Originally posted by Jeff Leahy
View Post
So that being said, everything you just recounted could be true. There are little things we know that make it unlikely, but to the best of our knowledge nothing is impossible here.
But one of the things we know about psychosis, whatever the cause, is that they can't play poker. The only way a person can stay in a delusional state is if the frontal lobe essentially shuts down. In schizophrenia, it's easy because the frontal lobe is the first part of the brain to fail. The first symptoms are always frontal lobe symptoms. The inability to organize, plan, make decisions, multi task.. all goes. Even the social problems inherent in early schizophrenia are because people stop being able to respond appropriately in conversation, or concentrate on the topic at hand. It makes them weird, they get self conscious and they start to isolate. It's why schizophrenics rarely get diagnosed until something gets out of hand. They have problems interacting.
If a schizophrenic has a problem with you, you know about it. Immediately. They do not have a filter. If you've ever had a conversation with a full blown schizophrenic, you know it's like a perfect moment of "stream of consciousnesses" thinking. As often as not, you don't have to be there for that conversation. They think it, they say it. They act on it. It's why schizophrenics are so dangerous to themselves in a delusional state. But this is also true for most disorders that cause delusions. Bipolar people can have a psychotic break, creating delusions and hallucinations both while manic and while depressed. The neurochemical flood or dearth shuts down the frontal lobe.
Think about the fight or flight response. It's a neurochemical flood designed to save your life. People don't always react the right way. If you are about to get hit by a bus, logic clearly dictates that "flight" is the way to go. But logic has been shut down. You might react with "fight" which gets you hit by a bus. And if you've ever seen videos of people getting scared badly or something, you can see that some of them crouch into a combat stance as soon as they recognize the danger. The chemicals decide for us. Fear and anger typically get you fight, straight fear gets you flight. But at no point is the frontal lobe involved in that decision. It's shut down. Logic will get you killed.
Which is why you hear stories about a man who dearly loves his wife pull her in front of him when confronted by an attacker. We think that most men step in front of their wives in these situations. They don't. Mostly they freeze until they get more information. But the initial chemical storm doesn't protect anyone but the individual. Once the initial surge passes, the frontal lobe comes back online and a man may choose to step in front of his wife. But the guy who turned her into a human shield simply didn't freeze like most people. He went into the only "flight" he was capable of.
So when the frontal lobe is offline, more behaviors are possible, like a non violent man throwing a punch. But planning or plotting is off the table.
If a delusional person killed these women, he did not plan it, and he did not hide his intentions. If they pissed him off, his reaction would be immediate. There would be no plan, likely no stalking, and no subterfuge. It would be like a horror movie where the victim sees a knife wielding maniac running at them from across the cemetery. A schizophrenic would have to be lucid to be the Ripper.
Now there is the rare phenomenon of delusion persistence where the subject of a delusion cannot be disproven during lucidity. For example, let's say someone lives in China and believes that the government is persecuting him for his beliefs. When he is lucid, the reality is that he does have those beliefs, and the government would persecute him for them if they found out. The only difference between reality and the delusion is whether or not the government knows about him, and that is impossible to prove or disprove. He may well continue to act the way he did in his delusion because he cannot prove it false. Nothing in his life would allow him to know that it isn't true. It's rare, because delusions almost never so closely match a person's reality. And even when they do, most can be disproven. You can see your doctor and know you don't have a vestigial twin or whatever. But you can't prove people aren't out to get you, so it's paranoid fantasies that are the most likely to persist.
But even knowing that this happens, and I can think of any number of things that might persist in Kosminski's delusions, I don't know how killing prostitutes and taking organs fixes that problem. I mean, the guy's diet made him deathly ill. I don't see how he could prove to his own satisfaction that he wasn't dying when he was lucid. So he might have kept that belief when rational. But that doesn't translate into mutilating prostitutes. Killing a doctor who told him he was fine, maybe. Maybe. But a lucid belief in a delusional disease does not result in a delusional cure. If the guy is lucid, his behavior makes sense. Even if one belief is untrue.
Kosminski's delusions cannot make him the Ripper. I suppose he could be the Ripper despite the delusions, if he was killing when he was mentally fit. But there's nothing that really supports that conclusion. If his delusions are what make people think he did it, the reality is that his mental illness rules him out.
Leave a comment: