The media has a penchant for psychoanalysis that often gets news outlets into trouble. From killers to celebrities to dictators, this year has already born witness to more armchair psychiatry than critics can stomach.
As soon as police released a mug shot of Jared Lee Loughner exhibiting an enigmatic smirk after his arrest for a January for a shooting rampage in Tucson, Arizona that injured nineteen and killed six, evaluations of his mental health appeared in every corner of the media, much to the dismay of the Knight Science Journalism Tracker’s Paul Raeburn, who observed that:
Psychiatrists, psychologists, news anchors, and others have shown little reluctance to diagnose Loughner, whether or not they know anything about psychiatry, and in the face of what might seem to be a rather large impediment: None of them have examined the patient.
Raebrun was equally irked when the same thing started happening following actor Charlie Sheen’s rampant ranting in February. He and others, including MedPage Today and MinnPost.com, argued that the press was violating the “Goldwater rule,” an ethical standard adopted by the American Psychiatric Association, which warns (see section 7.3) that:
On occasion psychiatrists are asked for an opinion about an individual who is in the light of public attention or who has disclosed information about himself/herself through public media. In such circumstances, a psychiatrist may share with the public his or her expertise about psychiatric issues in general. However, it is unethical for a psychiatrist to offer a professional opinion unless he or she has conducted an examination and has been granted proper authorization for such a statement.
The rule came into being after the publication of a 1964 article in Fact magazine, which had conducted a mail survey of over 12,000 psychiatrists asking if the Republican presidential candidate, Barry Goldwater, was fit to lead the country. Of the more than 2,000 that responded, about half said, no, variously characterizing the U.S. senator as “immature,” “impulsive,” “paranoid,” and even schizophrenic. The American Psychiatric Association issued public statements condemning the commentary and included the “Goldwater rule” when it drafted The Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry in 1973.
“Psychobabble reported by the media undermines psychiatry as science,” the association’s former president, Herbert Sacks, wrote in the late 1990s in a column explaining the history of the rule.
It also undermines journalism as professional practice. Goldwater successfully sued Fact for libel. Yet as the decades passed, the press continued to struggle to reign in “psychobabble.” In 2007, the American Psychiatric Association issued an “ethics reminder” about the “Goldwater rule” in response to “sensational commentary” following fatal shootings at Virginia Tech. Even reporters themselves have been the subject of baseless diagnoses from afar, but one of the media’s favorite and most enduring targets has been the dictators who enforce autocratic regimes in countries around the globe. Indeed, given the myriad comparisons between Sheen and Libyan strongman Muammar el-Qaddafi in the last month, it would be surprising if journalists passed up an opportunity to analyze the latter’s mental health as well.
For going on three decades, the go-to psychiatrist for questions about an autocrat’s state of mental health has been Dr. Jerrold Post, the director of the political psychology program at The George Washington University. Before joining the school’s faculty, Post spent twenty-one years at the Central Intelligence Agency, where he founded and directed the Center for the now-defunct Analysis of Personality and Political Behavior (according to a 1994 article in Foreign Policy, it was renamed the Political Psychology Center, but eventually closed, with the profiling operations transferred to another unit).
Given that psychiatrists who have examined individuals are generally bound by medical confidentiality, strict adherence to the Goldwater rule would basically mean that there could be no journalistic discussion of the impact of mental health on public life. One could argue that it's worth getting rid of the baby to dispose of what is admittedly an awful lot of bathwater.
#1 Posted by Jim Naureckas, CJR on Wed 30 Mar 2011 at 03:18 PM
Great point, Jim, thanks. Psychiatrists certainly have to abide by HIPAA privacy rules. My feeling is that the APA's "Goldwater rule" should stand, especially given that law, and that journalists should disallow sources from making specific diagnoses. Instead, they can ask their sources to discuss symptoms and other general characteristics of mental disorders. And when they do that in relation to a story about Qaddafi, for example, they must include qualifiers explaining that those sources have not actually examined Qaddafi, that commentary is based such-and-such direct or indirect information, and that such evaluations come with caveats galore (they could even mention HIPAA).
#2 Posted by Curtis Brainard, CJR on Wed 30 Mar 2011 at 03:48 PM
It's okay to imply that someone is mentally unstable, so long as that someone is not — or, is no longer — part of the American Warfare State.
Possibly unstable: Gaddafi, Sheen, Alex Jones, Ron Paul, Julian Assange, Wikileaks.
Never unstable: Obama, Bernanke, Israel, the NYT, the AP.
Btw, war is peace.
#3 Posted by Dan A., CJR on Wed 30 Mar 2011 at 06:47 PM
Right Dan A. is. The double standard is really what the Goldwater Rule is all about. Read Teddy White on Goldwater. He was able at least to talk about Goldwater's supporters, the bland fact that lots of them were bonkers. Richard Hofstadter had some pretty trenchant things to say about paranoia as a political force.
But Goldwater wins a libel suit and, next thing you know, we get Nixon, then Reagan. . . and here we are.
If mental health professionals are not allowed to call an obviously crazy person crazy, who is going to do it?
#4 Posted by edward ericson jr., CJR on Thu 31 Mar 2011 at 04:40 PM
The Washington Post's David Ignatius wrote an interesting blog post on February 22 after the televised speech in which Qaddafi denied the existence of protestors in Libya.
"Watching Moammar Gaddafi's televised rant today -- in which he threatened, in effect, to turn himself into a suicide bomb and take his country down with him -- a reasonable person would conclude that the Libyan leader is a dangerous nut," he wrote.
Ignatius immediately justified that assertion by adding, "I can offer a shred of personal experience to support this view of the Libyan leader as an unstable and menacing person." He then went on to describe a trip he made to Tripoli in the 1980s with some other journalists to interview Qaddafi.
The reporters were taken to a "large hall" to await the dictator who eventually marched in, stopped about a foot from Ignatius's face, stared at him with "bulging, bloodshot eyes ... shouted something in Arabic to his aides and bolted from the room, never to return."
Ignatius called it "one of the oddest encounters I've had as a journalist."
#5 Posted by Curtis Brainard, CJR on Thu 31 Mar 2011 at 04:56 PM