Hyatt Analysis Services 824 Main St. Old Town, ME 04468 Phone: (207) 951-5694 E-Mail: PHyatt1962@gmail.com Web: www.hyattanalysis.com 30 September 2017 Client: John Captain III Submission: Transcript of Tiffnay Jenks w Subject (Therapist) from Mr. Captain. Context: Four Days prior to death Analysis Question: Does Therapist show guilty knowledge of homicide? File: tDoctor.wav Duration: 38:16 TIFFANY 00:00 I just have these few questions for you……. How much do I owe you….. 200 dollars 250….. Ill give you whatever you want..... There’s nobody that I know that knows about this, so I want to know….. just like you did last night….. because I can’t move on. Clearly…. And it’s like killing me. The guy sent me a message today he wants me to come back over there, you know? Cause he’s gonna … you know….. if I go over there then I’ll… then I wouldn’t… and I hadn’t drink today and it’s like… It’s not like I drink today it’s just like I’m up all night and like I had a beer or two today and then like I’m all fucked up…. cause I drank all last night. Like…. quite frankly I’d like to really like to take a week and just decompress but uhm the fact of the matter is I made some commitments….. And I follow through, uhm. But that’s okay. But like uhm… But the, the, the, the, the, the point of the matter is that there’s still some fundamental issues that I need some clarification on, that I don’t feel like you’re sharing those things with me. Tiffany states she has a few questions of which she is concerned, first, about payment to the therapist. This is what is first in her priority. She may not feel comfortable continuing without resolution of any bill due. This is something that would have been communicated to her either from the therapist, or from a prior therapist. It can impact the language. One that feels the time is purchased will feel justified in using it for herself. Please note: she does not ask any questions after the issue of money. Note that her broken sentences, including halting on the pronoun “I” indicate anxiety. One should consider this as not likely impacted by alcohol but should explore for prescription medication/substance abuse. Note that in this statement she uses the phrase, “you know”, which shows an awareness of the therapist’s presence at this moment. The topic of “the guy” is what produces this awareness. She has raised the question of money and is aware of his presence. Does she sense he is not listening? Next, note that she refers to “the” guy; a specific guy that she would have had to previously address with the therapist in order for him to have recognition. Note her use of the noun “guy”, rather than “man” or “person” can indicate sexual interest. She refers to commitments which preclude time to “decompress” further indicating that she is under pressure. This is confirmed by her language. Tiffany shows a strong intellect in her language. This highlights how the broken and lengthy sentences indicates high level emotion and anxiety. With “guy” we now explore to learn the subject’s linguistic disposition towards him. She then brings an allegation against the doctor: withholding information. She wrote But the, the, the, the, the, the point of the matter is that there’s still some fundamental issues that I need some clarification on, that I don’t feel like you’re sharing those things with me. The halting on the article, “the” shows increase in anxiety regarding making this allegation. Unlike the halting or even stuttering on the pronoun “I”, this repetition of the article “the” points to a specific topic: him not “sharing those things” with her. This is to accuse him, of whom she recognizes that she must pay money to. This may help us understand why she brought up payment before the issues. She reports needing clarity and has or is going to pay what is owed, but she “feels” he is not “sharing those things” with her. It is interesting to note that this topic causes anxiety yet she psychologically distances herself with “those” things (rather than “these things.”) We continue to see the impact of possible substances (both legal and illegal drugs) upon the subject’s language; indicating an acute impact upon her thinking. Also note that she reports what she does not feel: “I don’t feel like you’re sharing…” raises the level of importance for her. This is a topic that is sensitive as seen in the halting, but by reporting it in the negative (“don’t feel”), it is elevated even more so. This is something that is bothering her. In context, she may have felt that she was “owed” the clarification because she pays for his expertise. This may also give some insight into her personality; expectation of fair treatment. After giving only one question (about money owed) and making this assertion, she now asks a question: TIFFANY 01:28 How do some people know this shit? This topic is psychologically closer to her. It is likely that the therapist knows what topic it is, though it is not explained here. It follows money and accusation of not sharing information. DOCTOR 01:37 So... TIFFANY 01:39 I mean I… DOCTOR 01:40 you were born with your own math ability right? It was always a gift for you, right? TIFFANY 01:46 Mhm, yeah DOCTOR 01:47 So, This may be the pattern he uses with her; allowing her to talk while only commenting or asking short and/or rhetorical questions. The subject (therapist or “Doctor”) identifies it as her “own math ability.” Keep in mind the accusation: she accuses him of not sharing information and his response is muted. TIFFANY 01:48 yeah big time, I’m not naïve. I mean, I cant… She told him that she was “not naïve.” This statement in the negative should be considered in context of the increase of awareness of his presence (“you know”). She does not want the doctor to consider her as naïve; which is very likely related to her accusation of withholding information. It is important to note that “sharing” is a word that indicates her perspective as equals. Tiffany may have had some insecurities about herself as an acceptable professional. This is a weakness or vulnerability that she does not want to be used against her by the doctor, such as withholding information as if for her own good. This perspective should be considered in light of both her intelligence and her need for counsel.. DOCTOR 01:52 that’s a gift, right? TIFFANY 01:53 this is different. This is totally different. Its segway DOCTOR 01:56 No, how is it different?