BRIAN ENTIN INVESTIGATES
BRIAN ENTIN INVESTIGATES
April 16, 2026

Could the surgeon suspect in Tepe murders use temporary insanity defense? Monique and Spencer Tepe

Quick Read

Criminologist Dr. Casey Jordan breaks down the brutal double murder of Mo'Nique and Spencer Tepe, exploring how suspect Michael McKe's 'God complex' and Ohio's 'substantial capacity' defense could shape his high-profile trial.
Suspect Michael McKe, a vascular surgeon, is accused of the brutal double murder of his ex-wife Mo'Nique and her husband Spencer, shooting them 16 times.
Criminologist Dr. Casey Jordan suggests McKe's 'God complex' and desire for control may lead him to pursue a full trial, despite damning evidence.
Ohio's 'substantial capacity' defense, a form of temporary insanity, could be a key legal strategy, arguing McKe lacked the mental capacity to understand the wrongfulness of his actions at the time.

Summary

This episode provides an update on the double murder of Mo'Nique and Spencer Tepe in Columbus, Ohio, allegedly committed by Mo'Nique's ex-husband, vascular surgeon Michael McKe. Host Brian Entin and criminologist Dr. Casey Jordan discuss the damning evidence against McKe, including surveillance video, vehicle tracking, and weapons links. They analyze the autopsy report revealing 16 gunshots, interpreting the 'overkill' as a sign of 'uncontrollable fury' and a desire to destroy Mo'Nique's beauty. Dr. Jordan posits that McKe's 'God complex' as a surgeon may fuel his decision to push for a trial, believing himself above the law. The core of the discussion revolves around a potential 'substantial capacity' defense in Ohio, a form of temporary insanity where the defendant, due to a mental disease or defect, lacked the capacity to understand the wrongfulness of his act, even if planned. The episode also touches on the ineffectiveness of restraining orders in some domestic violence cases and the irresponsible speculation by online 'armchair detectives'.
This analysis offers a rare glimpse into the complex psychological and legal strategies at play in high-profile murder cases, particularly those involving domestic violence and individuals with specific professional backgrounds like surgeons. It highlights the nuances of 'insanity' defenses, the motivations behind extreme violence, and the societal impact of public speculation versus careful police investigation.

Takeaways

  • Michael McKe, a vascular surgeon, is charged with the aggravated murder and burglary of his ex-wife Mo'Nique and her husband Spencer Tepe in Columbus, Ohio.
  • Evidence includes surveillance video of McKe's vehicle, a weapon link, and a history of alleged domestic abuse.
  • The victims were shot a combined 16 times, with Mo'Nique shot nine times, including in the face, indicating 'overkill' driven by 'uncontrollable fury' and a desire to destroy her beauty.
  • Dr. Casey Jordan suggests McKe's 'God complex' as a surgeon might compel him to push for a trial, believing he is above the law.
  • A potential defense strategy in Ohio is the 'substantial capacity test,' a form of temporary insanity where a mental disease or defect prevented the defendant from understanding the wrongfulness of their act.
  • McKe's alleged use of a silencer was pragmatic, aimed at minimizing detection rather than compassion for the children present.
  • McKe's scientific, compartmentalized brain allowed him to focus his 'beef' solely on the victims, not the children or dog.
  • The criminologist notes that restraining orders can sometimes exacerbate domestic violence situations, offering a false sense of security to victims while potentially enraging the abuser.
  • Online 'armchair detectives' are criticized for irresponsible speculation that harms innocent family members, highlighting the importance of police restraint in investigations.

Insights

1The 'Substantial Capacity' Defense in Ohio

Ohio law allows for a 'substantial capacity test' as a defense, distinct from a traditional insanity defense. This argues that due to a mental disease or defect, the defendant lacked the substantial capacity to appreciate the wrongfulness of their act at the time of the crime. This defense can apply even if the crime was planned, as the planning itself could be influenced by the mental defect. If successful, it could lead to a 'guilty but mentally ill' verdict, resulting in institutionalization until cured, followed by prison.

Dr. Casey Jordan details this Ohio-specific defense, contrasting it with stricter 'McNaughton rule' states and noting its rare success rate in trials.

2Overkill as a Manifestation of Fury and Destruction

The combined 16 gunshots, particularly nine shots to Mo'Nique including her face, signifies 'overkill' driven by 'uncontrollable fury' rather than mere dispatch. The shot to the face specifically suggests a desire to destroy her beauty, which the perpetrator may have resented as a factor in her moving on to another man.

Autopsy reports revealed Mo'Nique was shot nine times (face, cheek, torso, chest) and Spencer seven times (including head). Dr. Jordan interprets this as 'fury' and a desire to 'destroy them.'

3Surgeon's 'God Complex' and Compartmentalization in Homicide

Michael McKe's profession as a vascular surgeon may have fostered a 'God complex,' leading him to believe he has power over life and death and is above the law. This, combined with a scientific, compartmentalized brain, allowed him to view the murders as 'business' against those who 'wronged' him, without extending compassion to the children present, as they were not part of his 'conflict.' This emotional override of logic meant he 'didn't care' about getting caught.

Dr. Jordan states, 'Surgeons particularly have such power over a human being's life and death that it invariably can go to their heads. They develop... that God complex.' She adds, 'He can compartmentalize things. This is the conflict that I have. It is with these two people... he didn't care' about getting caught.

Bottom Line

Restraining orders and orders of protection, while psychologically impactful, can be ineffective or even dangerous for domestic violence victims. They are merely 'a piece of paper that cannot stop a bullet' and can sometimes 'exacerbate the situation' by enraging the abuser.

So What?

Victims should not rely solely on legal documents for protection. A direct, unofficial intervention from law enforcement (e.g., a police officer confronting the abuser) can sometimes be more psychologically effective for the perpetrator than a court order.

Impact

Develop more nuanced safety plans for domestic violence victims that go beyond legal documents, focusing on offender profiling and tailored interventions, potentially integrating direct, authoritative warnings from law enforcement alongside legal measures.

Key Concepts

God Complex

A psychological phenomenon, particularly observed in surgeons, where individuals develop an inflated sense of self-importance and power over life and death, potentially leading to a belief they are above societal rules or laws.

Powder Keg Theory of Grudges

Describes how accumulated resentment and grudges, like gunpowder being tamped down, can be ignited by the slightest trigger (e.g., a clerical error or social media post), leading to an explosive, disproportionate reaction.

Notable Moments

The widespread and irresponsible behavior of online 'armchair detectives' who speculate wildly and blame innocent family members in high-profile cases.

This trend causes significant emotional distress and reputational damage to grieving families, highlighting a societal problem of premature judgment and the need for greater public restraint and respect for ongoing investigations.

Quotes

"

"You don't need to shoot any human being that many times. It's almost like, and I don't want to sexualize it, but we do see that it's almost like a sexual climax when they're pulling that trigger. They can't stop because it's an enormous tension release from all of the tension building that has led up to that moment."

Dr. Casey Jordan
"

"He knows the jig is up and he is satisfied. He knew what he was doing when he did it... He got what he wanted, which was that he dispatched his ex-wife and the husband who the new husband who took her away. And he's okay to just kind of ride the waves and see where this goes because he had a goal and he got it."

Dr. Casey Jordan
"

"The fault really lies with the online cyber detectives, you know, the armchair detectives... I'm going to say the most outrageous thing because then if I turn out to be correct... I will get all the credit for saying it was the brother-in-law or for saying it was Annie's husband or for saying it was the frat brothers."

Dr. Casey Jordan

Q&A

Recent Questions

Related Episodes