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Join My Cult - Original Falcon Press

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Moderate Difficulties in Interpersonal<br />

Relationships<br />

Axis V: GAF 58, moderate disturbances in social,<br />

vocational, and relationship functioning<br />

Case Study:<br />

[Prepared by Dr. Harold Fein, M.D., Ph.D., in consultation<br />

with Dr. Bernard Spitzer, M.D., Ph.D.]<br />

Agent 139 presents as a six foot, four inch<br />

Caucasian male, heavily tattooed, and in excellent<br />

physical condition. His affect is inappropriate to<br />

context or topic of conversation, ranging from flat<br />

to marked hilarity without apparent external<br />

reference.<br />

He suffers from a range of depersonalizing<br />

ideations and delusions of reference, persecution,<br />

and grandeur, as well as inexplicable somatic<br />

complaints which cannot be linked to physiological<br />

causes. Agent 139 also presents numerous features of<br />

Antisocial Personality Disorder (flagrant disregard<br />

for societal mores, manipulative behaviors, amoral<br />

conduct), though it is difficult to isolate this<br />

diagnosis as being independent from his<br />

Depersonalization or Schizotypal features.<br />

Individuals expecting prolonged contact with Agent<br />

139 should maintain heightened awareness at all<br />

times, as he is both dangerous and highly intelligent<br />

(Stanford-Binet 174 at last evaluation). One staff<br />

early in the course of his treatment began to exhibit<br />

symptoms of Shared Psychotic Disorder and had to be<br />

committed to a separate facility (see personnel<br />

records for Barb, J.F.S.)<br />

Agent 139 was admitted to this facility following<br />

involuntary committal. He was judged dangerous to<br />

self and others on the basis of his incitement of a<br />

riot in Devon, PA and in a conspiracy with Johny<br />

Smith and “Jesus”, also held in custody at this ward,<br />

which resulted in the destruction of a Lenny’s<br />

restaurant and numerous nearby businesses. While law<br />

enforcement officials wished to detain him<br />

indefinitely in order to further investigate his<br />

273

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