…. Everybody has different gifts. Some people can ride horses some people can do math some people can you know, hear what people say….s, in their mind Tiffany may consider this the slight insult of “naïve” above. She wants recognition from him and he is “not sharing” (as equals) but may be, in Tiffany’s perspective, minimizing. How she is viewed by him is so important to her that she goes back to childhood preparation. She will not have her “gift” marginalized by him:. TIFFANY 02:14 its different…... It’s different….. One time in a, uhh and I never told him uhm like that ahh you know….. even that we had Cabin on lake Tahoe but like… my mom’s favorite song for my dad, my dad use to sing it to me…… was Billy Joel’s like umm that one where he talks about ?? And then one night, in the middle of the night, he started to sing that to me….. Like he knows shit….. He umm, im talking about, we’re talking about somebody who is smarter maybe than us….. No but…. maybe but he’s trying but the thing is, here’s his purpose: he’s trying to bring me to a greater level and to become like a great person, which is he uhm…this is why I fell in love… you were uhh you were… At this point, she may have made an accusation but he interrupted her. Highly skilled therapists rarely do such, generally only as an error or a rare occasion warranting deliberate action. This act is not lost on her.. She does not say “listen” but “listen to me” with the emphasis upon herself. This affirms the wording from above, including “sharing.” DOCTOR 03:17 how can ahh TIFFANY 03:18 no, no , so listen to me for a second …one time we were going to a baby doctor and what ever….. we were talking about the world. We were uhh. This one is special. He’s a pervert, Yeah, fine, sure you gotta have some sort of fault. I don’t care about pervert. Like uhm this one like I care about the mind. And uhm and and and that’s why and you know I don’t want to be in a relationship with him. But uhm… the mind is spectacular. More so than anything that I ever met. And I have met the smartest and the smartest and uhm… Tiffany separates “the pervert” from “the mind”, affirming “this one is special”, which indicates an ongoing psychological close connection. “He’s a pervert, yeah fine, sure you gotta have some sort of fault” is strong minimization, followed by justification of her level of commitment to him. Tiffany uses compartmental thinking to separate, not two attributes, but as if two separate people. This form of disassociation is often found in those who were sexually abused in childhood and are actively abusing substances in response. DOCTOR 03:59 as you said last night, a smart robot is still a robot TIFFANY 04:01 nobody wants to help people. What did I say? “The smartest robot is still a robot”... No but he’s not a robot She will not allow for a competing opinion. This is a very strong defensive posture; often one so strong that the subject may even go on the offensive to protect. DOCTOR 04:08 well, but you said you’ve met very smart people TIFFANY 04:01 the smartest people DOCTOR 04:17 but I’m saying if they’re robots they’re just smart (OVERLAPPING AUDIO) For the flow of information and to the assistance of the patient, the doctor should not be interrupting or over-talking. TIFFANY 04:20. Remember when I read you that email… and I said like he’s gonna marry me a he told me that Im the only one that’s gonna marry him? She asks a question. She does not ask “do you remember the email…?” but she asks do you remember when “I read you that email…” This is further confirmation that she feels he is not listening and that she suspects a slight condescending attitude towards her. Please keep in mind that she began this what owing a bill. Tiffany expects professionalism from him and is giving linguistic signals to the contrary of her expectations. DOCTOR 4:28 yes…which is not true Here he gives her a rebuttal rather than allowing her to explain. The transcript may have an error here as this next sentence appears to be Tiffany speaking: You know I read that over and over… I’ve read that to him. He respond to that…. He doesn’t respond to a lot because he thinks people are bullshit…. He doesn't take time, he’ll be like cunt, bitch, fuck, its like he doesn't respond The thing is there’s a higher level of people and I just want you to know that you have to trust me. If this is Tiffany’s language, it shows a level of hostility (slight passive/aggressive) within her perception of this professional relationship. “He”, within this short portion of the statement, is elevated above others, including some “very smart people” in the verbalized perception of reality from the speaker. He interrupts her again (if the speaker is Tiffany) DOCTOR 04:58 tiffany, I met a lot of people that operate on all different levels, TIFFANY 05:03 I mean I can’t be with this one. He’s fucking completely defunk but he’s part of it….. Uhm you know, I don’t want to be with him. I wouldn’t be sitting here like oh my God, I’m trying to be with somebody. I don’t want to be with him at all. But he uhh... He uhhh… he showed me he did showed me something that Brandon kinda led the path to but then I over step that and out grew that and then umm, im tellin you 1. Strong conflict. She “can’t” be is not, “I will not be” but indicates a form of resistance or obstacle. She can’t be with “this” one, which psychologically brings him close to her. 2. The conflict continues: “I don’t want to be with him” is to express a desire. This conflict is very strong to her. 3. “I don’t want to be with him at all” uses unnecessary emphasis. 