SUMMERSVILLE COUNTY PSYCHIATRIC UNIT
CASE NOTES
CASE #: 022523-A
PATIENT: Leonard Arnold
DOB: 4/29/XXXX
STAFF: Edna Keener, D/Psy. D
REFERRED BY: Municipal Court/Hargrove
February 8
PRE-SESSION CLINICAL NOTES:
Patient is a 46-year-old Caucasian male ordered for treatment by Municipal Court Judge Cynthia L. Hargrove. On Jan. 22, Summersville County Sheriff's deputies discovered patient naked on Division Street with multiple torso lacerations and a feather-duster inserted into his rectum. Weather conditions were below freezing. Patient claimed a third party had dared him to streak downtown but refused to disclose who had made the dare or the origin of his injuries. Deputies placed patient under arrest and referred him for psychological evaluation. Judge Hargrove ordered outpatient treatment in the court's Second Chance initiative which forgoes criminal charges contingent on successful program completion.
Interview transcript follows:
DR. EDNA: Hello, Leonard. How are you today?
LEONARD: I-I'm okay. Um, how long do these things usually last?"
DR. EDNA: The sessions are an hour. Why?
LEONARD: I-I don't know. I don't mean to be rude; it's just that I've got a lot to do at home.
DR. EDNA: Well, why don't we forget about obligations for a while? Since we're here already, let's just relax and chat a bit.
LEONARD: Um, okay. H-how you doing, Doctor... uh...
DR. EDNA: You can call me Dr. Edna. And I'm just fine, Leonard. How are you feeling today?
LEONARD: F-fine, I guess.
DR. EDNA: Well, I'm glad to hear that. Tell me a little about yourself.
LEONARD: Um, I dunno. What's there to tell? I dunno if there's anything that complicated about me.
DR. EDNA: Why do you say that?
LEONARD: I dunno.
DR. EDNA: Okay. So, what sort of work do you do?
LEONARD: I work in an office. I'm finance director for a large refrigerator company.
DR. EDNA: What's work like?
LEONARD: It's okay, I guess. I make good money, and I've always had a knack for numbers so the job is actually kind of easy. I'm basically a glorified bookkeeper. I just keep my head down and try to stay busy at work. Nobody really talks to me. People walk right by me and I know they don't see me.
DR. EDNA: Well, that must feel terrible.
LEONARD: I dunno. Kinda.
DR. EDNA: How are things at home? Your file says you're married?
LEONARD: Er... um, yeah.
DR. EDNA: What's your wife's name?
LEONARD: Dawn. Dawn Jankowski. She, uh, she didn't take my last name. You know, back when we got married.
DR. EDNA: Well, that's pretty normal. Lots of women keep their maiden names after marriage. How did you feel about it?
LEONARD: About her not taking my last name?
DR. EDNA: Yes.
LEONARD: Um, I dunno.
DR. EDNA: Okay, Leonard. How would you describe your relationship?
LEONARD: With my wife?
DR. EDNA: Yes.
LEONARD: Well, um...it's kinda... well, it's a long story. It's really complicated.
DR. EDNA: We have lots of time. We're down for as many sessions as we need, Leonard. So, let's back up a bit. When you were getting married and Dawn said she didn't want to take your last name, what was that conversation like?
LEONARD: Uh, well, it wasn't really a conversation. She said she wanted to keep her name and that was that. I didn't really have a say. In that or anything else.
DR. EDNA: You didn't have a say? Why not?
LEONARD: Um, we... we don't have what you'd call a normal marriage.
DR. EDNA: Listen, Leonard, nobody has a normal marriage. Everyone's different.
LEONARD: Yeah, but I'm talking really, really... you know, not normal.
DR. EDNA: Okay. Tell me about it.
LEONARD: Ugh. Do I have to?
DR. EDNA: Well, I can't tell the judge that you've completed the court's requirements if you don't open up to me during these sessions.
LEONARD: And... um, if I don't, would I go to jail?
DR. EDNA: Quite possibly, yes. Judge Hargrove is pretty lenient with first-time offenders but she doesn't tolerate defendants who violate her terms. Everything you say to me will be confidential, Leonard, I promise. Unless you pose a threat to yourself or others I'm legally obligated to keep what we talk about in here a secret. I'm not here to judge you, I'm here to help you.
LEONARD: Okay. T-thank you.
DR. EDNA: You're welcome. So, tell me about Dawn. Is she older than you, younger than you?
LEONARD: Younger. She's 33. We got married when she was 22.
DR. EDNA: And you were how old at the time?
LEONARD: Um, 35.
DR. EDNA: And you say she always gets her way? Was it like that from the beginning?
LEONARD: Oh, yeah. She wants things how she wants them. I mean, there's a reason she is how she is. She kinda had a messed-up childhood. She was in a pretty bad situation when I met her.
DR. EDNA: How so?
LEONARD: She was still living with her mom in the trailer park. Her mom's a heroin addict.
DR. EDNA: Oh, well that is a bad situation. How did you meet?
LEONARD: She was a waitress in the restaurant I used to go to.
DR. EDNA: And you asked her out?
LEONARD: Um, well, no, not exactly.
DR. EDNA: No? What happened, then?
LEONARD: Well, her car had conked out and she was worried about how she was gonna get to and from work. I overheard her talking to another waitress about it, and I kind of butted into their conversation and offered to give her a ride every day. She said she thought that was creepy because she didn't know me enough to get in the car with me. So I offered to let her borrow my car.
DR. EDNA: What did she say?
LEONARD: She said, "hell, yeah." The other waitress called me a sap but I ignored it. She was always saying rude stuff to me. The other waitress, I mean, not Dawn, although Dawn would always laugh.
DR. EDNA: So Dawn borrowed your car? For how long?
LEONARD: Oh, she never gave it back. I ended up giving it to her. Well, actually, she just kind of kept it. Until I bought her a new one a few months later, anyway.
DR. EDNA: So, then, how did you get around?
LEONARD: Me? I... I took the bus for a while. Then, after a few months she got tired of my car and wanted a new one, so I bought it for her and started using my old one again.
DR. EDNA: Well, that was awfully nice of you. Was she appreciative?
LEONARD: I guess... in her own way. I mean, she never says "thank you" or anything like that. But I can tell when she's happy. And I think she was pretty happy when I gave her my car; and then really happy when I bought her the BMW.
DR. EDNA: Okay, then. So, tell me how you started dating.
LEONARD: See, that's the thing: we never really dated. Not the traditional way, anyway.
DR. EDNA: No? So... I don't understand. How did you date?
LEONARD: She would... well, she'd basically call me when she needed something, and I'd run and do it for her. Like filling up her car with gas, cleaning her place. She'd let me take her out sometimes at first to restaurants and movies she wanted to see, but it's not like we ever... you know, kissed or anything.
DR. EDNA: So, when did you first kiss her? After you were married?
LEONARD: Um... uh... we never.
DR. EDNA: You've never kissed your wife?
LEONARD: I told you: we don't have a normal relationship. She only let me take her out because I have a good job and could buy her stuff and take her to expensive places. She came right out and told me that. And then when my aunt died and left me some money, she said she wanted to get married. For security, she said, so she'd never end up in a trailer like her mom. So, it's not love. I mean, I love her -- more than anything in the world -- but she doesn't feel the same. Not about me, anyway. Dawn is in love with... with James. Not me.
DR. EDNA: James? Now, who is James?
LEONARD: Um, he's Dawn's boyfriend. He, uh, lives with us.
DR. EDNA: Oh?