Having had some significant experience with Paranoid Schizophrenics myself I can say that many of them are a threat to themselves and in some situations, a threat to others. They are often not reliable about taking meds in an unstructured, unsupervised environment
Part of the problem is that many of the meds have horrible side effects. I took a friend to the hospital a couple months ago who basically cut off her own hand because she could no longer stand the tardive dyskinesia (involuntary movements). She has it worst in the arms and had planning to cut off one hand, then somehow set up her car to run over the other hand so it would have to be amputated. She has schizophrenia but not paranoid schizophrenia.
She did so much damage to her own hand that they eventually ended up amputating it.
Sadly there are NO FACILITIES set up for PS care UNLESS they hurt themselves or someone else - and even then, as soon as they are back on their meds and functioning well, the hospital MUST release them.
Plus, no one really wants to live in a hospital. My friend could just give up and stop trying to live independently but she hates being institutionalised, hates it with a passion that goes beyond anything else in her life. She would be willing to live in a supervised residential situation (did so successfully for nearly 20 years) but the funding was cut and that's not an option for her right now.
And I do believe there are thousands of people in the US with a severe debilitating illness that can result in them killing themselves, their children or family members - not to mention rare cases like this where they manifest their severe psychosis with strangers.
But the statistics do not support this contention. They may have the capacity but so do you and I--and yet neither of us is statistically likely to act on such an impulse.
Nope, we sit on our collectives azzes and in our safe suburban homes and complain about the homeless issue and yet we won't vote for a penny to set up programs to treat the underlying cause of many homeless people's sad existence...debilitating mental illness.
You were clear you weren't addressing this to me personally but I wanted to note that I have done and continue to do what lies within my abilities. I've spent most of my life as a social worker and also volunteering my time and skills to places like crisis intervention centers, food pantries and now a program that is sort of modelled on Big Sister/Big Brother for adults with mental illness.
It is possible to do more than complain or ignore and I do what I can.
Until we can find a suitable way (and enact laws) to retain these people in a restricted but LOVING sheltered living environment where treatment is mandated, we are never going to eliminate the homeless.
Part of the problem with institutions is that no one wants to live there if they can possibly get out. The institutions I've seen are drab, bland, blah. The food is adequate but it's cafeteria food, once all is said and done. It's profoundly boring--computers are either prohibited or access is so limited that the patients are effectively cut off.
I think the key in what you said above is "LOVING." I sure wouldn't want to have one of my own relatives living in most institutions and many residential places.
One issue: in a lot of places they treat adults with adult needs and desires as if they were children. Relationships are either discouraged or so tightly supervised it's like kids on play dates. That drive, that yearning for someone special to love and be loved by isn't magically omitted from people with even severe mental illnesses.
Sociopaths don't have a sudden break from reality and by nature, they don't act publicly - sociopaths are perfectly sane and understand right from wrong, and they don't want to be caught - they KNOW what they are doing isn't normal and they go to great lengths to disguise their sickness from society. That's why they are often so difficult to catch - around others they can appear totally normal.
Absolutely agreed. If this guy had been a sociopath, he might have lured his victim on some pretext at a stop but he would not have simply jumped on him in front of other passengers.
And once the adrenalin sudsided and the voices became quieter, Li went into a near catatonic state where he could barely communicate or acknowledge others. This "aftermath" is common in PS - if they cannot get to their habitual "safe place" they literally hide inside their own mind with the familiar voices drowning out the real world. Li is aware of the world around him, but he is incapable of interacting with it in his current state. He just want to be left alone - his mind cannot handle anything external - he is totally focused inward - even his own body barely exists in his mind.
This is the characteristic that let my friend nearly cut off her own hand. For a normal person, even for a suicidal person, cutting into skin, tendons, blood vessels and nerves is far too painful to do. For her, in her state of distress, her body was just an inconvenient object in the environment of her mind and she was going to modify that object, in much the same way that someone sane might drive a wedge under a creaky floorboard.