4. Note the self rebuttal in this conflict: “he showed me” is to indicate that he gave to her something that is above all else, in her mind. “Showing” is much stronger than “sharing” and the opinion of the intellect is critical to her. TIFFANY 05:43 what I’m saying is true, but I mean I’m talking love on a fucking toxic level… But he’s not trying to hurt anybody he’s just annoyed so he’s hurting people. TIFFANY 05:59 It’s not my job you’re right. It’s not my job to help him but like I mean this sounds like really like uhm...but it’s crazy DOCTOR 06:06 lets talk about addiction. Right? Not that you are addicted but like what is addiction?. Addiction is Here the doctor may have felt the need of intervention (the rare times when an interruption is indicated). He uses the word “addiction” four times in 17 words, (++++) and in the negative (not that you are addicted”) raising its importance further (+++++) to a “fifth” usage: more than 20% of the words. This is to reveal that the relationship, in the doctor’s view point, is an addiction to her. His negative assertion indicates why Tiffany perceived condescension on his part. Even as he may attempt to retract his words, her intellect is able to discern that this is exactly how the Doctor is classifying the relationship: an addiction. This is to indicate that there is something within Tiffany that seeks out that which is “toxic” to her, also likely related to childhood. Remember: this is the doctor’s verbalized perception. It is not reality; but his verbalized perception of reality. TIFFANY 06:16 fuck addiction. Lets talk about like what we can do with the world Tiffany indicates an awareness that the doctor is accurate. She then introduces the “tangent” to divert attention away from the main issue and away from self. This is often a tool of self destruction and/or self loathing. DOCTOR 06:19 you gotta be sober before you can do that This is the professional rebuttal and indicates his belief that her thinking is impacted, particularly regarding self destruction, by substance abuse. This is his job: to assist her and this is where he intellectually informs her, even while attempting to downplay it (see the negative above) so as to not push her too far nor too quickly into the defensive posture. In this sense, this is his diagnosis and where he allows her to separate two issues for examination: substance abuse and decision making. The reaction to him speaking plainly is interesting. Here we see the conflict between a brain impacted by substance abuse and a strong intellect: TIFFANY 06:21 Dude it doesn't even matter if im sober or not. I’ve run a river drunk. I run 31 dams and a nuclear power plant not even drunk, but like dumb like if I were drunk now, I mean I’d be running a hell of a system. You know, so like… me being…. Im talking about don’t let addiction get in the way of…. But addiction does play a huge role Her defensive posture is strong. Note she calls him “Dude” here, which is not respectful. This is a subtle example of one going from defensive to offensive. This is indicative of an acute substance abuse problem. She offers her judgement on alcohol fueled decisions. Note “I run 31 dams and a nuclear power plant” and “system” employed. In spite of a strong intellect, she is incapable, at this time, of seeing how substance abuse impacts decision making process by isolating logical or “trained” decision making away from emotionally driven decisions (relationships, love, etc ) Her acquiescence of “But addiction does play a huge role” is still a form of both compartmentalizing and minimizing. DOCTOR 06:44 it clouds your judgment He remains in the role of doctor and is not on an issue of which he will not back down from: she must be sober for decision making in life; not just logical or repetitive work situations where training reduces risk and emotions are subordinated to logic. In this, she may excel, but not in emotional decision making. TIFFANY 06:55 thank God! I need it! DOCTOR 06:48 you need your judgment clouded? TIFFANY 06:52 you know that it is so fucking right there in the face like shoot myself in the fucking goddamn head I swear to god. I mean I wouldn’t, but like are you fucking kidding me?... like Suicidal ideation is articulated. This is affirmation of the impact of substance abuse upon the fragility of her mental health. Because she had a strong intellect and an ability to separate areas of life into safer “compartments”, she has been able to subdue the suicidal ideation, but as she continues and as she gets older (lessened hormonal strength), suicide will strengthen. It is important to note what topics introduce “swearing” and what topics do not. This next is a mistake on the Doctor’s part because it is to specifically lose information by hindering her: DOCTOR 07:04 so, I don’t like, swearing so, I’ll tell you that… TIFFANY 07:07 I’m sorry… sorry DOCTOR 07:04 I don’t like people being late so im just … there’s rules if you want to talk to me He introduces what he does not like immediately after she introduced suicidal ideation. This is not only unprofessional but unethical. We now may understand why Tiffany attempted to put the Doctor on some form of equal status with herself (“sharing”) above. Tiffany revealed, in this interview, a strong need to be respected by him. It is appropriate and ethical for him to address being on time but what produced it here? It is produced here after she swears. Note that this was not the first time she swore. Note that this part of the discussion she called him “Dude.” It very well may be that this produced an insecure need on his part. This may also be that he is intimidated by her strong intellect. That he introduced it after “Dude” and her verbalization of suicidal ideation indicates a very poor session where he places his own emotional need above the patient. If he is seeking to, somehow, raise her above any form of emotional manipulation, he has not employed a skillful tactic and may have actually provoked deeper self pity and emotional manipulation: TIFFANY 07:16 and I failed at everything…. This may have been a cry for help and her articulation of “shooting” should not have been ignored but explored. “I’m sorry” , however, may further affirm a defeatist attitude associated with hopelessness and suicide. DOCTOR 07:18 so far, but you know we’re still working on it…. You’re a work in progress How intuitive and intellectual is Tiffany? She goes to the Doctor’s need for respect: TIFFANY 07:25 I’m sorry … but I promise that I will pay you know like She has just cursed and called him “Dude” and is “sorry”; immediately rectifying it with the issue of money. Tiffany Jenks reads him as one in need of respect, even in a mercenary manner. DOCTOR 07:28 well you’re gonna pay for today cause you can’t book the time and not pay, but, uhm, so… You know, what you have with this guy is, it’s like, taking acid for the first time or