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The Case files of Massacre Asylum OOC

Miss_Vivi said:
What Nina said. :D

Also, for the newbies do you guys need/want a walk through on the DSM-IV or diagnosis? Also, if you're interested in using a multi-axis eval form, I can link those as well.

Let me know.
Click to expand...

Had a "doctor who meets the ICD-9 codes" kind of moment.
Do multi-axis people wobble? If you only have one axis can you still roll? And if you have three do you chase your tail or someone elses? And I know that someone with axis one can have axis two... but what if they're just moody for a time... wouldn't that be like holding a balloon?

-sighs-

I dont care... I'll just be over here playing acupuncturist to my balloon animal farm.
 
Nina327 said:
Had a "doctor who meets the ICD-9 codes" kind of moment.
Do multi-axis people wobble? If you only have one axis can you still roll? And if you have three do you chase your tail or someone elses? And I know that someone with axis one can have axis two... but what if they're just moody for a time... wouldn't that be like holding a balloon?

-sighs-

I dont care... I'll just be over here playing acupuncturist to my balloon animal farm.
Click to expand...

Are you sure you aren't a little?
 
Miss_Vivi said:
What Nina said. :D

Also, for the newbies do you guys need/want a walk through on the DSM-IV or diagnosis? Also, if you're interested in using a multi-axis eval form, I can link those as well.

Let me know.
Click to expand...

That would be handy actually. I seem to be ricocheting between having loads of ideas buzzing around me and then drawing complete blanks.

I really want to be able to do this thread justice.
 
I'll let you know when the walk through is up. Are there any specific questions that I can address, Seven?
 
Miss_Vivi said:
A few housekeeping things...

Nina, Vail, Luna and Angel- I assume you're keeping your old characters, yes? If you are then either post their Char Profiles here or I will. So that I can link them to yours.

New folks! Start thinking up and working on your characters! I won't launch the IC until I know everyone has at least 1 character to play!

Thanks all!
Click to expand...

Beauty~ I don't mind if you decide to link Celestine~ though to be honest~ I hadn't thought about playing her again. She didn't fit.

Much like I don't.

It was my thought that if (or when) I contributed, it would be a series of vignettes that has absolutely no bearing on the story line...much like my last one off piece.

But tis up to you precious.
 
Jessie Anderson


Name: Jessie Christen Anderson Age: 20 D.O.B: 6/14/1993

Height: 165.1 cm Weight: 50.8 kilograms Eye Color: Brown

Identifying Features: "Without darkness, there is no light" tattooed in black calligraphy on the right upper extremity, right lateral side between the elbow and the wrist. In between her shoulder blades is a tattoo of dancing light against a shadowed background. There are numerous small scars across the bilateral upper and lower extremities, as well as the abdomen. All of them are runic in nature, but they do not translate to any known language. They appear to have been self inflicted.

Current Diagnosis: Schizophreniform Disorder, with possible future diagnosis of schizophrenia.

Current Medications: Lithium and Olanzapine

Family History: Paternal grandfather diagnosed with schizophrenia, long term physical abuse from the mother.

Patient History: Patient was admitted to Massacre State Asylum on July 2nd, 2012, as part of the sentence handed down on her after she was convicted of the murder of her mother and the assault of another inmate at the holding facility that housed her during her trial (see attached file). Initial diagnosis made by the abnormal psychologist on the police task force, Dr. Lafeyette, was confirmed with first inpatient interview. Patient suffers from chronic hallucinations, which include visual, auditory, and tactile components. Patient complains that the shadows around her come alive, whisper things to her, and will kill her if she does not follow their instructions. Patient displays intense fear of the hallucinations, which sometimes leads her to acts of violence against herself and others. The patient harms herself commonly, but the murder of her mother and the assault on her cell mate demonstrate she will harm others when she is provoked.

