Doctors are supposed to save lives, or at least make them better.
But Dr. Harold Shipman wanted more. Rather than the satisfaction he
could have derived from extending lives, he craved the power that
comes with knowing he was snuffing them out.
Shipman is the British physician who was recently found guilty
of murdering 15 of his female patients, all middle aged or elderly,
by injecting them with deadly doses of morphine. The speculation
is that he may have killed 150 women, maybe more, and there are
reports that he might have started targeting his patients 25 years
ago.
How would I profile Shipman?
This guy is a serial killer, no doubt about that. He's probably
not insane; in fact, he sounds like an anti-social personality --
a sociopath -- someone who knows right from wrong but doesn't care
and who has no regard for authority, laws or ethical codes. This
fits Shipman because he not only breached moral and written laws,
he violated his professional code as a physician.
As I've mentioned before, there are usually traumatic experiences,
like abuse, neglect or abandonment, in a serial killer's background.
Shipman's mother died of lung cancer when he was a teenager. My
guess is that this loss translated into a sense of abandonment and
lack of control, which he may have fantasized about reversing.
Exacting revenge
It may be that every time he drugged a patient, he was symbolically
taking control of his mother's death and, perhaps, exacting revenge
against her for leaving him. It's as if he was so angered by her
death and his inability to prevent it that he wanted to kill her
himself.
Even though all this speculation is based on decades of experience
and research, it's still just speculation. The only way I could
truly get into Shipman's mind would be to interview him myself.
What would I ask him?
I would obviously ask about his mother's death and his feelings
toward women. I would probe what was going on in his mind before
he killed his first victim. I've previously written that there's
usually a precipitating stressor -- an argument with a spouse or
lover, loss of a job -- that leads to the first murder, something
that triggered the killer's internalized anger.
I'd want to know when he first began thinking about killing his
patients. It might turn out that he'd started fantasizing about
it before he even finished medical school. Serial killers are intelligent
and patient. Finding out that Shipman had a long-term plan wouldn't
be much of a surprise.
A deadly grudge
I'd also question him about his feelings toward the medical profession.
It may be that he harbored a bitter grudge against doctors over
his mother's death and acted out his resentment by joining their
ranks and then breaking their most sacred rule.
Beyond that, I'd go where Shipman took me. His speech patterns
would give me insight into his mental processes, and the directions
in which he wanted to take the conversation would tell me a lot
about what he did, or did not, want to discuss.
We might find out why he killed, though not necessarily why he
chose those women.
Serial killers aren't motivated by the simple urges that drive
other crimes. The forces that compel them to kill and kill again
are much more complex and have to do with the need to control, dominate
and manipulate others. They don't feel guilty. They don't understand
compassion.
Lessons from a killer?
You probably remember reading about Ed Kemper, who killed young
female hitchhikers in and around Santa Cruz, Calif., then stuffed
them in his trunk, took them home, sexually assaulted their corpses
and dismembered them. Before he embarked on his career as the "Coed
Killer," Kemper shot and repeatedly stabbed his grandmother
simply because he wanted to know what it would feel like to kill
her.
I had to sit down with Kemper in order to figure out what had motivated
him to kill his other victims. When I interviewed him in prison,
it became clear that his killings were acts by which he symbolically
rid himself of his mother. The two had a horrendous relationship,
and she became his next-to-last victim. Knowing his motivation helped
us understand the mind of the serial killer and comprehend the pattern
in Kemper's killings.
But seeing this pattern and being aware of at least part of what
drove Kemper didn't provide any real answers for those close to
his victims. None of them will ever be able to say they understand
why Kemper killed their daughter, sister, friend or girlfriend.
He didn't know any of the young women. Each was simply a pretty
stranger who needed a ride down the road.
Sadly, those who were close to Shipman's victims will also never
have the answers they need. It's impossible; those answers don't
exist. Like most serial killers, Shipman's executions had everything
to do with him and his need to fulfill a fantasy, and nothing at
all to do with his victims as individuals.
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