taking something that changes the way you view your reality The Doctor catches himself as unprofessional and attempts to return to therapy. It is not expected that he would employ “acid” in this statement, as if he is personally acquainted with the initial taking of this substance. He does not say “its like the first time you took acid”., as if to reference a prior session. This is concerning. It comes after the doctor ignores her suicidal language and rebukes her in the midst of her pain. Her response is telling: she went right to money. Recall how this session began. Where a statement or session begins, after usual exchange of pleasantries, is often a priority for the subject. This began with money. There exists a sense of hostility between doctor and patient. The doctor has not shown skillfulness in therapy. TIFFANY 07:54 yeah. Every word he say’s is different Tiffany is very willing to leave off the offensive. She has read him, rather than therapy reading her. It appears that the Doctor was intimidated by her. Tiffany acknowledges how to pacify him by first apologizing for cursing and then reintroducing the topic of money. Rather than say, “we will clear up your bill later, Tiffany, you mentioned shooting…” he affirms in a scolding like manner, the payment of the bill. The use of “we” would indicate a unity between doctor and patient, as they work through the addictive personality traits he has identified. Instead, “you will pay” is likely sensed by her as “callous” and indifferent. It should not be missed: Tiffany is the patient. Tiffany did the work of “reunification” between doctor and patient; not doctor. DOCTOR 07:56 and so, the thing is, you’re attached to it…. but let me tell you this person – he’s not even worth thinking about. This is to affirm his own opinion rather than to help facilitate clarity of mind for Tiffany. Tiffany has just expressed inability to do anything right, after a defense of being able to run a nuclear plant while intoxicated. The Doctor has not addressed this pressing issues but was, instead, taken off track by personal insult. 1. The Doctor changed “this guy” into “this person”; gender neutral. This removes the gender and is a change of language. The change of language reveals that, to the Doctor, there is a change of reality. To Tiffany, he is “guy”, not “person.” The Doctor is not listening. 2. Everyone has a personal, internal subjective dictionary. The highly skilled therapist will decode it. Instead, we have projection from the Doctor. 3. The Doctor has insulted Tiffany. Where he should be acknowledging how this “guy” dominates Tiffany’s thought life to help her unwind and analyze it, he uses dismissiveness. This is inherently insulting and someone of Tiffany’s intellect is going to recognize it as such. 4. He is paternal, rather than therapeutic. This follows her insult of him with “Dude.” This does not indicate a strong professional interaction. TIFFANY 08:13 how do you know that? Because this person can save the world. We now know why Tiffany said, “listen to me” and “the emails I read to you…” Tiffany’s intuition regarding the doctor is strong and thus far, accurate. He tells her “this person is not even worth thinking about” while her language reveals that “this guy” (not “person”, gender neutral) dominates her thoughts. Tiffany uses parroting language, entering into his perception of the “guy” with the gender-neutral “person.” She is listening better than the professional. He then attempts to continue to neutralize and marginalize her thinking: DOCTOR 08:20 Everybody can save the world. TIFFANY 08:22 Is the world worth saving? This should be understood in context of her suicidal ideation. This is the language of hopelessness. Even as a tangent, she is asking a question about herself; not the world. The Doctor either misses this or he has deliberately ignored it.. This is specific indication of why Tiffany understood the need for her to tell him, “listen to me.”. DOCTOR 08:24 philosophical That’s not even really worth. It not even worth. It’s a The Doctor continues to dismiss not the topic, but Tiffany. She corrects him by showing that his is not about the world, but about his patient: TIFFANY 08:28 Why do I care? DOCTOR 08:30 that’s not worth talking about He is linguistically encouraging her hopelessness. The dramatic change has come since she called him “Dude.”. His need for respect is, here, taking priority over the desperation of his patient.. TIFFANY 08:30 Why, why do I care then? The competitive nature of the relationship is not missed by Tiffany. Tiffany, herself, is guiding the conversation back to therapy where he has dismissed it as unworthy of thought. The “thoughts” are Tiffany’s; he has communicated to a desperate person that she is unworthy. Regardless of intent, this is what Tiffany’s words reveal. DOCTOR 08:37 Why do you care about the world or why do you care about him? TIFFANY 08:38 No, I care about him. He keeps consuming my whole life. I mean I don’t talk to him like this I mean if I ever talk to him I tell him to like fuck yourself. You know? Tiffany has now separated how she talks to him and how she talks to the Doctor. This is something a therapist would normally do. A skilled therapist might have made a difference for Tiffany. DOCTOR 08:49 so think about a people that are so? So think about beta and omega personalities that are so addicted to something like, coke or meth right? What do they do? or heroin? They’re totally craving all the time The Doctor appears to have recovered the theme of addiction and seeks to show Tiffany the addictive nature of the relationship. This is to immediately run into the resistance of those acutely abusing substances. This may be part of his frustration with her that causes some therapists to recognize the need for referral. TIFFANY 09:04 its not about the drugs. take drugs out of picture. DOCTOR 09:09 I know, but listen to the metaphor. Tiffany Ok ? (editing issue here) Doctor: They’re all like, wacked out on their substance of choice, right? When they don’t have it they cracked out, and when they do have it they’re high, and in blissful state. You’re cracked down on this guy. It’s not love It is difficult to know which author said this. If it is the doctor, note “guy” is now used in context of “love.” If this is