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Guilty by Reason of Insanity: A Psychiatrist Probes the Minds of Killers
 
 
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Guilty by Reason of Insanity: A Psychiatrist Probes the Minds of Killers [Hardcover]

Dorothy Otnow Lewis (Author)
3.6 out of 5 stars  See all reviews (49 customer reviews)


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Book Description

April 14, 1998
Everyone has felt the urge to kill. Most people don't kill. Some people do. Dorothy Otnow Lewis, a psychiatrist and an internationally recognized expert on violence, has spent the last quarter century studying the differences between those who do and those who don't. Among the murderers she has examined are the notorious killers Ted Bundy, Arthur Shawcross, and Mark David Chapman, the man who shot John Lennon. Now, she shares her groundbreaking discoveries--and the chilling encounters that led to them.

Guilty by Reason of Insanity is the gripping, brilliantly written true story of Dr. Lewis's search to understand those who kill. The unforgettable cases revealed here clearly illustrate how the disparate elements of brain damage, paranoia, and family brutality combine to create a killer.

It starts at a juvenile court in New Haven. A thirteen-year-old girl--out of the blue, in broad daylight--has stabbed her best friend to death before an audience of gaping classmates. Dr. Lewis convinces her colleague, the eminent neurologist Jonathan Pincus, to help her figure out why. Thus begins a collaboration that continues to this day.

The passion to understand the underpinnings of violence draws the Lewis-Pincus team to the psychiatric and forensic wards of New York City's Bellevue Hospital, and then to prisons around the country--eventually leading to the corridors of death row and to an infamous gallery of condemned killers.

There we meet a thirty-six-year-old woman who forms a sexual attachment to a fourteen-year-old boy. Together, they kidnap, torture, and ultimately murder a teenaged girl. Suddenly, in the midst of the interview with the doe-eyed, soft-spoken murderess, a menacing, male persona appears and Dr. Lewis finds herself face-to-face with her first case of multiple personality disorder, a condition she never before believed existed.

We sit in on the psychiatric evaluation of a condemned boy who, at seventeen, raped and murdered a seventy-six-year-old nun. Only after his death does Dr. Lewis discover the grotesque secrets of his childhood that finally explain his murderous rage and his bizarre choice of victim.

Powerful, controversial, and utterly absorbing--including an intense final interview with an executioner--Guilty by Reason of Insanity is a tour de force, a compelling odyssey of one extraordinary psychiatrist striking a delicate balance between emotion and objectivity. It will forever change the way you think about crime, punishment, and the law itself.


Editorial Reviews

Amazon.com Review

"We met no Jimmy Cagneys or Robert Mitchums among the inmates in the prisons we visited. We found ourselves, rather, in the company of a pathetic crew of intellectually limited, dysfunctional, half-mad, occasionally explosive losers. Long before these men wound up on death row, their similarly limited, primitive, impulsive parents had raised them in the only fashion they knew.... These brutish parents had set the stage on which our condemned subjects now found themselves playing out the final act. It was a drama generations in the making."

Psychiatrist Dorothy Otnow Lewis, working in a professional partnership with neurologist Jonathan Pincus, has been steadily accumulating and publishing (in medical journals) evidence that almost all vicious criminals have some combination of (1) a childhood of abuse and/or neglect, (2) brain injuries through accident or abuse, and (3) psychotic symptoms, especially paranoia. This fascinating and well-written book, aimed at a wide audience, takes the form of a memoir in which Lewis tells us about the events that led her to study violent patients and about some of her more interesting cases, especially those on death row. Far from being another shallow "oh wow" book about conversations with horrifying killers, this is a thoughtful, humane examination of the horrible experiences that most murderers have endured, and a penetrating analysis of how subtle signs of brain damage in these people have been missed by other researchers. Lewis has an engagingly humble and personal way of writing about her experiences, which makes her findings all the more credible. --Fiona Webster

From Booklist

New York psychiatrist Lewis, whose "curiosity about differences between us" caused her to change career paths and study homicidal criminals, offers a fascinating glimpse into the world of psychiatry and violent crime. How the mild-mannered Radcliffe College graduate found herself face-to-face with death row inmates and testifying in well-publicized trials is most intriguing. Lewis rationally explains her findings that violent crimes often are perpetrated by persons with abusive childhoods or organic brain impairments or both. A humanizing factor in her memoir is her psychiatrist's ability to reflect on her own shortcomings and miscues in diagnosing disorders. Lewis concludes that "given certain neurologic and psychiatric problems, any of us could be a killer," which is frightening, perhaps controversial, and always interesting. Sue-Ellen Beauregard

