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CT Releases New Report on Adam Lanza

The Office of the Child Advocate in Connecticut has released its report on Adam Lanza. It's 114 pages and available here. The Daily Mail has this recap. I just finished reading the report. Here are some quotes:

Autism Spectrum Disorder or other psychiatric problems neither caused nor led to his murderous acts.

As to what did cause Lanza's murderous rampage, the report does not have a definitive answer.

This report raises, but cannot definitively answer, the question as to whether better access to effective mental health and educational services would have prevented the tragic events at Sandy Hook. It is important to emphasize that AL’s developmental condition and mental health cannot be seen as determinative of his extreme violent behavior.

In an e-mail Adam Lanza wrote to an unidentified person three days before the Sandy Hook killings, he discussed Aurora Shooting suspect James Holmes and Jared Loughner:

As far as the Holmies go…well, the .gif of him dancing on a llama was cute. I guess that’s all I can say about the whole Holmie thing since I can’t really relate to it. I don’t understand why there weren’t the “he’s just a poor misunderstood puppy who needs help” type flocking around Jared Loughner since that spiel ostensibly applied to him more than James Holmes. And speaking more generally, I don’t really understand why Aurora shooting was considered such a big deal all-around, as if such a thing had never happened before. It’s not like its 1984.

As to the effect of his parent's divorce, it includes this comment he made:

[I]n a 2006 interview with a child psychiatrist, AL stated that he attributed his parents’ divorce to the fact that they must have “irritated” each other as much as they irritated him.

The report indicates Nancy Lanza had some issues of her own. When Adam was in elementary school, she wrote letters to a friend (presumably John La Fontaine, who previously came forward with emails or letters) in which she said she had a terminal auto-immune disease, was trying to make sure her children and husband would be cared for, but she was terrified. But her medical records don't indicate any life threatening illness:

Despite Mrs. Lanza’s preoccupation with her health and concerns about her mortality, a review of her medical records from that time do not confirm a significant neurologic disorder, autoimmune disorder, or multiple sclerosis—the latter a diagnosis she sometimes indicated that she had.

A medical record from her July 1999 neurology follow up indicates that all testing was unremarkable. The record notes that Mrs. Lanza was experiencing “significant stress in her life related to her husband.” Additional medical testing was recommended along with “psychotherapy for [Mrs. Lanza’s] emotional issues.”

...There is no indication that Mrs. Lanza was provided a terminal diagnosis by doctors at any time.

...a 2012 medical record signed by Mrs. Lanza’s primary care physician indicated that the physician treated Mrs. Lanza for over eight years, had seen her many times, and had “never noticed or treated any symptoms of multiple sclerosis.” The medical form also stated that there were no related medical conditions or history....nor [according to the family] did autopsy results confirm the presence of findings consistent with MS.

She told LaFontaine her maternal grandfather died of the disease 7 weeks after being diagnosed.

Adam, the report notes, was severely anorexic:

AL was anorexic (six feet tall and 112 pounds), to the point of malnutrition and resultant brain damage....Anorexia, Obsessive Compulsive Disorder, and autism are conditions that individually increase the risk of suicide. Anorexia can produce cognitive impairment and it is likely that anorexia combined with an autism spectrum disorder and OCD compounded AL’s risk for suicide.

In discussing the final months of his life, the report says:

After an exhaustive review of records, emails, and conclusions drawn by law enforcement agencies, authors conclude that AL was not obviously psychotic in the time period leading up to the Sandy Hook shooting, though he had a history of depression and suicidal ideation that can be seen in his emails during 2011 and 2012.

The report says there is no "one thing" that was the tipping point. It also says he did not suddenly "snap":

Authors conclude that there was not one thing that was necessarily the tipping point driving AL to commit the Sandy Hook shooting. Rather there was a cascade of events, many self-imposed, that included: loss of school; absence of work; disruption of the relationship with his one friend; virtually no personal contact with family; virtually total and increasing isolation; fear of losing his home and of a change in his relationship with Mrs. Lanza, his only caretaker and connection; worsening OCD; depression and anxiety; profound and possibly worsening anorexia; and an increasing obsession with mass murder occurring in the total absence of any engagement with the outside world. AL increasingly lived in an alternate universe in which ruminations about mass shootings were his central preoccupation.

