Of course responsibility is very important. There used to be a professional therapist who worked exclusively with adolescents who had murdered a parent. She never advocated for them to be absolved if the murder but worked within the criminal justice system. If and when able and allowed she would take them to the parent’s grave site. She understood the seeds of trauma but also comprehended hate and severe aggression is intolerable in a functioning society. And we all have to acknowledge there is a very wide spectrum on how humans have distinct temperaments and how each of us copes with trauma. I just get upset with the nomenclature used to avoid responsibility of the powers that be who avoid responsibility with the use of the phrase “mentally ill”.