The People Eater: Venezuela's Catastrophic Failure to Manage Extreme Violence and Mental IllnessThis comprehensive forensic psychiatric analysis examines José Dorángel Vargas Gómez, Venezuela's "El Comegente" (The People Eater), who murdered and cannibalized at least fourteen victims across three separate incidents spanning 1995 to 2016. Through twenty detailed chapters, the volume documents how treatment-resistant psychotic illness intersected with Venezuela's complete institutional collapse to produce a preventable tragedy repeated across decades. The analysis demonstrates that Vargas's premature psychiatric discharge in 1997, his subsequent serial killings in 1999, and his 2016 cannibalistic murders within prison itself all resulted from systematic failures in mental health care, forensic psychiatric infrastructure, and correctional security. Drawing on international comparative evidence, the work argues that individuals with severe psychotic disorders and extreme violence histories require continuous high-security psychiatric confinement that only functioning state institutions can provide. The volume presents a comprehensive reform framework including legal foundations, specialized facilities, evidence-based treatment protocols, and oversight mechanisms. Beyond documenting one catastrophic case, the analysis illuminates universal principles about state capacity, public safety, and the irreducible obligations societies bear toward both dangerous mentally ill offenders and their potential victims.