The attack on Sandy Hook Elementary appears to have been a purposefully thought-out and planned attack—AL did not just “snap.” He visited the school’s website on numerous occasions. He had looked at the student handbook and viewed security procedures at the school.

The report says:

[T]here is no connection in the literature between AL’s developmental profile and an increased likelihood of violent actions.
The likelihood of an individual with Autism Spectrum Disorder and/or severe problems with anxiety and obsessive compulsive tendencies committing an act of pre-meditated violence, much less one of AL’s magnitude, is rare. Individuals with these mental health or developmental disorders are more likely to internalize (that is, to feel distressed emotionally or to be confused, socially inappropriate or inept, and sometimes to harm themselves inadvertently or intentionally) than to externalize (that is, to act out aggressively so as to harm others).

The report concludes with this statement:

There is no way to adequately explain why AL was obsessed with mass shootings and how or why he came to act on this obsession. In the end, only he, and he alone, bears responsibility for this monstrous act.

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  • Display: Sort:
    Please (5.00 / 2) (#2)
    by Dadler on Sat Nov 22, 2014 at 09:18:10 AM EST
    Everyone failed here. His parents were all but worthless. So were school administrators and shrinks. It would say, and obviously so, that those who are supposed to have had a very keen understanding of the human mind and behavior, those who should have intervened, failed beyond all human measure. And inexcusably so.

    not for anything (3.50 / 2) (#5)
    by nyjets on Sat Nov 22, 2014 at 01:31:17 PM EST
    That is a way to sweeping statement.
    Understanding the mind the an inexact science to put it mildly. To 'blame everyone' is a tad much.
    Beside, the person who is ultimately responsible for what happened is the shooter.


    Parent
    Dadler, your intense negativity (2.00 / 1) (#10)
    by Jeralyn on Sat Nov 22, 2014 at 05:54:50 PM EST
    on almost every topic is wearing thin. So is your name-calling, whether it's related to the Lanza family. Name calling isn't allowed here. Please watch how you phrase your opinions. This isn't a dumping ground for your feelings.

    Parent
    As for the (none / 0) (#7)
    by Reconstructionist on Sat Nov 22, 2014 at 02:07:56 PM EST
     teachers, counselors,  social workers, doctors, psychologists, etc., you are applying hindsight and  giving short shrift to their lack of authority to demand a person get treatment, institutionalized or community based.

      If  a person who has not committed a crime is believed to need treatment then it should be recommended and it appears it was here-- multiple times. If the person (or his parent or guardian in the case of a minor) rejects the recommendation, those professionals have no power to compel the person to submit to unwanted treatment. At most (this is not my area of the law, these laws vary widely  by State and I don't have any info on the particulars of CT law), citing evidence that the person is a danger to themselves or others they could petition a court to order treatment.

      Because this is an infringement of a fundamental, protected liberty interest not only are the grounds upon which a court may order treatment limited, the extent and the duration of the treatment that can be ordered is also constrained.
     

    Parent

    Perhaps worthless is too strong a word (none / 0) (#15)
    by Mordiggian 88 on Sun Nov 23, 2014 at 06:51:48 AM EST
    But the account of his mother makes it clear she was more intent on having the world adapt to Adam rather than the other way around.  To speak that truth withou assuaging "blame" is not being negative, IMHO.

    Parent
    The Serious Flaw in the Report (5.00 / 3) (#3)
    by Michael Masinter on Sat Nov 22, 2014 at 11:03:11 AM EST
    The report is refreshingly candid in recognizing that there is no evidence from which to infer the cause, or even to rule in potential causes, of Lanza's acts. It also accurately states that there is no evidence to suggest neurological or psychiatric impairments caused him to kill:

    The likelihood of an individual with Autism Spectrum Disorder and/or severe problems with anxiety and obsessive compulsive tendencies committing an act of pre-meditated violence, much less one of AL's magnitude, is rare. Individuals with these mental health or developmental disorders are more likely to internalize (that is, to feel distressed emotionally or to be confused, socially inappropriate or inept, and sometimes to harm themselves inadvertently or intentionally) than to externalize (that is, to act out aggressively so as to harm others).

    But the report makes a fundamental error when it goes further and asserts:

    Autism Spectrum Disorder or other psychiatric problems neither caused nor led to his murderous acts.

