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Ann Burgess has analyzed the minds of some of the worldās most infamous murderers, from Kansas serial killer Dennis Rader, known as BTK, to Ed Kemper, whose first crimes were killing his grandparents as a teen. For nearly six decades, sheās educated practitioners and students to understand crime victimsāand perpetratorsābeyond their violent circumstances.
Karen Pounds focuses on the therapeutic relationship between psychiatric patients, nurses, and interpreters, which she says āis the basis of healing and the work of psychiatric nursing.ā
Julie Dunne emphasizes the humanity in all workers, understanding that nobody is impervious to mental illness, including health care providers. She helps them take care of their own mental health through a combination of medication and mindfulness strategies.
These three faculty members at the Connell School of Nursing (CSON) share their expertise and their commitment to prioritizing the voiceless. They do this through their clinical practice and in the classroom, educating graduate nursing students pursuing the psychiatric/mental health (P/MH) specialty. Their dedication and experience are especially needed now as the faculty prepare the newest generation of students to face growing public health crises in the U.S., including increased suicide rates, a climbing number of deaths from excessive alcohol use, and a daunting shortage of mental health professionals.
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CONFRONTING THE TOUGHEST MENTAL HEALTH CASES
Professor Ann Burgess pioneered a deeply human approach to mental health by providing the context necessary to understand and make predictions about the behavior of violent offenders. She teaches popular courses in forensic mental health, forensic science, and victimologyāall grounded in her intense personal experience.
In the early 1970s, Burgess co-founded one of the first hospital-based crisis counseling programs in the world at Boston City Hospital with Boston College sociologist Lynda Lytle Holmstrom, interviewing 146 victims of sexual assault ranging in age from 3 to 73. Their resulting American Journal of Nursing article, āThe Rape Victim in the Emergency Ward,ā was a multidimensional portrait of these victims that outlined their emotions, from anxiety to humiliation to self-blame.
Based on Burgessā victimology work, the FBI asked her to consult on behavioral patterns among rapists and serial killers. Lawyers began to consider her a key part of their teams, too, bringing her into the fold as an expert witness on high-stakes cases. In 2016, she was named a Living Legend by the American Academy of Nursing.
Burgess described her most notorious cases inĢż (Hachette, 2021) with CSONās Steven Matthew Constantine. Another collaboration about appealed cases will debut in 2025.
In July 2024, Hulu introduced , a three-part series chronicling Burgessās FBI profiling. She still collaborates with law enforcement, weighing in on cases such as abuse in nursing homes and the recent assassination attempt on Donald Trump.
While Burgess untangles deep inhumanity, her instincts are profoundly humane: she wants to understand what makes people, even criminals, tick. Nobody is inherently evil, she says. Instead, many criminals experience trauma without proper intervention. A grudge develops; without what she calls a āneutralizationā of that grudge, anger can fester and explode into violence.
āThoughts drive behavior. If youāre looking at someone whoās committed a horrendous behavior, youāve got to get back inside the thoughtāwhat is prompting it, what is driving it? You have to deal with it, and try to neutralize it, so it doesnāt become a driving force within the individual,ā Burgess says.
āIf youāre looking at someone whoās committed a horrendous behavior, youāve got to get back inside the thoughtāwhat is prompting it, what is driving it? You have to deal with it, and try to neutralize it, so it doesnāt become a driving force within the individual.ā
āProfessor Ann Burgess
In the Menendez case, for instance, Burgess testified about the brothersā domineering, abusive father, JosĆ©. Eric had hoped to go to UC Berkeley, but his father wanted him closer to home, at UCLA. When Eric realized he wouldnāt be getting away to a dorm, Burgess says, he panicked: āThat was one of the turning points. He had a fear of his parents. I remember looking at this case and saying, āThis is not a case of money. They have all the money. Itās got to be the family.āā
Burgess also lends her forensic expertise to cases closer to home. Sheās enthusiastic about her work with CSONās new Center for Police Training in Crisis Intervention, directed by Assistant Professor Victor Petreca, which studies evidence-based approaches for improving first respondersā interactions with people experiencing behavioral health issues.
Participant in Collegiate Warrior program at Boston College
In addition, she oversees the Wounded Warriors in Transition course, open to all Boston College students. Again, Burgess wants students to understand people with complicated backgrounds. Veterans visit her classroom to share intense stories about deployment. For their term paper, students interview a veteran. To their surprise, they often end up talking with a family member who hadnāt previously been forthcoming about their experience.