so, is there any possibility of jealousy on the part of the Doctor? This is not known and is asked as a question for exploration. If this is Tiffany speaking, please disregard. TIFFANY 09:31 no, cause he doesn’t really know who I am. Otherwise he wouldn’t make the assumptions that he makes. It is interesting that Tiffany says he doesn’t “really” know who she is. This “guy” is far more important to Tiffany than the Doctor is. Tiffany reveals a desire to be “known” by both, yet the “guy” holds her interest in a consuming manner. DOCTOR 09:39 it’s like you have all these things that you’ve attached to him DOCTOR 09:44 not really, it’s a process… you know. it’s a feeling DOCTOR 10:00 if you wanna be greater UNCLEAR AUDIO (sounds like recorder moving in pocket)… change your behavior TIFFANY 10:16 you need to hear this DOCTOR 10:22 And……you know…. TIFFANY 10:25 well what kind of behavior should I have? Do I fancy a fucking like with accent Tiffany behavior? What do I do? What’s that mean? Like should I wear my hair different or wear fucking Hence the backlash of lecturing Tiffany rather than using therapy to bring her to clarity. DOCTOR 10:44 it doesn’t have to do with the exterior. It matters??… TIFFANY 10:49 Well I’m not like you man, meditation like you can’t meditate, when you can’t meditate. Or maybe you have to change people you’re around. We now know that this is not the Doctor’s first “lecturing” of Tiffany. He has done this in the past and advises rather than offers therapy. This should also be understood now in light of Tiffany’s priority about addressing money early on. It is very likely that Tiffany understood that she was paying money to have her words analyzed, rather than be told to do yoga or something like yoga. DOCTOR 11:02 you can’t meditate? Do yoga, if you cant do yoga do tai chi if you can’t do Tai Chi go join some martial arts. Get yourself to a place where you’re doing something regularly TIFFANY 11:18 I know that’s what I need to do…. That’s what I need to do Further insight into Tiffany’s personality as one wanting to please, placate or satisfy. This is critical and it appears missed or ignored by the frustrated Doctor. DOCTOR 11:25 a place stable. a place to live where you’re not transient TIFFANY 11:28 seriously, DOCTOR 11:30 I mean, cause, you know Tiffany I haven’t been on Facebook for months now but the behavior that I was seeing for a while coming out of your Facebook page im going to Thailand, “I’m doing this. I’m doing that.” That’s are all great things when you’re grounded and you’re centered but you know, can you help me move from bend. Im Couch surfing and so and so’s couch y’know? Question: What does he tell her before he addresses what she posted on Facebook? Answer: what he, himself, has not been doing. K One should carefully consider the limitations of this therapist with this patient and his priority. He is unwilling or unable to move past himself. TIFFANY 11:54 And I’m 35 DOCTOR 11:56 well it doesn’t even matter whether you’re 35 or not it’s like, all that transient behavior makes it easy to fall into traps of use of substances and other kind of transient behaviors. You know? DOCTOR 12:18 Not being protected, not being in a space that you’re comfortable in, and so that you know, you drink to have a get yourself in a protected TIFFANY 12:27 well as you know, a normal human being there, what should you recommend? to get just a place for a month or two in Portland? This reference to a “normal human being” is a key phrase warranting address. This is a very strong indicator that Tiffany believes this doctor does not see her as “normal” or that he may have even told her as much. This helps explain why she may have even gone back to him. She may have felt the need to “win him over” to a positive view of her. He indicates a low level contempt for her, especially seen in his dismissive wording after the disrespectful “Dude” was used.. This is not someone who is helping her but is halting between helping her and his own issues. DOCTOR 12:38 for a month or two. I suggest that you get some kind of job that you will enjoy. He is not afraid to tell her what to do, as seen in the previous statement about meditation, yoga, etc.. TIFFANY 12:44 no, no, im not gonna work? DOCTOR 12:48 because if you have… if you don’t work or you don’t have some consistency within your life.. TIFFANY 12:53 all I want is some space so I can write. I still haven’t been able to breathe since I left working. All I wanted was to breathe. Please take careful note of her words here. There are two things that are necessary to consider: 1. Writing 2. Breathing She mentions the need to “breathe” regarding “space.”. Breathing is essential for life. One cannot live without breath. In context, she used words regarding suicide. This is the linguistic indication that should she not process trauma, she may not live. To “write” is to force the brain to process information (the purpose of therapy) to alleviate that which left impact (trauma via increased hormonal response, such as child abuse) which is leading to self medicating (substance abuse). Those who take to journaling often mitigate suffering by forcing the brain to process that which has left its mark. Tiffany recognizes this need: the need of what this Doctor should have been doing rather than being the “all knowing dispenser of knowledge” that Tiffany both senses and resents. In this competitive “back and forth” he is, in a sense, creating the need for his services, even while increasing her frustration. DOCTOR 13:00 so go down to brientenbush and ask if you can live there and participate. This is not what Tiffany is asking for. She indicates the need for survival and processing while he dishes out advice that is neither practical nor wanted: TIFFANY 13:06 ill kill a hippie DOCTOR 13:09 all that I’m saying is that you need something… It is not his job to dispense advice. His job is to help her find the root cause of her issues so that she can identify them and take appropriate steps to alleviate or mitigate the negative consequences of such. Instead, he is insecure, challenged, and he is dismissive of her need for intervention. She does not like his paternal (insulting) tone and reveals this in her defensive posture that continues the theme of “I am not naïve” in her answer. Note