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July 6, 1990

Dr. Charles Unsworth & Associates, Professor.

Berkeley School of Psychiatry

14003 Santa Monica Boulevard, Beverly Hills, California90210

Summary of Treatment

Patient: John Doe

9:00 a.m. –

Patient John Doe, Caucasian male, unknown age, (35-50 yrs) came in to my office today for critical evaluation therapy. Patient was carrying a large tote bag of clothing. Patient Doe believes someone is watching him. Patient Doe says he has been followed here today. I asked Patient Doe why he feels he is being followed. He responds… “Through his eyes, I’d often see, the man, in the mirror. I follow him, because he follows me.”

Patient Doe is dressed as a Catholic priest. Patient refuses to remove his hat and sunglasses and does not want to be identified. Patient Doe drove three hours to personally seek out Dr. Unsworth. This appointment was made two weeks prior. The Patient was adamant about only seeing Dr. Unsworth. Patient Doe also wishes financial anonymity and pays in cash. Patient Doe is devastated over a recent rejection and the voluntary abortion by his spiritual wife. Patient Doe claims spiritual wife is an angel and is illegally married to another man without the approval of God. Patient denies history of legal psychotropic medicines, prescriptions, or psychiatric commitments. Patient would like to discuss alternative impulse-resistance therapy and alternative coping mechanisms. Patient also denies violent or suicidal tendencies. He pronounces a firm belief in the healing power of God but believes God has rejected him. Patient refuses to talk about his family and upbringing. Patient said only that he had a loving mother and father. Patient Doe works professionally with community members and offers professional advice. Patient complains of delusional hallucinations and reoccurring day and nighttime nightmares. Delusions have increased in severity during the last several years. Patient Doe is emotionally hurt but denies volatility.

I am unable to properly medicate due to lack of required legal information from Patient or medical history for dispensing. Patient admits to prior medication several years ago, obtained from a physician in Mexico. Denies recent use but will pursue medication in Mexico if necessary. Patient Doe believes his spiritual wife whispers to him in his dreams, that she will have his child on earth, and they will all be together in Heaven.

10:05 a.m. –

Patient excuses himself to go into bathroom.

Predetermination: Schizophrenic Delusional Disorder.

Nonviolent with concern of escalation.

10:10 a.m. –

Patient returns and is dressed in a brown police uniform but has no patches. Patient is very rigid in his speech and talks and acts like a police officer. Patient Doe ask me for my driver’s license, registration, and proof of my existence.

Patient Doe is not armed. Says he has an aversion to firearms, but that he feels he would enjoy hunting animals that are not faithful to their own kind. Patient groups some people as animals. Patient Doe begins to plead for help and asks for medication. Medication may be prescribed at next visit, if Patient Doe submits to lab tests. Patient Doe believes he is currently in one of his nightmares.

10:25 a.m. –

Patient Doe excuses himself and goes into the bathroom.

Determination: Patient Episodic Psychosis Disorder.

Concern of violence to self and others.

10:37 a.m. –

Patient Doe returns and lies on the couch. Says his name is Mona. Patient Doe is dressed like a woman and claims to be of African American Descent. Patient Doe says,

“All sluts must die.” Patient Doe says Mona has taken a boat ride out to sea and has jumped into deep water. Patient Doe says he will kill himself to be with her in paradise.

10:45 a.m. –

Patient Doe excuses himself and goes back into the bathroom.

Determination: Schizophrenic Delusional Disorder / Episodic Psychosis Disorder.

Concern of violence to self and others.

Emergency petition: In consideration for the health and safety of Patient Doe and the public at large, I will be ordering a commitment for an involuntary mental evaluation of Patient Doe. I will also notify police and attempt to establish domicile.

10:50 a.m. –

Patient Doe returns and is dressed in an orange jumpsuit. Patient Doe places a book on my desk, which I wrote in 1963. It is about Jonathan Florentino. Patient Doe tells me he never gave me permission to write this book.

Patient Doe lays down on the couch with his arms relaxed in comfort behind his head. Patient Doe is calm and silent. Patient Doe becomes very sarcastic and witty. Patient Doe says he will live forever. Patient Doe is very intelligent and calculating. Patient Doe asks me…

“Do you remember me?”

I inform Patient Doe, “Yes… Jonathan I do.”

Professional Medical Diagnosis:

Previous medical determinations are negative. Patient Jonathan Doe has no psychiatric or psychotic deviation. He is normal. He is an instinctual killer. He is the Flesh and Blood of his Father. Patient Doe is his own son. Patient Jonathan Doe will now kill me…

The man in prison orange stood up from the couch. He walked over to the door and locked it. He also closed the blinds. He knew he was the last appointment. Then he walked over to the old man. He raised the long knife up higher and higher, until it arched behind his shoulder. Then with one stroke, the blade flashed and found home, severing the old man through the cranium.