Patient responds well to medication and therapy. When medicated, the patient displays a timid, shy, introverted personality type. She is polite and civil when approached, but lacks the confidence to seek out conversation on her own. Patient has displayed subtle signs of the prolonged abuse discovered during the investigation of her mother's death. She shies away from physical contact, winces and flinches at raised voices, and shuts down in moments of even mild conflict. Further exploration of this topic is recommended.

Patient actively avoids poorly lit areas. Patient develops severe anxiety in dark places. If placed in a room with both light and dark spaces, she will huddle in the light and display paranoid fear of the dark.

Special Notes: Patient's room and bed should be equipped with restraints at all times. No sharp objects or objects capable of inflicting injury are permitted in her room. Patient may use such objects only under direct supervision. Patient requires her room to be completely lit twenty-four hours a day. Patient is prone to self mutilation and unpredictable violence. Timely and regimented medication is mandatory.
 
Miss_Vivi said:
I'll let you know when the walk through is up. Are there any specific questions that I can address, Seven?
Click to expand...
Well I figured out what the DSM-IV is and found the axis you referred to, so I'm getting more of a feel for things now than just picking a diagnosis, so to speak. On further reflection and research I appear be having a breakthrough.

Must put everything together before my idea hamster has an asthma attack.

But thanks very much :rose:

To tell the truth I'm pretty starstruck. :eek: Keep getting half a bio together and then denouncing it as tripe.
 
Luna_Wolf72 said:
Beauty~ I don't mind if you decide to link Celestine~ though to be honest~ I hadn't thought about playing her again. She didn't fit.

Much like I don't.

It was my thought that if (or when) I contributed, it would be a series of vignettes that has absolutely no bearing on the story line...much like my last one off piece.

But tis up to you precious.
Click to expand...

It's my thought that this thread will absolutely showcase the writing of the individual women and their words, while giving us a place to play and be crazy. With that in mind, you fit before, you fit now, and you will always be part of this thread, whether or not your words every grace the hallowed halls of Massacre ever again.

But do write darling.
Your last piece was ever so wonderful.
 
How does this look?


Name: Caitlin McNally. Answers only to Callum Age: 18

Height: 5ft 4 Weight: 93lb Hair Colour: Light brown but dyed black Eye Colour: Blue

Identifying Features: Tattoo to abdomen and pierced left eyebrow. There are also self harming scars to the tops of her thighs. Hair is close cropped in a masculine style.

Diagnosis: Depersonalization Disorder, exacerbated by her dissociative and aggressive coping mechanisms.

Criminal Record: Escalating anti-social behaviour and drug abuse. Militant transgender activism culminating in rioting and looting at a marriage equality demonstration. The torture and murder of her father, Seamus McNally, perpetrated while her mother Siobhan was forced to watch. Arson of the family home.

Family/Patient History: Catilin and her identical twin sister, Cathleen, were systematically sexually, physically and emotionally abused from a young age by their devoutly Catholic father. Their mother did not believe Caitlin when she confided in her and only when Cathleen died at her father's hands during a sadistic sex game did Siobhan begin to realise what was happening. Cathleen's death was ruled a suicide and criminally insane Catilin has never come close to getting the inquest re-opened. Siobhan believed her daughter took her own life and then months later when she realised Caitlin had been telling the truth about her father, Siobhan still turned a blind eye, such was her abject fear of her alcoholic husband. Once she hit puberty, Caitlin fought her father tooth and nail every step of the way, whereas Cathleen had always been passive, religious and in denial about much of the abuse. This caused a rift between the sisters that never healed. For the last two years, Caitlin has declared herself a boy trapped in a girl's body. For the last 16months she has answered only to Callum, something that caused a huge stir in her Catholic girls' school and laid her open to bullying.

