Psychiatric illness is still poorly understood despite years of research. Diagnosis is a blunt instrument, individuals’ diagnoses are changed over the course of their lives, so that some people have a medical record which includes almost every diagnosis there is at different times. Medication only controls and dulls the symptoms, if does not work in exactly the same way as medication for physical illnesses. I think hoping for a ‘cure’ for something like schizophrenia is unrealistic. Of course, most people with that diagnosis may hopefully find that a holistic approach including different medical and psychological treatments will enable them to manage and live with their condition and achieve a positive life.
I think that this man is undoubtedly mentally very unwell, but it is very unusual (thankfully) for those experiencing psychiatric disorders to exhibit violence and certainly at this horrific level. I do not believe any psychiatrist, however eminent, will ever be able to say that he is safe to be released. The Judge has imposed a Section 41 restriction that means he cannot be released on the say-so of a psychiatrist but must be referred to the Secretary of State for Justice. The reasons for not imposing a ‘hybrid’ Prison Order are set out in the judgement and are convincing - but I fully understand the families’ concerns about the potential risks and their feeling that they have been let down. This horrific event was heartbreaking, and terrifying. My son lives a few hundred yards from where it happened; there but for for the Grace of God.