women (possibly illegal) around my neighborhood walking after dark from dusk to 10 PM. They look so happy to be doing that. It’s as if they are finally free! Compared to the femicidal Hell they come from, they probably feel like they are living in paradise of women’s rights.

Alt Left: Why the Rise in Self-Harm among Young Females in the West?

There is a surge in self-harming among young women in the West. One figure showed that 25% of 14 year old girls were self-harming.
Feminists argue that it is the viciousness of patriarchy in the West, the prevalence of misogynistic pornography, and the endless microaggressions that young females in the West face every day in their viciously woman-hating societies.
Ok, nice theory. But even if one acknowledges that patriarchy exists or existed, isn’t it obvious that the very vilest and most extreme versions of patriarchy (but normal in a historical context) exist in other parts of the world like Arab and Islamic World, India, Black Africa, and Latin America? Women are treated an order of magnitude worse there than in the West, where at the very least huge holes have been smashed in patriarchy, and personally I think what’s left is more like remains than a coherent hole.
In the areas where patriarchy has been dealt a serious blow and is much weaker, girls and women are cutting themselves and self-harming.
In the areas where patriarchy is alive and well, and women are seriously oppressed even to the point of femicide (Mexico, Guatemala, El Salvador, Honduras, and Colombia), no women are self-harming at all. In fact, they often seem quite happy.
Now how is this self-harming caused by male oppression when it is occurring in the places where such oppression is the lowest, and women have the most freedom and power?
I work in mental health and I am not even sure we know why females self-harm.
As far as porn destroying the self-images of young women and causing them to self-harm, I assure you that young women nowadays are literally growing up watching porn, I mean from age 13 on. They loved to watch it as teenagers, and they love to watch it now. I know this because I talk to young women quite a bit, even underage girls, and I still date young women all the way down 18 and 19 year old girls. And I am 60 years old.

Female Prisoner Too Violent to Ever Be Let Out

Here.
She obviously gets some sort of a DSM diagnosis.
So what do we give her? Antisocial Personality Disorder (sociopath)? I am not so sure about that due to all the self-harm, although she is vicious. Since when do sociopaths display all this self harm? Sociopaths hurt others, not themselves, and they only kill themselves when the jig is up. They commit suicide to avoid arrest or in prison to avoid the pain of imprisonment, but only rarely in other cases, though some get alcoholic, depressed and suicidal in middle age as the sociopathy starts to burn itself out. I think she has some psychopathic traits though and would score fairly high on Hare PC-L test.
She mostly looks like a Borderline. Borderlines can be quite violent, even female borderlines. And borderlines are notorious for horrific self-harm, suicide threats and suicide attempts. They are not usually this violent though. This crazy bitch has murdered a fellow inmate and attacked guards several times, carving up one’s cheek.
Is there a syndrome called Borderline-Sociopath or Sociopathic Borderline? If there is, she might be something like that.
Whatever she is, she sure is awful evil for a female. Females are not usually this bad. Females can be evil, but their evil is more annoying and infuriating than dangerous. Male evil is much worse because it is menacing, violent, dangerous and homicidal. I have dealt with some evil females in my life and while I wanted to kill most of them at the time, obviously I never did it or even tried or plotted. On the other hand, none of them were really dangerous to me. They were just trying to be as infuriating as possible to provoke the maximum possible violent and crazed reaction from me. I call it “trying to get murdered.”
I will take female evil over male evil any day though. Evil men are terrifying. Evil men have tried to kill me, and I say that with all seriousness. I have had scenes with evil males where it was literally kill or be killed. “I either try to kill these guys, or do nothing and let them kill me.” Others have not tried to kill me but instead beat me very badly, even with heavy objects.
As long as humans are not physically dangerous, they can sort of be tolerated no matter how wicked they are. But violence and the threat of injury or death via attack is a whole other matter.
 

OCD Versus Psychosis OCD with Psychotic Features

This is another in a series of articles on psychiatric diagnosis. This one will focus on the interface between OCD and psychosis. Keep in mind that there is a now a dx called “OCD with psychotic features.” Here are five cases of OCD with psychotic features. As you can see, these people believe in some really strange stuff! They are also very, very ill.
Case 1

Z suddenly developed rituals at age 17. While watching television he looked up and saw a man’s face at the glass kitchen door and heard a voice say: “Do the habits and things will go right”. He came to believe in a ‘power’ that could bring him luck if he could retain it within his possession through ritualising.

He bought an electric guitar which he felt contained the ‘power’ and would turn the controls ritualistically. He often saw a ‘black dot’ the size of a fist leave his body and enter some object around him. When experiencing the loss of the ‘black dot’ he felt compelled to ritualise to regain the ‘power’ that he believed was contained in it.

At age 19 he began to believe that a workman possessed a second ‘power’ for evil and began a second set of rituals to ward off this evil power while striving to retain the good one. He believed absolutely in the ‘power’ and feared disastrous consequences for himself and his family should he fail to retain the good and repel the evil power.