āI say: āCheck your family first.ā They find people in their family who they didnāt even know had been in a war,ā Burgess says. āThe papers are amazing.ā
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FOSTERING COMPASSIONATE COMMUNICATION
āAnn has brought so much knowledge and nursing to people who have no voice,ā says Associate Professor of the Practice Karen Pounds. As a psychiatric clinical nurse specialist, Pounds says she often sees stigma in mental health care, especially among people who present with complex diagnoses, have a cultural reluctance to get help, or experience language barriers.
In the case of language barriers, the relationship between patient and provider becomes essential, she says. Pounds worked at the East Boston Neighborhood Health Center, where most of her patients required an interpreter; that relational science is also a focus of her research, writing, and speaking career.
āNow, we have a greater population of patients from different countries, and we need to consider that impact,ā she says.
Pounds often reminds her students that people are more than a diagnosis. āI help nurses get to the point where theyāre able to see comorbidities,ā she says. āSomebody can have anxiety and depression. There are people with schizophrenia who can have depression.ā
She says thatās why itās essential for nurses to see patients from a holistic perspective and to grasp their layered circumstances.
Pounds often sees stigma in mental health care, especially among people who present with complex diagnoses, have a cultural reluctance to get help, or experience language barriers.
āThe essence of psych nursing is the therapeutic nurse-patient relationship: How can we develop the next generation of psych NPs with that person-to-person contact?ā she says. āI came to work at Boston College because of that emphasis, and because of the values of the Jesuit education model: respecting the whole person. A lot of programs in this country focus primarily on psychopharmacology. At CSON, weāre saying to students: āThatās not all: you have to do psychotherapy.āā
CARING FOR THE WHOLE PERSON
Like Pounds and Burgess, Associate Professor of the Practice Julie Dunne believes in giving voice to the marginalizedāincluding burnt-out health care providers, who may avoid seeking mental health care for fear of retribution.
As recently as 2021, medical boards in 37 U.S. states and territories asked questions that could require a doctor seeking licensure to disclose mental health treatments or conditions. And in a 2017 paper, nearly 40 percent of physicians reported being reluctant to seek mental health care because it could jeopardize their chances of obtaining or renewing their medical licenses.
During the pandemic, many providers wrestled with stress, fear, and burnout. Now, about half of Dunneās private practice caseload comprises physicians, nurses, social workers, and nutritionists.
She has gained an appreciation for the challenges health care workers face while addressing their own mental health, and this has become a key part of her classroom teaching. āAll of the students we teach at ³Ō¹ĻĶų are going to become clinicians,ā she says. āIām excited when they ask: How do I prevent burnout and keep myself in this field? How can I make sure that I can still help people in one year, five years, and 10 years?ā
Dunne teaches courses on diversity in health care as well as CSONās graduate-level family and group psychotherapy courses. She also leads mindfulness-based cognitive therapy groups through the Harvard and Cambridge Health Alliance Center for Mindfulness & Compassion and through her own practice, .
āIām excited when [students] ask: How do I prevent burnout and keep myself in this field? How can I make sure that I can still help people in one year, five years, and 10 years?ā
āAssociate Professor of the Practice Julie Dunne
She praises CSONās emphasis on confronting social and racial injustice. Her students see psychiatric patients throughout Greater Boston, many of whom are treated in community health settings due to a lack of inpatient beds. She wants students to understand how demographics and intimate personal histories inform patientsā storiesāincluding those of providers. And she wants them to think about how nurses can contribute to policy change.
āStudents are able to see the disparities between various hospitals and funding, which invites conversation: āhereās how much funding goes to research around mental health as compared to physical health.ā There are many different reasons why that happens,ā says Dunne. āWe talk about stigma as one piece and how certain groups may be misdiagnosed or underdiagnosed.ā
She says she continues to appreciate Burgessā work amplifying the experience of marginalized, often misunderstood populations.
āHer work with forensic mental health has been huge. It embodies caring for people who may not be as seen, who may be more stigmatized,ā says Dunne. āSomething unique about Boston College is our emphasis on taking care of the whole person. Itās not just about fixing someoneās broken leg; itās about understanding them.āĢż