I’ve struggled to find something meaningful to say about the incident when the captain of a jetBlue flight suffered from what appeared to be a “nervous breakdown,” resulting in his eventual restraint and later, criminal charges. I think criminal charges are wholly unwarranted and an example of the double-standard and prejudice we hold against people with possible mental health issues. It shows a shocking lack of judgment on the part of the U.S. prosecutors who charged Captain Clayton Osbon. (After all, would they have charged him if he had suffered a stroke instead, which led to similar behavior? I think not.)
But outside of this prejudice shown by people who don’t treat a brain attack like a heart attack, there’s very little more to say about this unfortunate incident. No lives were lost.
And, in fact, no lives have ever been lost due to a U.S. pilot’s mental health issues, according to the Washington Post article.
Sure, you could add more rigorous mental health screenings as a part of the annual medical exam commercial pilots are required to undergo, but it still wouldn’t have automatically caught something like what may have happened to Osbon — especially if it was a brief psychotic disorder (like the Kony 2012 director reportedly suffered).
Worse, if you make it a primary focus of attention in a medical exam, pilots — like soldiers, officers, and upper management of public companies — will learn that it is pretty easy to lie for such exams:
Regulators and doctors have wrestled with how to react to research showing commercial pilots underreport depression, Patrick Veillette, a corporate pilot who has written on the role of pilot health and safety, said in an interview. The stigma of having to admit they are suffering, combined with the threat of being taken off the job, leads many pilots to deny they are depressed, Veillette said.
Because all mental health screens and tests in use today rely on simple self-report to determine if you meet the criteria for a mental disorder. Lie about your symptoms and a professional would be hard pressed to tell otherwise. Unless pilots also underwent additional hours of psychological testing — a burden that would be onerous and lengthy, with no guarantee of “catching” a single pilot.
Furthermore, it seems short-sighted and bizarre that we would focus so much attention on a single form of public transportation — airplanes — when other forms, such as buses and trains, can cause nearly as much loss of life from the actions (or inactions) of its driver. (This is also an equally good point that one could apply to airline security — e.g., that we hold it to a ridiculous standard unmatched on buses or trains — but one seemingly lost on most of the American public.)
And that’s the point — you’re still at a far greater risk of getting hit by lightning than dying at the hands of an incompetent or “ill” U.S. pilot while flying. Some risks can be mitigated, but others we just have to live with.
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These two statements jumped out at me:
“people who don’t treat a brain attack like a heart attack,”
and
“Because all mental health screens and tests in use today rely on simple self-report to determine if you meet the criteria for a mental disorder. Lie about your symptoms and a professional would be hard pressed to tell otherwise.”
Mental illness, like addiction, is a brain disease. Helping the general public (and medical professionals) better understand the nature of these brain diseases — which often go hand-in-hand as a dual diagnosis – is so important if we are to strip them of the shame and stigma that keeps the individual from seeking and finding effective treatment.
Hi Lisa,
While I’d like to agree with you, the truth is a little messier. We actually don’t know what causes any mental disorder. There’s no single cause that’s been proven, so to suggest everything is a “brain disease” is a bit premature, and from what I’ve seen, simplistic. There are biological, social and psychological components of every mental disorder — some are stronger for some disorders — but all are important for understanding all mental disorders.
Whatever we call it, I agree it is important that people understand it is NOT the person’s fault and there’s little a person can do until the disorder manifests itself. Then, a person who gets treatment is likely to feel better, sooner, than those who do not.
As always, I think it depends on the facts of a case. If the pilot was aware of health issues that could put people at risk, then I absolutely think charges are warranted.
I get what you’re saying, that mental health issues shouldn’t be distinguished from physical health issues, because they are one and the same.
I agree. But if a pilot had a physical health issue that was undisclosed, and put people at risk, I also think charges are appropriate. You don’t get a PASS for it being a mental health issue…you get the same treatment.
Since we don’t know all the facts of the case, this is pure supposition… but just as we would assume someone who had a heart attack didn’t purposely NOT disclose his heart condition, shouldn’t we make the same assumption of innocence for someone with a mental health condition?
I would, and based upon interviews with friends and others who thought they knew this person, they saw no signs indicating any serious mental illness.
Time, of course, will hopefully give us more of the whole story…
Is it fair to propose the the way our government handled 9/11 created such a conflictual and confrontational system for traveling by air that people are being groomed to become instinctively hostile and uncooperative because of a system that has no exceptions for a diverse population?
I don’t fly much, even before 9/11 happened, and god knows not much since as I have no respect to be automatically assumed to be a potential criminal or combatant until proven otherwise. And the overtolerant left attitude that profiling is wrong is just clueless and insensitive.