When threatened and/or provoked, Caitlin responds with extreme violence and displays virtually no remorse. Medical professionals are of the opinion that her transgenderism is not 'true' but merely an extreme coping mechanism. Caitlin goes to great lengths to look nothing like her late twin sister and avoids reflective surfaces wherever possible. Her personal hygiene and grooming are almost non-existent, in a further attempt to dissuade others from becoming interested in her sexually. She remains emotionally detached and avoidant, with very little trust in authority figures.

She has a history of self harm but this mostly pre-dated her transformation into 'Callum.' Now her aggression is viewed as self harm, since she has a tendency to pick fights with people of vastly superior strength and exhibits virtually no self-preservation. This is further evidenced by her self destructive lifestyle and the fact she made zero attempt to cover her tracks after slaughtering her father and torching the house.

Care Plan: Patient must have no reflective surfaces in her room and plastic cutlery is strongly advised. Patient is non-compliant with medication due to her lack of trust in authority figures. Requires regular forced injections of benzodiazepine and clonazepam, which calm and rationalise her to a degree but do nothing to curb her aggression when she perceives herself to be enadangered, threatened or provoked. May gain therapeutic benefit from transcranial magnetic stimulation.

She must not have access to sharp objects as she poses a danger to others and uniformed professionals in particular. Patient will neglect her diet and personal hygiene unless prompted, bargained with or compelled.

Since Depersonalization Disorder is highly subjective, close observation is necessary in order to assess the patient's mood and thought processes. Patient reacts aggressively to any obvious attempt at therapy but conversation should be encouraged in order to further comprehend and quantify her degree of depersonalization and derealization at any given time.
 
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Mine will be up tomorrow! Would've had it up tonight, but well, didn't. Sorry. :( Looks badass so far!
 
Okay Ladies!

IC goes up next week. Start working on collaboration if you're going/want to. I'll let every one know when it goes up, of course.

Awesome Char profiles from everyone so far, I'm really excited to be writing with y'all! And if you know of any amazing female writers send them our way!
 


I. Identifying Information

Patient Name: Emily Mae Burnham Age at admission: 22 Date of Birth: 7/27/1989 Date of Admission: 8/16/2011
Height: 166 cm. Weight: 52.6 kg. Hair Color: Brunette, dyed blonde. Eye Color: Brown.
Identifying Features: Scars on knuckles/hand/wrist of right hand; patient attacked former lover's partner through a window. Tattoo of the words "in my beginning is my end" - nape of patient's neck, black ink. Piercings removed: earlobes, nostril.
Current Diagnosis (Axis I): Post-traumatic stress disorder - abandonment of father, sexual assault (see police report). Bulimia nervosa – restriction and non-purging, excessive exercise.
Additional Diagnosis (Axis II): Borderline personality – impulsive type, displaying antisocial and histrionic tendencies. Some narcissistic behaviors.
Current Functional Assessment Score (DSM IV) – GAF: 8

IIA. Primary symptom described in “specific observable behavior” (Include: precipitating events leading to admittance)

(See additional paperwork for full case information: police report and trial information)

Patient admitted 8/16/2011 – evaluation and rehabilitation, achievement of mental competency as required by sentence. Patient convicted of sexual assault, aggravated assault, and false imprisonment of Jocelyn Maynard. Patient's former abuse and abandonment by father and dysfunctional relationship with mother are of note. Patient displays severe splitting of interpersonal relationships – relationships are volatile, intense, and short lived. In the Maynard case, victim was patient's former partner: patient was found to be unaware of the consequence of subsequent actions; patient experiences bouts of uncontrollable anger and anxiety, severe victimization/betrayal. Maynard is currently at a rehabilitation institution with ongoing physical consequences (body/facial scarring, sterility tests) – reconstructive surgery a failure. Patient has history of attachment and transference. Patient displays acute emotional instability, disassociation, and negligible emotional baseline at this time.

