the imp and the alienist (a story)

She stood accused… of the most heinous crimes known to human kind.  She had been brought before the court to hear the charges against her.  The judge took one look at her state of being and ruled that she should see an alienist. Only the judge had called him a psychiatrist, probably to confuse her. Well it hadn’t worked. Her imp told her what was meant.

So she went meekly to the office of her foe.  As if she didn’t know.  The alienist would pay for this.

They made her stop at a lab and took some of her hair and some of her blood. And put  wires on her head.

Even though she was terrified, she cooperated.  The imp wanted to see the alienist.  To see if he would recognize the imp.

When she walked into the office, the alienist smiled calmly and waved to a seat.

She was asked if she knew why she was there.  The imp answered for her.  “This lady is here to meet you. We asked her to be docile”.

The doctor’s head rose.  He looked more closely at the woman in front of him.  “We?” The doctor noted on the file that this was his 10th claim of possession this week.

“You are said to be the best alienist of this area.  We wanted to meet you.”

“I see”,  the doctor smiled. “Well thank you for saying that. But I need to collect the history of the human to serve her needs. Would it be ok to speak with her  first?”

“Of course!”

And the imp sat back in her brain and let the humans talk.  For now…

They chatted about her childhood, and her time in the human institutions of the temple and the academic world. They talked about her human family. She was asked if a man had ever injured her.  If she had felt safe as a child.

The imp came forward and rudely asked if he was going to do something worthy of his reputation as the best in the area.

The doctor said, “Yes, I’m going to follow the designed protocol to the letter, so she has a decent shot of having a fair trial. Is that alright with you?”

The imp returned to his waiting position and let them talk. He would be patient.

The woman was asked to fill out some questionnaires, which took awhile. So the imp occupied himself searching the woman’s brain. She was trying to show health, but kept getting caught up in the tests. Every now and then, the questions repeated, but asked for the information a bit differently, so the assessor would know if she was lying.

Finally, the doctor stopped the interview with the woman. And asked the imp if he had anything he wanted to say or ask. Otherwise they could talk once the tests were back.

The imp deferred till the tests were done.  It seems this host had issues. And the imp now wanted to know what they were.

So did the doctor.

The woman thought she was the same as any other human. With at least one imp talking to her inside her head. Didn’t everyone have that?

The next time the imp saw the alienist, he was speaking from the witness seat at the courthouse. In the hearing room.

He quietly told the judge that the woman was not capable of helping herself. She required treatment for whatever was wrong with her. And further tests. The judge acquiesced.

The woman wasn’t fit to stand trial.

The imp had picked the wrong human to prove that supernatural evil existed. He would be punished for this by his superiors.

He stayed long enough to meet with the alienist again. Once more. The alienist asked what the imp wanted of him.  The imp asked if the alienist believed in evil.  He wanted to know if he would at least have the right doctor on his side when the time came. It might appease his superiors.

The doctor paused for a moment. He looked into the woman’s eyes and firmly said, “yes I do”. And the imp went happily back to hell to pick his next victim. The alienist would be primed and waiting now.

## . . . .  sources

[link 1][http://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(14)70283-4/abstract]

CDN  –

(a) understand the nature or object of the proceedings,(b) understand the possible consequences of the proceedings, or(c) communicate with counsel;
[link 2][http://criminalnotebook.ca/index.php/Fitness_to_Stand_Trial]

USA –
(1) have the sufficient present ability to consult with his or her lawyer with a reasonable degree of rational understanding; and (2) he or she must have a rational as well as a factual understanding of the proceeding against him or her.

[link 3][https://www.psychologytoday.com/blog/so-sue-me/201411/the-difference-between-competency-and-sanity]

Historically, competency was equated with psychosis; however, research has since provided evidence that the presence of psychosis itself is not sufficient for a defendant to be adjudicated incompetent (Zapf et al., 2014). CST evaluations assess basic cognitive processes in relation to the defendant’s present psycholegal abilities such as understanding relevant information, appreciating the situation and its consequences, the ability to use logical thinking and reasoning, being motivated to assist counsel, and the ability to effectively formulate as well as communicate decisions (Murrie & Zelle, 2015).

[link 4][https://online.csp.edu/blog/forensic-scholars-today/competency-to-stand-trial]

advancements –  [biomarkers][https://www.scientificamerican.com/article/is-there-a-better-way-to-diagnose-psychosis/]
[dopamine][https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2656683]
[PET and SPECT][https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3687204/]

assessments – intelligence (e.g., Wechsler Adult Intelligence Scales) and psychopathology (Minnesota Multiphasic Personality Inventory) are commonly used in competency evaluations (Pirelli, Gottdiener, & Zapf, 2011).

[link 5][https://online.csp.edu/blog/forensic-scholars-today/competency-to-stand-trial]
hair or nails –  chronic use/overuse of alcohol or certain drugs[link 6][https://www.lalpathlabs.com/blog/screening-tests-for-drug-abuse-dr-lal-pathlabs/]
[link 7][http://www.accu-metrics.com/hair-drug-testing.php?gclid=CjwKCAiA15vTBRAHEiwA7Snfc7GZGGPVpbVySXWUP5sAbA6eyqHYHGwlLJh21Mi9qrY_FYcCLoSGEBoCjI0QAvD_BwE]

GENERAL HEALTH / GENERAL WELLNESS BLOOD TESTS INCLUDE:

Complete blood count (RBC, CBC, differential, indices, platelets)

Blood chemistry (glucose, liver enzymes, kidney function, thyroid, electrolytes)

Urinalysis (Glucose, White cells, proteins, specific gravity)

[link 8][https://www.health-tests-direct.com/general-health-blood-test-panel/]
metabolic tests  –  CHEM 7 (for kidney and liver function)[link 9][http://www.brighthub.com/science/medical/articles/65427.aspx]

 

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