Before his admission to hospital, obsessions and compulsions affected every area of his life. Before performing any action he felt compelled to imagine the letter ‘L’ and the phrase ‘X away, power back’ for up to 20 minutes. He felt unable to sit on chairs or walk on grass or leaves, and slept with his feet uncovered for fear of the ‘power’ being transferred to some object from which he might be unable to retrieve it.
On leaving home he constantly retraced his steps to place his foot on a crack in the pavement or a leaf that he felt he had trodden on and so lost some of the ‘power’. If he saw the black dot leave his body (about 20 times a day) he had to touch the object it had entered and superimpose the letter ‘L’ and the phrase ‘X away, power back’ in his mind until he saw the black dot return.
From age 18, Z also had recurrent depression, hopelessness and suicidal urges, with deliberate self-harm (overdoses and wrist-slashing) when he was in a depressed mood. He said he harmed himself to appease the power or as a wish to die “when everything was perfect” after a day of ritualizing.

Case 2

Y developed beliefs about a ‘power’ at age 13. He felt that everyone had a certain ‘quality’ or ‘goodness’ which was stored in the brain as a ‘power’. He believed that other people drained the power from him and replaced it with their own rubbish (feces and urine). The exchange of power was triggered by an image in his mind of a face or object. When it happened he felt distressed, ‘dirty’ and ‘horrible’.
He could only regain the power by doing complex rituals. He imagined the person’s face and that he had detached their head from their body and sucked the power from the major vessels of their neck or from their eyes. He then transferred the power back into himself by banging his palm on a particular spot on his forehead, and breathing out repeatedly. This made him feel relieved and ‘good’, but as the events recurred up to several times a minute the relief was short-lived.
He felt ‘compelled’ at times to get revenge on people who stole his power by drawing with his finger on a wall a deformed and ugly representation. If he touched anything he left a ‘power’ trace behind and so had to touch it repeatedly to get the ‘power’ back. Y’s belief in the experience was absolute. He knew it might seem strange to others but believed that if they experienced it, they would understand.
From age 17 he also had recurrent depression, hopelessness and suicidal urges requiring hospital admission.

Case 3

At the age of 8, X had transient counting rituals associated with fear of harm coming to others. When she was 15, after a relative died, she feared that harm would befall her family and friends unless she completed specific tasks. She thought a supernatural ‘power’ inserted unpleasant thoughts into her mind, e.g. “if you read that book a relative will die”.
She believed unshakably that the power was supernatural, but could not explain it. To appease the ‘power’ and the thoughts, she developed complex counting rituals pervading her daily activities. She also did ritualistic hand-washing and checking. She avoided specific numbers, colours and clothes and counted from 0 to 8 on her fingers and toes throughout the day.
She repeated rhymes, avoided multiple numbers she associated with death or harm, and brushed her hair hundreds of times a day. She felt unable to resist the rituals, as her belief in negative consequences was absolute. Before she was admitted to hospital, rituals took all of her time until she fell asleep.
X had two episodes of moderate depression at age 25 and 34, both associated with worsening of her OCD. She had never harmed herself.

Case 4

At the age of 7, W developed fear of harm coming to relatives. He engaged in hand-washing and touching rituals to prevent this. Gradually he began to believe that ‘spirits’ or an outside force ‘reminded’ him to carry out his rituals lest harm should result. He associated the numbers 13 and 66 with harm and, if he saw them, believed they were placed by an external force to remind him to carry out his rituals.
He defended his belief absolutely but said he could not be 100% sure “because one can never be sure about anything”. He was unable to resist his rituals, as his belief in the negative consequences of not doing so was absolute. His rituals centered around numbers, complex counting, and avoidance of specific numbers. At age 31 he developed fear of contamination associated with many rituals of avoidance and hand-washing.
Prior to admission he was homeless and had thrown away all his ‘contaminated’ possessions, carrying all he owned in two carrier bags.

Case 5

For 20 years V had had a fear of being transported into another world. At age 17 he worried that reflections in mirrors represented another world, and had complex checking rituals involving mirrors. This gradually spread to all reflective surfaces. He believed that turning on electrical switches, using the television remote control or hearing car engines turned on could cause him to be ‘transported’ and constantly checked to make sure this had not happened.
He believed that if he ate while in another world, he would be forced to stay there, and so either avoided eating, or ate with complex rituals, or induced vomiting. Other rituals involved switching electrical switches on and off and wearing particular clothes. The ‘other’ world was tangibly the same as the real one, but ‘felt’ different – he felt that friends and family, although appearing the same, were ‘different’ and might have been replaced by ‘doubles’. The symptoms gradually worsened, occupying all of his time prior to admission to hospital.
When he was 27 he suffered severe depression requiring in-patient care, and again at age 30. He had no history of self-harm.

Just Kill Yourself and Get it Over With

Seriously, you sick bitch.
Borderline personality disorder, apparently. She’s a cutter.
I knew some cutters once. They actually formed a club called Oakhurst Cutters. Bunch of stupid, sick, fucked up young White women. She told us that at a table with a bunch of other people and started laughing. I stood up, pointed at her, told her she was a sick bitch, and walked away. In modern society, that’s considered impolite. I think it’s impolite to use your own living body as a med school cadaver, sorry.
Why don’t we just line these people up and shoot them and get it over with? I’m not serious, but that’s what I often think about these BPD types. Just line em up and shoot em!