The Jucker Case
I consider this case for a number of considerations. The question ” why do you kill yourself ” is actually answered often and willingly in some known psychiatric syndromes, while on the moral level it will obviously remain, more than a question, an expression of bewilderment at what may seem like a limit or a failure of a moral system who was believed to be able to drive and control everything. Or, alternatively, proof of the existence of the “devil”, in any form you want to imagine.
On the justice level, however, there is basically no space to live serenely events like this, and perhaps it is understandable. The families of the victims, even when they distinguish revenge from justice, basically complain about less severe penalties, in terms of years in prison or restrictions. The fact that social danger and mental illness are two non-equivalent elements has never convinced anyone, and on the other hand the theories according to which mental illness does not exist and every violent behavior is theoretically preventable by virtue of the fundamental goodness of the human being , and also a gratuitous and ignorant orientation of some biological knowledge.

The basic fact is that mental illness is not a category of violence.Much less the law, even if those who have altered behavior run the risk of doing something illegal, but not necessarily or electively violent. There are highly violent behavioral syndromes, which are expressed with violent behaviors, which do not however qualify as disorders, since those who manifest them do not feel pain.
The case in question can be summarized as follows. One night a 36-year-old man (Ruggero Jucker) is stopped while he cackles in the street, near his home in Milan, naked, shouting meaningless phrases such as “I am Bin Laden” and “I am father, son and holy spirit”. It turns out that the man just stabbed the girl in her apartment during a restless night. It is reconstructed that the two, after having taken a dose of cannabis like other times, go to bed, but he is unable to sleep and shows increasing agitation, which culminates in aggression towards the girl, seen at that moment as a threat, as if he had intention to limit his freedom, to frame him, to hinder him.
In the previous days the boy had already reported abnormal thoughts, such as that of “being able to be homosexual or HIV-positive “. This first nucleus of thought already revealed, thus formulated, a delusional character: it is a doubt, but the association between the two things is by analogy, while logically the thing has no internal coherence, since the doubt can concern a sexual orientation , or a state of health, while the two things “in a row” reveal a sort of underlying thought that there is something hidden, which is revealing itself, with characteristics aligned with each other (homosexuality, HIV infection).
If it were a simple obsession, it would also be frequent as a single theme (having contracted HIV, or being homosexual, but not both aligned: if you doubt you are homosexual, evidently there is no evidence such as having had homosexual intercourse in risk).
After this state that could backwardly be defined as wahstimmung, or “pre-delusional state”, an acute delirium must have been unleashed that night, perhaps as the development of an agitated, manic phase. So one would say from the final contents of the delirium, megalomanic (Bin Laden, God etc).
It is not surprising that such an intense delusion can develop so quickly, especially if upstream there was the assumption of a substance, perhaps harmless at other times.

(I, that is manic-depressive psychosis), a diagnosis that is not surprising, despite the partial elements reported by the various newspapers. Faced with this report, some newspapers, I would say almost all, allude to the fact that the family is wealthy, and therefore an effective defense can be afforded, and to the fact that certain diagnoses sound like “excuses” and do not do justice to the memory of the victims . This position does not agree with me.
From a medical point of view, there are diseases that cause such events, and the fact that crimes are more or less lucid doesn’t change anything, since “lucidity” is not synonymous with self-control, or non-alienation. A lucid delusion is the most common form of delusion, while the “raptus” is the preferred cliché in presenting the facts. Theraptus seems in fact a good excuse for every occasion, but it is not so on the medical level, in which the impulsive gesture is usually placed at the peak of a mental disorder, perhaps recent, but certainly not instantaneous and transitory, like a kind of “wild card “Psychiatric.
If the judicial system admits the reduction of the sentence, or the non-imputability, for these situations, it is useless to be scandalized when the law is applied. The scandal is also useless when the person, being treated for a treatable disease, is returned to society, despite the crime being serious. On the other hand, precisely because this does not influence the fate of the victim, justice cannot be treated as if it were a state revenge.
Of course, it can be argued that the individual is dangerous for other reasons, how do you check that he is cured, that the disease is treatable, but these are technical issues, while I have the impression that it is difficult to accept the possibility that a person suffering from a mental disorder should not be in jail for a crime he has committed as a result of that disorder.

Some reflections instead on preventive care, a truly painful chapter.
The chronicles report that at the first signs of some mental imbalance the man would have asked for a psychiatric treatment, consisting as the first attempt in “homeopathic lithium”. In other words, the bipolar character of the disorder had to be at least suspicious (choice of lithium), but the treatment consisted of a non-lithium (homeopathic lithium) or “natural” lithium (it is not clear), or preparations with non-absorbable lithium or in minimum quantities. The other curious fact reported by the chronicles is that the subject would be considered “cured”; while much more likely he is “clinically cured”; but subjected to anti-bipolar treatment, since it is a disorder with relapses.
The great absentee of the chronicles and the disturbance, as if in the end it was more fascinating to believe in the raptus (which drives you out of your mind, but only for a moment), than in a disorder that can take hold for periods of life in a non-explosive and violent way, but subtle and subtle , to the point of leading to the “crisis” of madness. With these assumptions it is then difficult to demand prevention.

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