1 Applied Final Project: Dylan Klebold and Schizotypal Personality Disorder Jade M. Vega University of Maryland University College 2 Abstract The purpose of this paper is to suggest a psychological diagnosis for an adolescent male, Dylan Klebold. The diagnosis which may explain many of Dylan’s behaviors is schizotypal personality disorder. Dylan Klebold and Eric Harris were the gunmen in the Columbine High School shooting of 1999. Excerpts from accounts of the tragedy, including notes from Dylan’s own journal, will be used as evidence against the DSM-V criteria for schizotypal personality disorder, and similarities will be discussed. The DSM-IV multi-axial system is used to examine Dylan’s behaviors and functioning. This paper will also explores possible since the individual in forms of treatment which may have benefited him, since the individual committed suicide with Eric Harris. 3 Background Information Dylan Klebold was born in Colorado to Susan and Thomas Klebold. He had an older brother named Byron. Dylan, by all accounts, was raised in a loving family and was active in a number of school activities. Dylan Klebold and his high school best friend, Eric Harris, became known to the world on April 20, 1999 when they killed 13 people at Columbine High School, injured 24, and then committed suicide (Cullen, 2009). It has been widely speculated that Eric Harris fit Robert Hare’s definition of a psychopath—he hated the world and everybody within it equally; his journal and videotapes exhibit this clearly. Dylan’s involvement in the massacre, however, has left many people puzzled. He never displayed any inclination towards violence, although he did often seem depressed and had a great deal of social anxiety. The journal that Dylan Klebold left behind leaves clues as to why this happened. Dissection of the entries and Dylan’s actions before and during the shooting provides clues of his psychological condition. After analyzing available information, it seems possible—and likely—that Dylan Klebold was suffering from what would today be called schizotypal personality disorder. Axis I: Clinical Disorders or Other Conditions That May Be a Focus of Clinical Attention Dylan Klebold was, as far as any researchers know, never diagnosed with any clinical disorders. The disorder of focus is schizotypal personality disorder, which does not apply in this section under the DSM-IV criteria for Axis I. (American Psychological Association, 2000) Axis II: Personality Disorders and Mental Retardation Dylan Klebold meets the criteria for a diagnosis of schizotypal personality disorder. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-V, describes the disorder as having two main criteria. The first is that a persistent pattern of “social and interpersonal deficits marked by acute discomfort and reduced capacity for close relationships as 4 well as by cognitive or perceptual distortions and eccentricities of behavior” must begin by adulthood and be present in a variety of contexts (American Psychological Association, 2013, p. 655). Dylan meets the first criteria for reasons that will be elaborated further. The second major criteria is that these behaviors and deficits must not be a result of another mental disorder—such as another psychotic disorder, schizophrenia, bipolar or depressive disorders (American Psychological Association, 2013). We can assume that if Dylan had schizotypal personality disorder, the symptoms did not arise from another psychological disorder; this assumption is being made for the purpose of this paper, and as far as we—the public—know, Dylan was never formally diagnosed with a psychiatric disorder. The first major criteria of schizotypal personality disorder must be met by at least five of the following symptoms, of which Dylan exhibited at least five: “ideas of reference (excluding delusions of reference); odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms; unusual perceptual experiences, including bodily illusions; odd thinking and speech; suspiciousness or paranoid ideation; inappropriate or constricted affect; behavior or appearance that is odd, eccentric, or peculiar; lack of close friends or confidants other than first-degree relatives; excessive social anxiety that does not diminish with familiarity and tends to be associated with paranoid fears rather than negative judgments about self” (American Psychological Association, 2013, p. 656-656). Dylan’s journal entries, videotapes that he and Eric recorded (the “Basement Tapes”), and his actions demonstrate that he held certain odd beliefs. Dylan referred to humans as “zombies”. He once wrote, “I am GOD compared to some of these un-existable brainless zombies” (Cullen, 2009, p. 182). This is one of several instances in Dylan’s journal where he not only demonstrated odd thinking, but odd speech, as well. He used several words which were 5 not real, in addition to using words in inappropriate contexts. In one unsent letter to the girl he secretly loved, Dylan wrote, “I, who write this, love you beyond infinince.” (Cullen, 2009, p. 292). Dylan had several friends, including close ones, throughout his lifetime. When he met Eric, however, he slowly lost the close connections and became closer to Eric than anybody else. It has been postulated by many that Columbine happened because Eric—a suspected psychopath—met up with Dylan, a person who was insecure and willing to go to great lengths to please others (Cullen, 2009). It is therefore reasonable to assert that, for at least the year prior to and including the shooting, Dylan also met the criteria of “lacking close friends or confidants”. (American Psychological Association, 2013, p. 656) Dylan’s appearance was rather ordinary, although he was very self-conscious and unhappy with himself. He was especially self-conscious about his large nose. Unlike Eric, Dylan had no real physical abnormalities—perhaps the only thing that made him stick out was his tall height and awkward way of carrying himself. He frequently stood and walked while slightly hunched over (Cullen, 2009). Dylan suffered from excessive social anxiety, which mostly was associated with paranoid fears of rejection. He felt as though he was different than everybody else, and that he never fit in (Cullen, 2009). This statement reflects a feeling that is common to individuals with schizotypal personality disorder (American Psychological Association, 2013). 