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.