Medical Science:
Psychiatry: Basic Nature of
Personalities Running Amok in Western Cultures by Prof.em. Bernhard Mitterauer, MD Volitronics-Institute for Basic Research,, Psychopathology
and Brain Philosophy. Gotthard Guenther Archives, Autobahnweg 7, A-5071
Wals/Salzburg, Austria e-mail:
mitterauer@sbg.ac.at In this short communication I will merely focus on amok running in the
original (Indonesian) sense with some implications for Western cultures.
According to the Indonesian culture, amok is rooted in a deep spiritual belief
(Saint Martin, 1999) according to which an evil tiger spirit causes the violent
act. At least in Western cultures we know that some forms of psychoses are
based on “imperative voices” forcing the patient to obey their commands. One
should also discuss the possible meaning of religion and the role of other
mental disorders in amok (Knecht, 1999; Hampel et al., 2000). Here, I will attempt to show that amok running originally did not
represent a single private action. On the contrary, it was an action in war in
which some soldiers attempted to win a combat by attacking the enemy without
regard to danger and death (Carr and Ten, 1976). Since they are threatened by
defeat they must try to escape. Therefore, the first characteristic of amok
running is an affect of liberation. To an observer this may appear as a
terribly aggressive behavior. The second characteristic of amok running is the
rejection of all things (objects, subjects) that do not fit the alternatives of
values presently available (Guenther, 1962). Under normal circumstances this
means that all things which are not intended must be rejected by disregarding
them. In contrast, in the case of amok running this rejection causes severe
forms of violent behavior (Mitterauer; 2009b). In this context only a general definition of amok running is necessary.
Amok running is caused by a single, physically present offender who continues killing
several persons for the duration of his offence (Scheithauer and Bondi, 2011).
In addition, before the offence a typical behavior is described. For instance,
no previous signs of anger or any indication of violence are observed. However,
the original cause of amok running may be a severe psychic trauma such as a
significant loss. This may include, but is not limited to, the death of a
spouse or loved one, loss of a job, money, power, etc. Sometimes the intended
liberation needs a rather long time span before the final decision for the
violent act is taken. Importantly, in my opinion there are two basic
misunderstandings of amok running. First, it represents no aggressive behavior.
Second, the concept of a narcissistic personality is often misinterpreted. For instance, psychiatrists in court are inclined to use the term
narcissistic personality in a very inexact manner. It should express that the
offender is highly self-centered and aggressive. However, in the case of
aggression he remains capable of communication with others. Taken the myth of
Narciss as described by Ovidius (1983) seriously, this beautiful young man is
absolutely unable to communicate. He even rejects the attempts at communication
by the nymph Echo (Mitterauer, 2009a). If we recognize that amok running is
based on a radical rejection behavior, then the concept of narcissism is
appropriate to the personality of amok runners. However, most offenders die by committing suicide or they are killed by
bystanders (police). After about four decades of suicide research (Mitterauer,
2003), I am able recognize parallels between the suicide commitment in general
and the intended suicide in the final stage of amok running (Bründel, 2011).
Note that every committed suicide is based on a radical rejection behavior including
both the environment and the own physical body. Although a suicide can be
committed spontaneously, it is mostly planned ahead during a longer decision
process. In such existential situations a person may struggle with the decision
as to why and when his/her intention to liberate is to be realized. In amok
running this is comparable to the point where soldiers run against their
enemies trying to liberate themselves from defeat. In my view, a person who kills many others and dies himself during this
act of violence, as known from the so-called terrorism, also demonstrates a rejection behavior with
the purpose to “liberate” Islam from Western religions and cultures. Admittedly, there are also severe offenders who represent a mixture
between rejection and aggression behavior (Hampel et al., 1999). Therefore, we
also observe offenders killing persons both with and without a personal
relationship to the offender. Here, school shootings are typical examples
(Böckler, 2010). After these short considerations I suggest to apply the concept of amok
running in this narrower sense. In addition, a criminal profile of the offender
can be elaborated explaining the violence as an affect of liberation, realized
as rejection behavior. Finally, I am afraid that such severe offences as amok
running may further occur in the future, since these
individuals are not seeking help and may therefore not receive the attention of
the community. References Böckler, N. (2010). Schulamokläufer. Weinheim: Juventa Verlag. Bründel, H. (2011). Amok und Suizid – eine unheilvolle Alllianz.
Polizeiwissenschaft, Frankfurt/14. Carr, J.E., Tan, E.K. (1976). In search of the true amok: amok as viewed
with the Malay culture. American
Journal of Psychiatry, 133, 1295-1299. Guenther, G. (1962). Cybernetic ontology and transjunctional operations.
In M.C. Yovits et al. (Eds.),
Self-organizing systems (pp. 313-392). Washington D.C.: Spartan Books. Hampel, A.A., Levine, R.D., Meloy, J.D., Westermeyer, J.D. (2000). Cross-cultural
review of sudden mass assault by a
single individual and occidental cultures. Journal of Forensic Sciences, 45, 582-588. Knecht, T. (1999). Amok und Pseudo-Amok. Schweizer Archiv für Neurologie
und Psychiatrie, 150, 142-148. Mitterauer, B.J. (2003). Grundlagen der Selbstmordverhütung – gesammelte
Studien. Salzburg: Paracelsus Verlag. Mitterauer, B.J. (2009a). Narziss und Echo. Psychobiologisches Modell
der Depression. Vienna: Springer Verlag Mitterauer, B.J. (2009b). Methodische Entwicklungen in der Forensischen
Psychiatrie. Der Salzburger Weg. Salzburg:
Paracelsus Verlag. Ovidius, N. (1983). Metamorphosen. München: Artemis. Saint Martin, M. (1999). Running Amok: A Modern Perspective on a
Culture-Bound Syndrome. Journal of Clinical
Psychiatry 1(3), 66-70. Scheithauer, H., Bondi, R. (2011). Amoklauf und School Shooting.
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