the following is not only defensive, but she recognizes the inherent insults in his disposition towards her: TIFFANY 13:12 I know how it work. Trust me. I know all that entails, and I’m not trying to be like this or that. I’m really trying to look like, like, I’ve explored it more than you know, and that’s why you’re like, “whoa check your ego” but the thing is you know and that’s why I kept trying to explain myself. So that you didn’t have to ask or say the same thing twice. She rebuts him. She rebukes him. She recognizes his position. DOCTOR 13:40 if you don’t have some consistency. If you don’t have some sacred space to be in…. you’re going to. okay lets just talk about writer’s in general like Hemingway. Hemingway was a drunk and an addict. And he eventually committed suicide. Sure, he wrote some great stories. But because he didn’t have any consistency, and he could do whatever he wanted, he tended to drink. After ignoring her suicidal ideation, he introduces the topic of suicide regarding a writer. He explains away why Hemmingway committed suicide. This is not something acceptable to an intelligent person. This is where Tiffany discerns his lack of skill and his lack of respect for her. TIFFANY 14:11 how did he kill himself? Tiffany already had a firearm aimed towards herself in her language. If this does not communicate to the Doctor that which she is communicating, it leads the reader/analyst to questions as to either competency or indifference regarding the Doctor.. DOCTOR 14:12 shotgun in the face TIFFANY 14:15 isn’t that how all guys kill themselves? TIFFANY 14:18 so, you know, it’s like if you want to… to… TIFFANY 14:37 influence DOCTOR 14:37 first you gotta straighten your shi-stuff out. In order to straighten your stuff out you need consistency and ritual. His self correction over swearing is noted.. Even something this minor will not be lost on someone as intelligent as Tiffany. She senses it and she affirms for herself: TIFFANY I know To bring you back to the place of center. TIFFANY (whispering) Thank You. (DOCTOR?) And for most people that’s a job. If it’s not a job for you go donate your time and be somewhere regularly. But, have a schedule TIFFANY 15:00 I don’t even know how to do that. DOCTOR 15:02 huh? TIFFANY 15:03 I cant. I can’t even figure out how to... I don’t even know when the morning is The disorientation is verbalized. This is consistent with the suicidal ideation that she introduced and affirmed. DOCTOR 15:17 So you wanna do impossible things right? Impossible things. Things that are greater than the world, right? Things that like to heal the world or what have you…. right? To be able to do impossible things, you need to start doing things. Period. If you think you’re a channel of great ideas and the spirit is talking to you or what have you, then you know you just wasting spirit’s time if you just jotting down ideas not saying that writing is a not important Pedantic insult: passive aggressive. This is not missed by her: TIFFANY (sarcastically) Alright…. This likely reflects the voice inflection heard by the transcriber. If accurate (sarcasm) it is consistent with the analysis. DOCTOR but like you know it takes action. You gotta act on it. Can’t just think about it. Otherwise, what happens when the spirit moves on? And, other thing feels like fills its place? TIFFANY 16:12 yeah TIFFANY 16:17 But it’s so convoluted and I mean im not gonna sit here and discuss it all. But it makes you want to shoot yourself in the head. That which is repeated is noted in Statement Analysis as sensitive or important to the subject. When this arose before, it led to him telling her she has to pay her bill. DOCTOR 16:31 Only I guess if you’re you. TIFFANY 16:34 I mean not really. I’m not really gonna go from the session and shoot myself in the head. But im saying hypothetically and theoretically and like everything and like if you know it makes you take a look at that picture, it would make a normal person wanna shoot and in me I wouldn’t say I’m normal, okay fine, shoot yourself in the motherfucking head. Risk Assessment: This reduces the immediate risk of suicide while keeping the topic of suicide going. The topic of suicide is very important to her (via repetition) and she has not been able to get the Doctor to engage. The verbal commitment reduces the likeliness of her shooting herself in the immediate time frame (24 hours) in Threat Assessment. This, however, cannot anticipate something that triggers suicide. The number one trigger for suicide is humiliation. This means that if someone is wrestling with suicidal ideation and experiences an unexpected event that contains the element of humiliation, the risk becomes immediate and acute. That she mentions it again and that she mentions “normal” (red flag) again increase the knowledge that this is something very much on her mind. Another increase or “trigger” to suicide is also related. While seeking substances to self medicate, the one who has articulated her suicidal ideation is likely to take increased risks. These risks are separate from the element of “humiliation” and can produce an “unintended-intended suicide” where one is not overtly attempting suicide but is “flirting with suicide.” This “flirtation” with suicide is often seen in reckless behavior including: *Meeting the wrong people to purchase drugs *being deliberately reckless in dosaging. This recklessness is often exasperated by alcohol (drinking before determining what dosage of drug to take). It can also seen in reckless promiscuous sexual activity where risk to one’s own health is increased including: Lack of protection from sexually transmitted diseases Risk of rape Risk of sexual assault This is where one puts oneself in an overall dangerous situation to attempt to “commit suicide without really committing suicide.” It is where we see those with suicidal ideation die, fulfilling their wish, without doing it directly. DOCTOR 17:00 – TIFFANY 17:01 why? cause everything’s fucked! This is a direct statement of hopelessness on her part. She has continued this theme but is given a reaction that indicates the doctor feels more personally insulted because she does not follow his advice, rather than in addressing the theme. DOCTOR 17:05 That’s your. You’re wearing ruby lenses. He does not offer