Product Details

  • Hardcover: 301 pages
  • Publisher: Fawcett; 1 edition (April 14, 1998)
  • Language: English
  • ISBN-10: 0449002772
  • ISBN-13: 978-0449002773
  • Product Dimensions: 9.5 x 6.4 x 1.4 inches
  • Shipping Weight: 1 pounds
  • Average Customer Review: 3.6 out of 5 stars  See all reviews (49 customer reviews)
  • Amazon Best Sellers Rank: #692,967 in Books (See Top 100 in Books)

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Customer Reviews

49 Reviews
5 star:
 (18)
4 star:
 (10)
3 star:
 (9)
2 star:
 (5)
1 star:
 (7)
 
 
 
 
 
Average Customer Review
3.6 out of 5 stars (49 customer reviews)
 
 
 
 
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Most Helpful Customer Reviews

16 of 18 people found the following review helpful:
3.0 out of 5 stars Thoughtful and pleasant read about awful doings, August 22, 2000
By 
This review is from: Guilty by Reason of Insanity: A Psychiatrist Probes the Minds of Killers (Hardcover)
I find the biases and filters with which other reviewers came to this book amusing and not very helpful. The fact is, Dr. Lewis's book is neither as great nor as bad as many of them make out.

Yes, she does speak as a feeling person as much as a professional, and yes, she sometimes makes herself seem far more naive than I suspect she must have been. Also, of necessity the book parades a rogues gallery of killers -- male and female -- and their gruesome crimes before us.

On the one hand, this is not a scientific paper, it is a popular book for the lay reader. And nevertheless, Dr. Lewis has several very important points to make. Most and perhaps all of the death row inmates she has studied not only came from horrid socioeconomic and psychological backgrounds, but they appear to have suffered brain damage before birth, at birth, or in accidents or due to abuse since. Some appeared to suffer genuine seizures and mental blackouts; others, much as Dr. Lewis's training and inclination led her to resist the notion, genuinely appeared to have multiple personalities. Her conversion on this point by flesh-and-blood evidence is an instructive process.

These facts raise interesting questions about criminal responsibility and culpability, ones the legal system is not anywhere near prepared to acknowledge and weigh in its decisions. The conclusion is not that society should free these damaged souls, but perhaps that the nature of their punishment and treatment could be better informed. Dr. Lewis voices strong if not terribly coherent criticisms of these failings.

So I found the book engrossing and thought-provoking. Unfortunately, my hardbound copy suffers from the growing plague in contemporary books of computer spell-check-dependent typos. There are references to "grizzly murder" (112) and "grizzliest murders" (258 -- though the adjective is spelled correctly on page 284), and to a fetus's navel "chord" (264). Most unfortunate for a Jewish author, one reads of "a minion of Hassidim (142 -- the word is "minyan," editors!), and even worse for a doctor, we find the sentence: "A death row psychiatrist's allegiance is torn between Hypocrites and the state" (187). Hypocritic Oath, anyone?

Despite these minor irritations, this is a useful and readable book.

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11 of 12 people found the following review helpful:
5.0 out of 5 stars Hardly a Liberal, January 4, 2005
Though I'm a proponent of the death penalty, reading this book in the last 24 hours, I have reasons to question it, especially in the context of abused criminals who reenact their abuse onto others. Lewis has made me question my cut and dry attitude and has shown me the gapping hole in my bag of logic, truth, and criminology. Guilty By Reason of Insanity leaves me with more questions than answers. Though this isn't a genre that I read, Lewis's writing has me hungering for more answers.
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4 of 4 people found the following review helpful:
4.0 out of 5 stars An account of the causes of and punishment for violent crime, August 19, 1999
By 
Lee Markowitz (Yorktown Heights, NY USA) - See all my reviews
Psychiatrist Dorothy Lewis Provides a fairly imformative account of the lives of violent criminals, the causes of their behavior, and their punishment. This book is based on her experiences interviewing murderers on death row. For a far more informative, more profound, and persuasive account of violence, its causes and punishment, I suggest reading James Gilligan's book VIOLENCE: REFLECTIONS ON A NATIONAL EPIDEMIC.
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The secret of working with violent people is knowing when to end an interview. Read the first page
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