6 Axis III: General Medical Conditions This author could not find any reported general medical conditions that Dylan Klebold had. He was a young and seemingly healthy adolescent from an average and, by all accounts, well-adjusted, middle class family. It is, however, impossible to know if there was an undisclosed, or possibly undiscovered, medical condition. Axis IV: Psychosocial and Environmental Problems The DSM-IV lists several areas of problems; four of these areas are especially relevant to Dylan Klebold: problems with primary support group, problems related to the social environment, educational problems, and problems related to interaction with the legal system/crime. Dylan’s support group consisted of his immediate family—his mother, father, and brother—and Eric Harris. Unfortunately, the Klebolds were unaware their son was suffering, and there is no evidence to suggest they had any idea that Dylan was planning the attack at his high school. In fact, the Klebolds were very forthcoming with information during the investigation following the shooting. According to Tom and Sue Klebold, their son was “extremely happy”, and since they operated an anti-gun household, they would not find any explosives or weapons in the house (Cullen, 2009, p. 69). When the police found a pipe bomb in Dylan’s closet, his parents were shocked. For Dylan, communicating with his primary support group—his immediate family—was not an option. Although his parents felt close to Dylan, they did not know what he was doing with his friends or planning to do. Dylan Klebold has often been pegged by the media as being a social outcast. This is not a truly accurate depiction. In fact, before the attack Dylan went to the prom with a female date. He participated in many after-school activities, although he was too shy to perform onstage with the drama club. He had friends other than Eric Harris, but nobody else had any idea what Eric 7 and Dylan were planning. For this reason, the most relevant individual in Dylan’s social environment was Eric. In general, Dylan was very shy, and one of the reasons him and Eric became so close is because Dylan loved the camaraderie and enjoyed feeling like he fit in (something he did not often feel). Throughout the course of planning the shooting, Dylan wavered several times. There is even evidence that he let at least four people get away during the shooting because he did not want to see them die. (Langman, 2010) In the end, though, the event that the boys referred to as “Judgment Day” was something that Dylan mostly exhibited great enthusiasm about. Dylan has been described as having been “born brilliant”. (Cullen, 2009, p. 175) As far as education goes, Dylan was enrolled in a program for gifted students by the time he was in third grade. He showed great promise. He had applied and been accepted to several universities, and was planning on attending the University of Arizona in the fall after his graduation. (Cullen, 2009) During his last years at high school, however, Dylan got in trouble several times. He kept falling asleep in classes. He was a heavy drinker and went by the name, “VoDKa”, sometimes capitalizing his initials. Dylan used to brag about making fun of freshman; once, he was caught scratching obscenities into a freshman’s locker. When called into the Dean’s office, Dylan erupted—cursing, screaming, etc. In the face of trouble, while Eric was calm and convincing, Dylan was “pure emotion” (p. 10). Axis V: Global Assessment of Functioning (GAF) Scale The purpose of Axis V is for an individual to be rated in respect to "psychological, social, and occupational functioning" (American Psychological Association, 2000, p. 32). Dylan Klebold should be rated a 1 on the GAF scale for a variety of reasons. The most serious is that there clearly was a "persistent danger of severely hurting self or others"; in fact, he was jointly 8 responsible for the death and injury of many others, as well as his own death (p. 34). In regards to social functioning, Dylan spent much of his time with Eric Harris, a young man who fits the characteristics of a psychopath. It is likely that if Dylan never met Eric Harris, the tragic shooting at Columbine High would have never occurred. This does not diminish the severity of Dylan’s psychological distress—in fact, he had alluded to suicide several times in the many months preceding the massacre. Dylan was suicidal; it has been posited that he would not have turned homicidal without Eric. (Cullen, 2009) In regards to occupational functioning, Dylan had one job for over a year, which he was very unreliable at. He rarely ever showed up. After tuning up his resume, he applied for another job, which he got; however, Dylan never came in to start working (Cullen, 2009). Overall, it is appropriate to rate Dylan a 1 on the GAF Scale, because he clearly posed a danger to himself and others; unfortunately, his actions speak for this rating. Diagnosis and Treatment The diagnosis of schizotypal personality disorder explains many of Dylan Klebold’s strange behaviors, as well as how these behaviors tragically culminated in the massacre at Columbine High School. Research on the treatments of schizotypal personality disorder is not nearly as advanced as some other psychiatric illnesses, but the psychotic-like symptoms can be treated by using medication. Psychotic-like symptoms are those such as magical thinking and suspiciousness, and these can be treated in patients with schizotypal personality disorder by using antipsychotic medication (Chemerinski, Triebwasser, Roussos & Siever, 2013). Dylan Klebold should have, ideally, be placed on antipsychotic medication and undergone extensive therapy to get to the root of his anxious thoughts and behavior, as well as his fluctuations between shyness, depressive states, and aggression. If Dylan Klebold were alive today, he would 9 likely be diagnosed with schizotypal personality disorder and undergone the previously mentioned course of treatment. 10 References American Psychiatric Association. (2000). The diagnostic and statistical manual of mental disorders. (4th ed.). American Psychiatric Publishing. American Psychiatric Association. (2013). The diagnostic and statistical manual of mental disorders. (5th ed.). American Psychiatric Publishing. Chemerinski, E., Triebwasser, J., Roussos, P., & Siever, L. (2013). Schizotypal personality disorder. Journal of Personality Disorders, 27(5). Cullen, D. (2009). Columbine. Twelve. Langman, P. (2010). Why kids kill: Inside the minds of school shooters. Palgrave Macmillan.