assistance but continues his lecture. She does not allow him to remain in error. Who is giving therapy to whom? TIFFANY 17:09 no. that’s not ruby lenses. I wish they were.. (John’s words se is speaking here) It’s like when you already you know video lottery is like when small business gone in America … you know we’re gone and um. If these are John’s words entering Tiffany’s language, why would the Doctor tell her he is not worth even thinking about?? DOCTOR 17:24 Your cup’s have half empty Tiffany? TIFFANY 17:27 oh its not my cup. Baby Her resentment of him is evident here and throughout. DOCTOR 17:30 Your perspective on the life is half empty. This does not help her unwind her thinking to make it clear. This is what he does. TIFFANY 17:34 We can always change our perspective, and I can be okay at all times. I know that I don’t wanna kill myself. I would never hurt myself. God, I got cut my finger and that was an accident. And it really hurt, but I wasn’t trying to hurt myself. But, uhm… no, I’m gonna fight this one out. You know like, But, seriously like it’s really fucking hard to watch. Cause, it’s like, really? Why do I even put effort into this? Why am I trying to do this? Like I hope so, there’s something more. Tiffany has revealed, over and over, the notion of inadvertent suicide: one who is asking for help to stop her from self destruction and “suicide by recklessness.” Although this is only one session, there is no indication of skill nor commitment to helping stop the self destructive path via the means of skillful therapy.. DOCTOR 18:15 Don’t get caught up in the future. She has expressed hopelessness.. This means looking into the future for some kind of hope.. It is the most natural form of therapy: hope for the future by healing the past. This is almost like affirming her hopelessness. She is smarter than he is and recognizes it: TIFFANY 18:20 Why not? DOCTOR 18:21 Cause the future is not here. What’s right here right now is the present. And if, you can’t live in the present how are you ever gonna be that thing doing the future? You know? It’s not like there’s so many people that believe in the end of the world y’know? Or believe in a mass extinction etc. etc. Ignorant philosophizing from an insecure mercenary does not help. He is more concerned about her respecting him and paying her bill and showing up for appointments than he is in helping her stop the downward spiral of slow suicide. TIFFANY 18:55 I don’t believe in that. It’s not my belief. It’s not my thought. DOCTOR 19:06 The world’s gonna come to an end. Right? Is this something to say to one who has expressed suicidal ideation repeatedly? Although errant therapists can claim anything to be “for shock value” or some “new form of therapy”, this is to speak words of pessimism to someone deeply pessimistic and self medicating. Although it may not be criminal, it is to further the patient’s hopelessness. TIFFANY 19:07 yeah you know Herbert Hoover in 1941 he said, he saves… 1939 he saves some eight million people from starvation, and he’s the one who figured out. How to just get shit from one place to another. He helped Europe out - he saved Europeans from starvation. He just figure it out like what road to take what forest service road to take it was European forest service and uhm that’s what made him the best president of United States - he saved 8 million people from starvation cause he cared…you know? Who the fuck at that point cared? I mean half the people probably thought the world was still flat. DOCTOR 20:12 so, you have a mantra that keeps going through your head that comes out a little bit differently but you keep repeating similar stuff, that people don’t care and that people are you know like that the worlds gonna go to hell and people are gonna die and its like all this darkness Tiffany. TIFFANY 20:40 It is. Its very fucking dark. Its fucking so dark. The hopelessness is why she self medicates. Rather than offer help, he piles it even more oppressively upon her. DOCTOR 20:44 and you’re totally all wrapped up in it TIFFANY 20:49 Yeah I should be DOCTOR 20:50 Why? TIFFANY 20:51 because I care DOCTOR 20:54 caring… you are totally projecting, you’re projecting that this is going to happen. Not even… The one topic this Doctor should have stayed away from besides death was projection. His own insecurities and need to be respected are projected through his words upon her. She is too smart to miss it: TIFFANY 21:06 You can project things when you see what I do… because I do good math and I run simulations, and I you know I managed the river.. but that’s a one short math game which I know in 24 hours the water that goes to Grand Cooley Dam is gonna go through Bonneville Dam. You know, and that’s just one way of small analogy to say that you can apply those things to different parts of life. And I’m not some stupid girl. I’m somebody that you should listen to. And, I’m not trying to make a change ‘cause I don’t know what the fuck to do either. Note the need for the patient to be relevant in the eyes of the Doctor. Note the combination of this need with hopelessness. She likely returned to him to “win his approval” and he would not allow it. She recognizes not only his insult, but his need to insult her. DOCTOR 21:44 I am not calling you stupid. I am just saying that TIFFANY 21:45 But I’m just saying that like. You’re right and thank you. But, uhm why? Because it is fucking devastating. And it is hard to watch and it does hurt to watch it. Watch it, you’re gonna watch it with me. DOCTOR 22:09 of course I am The attempt to create unity is weak, as with “of course” meaning to accept without question. It is too late and too weak and she is too smart for it. TIFFANY 22:12 I mean its not like gonna be like all the TV shows and the vampires and the whatever and the…maybe it is you know? She continues her theme of death. He returns to therapy “101” as a safe topic: DOCTOR 22:22 TIFFANY 22:27 So Tiffany, do you think, why do you think you’re here? Why do you think you’re in the planet? to help other people. Exactly here is where he could have asked “Do you believe you should help the guy/person who dominates your thoughts?” followed with “why” and “how” which would allow her to examine her own thought patterns, motives and emotions. Instead, his own