1. All Episodes
2. Posttraumatic Stress Disorder Awareness Month with Dr. John Liebert

Computerized Clinical Decision Support System: 

High-Quality Knowledge Resource to facilitate the Practice of Evidence Based Medicine  

Arnaert, A.1, Ahmad, H.1, Debe, Z.1, Arnaert, S.2, Liebert, J.3

1 McGill Ingram School of Nursing, Canada

2 Catholic University of Leuven, Belgium

3 Private Practice of Psychiatry, USA

In this deadly series of murders in Atlanta nearly four decades ago, there was a delay in both following the evidence and conceptualizing the murder series as Black on Black Serial Lust Murder; Wayne Williams was ultimately arrested and convicted of many - but not all - of the missing and murdered children pictured on the cover of this forthcoming book. The evidence could have led more rapidly to detecting the connections between the killer(s) and the victims, many of whom knew each other and were in the vicinity of Atlanta's Omnidome where the killer was also reported to be seen. I believe the concept for this series of kidnappings and murders is that of serial lust murder dependent upon procurement of male prostitutes or kids vulnerable to seduction or kidnapping into the lair of Wayne Williams. As such, the concept was that of John Gacy in Chicago, but it was concealed by both interracial overtones of white on black terror and the apparent randomness of disappearance or murders of "street kids".  

So, how does that inform the investigation of Black on Black violence of our inner cities today?  As discussed in this book, there was the critical coincidence of psychological studies being performed on the cohort of victims in Atlanta before there were any headlines that would have terrorized their parents or them. This study is known as "City One", and it showed robust emotional and behavioral disturbances in the cohort of inner-city Atlanta children studied. When the headlines of terror did strike, the psychologist repeated the studies but included controls in other comparable communities in urban US; this was called "City Two". The findings revealed little if no correlation between headline terror of the Atlanta Case and manifest psychological disturbance in the City One cohort. The psychologist explained this lack of correlation on "Caste-based Status" of the cohorts in both City One and City Two; she theorized that the subjects within both cohorts studied were already so traumatized by their life circumstances that the headline terror of The Atlanta Missing and Murdered Children Case did not evoke measurable psychological disturbances. The author theorizes that The City Two cohorts are now the grandparents of the epidemic of Black on Black violence in our inner cities, like Milwaukee. As Margaret Spencer, the psychologist who performed these studies stated, we were erroneously led to believe that the Civil Rights Act of 1966 would somehow in and of itself change the lives and intergenerational epigenetic transmission of centuries of trauma in the "City Two Study". 

Current Milwaukee Victims, mostly cold homicide cases. http://archive.jsonline.com/news/crime/homicides-soar-along-with-many-theories-on-cause-b99653861z1-366891381.html/         

Enormous resources were invested in the Atlanta Case for fear it was either a race war or could lead to one. It was, however, known to be an epidemic of kidnappings and murders of Atlanta youth, the vast majority being male. Ultimately connections were made between the victims and between the victims and the perpetrator, Wayne Williams, and I believe it must be conceptualized as seduction and literal procurement of young inner city Atlanta males, either already prostituted or vulnerable to such for sexually deviant purposes of lust killing. As such, The Atlanta Case was the mirror image of the John Gacy case in Chicago.  I believe such resources must now be invested in the investigation of this epidemic of Black on Black violence, because, as discovered late in the Atlanta homicide epidemic, there are likely connections among victims and perpetrators that require identification and investigation. This is reminiscent of the epidemic of homicides in the Itallian immigrant community of Milwaukee a hundred years ago. The police did not understand the interpersonal connections and motivations for murder within this immigrant cohort until they had detectives who could interview witnesses and understand the connections - in that case, connection imported from the old country.  Similarly, I believe the connectedness between victims and perpetrators in this epidemic must be identified and investigated. It's going to take the type of investment made to solve the Atlanta Case - likely resources from Department of Justice. I believe the motivation driving homicides in most of these cases is not aberrant sex, as in Atlanta Case, but likely money - big money. In the words of Bobby Dylan, "Ev’rybody singin’ a sorrowful tune..Somebody better investigate soon "

Health Professionals' Education in the Age of Clinical Information Systems, Mobile Computing and Social Networks", Elsevier, August 2017

"Transformative Technology: What accounts for the limited use of Clinical Decision Support Systems in Nursing Practice when compared to Medicine?" 

Attorney and investigative reporter, Bill Birnes, co-author of Riverman about Ted Bundy's theory of the Green River Murders, and I have been researching and publishing on the epidemic of trauma, violence and suicide in this country since Cho Seung-hui chained the doors of Norris Hall at Virginia Tech in 2007, massacring 32 people and injuring 23 before shooting himself.  Since that disaster, the incidence of suicidal rampage murders has doubled; the Pacific Northwest has not been spared.  The authors have taken a new perspective on trauma and violence in this country by framing it as consequences of undetected or untreated "unremitting clinical states of human destructiveness".  We profile such festering cases of homelessness in the Café Racer suicidal mass murder and failed interventions with Aaron Alexis, the Navy Yard suicidal rampage murderer after his first known shooting incident on Capitol Hill prior to military enlistment, and Aaron Ybarra, perpetrator of the Seattle Pacific University suicidal rampage murder as proxies for deeper issues in both military recruitment and retention and college health services, respectively. I will bring my experience as a Flight Surgeon for Military Airlift Command to bear on the problems of aviation safety, using the Germanwings suicidal mass murder as a proxy for broader safety issues in commercial aviation.  We have uniquely profiled the pilots commandeering the  Flight 93 in Shanksville, Pennsylvania to the disappearance of Malaysian Airlines Flight 370 in the Indian Ocean - namely hijacker, Ahmad Ibrahim Ali al-Haznawi and Captain Zaharie Ahmad Shah, respectively.

The public health needs, solutions and benefits of such solutions complete the book, after an in-depth study of the psychosocial issues are explored in proxy cases that create transparency for larger and overarching systemic public health and safety problems. We are not simply telling stories with high profile case narratives.  Ironically, advances in technology - particularly mobile communications and biotechnology - are countervailing trends to otherwise regressive social and government policies that are more rhetorical solutions than epidemiologically-informed.  Despite the good intentions, for example, of Obamacare, primary care doctors would need to spend 20 hours per day fulfilling the promises of the Affordable Care Act. Meanwhile Emergency Rooms, Jails, Prisons, police departments, college health services and Military/VA medical centers must compete for resources, both financial and human, that simply don't exist.  The authors present practical - if not politically popular - solutions to these multiple crises in public health and safety whose ugly heads reveal in all cases, that the devil is in their unexamined details.

Suicidal Mass Murderers: A Criminological Study of Why They Kill