What happens if one day someone crashes a plane just because such individual finally breaks and gets terminally pissed off being treated as they are guilty until proven innocent. What will TSA do then: expect every potential passenger to have a doctor’s slip allowing him/her to fly!?
I totally agree this but I also have a question and I understand you may not entirely know the answer. What makes this pilots behavior different from the flight attendant on an American Airlines flight a few weeks ago? Specifically, why was he charged and she wasn’t? She reportedly had bi-polar and was not taking her medications. Was the difference in arrest because he was an actual pilot in control of the plant rather than an attendant? And if there is no clear reason – isn’t this sending mixed messages to the general public who already is receiving inconsistent information regarding mental illness?
I’m not sure why some say that we cannot know why people break down. It is actually quite knowable and requires reasoning and using your own clinical experience as well as CT. That is what psychologists get aid for.
These are all defense mechanisms from the subconscious, where an ndividual subconsciously experiences that he is losing control over his life, so over his life and death decisions. He does not know why that is as he does not use introspection to check his premises consciously and reprogram them.
With too many irrational, so life threatening ideas and feelings in his subconscious, he’ll seek to escape that own adversarial art of his body and will hurt himself doing that, on purpose.
The way to fix this situation is va CT, which is fundamentally a technique of introspection and allows patients to identify and change irrational premises.
In the case of the pilot it will allow him to identify what destructive choices he has made and solve those as much as possible, so they are out of his life and do t happen again. Just a guess, but it old be that on top of the irrational legal environment here, maybe he hose the wrong partner and/or ade seriously wrong financial decisions. That all may have added up to him not trusting his on mind to do he right thing anymore.
Introspection will help him regain hat confidence in his own body.
By the way, it is very unwise to tel any patient that one cannot known th cause of his maldy. That alone is very destructive nd will make him even more hopeless. He is skiing for help, not for being tod that his ind is incapable. He needs to hear and learn hat his mind is capable and his only tool to get a happy life.
It was a shame that he was placed under arrest – he poses no threat to anyone – except possibly himself. By all reports he’s a friendly decent man with the kind of experience you would be happy to have in a pilot. now has to face the public – humiliating – revelation that he harbored extreme fears and wasn’t able to be the stoic practical problem solver presented in his public image. I think that Dr. Hassman has a point -air travel especially has evolved into a confrontational arena where most all of us have our hackles rise in anticipation not only of terror, but of having our personal space violated. Also if you are working in any situation where there is constant high stress, i think there should be avenues to deal with it- in groups, with professionals, without risking your career
How does he not pose a threat to anyone but himself. What if he crashed the plane would that not be a threat to anyone? You never know what a mentally ill person plans to do or what he is thinking. He is endangering people’s lives.
I absolutely agree with you about the stigma, but don’t necessarily think that pressing charges wasn’t the right thing to do. Just like lying on a test to obscure a mental disorder is possible, so is the flip side: lying about having a mental disorder to justify violent behavior, so, in cases like these, I think charges are brought more to deter future acts from others than to punish the individual. I think what’s more important is what happens next. Hopefully, he gets the help he needs and the charges are dropped, and these incidents are seen as in impetus to examine the stressors exerted on airline personnel that lead to these outbursts/breakdowns.
I do not envy today’s psychologist in the current adversarial culture and corresponding legal environment. most laws have become totally irrational and actually breed the situations they want to prevent. In this case our liability laws are the originators of this problem.
People and companies subjected to these laws get cornered and cannot go left or right anymore because of them and even get penalized when they are not able to find a solution out of his impossible predicament.
The plot and his airline were forced into this situation against their own best judgment.
For a psychologist it my mean ‘lots of growing business’, but it will frustrate hem too, since one can really not fx the problem, just offer a way to escape.
It cannot fell good for a psychologist to only be able to help a patint to refrain from seeking is most important values, in this case to quit his job and seek a less regulated ambition. The premise of havibg to teach a patient to abandon his highest values if he wants to survive is unhealthy. That is not the fuel a rational man needs. Neither does a psychologist need this, as it is due motivating and makes him feel rather powerless.
Unfortunately that is the only option left for this pilot. A great unnecessary loss tous all
A mentally ill person should not be flying a plane endangering lives of others. Every pilot should pass a psychological test before even considering such a job. The passengers should sue jet blue for having stress due to listening to this mentally ill man saying ” we are not going to Vegas so pray. No one even knows if he said it as a prank or if he is really mentally ill. If he is he shouldn’t be charged but just fired.