Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • Upgrade to the KevinMD enhanced author page

Why should I try to find compassion for Adam Lanza?

Alex Lickerman, MD
Physician
January 27, 2013
Share
Tweet
Share

Like most Americans, when I learned that twenty children and six adults had been massacred in Newtown, Connecticut, I recoiled. Like most parents, my next thought was for my own son, the image I retain of his happy, smiling self for one moment replaced by an image of his tiny body lying twisted on the ground. Even as I write these words, an emotion I rarely feel—one I often can’t even make myself feel—threatens to overwhelm me.

And then, of course, came anger. I wished I could bring Adam Lanza back to life to ask him why he did this, and then beat him to death myself. Many might be surprised to learn that a physician would feel this way, but the sad truth is that after nearly twenty years of practicing medicine, my ability to muster compassion even for angry, demanding, and ungrateful patients has eroded. How then am I to find compassion for someone like Adam Lanza? And more to the point, why should I even try?

But when I ask myself this question, I realize I have an answer: despite our nearly universal attraction to the belief that human beings come in one of only two flavors—good and evil—and that evil acts abolish the humanity of those who commit them, I know full well that the most noble and kind among us are capable of committing great evil; and more, as a famous Buddhist saying goes, that even a heartless villain can love his wife and children.

We don’t hate or condemn a three-year-old child who points his father’s gun at his brother and pulls the trigger because we understand that he doesn’t understand the consequences of his actions. Why then, I ask myself, should we hate adults who lie, cheat, steal, or even murder—even when they commit these heinous crimes against us or the people we love? We may think they should know better, but wisdom isn’t an inevitable consequence of aging. Why then shouldn’t we feel compassion for an adult as we would for a three-year-old? Why not, in fact, as if he or she had once been our three-year-old? For were they not at one point someone else’s? My heart cries out for the children and teachers who Adam Lanza killed, for their families and their friends. But it cries too for Adam, who to me, ultimately, was nothing other than a three-year-old boy hiding in a twenty-year-old body.

If we can internalize two premises, that we all want to be happy more than anything else but that many of us are profoundly confused about how to become so—as Adam Lanza so obviously was, whether we ultimately understand him to have been mentally ill or not—we may be able to interest ourselves more in understanding people, in figuring out the reasons they do the things they do, than in condemning them. Not that our sense of righteous outrage at the actions of those who hurt us or the ones we love is misplaced or unjustified. But we can condemn such actions, we can even punish such people—as we must when laws are broken—without pretending that such people have ceased to deserve our compassion. Without forgetting they were once small and full of hope for a good and happy life. That they are in reality only tragically deluded—deluded into thinking that they must harm others to lessen their own pain or to find joy. For in refusing to dismiss the humanity of those our emotions tell us deserve only our hatred, we find that which is best in ourselves.

Alex Lickerman is an internal medicine physician at the University of Chicago who blogs at Happiness in this World.  He is the author of The Undefeated Mind: On the Science of Constructing an Indestructible Self.

Prev

MKSAP: 71-year-old man with new dyspnea on exertion

January 27, 2013 Kevin 0
…
Next

One day of a psychiatrist at a geriatric adult home

January 27, 2013 Kevin 26
…

Tagged as: Physician Burnout and Mental Health

< Previous Post
MKSAP: 71-year-old man with new dyspnea on exertion
Next Post >
One day of a psychiatrist at a geriatric adult home

ADVERTISEMENT

More by Alex Lickerman, MD

  • The main difference between functional medicine and evidence-based medicine

    Alex Lickerman, MD
  • Is too much care as harmful as too little?

    Alex Lickerman, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The art of compromising is the key to a healthy relationship

    Alex Lickerman, MD

More in Physician

  • Narrative medicine is what AI in medicine cannot replace

    Muhammad Mohsin Fareed, MD
  • The attention economy is starving public health

    Paul Dranichnikov, MD, PhD
  • Physician burnout is not the whole diagnosis

    Gus W. Krucke, MD
  • Physician advocacy can close the gap between appointments

    Samantha Jackson Dilts, MD
  • Medical hierarchy is silencing young doctors who want to write

    Dr. Buga Charles George Kenyi
  • Why military patients carry pain a chart can’t explain

    Ann Lebeck, MD
  • Most Popular

  • Past Week

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Why scientific medicine alone is not making us healthier

      Narinder Singh Parhar, MD | Physician
    • Narrative medicine is what AI in medicine cannot replace

      Muhammad Mohsin Fareed, MD | Physician
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Physician retirement is a myth for the ripening doctor

      Farid Sabet-Sharghi, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
  • Recent Posts

    • Narrative medicine is what AI in medicine cannot replace

      Muhammad Mohsin Fareed, MD | Physician
    • 20 years inside a Medicare Advantage insurer, and who actually pays [PODCAST]

      The Podcast by KevinMD | Podcast
    • Fear of cancer recurrence is a human response, not a flaw

      Jae L. Ross, PsyD | Conditions and Diseases
    • The attention economy is starving public health

      Paul Dranichnikov, MD, PhD | Physician
    • Mental health ghost networks are badly hurting patients

      Steve Cohen, JD | Conditions and Diseases
    • 3 changes physicians on social media need from institutions

      Trisha Majumdar | Social Media in Medicine

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 5 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Why scientific medicine alone is not making us healthier

      Narinder Singh Parhar, MD | Physician
    • Narrative medicine is what AI in medicine cannot replace

      Muhammad Mohsin Fareed, MD | Physician
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Physician retirement is a myth for the ripening doctor

      Farid Sabet-Sharghi, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
  • Recent Posts

    • Narrative medicine is what AI in medicine cannot replace

      Muhammad Mohsin Fareed, MD | Physician
    • 20 years inside a Medicare Advantage insurer, and who actually pays [PODCAST]

      The Podcast by KevinMD | Podcast
    • Fear of cancer recurrence is a human response, not a flaw

      Jae L. Ross, PsyD | Conditions and Diseases
    • The attention economy is starving public health

      Paul Dranichnikov, MD, PhD | Physician
    • Mental health ghost networks are badly hurting patients

      Steve Cohen, JD | Conditions and Diseases
    • 3 changes physicians on social media need from institutions

      Trisha Majumdar | Social Media in Medicine

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Why should I try to find compassion for Adam Lanza?
5 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...