Pincus observed that killing arises in the milieu and troika of disturbances which generally discloses (1) childhood abuses (sexual, verbal, physical), (2) frontal lobe damage (birth trauma, chromosomal, genic, infectious, toxic as alcohol & drugs), and (3) a medley of mental (neuro-psychiatric) impairments e.g. bipolar depresssion, paranoia, ADHD, CD, ODD, etc. He hypothesizes that single, mass, and serial killings have similarities with the Nazi/Hitler's paranoid anti-Semitism, Gaza Strip atrocities and various terrorist factions of more recent vintage.
He opines the only feasible remedy would be prevention of child abuse and cites pilot studies underway, and also specifies factors impeding implementation of other remedies including treatment of convicted murderers. He details his basic neurologic testing format including specific tests directed at eliciting impairment of the frontal lobes, the latter being somnething he states most/many neurological examiners fail to do. Dr. Pincus has worked successfully on a number of defense cases aimed at getting death sentences switched to life without parole.
The treatise is not overly technical, the writing style is a bit wordy, and very minor detractions were noted (i.e. XYY in not a chromosomal deficit but a chromosomal excess or defect; Trisomy 21 is no longer referred to as mongolism but Down's syndrome; and this reader is skeptical that someone could & would drink a 12-pack of beer and a pint of whiskey in 45 minutes (one can every 3.75 minutes & not counting the hard liquor).
This study is an important contribution to the study of homicide and it provides engaging thought-provoking commentary on what makes murderers murder and also a workable solution to the problem of homocides. This book gives ample graphic grisly details of physical & sexual abuse, sans pictures, which some readers will find disturbing, but so then is murder. This is a must read.
Dr. Pincus clearly decided not to risk alienating readers with scientific terminology or complex explanations of brain physiology. The book follows the familiar "casebook" true crime format used by various ex-FBI profilers, coroners, and cops. Most chapters focus on a particular criminal Pincus had dealings with (many of them in his role as an expert witness) and what that criminal's life story shows about the origins of homicidal violence.
The coversational writing style (and oddly cheery alliterative chapter titles) stand in contrast to the horrific nature of much of the material. The crime scene details will be familiar to any reasonably hardened reader in the literature. What really stood out for me was the descriptions of childhood abuse endured by many of the perpetrators Pincus has studied. As a former inner-city teacher, I taught kids from pretty screwed up homes, and had some friends from abusive families while growing up. But the stories Pincus recounts (corroborated by siblings and others) remind us that there is almost no downward limit to the depths of human depravity.
What's rather odd about all the better works in the study of violence and homicide is the sense that this field is under-funded, under-appreciated and obscure. Pincus and other pioneers in the field have answered some important questions, but their work raises hundreds more. If, say one percent of the money our government has spent trying to prove that marijuana is dangerous were instead spent on studying the roots of violence, perhaps we'd have more answers.