IIB. Other relevant clinical information:

Patient's nutritional intake must be monitored at all times. Will barter, hide, and hoard food. Patient seeks to maintain control over small aspects and thus controls weight. Must not be allowed to write letters of any kind. No contact is permitted. She is aware of Maynard's current location and will pursue any possible means of communication. Maintain minimal physical contact with patient. Exhibits seductive and promiscuous characteristics, previous involvement with officer. History of NSSI. No hard paper. No opiate medication. Patient displays flat affect when disassociative, patient models therapeutic behavior/mirrors.

IIC. Psychiatric medications:

Haloperidol – noncompliant with oral medication, current 5mg daily injection
Lithium – noncompliant, not advised at this time (patient displays paranoia of weight gain association), do not combine with haloperidol, 900 mg to 1.2 g per day in 2-4 divided doses. 24-32 mEq of lithium citrate solution, given in 2-4 divided doses daily
Olanzapine – 2.5 to 5 mg once daily, target dose 10mg

IID. Present/past alcohol abuse:

Alcohol – 10 years
Opiates – 4 years

IIE. Past psychiatric treatment:

Drug rehabilitation '07, '08
Involuntary evaluation May '03 (See complete medical history)
 
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Case Number: 10442
Admission: 1/22/2007

Patient Name: Alicia Thompson
DOB: 6/19/1980
SSN: 572-25-9987

Diagnosis: Chronic Reactive Dissociative Psychosis

Intake and notes.

Patient admitted by court order following June 2006 slaying of parents and two younger siblings, both girls. Physical evidence suggested a break-in and attempted burglary by two assailants as detailed in the court record. Patient was the sole survivor and while forensic evidence points to her in their death, it is unclear who killed parents and siblings. The same set of two knives was implicated in all the deceased’s wounds.

Treated at Albina Regional Psychiatric Center for Brief Psychotic Disorder related to trauma, patient exhibited violent PTSD symptoms resulting in numerous injuries to patients and staff including the death of one orderly. Subsequent court order remitted to patient to the care and supervision of Massacre State Asylum

Doctors Notes, abstract

Originally diagnosed with Brief Psychotic Disorder with accompanying PTSD and psychotic episodes, diagnosis later updated to Chronic Reactive Dissociative Psychosis. Original observations noted standard PTSD symptoms characterized by extreme violence and disruption of cognitive functions. Dissociative Psychosis seems to have developed in tandem with a decrease of PTSD symptoms and appears to be a coping mechanism, but over time, attending physicians observed that her make-believe world began to slowly replace her real one. Her last violent episode is still unexplained as all indications were that her violence had been becoming less frequent and less extreme.

Patient appears capable of reacting with appropriate situational awareness, but testing and observation suggest that her imaginary world acts an overlay to the real, with significant delusional interruptions as stressers are re-evaluated and translated into easier to handle imagery.

We have observed no less than four separate constructs all involving the same core personality- see case file details- Her most recent being that of herself as a young girl approximately eight years old in a Medieval aristocratic setting. Other observations have placed her in worlds inspired by children’s books, but her imaginings are more than simple repetition of symbolism, they appear to be unique to her particular psychosis and have been the focus of our psychoanalytical attempts to understand her coping process. We are at a loss to explain not only why it has been unresponsive to treatment and time, but also why it seems to be continually progressing - though the progress has slowed over the last two years.

Patient has recurring nightmares in which the imagery appears to be closer “reality” and involves a girl of an appropriate age and likeness to her physical self. She calls this the not-self and it appears to be a consistent antagonist. One other common imagery that seems to be hallucination rather than delusion is a cat who she calls, “Chester” It has been observed to be both a calming influence and a motivator for activity.

Current treatment involves the attached schedule of anti-psychotics and psychotherapy. This has proved relatively ineffective except in perhaps slowing her symptoms’ progression. Further therapy is being developed as we gain a better understanding of her inner mental constructs.
 
Awesome opener TS, simply incredible.

crawls into a quiet corner with my laptop and rocks silently, waiting for the headspace I'm going to need in order to write this thing
 
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