The Last Testament of Crighton Smythe by Gavin Gardiner

The Last Testament of Crighton Smythe by Gavin Gardiner

Author:Gavin Gardiner [Gardiner, Gavin]
Language: eng
Format: epub
Publisher: Burton Mayers Books
Published: 2021-10-21T16:00:00+00:00


HADDEN OAK PSYCHIATRIC CENTER

PATIENT EVALUATION FORM 17(B)

COMPLETED BY:

Dr. Frida McLaughlin

REFERRAL:

Morcaster City Psychiatric Review Board

PATIENT DETAILS:

SurnameSmythe

First nameCrighton

Middle name/sMaupassant

Date of transfer12/09/72

DiagnosisN/A

NOTES:

The preceding text is a transcription of the handwritten testimony given by Crighton Maupassant Smythe (patient #429).

I (Dr. Frida McLaughlin) personally worked on Mr. Smythe’s case in Morcaster City, and requested my own transfer to Hadden Oak so I could follow his progress and attempt to contribute to his treatment and potential recovery. I am fully aware of the regulations surrounding patients being given writing implements of any kind, such as the one I gave to Mr. Smythe to write this testimony. Nevertheless, I had reason to believe that (if his lack of sight allowed him) the patient would open up when given the chance to once more put pen to paper. I am willing to accept the consequences of my actions. The preceding testimony makes up only a small part of Mr. Smythe’s psychiatric dossier, but I believe it will prove the most significant contributor to his eventual diagnosis, treatment, and care.

As highlighted elsewhere in these reports, ocular and auricular injury-related sensory deprivation goes some way in explaining Mr. Smythe’s unresponsiveness during detainment and questioning. However, I believe extreme trauma-induced stress paired with some kind of dissociative disorder may contribute even more, with the retriggering of his mother’s psychotic episodes via sepsis-associated encephalopathy (resulting in a particularly traumatic incident involving Mrs. Smythe, as described herein) no doubt playing a significant role in the escalation of his violent and homicidal – albeit incognizant – behavior.

Unsurprisingly, he was deemed unfit to stand trial. I see in Mr. Smythe a confused, deluded young man, whose family has a clear history of mental illness, and whose psychiatric impairment extends beyond our current understanding. I have spent countless hours personally assessing Mr. Smythe (and countless more deciphering and transcribing his sightless scrawls) and have found no warning signs of any residual desire to cause harm to himself. It is for these reasons, amongst others, I placed the pen and paper in Crighton’s hands. Due to my breach of regulations, I am aware this will probably be the last psychiatric report I write.

We may never know exactly how many died at the hands of Crighton Smythe (this written account at least tells us the figure exceeds those listed in the recovered ‘client notebook’, as he called it) but I believe the contents of this transcription goes far in explaining the patient’s motivations and state of mind throughout the period of his homicidal activities. The blackouts he describes contribute to my theory of a psychotic dissociative disorder we may never have seen, rendering the patient oblivious to his murderous actions. This testimony will help in establishing the make-up of such a disorder, as well as of Crighton Smythe himself.



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