What Happens When We Ignore Genuine Mental Illness?

In recent years, the prevalence of mental health issues has been magnified by the number of entertainers and athletes who are living, or have lived through, such issues. Prominent examples include Justin Bieber, Simone Biles, Naomi Osaka, Selena Gomez and Tyson Fury. Over one in five American adults are estimated to suffer from diagnosable mental health conditions, with people aged 18–25 experiencing them at much higher rates — nearly 34% — than other demographics. The rates are somewhat lower in the United Kingdom.
But mental health issues were not ascribed to a now-infamous unnamed mother from Cheshire, England. This woman trapped her baby in an underbed drawer for nearly three years, keeping her alive by feeding her with a milky breakfast cereal through a syringe. She afforded her child no medical care or proper food and did not permit her to leave the drawer for long periods. The woman had other children apart from this one; the number of children and their ages were not disclosed.
The hidden child was discovered only by accident, when the mother’s partner used the bathroom and heard noises in her bedroom. The child was suffering from malnutrition, dehydration and a cleft palate.
When questioned, the mother revealed that the baby girl had been born in a bathtub at her home in March 2020. She didn’t tell the father, as they had an abusive relationship. Instead, she kept the baby a secret from him and the authorities. So, the child was never provided with medical attention nor even registered at a register office. There was no legal record of the birth. Perhaps the most chilling court testimony came from a caregiver now looking after the child who said the three-year-old girl, once recovered, had needed to be taught to smile and “didn’t know what food was.”
The woman’s defense attorney claimed her mental health, a volatile relationship with the abusive father and the Covid-19 lockdown had combined to create an “exceptional set of circumstances.” Regardless, the court sentenced her to seven-and-a-half years in prison.
Under Section 37 of the UK’s Mental Health Act 1983, if a defendant is found to be suffering from a mental disorder at the time of the offense, they can be sentenced to hospitalization rather than prison. The court might have sent the defendant to a secure psychiatric hospital if it deemed her unfit for a prison environment due to her mental condition. There were other options.
In England, if the court determines that a defendant’s mental health issues are present but not severe, it may issue what’s called a Mental Health Treatment Requirement. This order permits the individual to receive psychiatric treatment and supervision while living in the community, rather than serving a prison sentence. In some exceptional cases, the defendant can be found not guilty by reason of insanity if they are considered to have a mental disorder that prevented them from understanding the nature or consequences of their actions at the commission of the crime. This is not the same as having a mental health condition because it suggests an inability to comprehend the criminality of their actions.
None of these options were taken. The verdict’s implication is that the court considered the woman to be of sound mind, in possession of her faculties and had the capacity to think clearly. This strikes me as, in its own way, every bit as bewildering as the woman’s horrifyingly transgressive behavior. At a time in history when celebrities habitually claim to suffer anxiety, distress and miscellaneous other ailments associated with mental illness and are readily believed, how is it possible to conclude the woman is compos mentis (having control of one’s mind)?
Scant evidence shows the woman’s motivation. During an interview with police, she said she had not known she had been pregnant and was “really scared” of giving birth. Remember, she already had children. She added that the underbed drawer was never closed and that the child did not remain in it at all times. But the girl was “not part of the family.” Puzzlingly, none of her other children reported the extraordinary presence of the child in the drawer.
As uniquely grotesque as this case is, it resembles several other instances of extreme cruelty, the most notorious being in Amstetten, Austria in 2008. In this gruesome case, Josef Fritzl kept his daughter Elisabeth locked in a cellar from age 18 to 42. During her time in captivity, Fritzl raped her thousands of times, fathering seven children with her. Fritzl was jailed for life by a court in 2009, but he spent the time in a psychiatric institution until 2024, when he was diagnosed with dementia.
That’s not all. David and Louise Turpin abused their 13 children at their home in Perris, California. The couple was exposed in 2018 when one child, 17-year-old Jordan Turpin, escaped and called the police. They pleaded guilty of torture and were sentenced to life in prison. There was no indication that the court found the parents to be suffering from significant mental health issues that would have mitigated their sentences.
Cases of cruelty to children by parents and stepparents are grimly repetitious. Ten-month-old Finley Boden was murdered by his parents, Stephen Boden and Shannon Marsden, in Chesterfield, Derbyshire in 2020. Eleven-year-old Roman Lopez was tortured and killed by his stepmother in Placerville, California, also in 2020.
In 2021, a 17-year-old girl was discovered in Floreat, Western Australia and admitted to Perth Children’s Hospital in Nedlands. She was severely malnourished, infantilized and kept captive by her parents, both female. The girl weighed under 62 lbs, well below the healthy parameters for a young woman of her age: 105–150 lbs. The girl was homeschooled and allowed limited interaction with peers at dance school. The parents will undergo psychological assessments before sentencing in January 2025. 
All these cases elicit our incredulity. It’s difficult to believe let alone understand behavior that causes pain and sustained suffering to children from the very people who bore them. Explaining it in terms of the social circumstances of the torturers and killers is a tall assignment. However, we can sometimes discern patterns of intimate partner violence, coercive control and other kinds of domestic abuse, compounded by relative cultural deprivation and the failure of care organizations.
These are the kind of social conditions under which mental illness develops. Dysfunctional families, traumatic events, convulsions and conflicts are all potential triggers. Mental health maladaptation has its source in circumstances, but it manifests in a way that demands a particular response. Locking people up is a crude rejoinder.
In other words, mental illness, disorder or, to fall back on today’s favored term, issues, have their origins in social experiences. But they express themselves in thoughts and actions that persuade us they are purely individual properties. Perversely perhaps, mental illness often coexists with a rationality: People who harm or kill children typically employ manipulation, intimidation and isolation, all of which require some degree of planning and consideration of what’s likely to happen in the future. The perpetrators mentioned so far and, indeed, all other known or unknown child tormentors and killers behave in accordance with reason and even logic. This does not mean they are mentally well: They are not. They do have mental problems.
This should make us reflect when we say, “mental health issues.” Obviously, this is a kaleidoscopic term, not a description of a single malady. It is a constantly changing pattern or sequence of experiences and states. Describing perpetrators of violent crimes against children as “monsters” is trite and misleading. Their actions may appear inhumanly cruel and violate every known assumption we harbor about loving filial relationships. But they are unmistakably, harrowingly human and betray facets of family life we prefer to deny.
Every way I think about the hideous case at the center of this piece, I arrive at the conclusion that the woman, now presumably serving her seven-and-a-half years in prison, is not mentally well. And I mean genuinely. Her punishment seems more of a sacrifice than corrective or reparative action. 
We blithely use mental health issues to describe the relatively mild discomforts of celebrities yet avoid applying it to people who clearly are mentally unwell and often in dire need of treatment. My argument in no way removes the woman’s actions from what they are: abhorrent, sickening and unutterably loathsome. This should not preclude recognition that the perpetrator is afflicted nor closer examination of the sources of her affliction.
[Ellis Cashmore’s “The Destruction and Creation of Michael Jackson” is published by Bloomsbury.]
[Lee Thompson-Kolar edited this piece.]
The views expressed in this article are the author’s own and do not necessarily reflect Fair Observer’s editorial policy.