Adrian Raine has spent over 40 years studying the brains of violent criminals, and was floored by the psychological accuracy of Joker
lied to him his entire life—she maintained that she gave birth to him, but he discovers he was adopted as a child—he suffocates her. “She totally misled him,” Raine explained. “The carpet has been ripped out from underneath his feet with this shocking revelation. He’s reacting to this very upsetting, insulting discovery. His whole life has been reversed. His whole identity is gone.”
On another occasion, in another example of reactive aggression, Arthur stabs a former coworker to death after discovering that the coworker contributed to him being fired from his job. Reactive aggression, said Raine, stipulates that, “when you get beat up, you beat other people up. Fascinatingly, the work we have done on mental health problems and people becoming aggressive, it’s all reactive aggression.
Asked how he would diagnose Arthur, Raine was careful to note that the first step would be diagnosing Arthur’s underlying mental health conditions. “Clearly he’s suffering from depression. He’s morbidly sad all the time,” Raine said, before referring to Arthur’s fantasy romance with a neighbor. “He’s suffering delusions.” Raine suggested that Arthur might suffer from schizotypal personal disorder—the same disorder Raine speculates that Adam Lanza, the Sandy Hook shooter, suffered from.
“Schizotypal personality disorder is like a watered-down version of schizophrenia,” said Raine. “And I think Arthur has it. It’s related to schizophrenia—but those who suffer from it have bizarre beliefs, odd behavior, odd appearance, odd speech, no close friends other than family members, and emotional-affect issues—either being completely shut down or way over the top.”
Asked how he might treat Arthur, Raine noted that Arthur was prescribed several medications which—clearly—weren’t working. “The medication which is effective in reducing aggression is an atypical antipsychotic medication that is effective in reducing aggressive behavior. Throughout the United States, children who are aggressive and you can’t control them—when other things don’t work—you prescribe Risperidone.
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