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Yeah, the problem is I'm already a huge dude...
Everytime it's happened to me, is burned into my memory. Slow motion replay, exactly what happened, and what could have happened if I wasn't trying to slam on the figurative brakes as hard as possible.
But I got PTSD on top of panic attacks.
I talked to a German military psychiatrist about it due to a very weird string of instances, and apparently it's relatively common over there. He described it as being "bear bait", and an evolutionary adaptation to how big of a problem bears were back in the day. But his English wasn't great, and my German is pretty shit, I'm sure there's a super long German name for it.
But if a whole tribe is backed into a cave, at least one idiot needs to go "fight" the bear and buy everyone else time to run. That's not just aggression, it involves turning off all self preservation and empathy, the only thing in your mind has to be "fuck that bear" and if any rational part of your brain was still online, you'd know you don't stand a chance against a bear. In modern society "the bear" is anything that can't be dealt with by any other means, when out of options the propeciption system steps up.
But the absolute worst part about it, is how everyone expects someone who's had their fight or flight reflex "triggered" to either curl up in a ball or run away. That's not the only options and people don't realize they're playing with their own lives. I'd bet the reason this guy went to a college campus, was he didn't want his targets to have a gun. And that should absolutely come up at trial.
I'm not sure I buy that explanation, but it's more plausible than a lot of evolutionary explanations for behavior that I've heard.