    Absence of evidence of causation is not proof of no causation; it is merely proof of the absence of a basis for inferring causation.  As any statistician or epidemiologist knows, evidence insufficient to reject the null hypothesis (ASD did not cause him to kill) cannot prove the null hypothesis.  Properly stated, the last quoted sentence should have begun "There is no evidence that Autism Spectrum Disorder or other psychiatric problems caused or led to his murderous acts."  To omit the introductory phrase is to commit statistical and epidemiological malpractice.

    Agreed, (none / 0) (#4)
    by KeysDan on Sat Nov 22, 2014 at 12:35:13 PM EST
    "there is no evidence..." an iteration that you suggest is consistent with the findings and is a proper statement of the findings,  but I am not sure that the  over-reach of the data needs to be labeled malpractice.

    Parent
    Report has many aspects (5.00 / 1) (#12)
    by Lora on Sat Nov 22, 2014 at 09:02:53 PM EST
    Another quote from the report (p. 107):

    While authors' focus has been on AL's psychological deterioration, we reiterate that this should not be taken to mean that we do not recognize the ubiquitous role that guns, and especially assault weapons with high capacity magazines, play in mass murder. In fact, while mental illness plays only a small role in violence in America, assault weapons are an increasingly common denominator in violent crimes. The widespread access to assault weapons and high capacity ammunition is an urgent public health concern.

    It's easy to find pieces of the report that appear to represent differing points of view about many issues.  That doesn't detract from the report, IMO.  It attempts to be comprehensive and I think it does a good job.

    Just saying, it's pretty easy to cherry pick from it.

    One thing that seems to permeate the report is that Adam Lanza did not receive appropriate treatment and monitoring for his neurological condition and mental illness, from early childhood on.  Without casting blame on individuals, it would seem pretty obvious that our social system failed him utterly.  Whether lack of care was a "contributing factor" or not is a moot point.  But if we want to learn anything from this going forward, it would seem that providing appropriate treatment, monitoring, and support for children in need of neuropsychiatric care is an obvious place to start.

    He and he alone? (5.00 / 2) (#14)
    by Lora on Sat Nov 22, 2014 at 09:38:04 PM EST
    I find I take issue with this quote from the report:

     

    In the end, only he, and he alone, bears responsibility for this monstrous act.

    If he had been captured alive, I would bet the chances are good that he would have been found not competent to stand trial.

    Lanza (none / 0) (#1)
    by Uncle Chip on Sat Nov 22, 2014 at 08:40:50 AM EST
    It would be nice if the DM would post pictures of him as he appeared at the time of the shooting afterall it was the 20 year old Adam Lanza who pulled the trigger not the 16 year old Adam Lanza.

    He was a more full-faced mature taller heavier looking 20 year old at the time of the shooting not the still immature looney scrawny 16 year old who is always pictured.

    Not according to the report (5.00 / 1) (#13)
    by Lora on Sat Nov 22, 2014 at 09:04:41 PM EST
    The Office of the Chief Medical Examiner found that at death, AL was anorexic (six feet tall and 112 pounds), to the point of malnutrition and resultant brain damage.

    Another contributing factor?

    Parent

    evil? (none / 0) (#6)
    by thomas rogan on Sat Nov 22, 2014 at 01:33:18 PM EST
    Many mass killers and serial murderers have an element of evil and/or sadism in their motivation.  There are a lot of unhappy people in the world with bad parents.  Very, very few deliberately murder people.  The US seems to resist the idea that people are individually responsible for their actions, preferring to blame "everyone" in society.

    Why blame the parents then? (none / 0) (#8)
    by oculus on Sat Nov 22, 2014 at 02:16:31 PM EST
    I don't believe Rogan did (3.00 / 1) (#9)
    by CoralGables on Sat Nov 22, 2014 at 04:00:51 PM EST
    Dadler however blamed the parents and apparently everyone else that came in contact with Adam.

    Parent
    and I just responded to (none / 0) (#11)
    by Jeralyn on Sat Nov 22, 2014 at 05:57:01 PM EST
    his comment saying it was inappropriate.

    Parent
    The point of the report is twofold (none / 0) (#16)
    by scribe on Sun Nov 23, 2014 at 08:04:44 AM EST
    1.  To absolve the societal institutions - government, schools, etc. - of any responsibility for this incident.  If there were some level of responsibility - e.g., to make mental health or other services available - that would cost money.  And we can't have that.
    2.  To provide a basis for further gun control.

    Beyond that, it's a waste of electrons.