philosophy creeps into his language: DOCTOR 22:34 So, if the Creator or God put you here, whatever you wanna call him, don’t you think that he did it with a reason? This is insulting and she knows it. TIFFANY 22:46 DOCTOR 22:48 TIFFANY 22:54 (weakly) Yeah, and don’t you think he guess you’re probably strong enough to deal with it? big time TIFFANY 22:57 they know that I should be teaching this class, and I should be telling people DOCTOR 23:01 No, but because nobody… She knows his pedantic insulting and disrespectful posture towards her and it keeps her coming back: TIFFANY 23:06 But nobody ever listens to me. I just have to wrap my brain around somebody else’s head. I mean its not like, I’m like some like I mean I they could… Seriously, it’s not like I’m some girl who goes to work for Taco Bell and then comes over then needs a therapy lesson. I mean, I am … I am…anything I wanna do I can do what I do and like it’s not like I’m looking for a job. I’m like looking for a purpose but I know I’m not gonna go, and pop out babies either because I know that that’s not it, and it’s not like I’m going crazy either because I know how to chill out and meditate. DOCTOR 23:48 So, Tiffany, before you started using cocaine, TIFFANY 23:53 No… DOCTOR 23:54 back when you use to see me as a patient TIFFANY 23:56 I only used cocaine for that one year and I never touched it again until about I’m seriously like 2 months ago. DOCTOR 24:03 But your conversation was relatively rational, right? You weren’t in this depressed state. TIFFANY 24:08 I was a robot. And the day I figured out, I started writing about a year and a half ago… two years ago - Right after my dad died, you know, I started writing and the day I figured out I was a robot, I fucking killed my- I tried to kill myself. It’s like 20 Trazodone and uh I wanted to die cause I was like, Fuck! This is shit! Excuse my language. I know you don’t cuss. Cause I wanted to die, cause I couldn’t believe it. And then, I was in the lunnybin for like a week. And then, I wasn’t supposed to be normal again. It was all weird fucking wacked out…excuse my language again. But, uhm… and , I’m not gonna be like, I’m not supposed to be here…I’m here and I don’t care if there is a reason or not. I’m here, and I’m not gonna kill myself. Tiffany associates writing (processing) with life and death. This is strong insight. DOCTOR 25:13 You need to get it together Did he not hear the words she used?? TIFFANY 25:16 Oh Jesus Christ what it takes to kill a Jenks? I can’t even kill myself. I was trying. I really was like, “Fuck this shit.” Because, seriously, I didn’t realize when I met you the first time, I didn’t realize I was a robot. I didn’t realize that’s how the world operated. I listened to everything that we said last night, when I recorded it and I heard it differently too. I’m liked that. She has a pressing, acute need to talk this through. He ignores her specific words and makes generalized unhelpful and even discouraging statements. Did he not hear her call herself a “girl” after “my dad” where she is 35 years old?? DOCTOR 25:26 You need to get it together. TIFFANY 26:01 What do I need to do? I need to get a nice dress and get nice pair of heels ? DOCTOR 26:05 it’s not an external get it together - you’re all shattered on the inside. TIFFANY 26:12 because… it’s not about me. Here we have a series of statements indicating that this is not therapy but it is a continuation of competition of needs: Her need to overcome suicide and self destruction versus his need to be respected by her. All of which she is paying for, with more than just money: time and defensiveness as a terrible waste of her energy. DOCTOR 26:25 No one person can… carry the weight of the world on their shoulders. You’d be you’d be insane to try. TIFFANY 26:36 But that’s a stupid thing to say because you don’t know what I’m seeing? DOCTOR 26:43 The only way you can help anybody is by getting your shit together inside of you. Hence his feigning of “insult” about “swearing” further revealing his own needs above hers. TIFFANY 26:48 Yeah he said that but he also said to me that you find them when you’re not looking and its really dumb. Tell me something else. Tell me something that’s real. DOCTOR 27:04 And, you know, you not, you cannot … look outside for any of this. None of this on the exterior. TIFFANY 27:17 I know, I know that part DOCTOR 27:20 You can’t look for it in anybody else you gotta find it in you. TIFFANY 27:24 DOCTOR 27:37 I just need to know how to filter it. You need to purify yourself. You need to get rid of all your demons you’re packing around TIFFANY 27:41 Why the fuck should I have to check on these demons my whole life? DOCTOR 27:47 huh? TIFFANY 27:48 I mean, like ‘em. They’re my friends. DOCTOR 27:50 I know, that’s part of the problem TIFFANY 27:55 I like them. DOCTOR 27:58 You like dark things. You always have. TIFFANY 28:00 I mean but I’m really fucking golden. And I’m really… golden. I mean I know I’m not the best person in the room, but I’m the best person in the room. DOCTOR 28:26 Well, if you are golden then shine. And choose to. TIFFANY 28:33 I already did that? And it’s not about showing it. DOCTOR 28:37 it’s not about showing it… it’s about shining inwardly TIFFANY 28:40 Sometimes you have to go to hell to help everybody else that’s fallen. DOCTOR 28:46 I disagree TIFFANY 28:48 Have you been there? DOCTOR 28:51 I dealt with demons in people, and it’s not pretty. He asserts his own experience rather than offer help to Tiffany. TIFFANY 29:06 I don’t believe in that bullshit. Do you really believe in that? DOCTOR 29: 15 You need to start believing. TIFFANY 29:18 Belief is a mechanism in your head. It’s not a factual. It doesn’t work. Belief is the only thing that keeps us going yeah? If I started believing…. oh my god, I’d believe in everything. Everything. Why not? I’d be stupid not to, right? DOCTOR 29:47 that’s what I said last night and I said you were stupid too. You cannot walk around with a cup just as a sheet of paper blank ready to have everything written on it. TIFFANY 30:04 But you cant walk around somebody else’s rules…that’s just not how it’s done. And I’m not trying to be something different but something’s wrong – the math is wrong. There’s something wrong and it’s real easy and I know that it’s a real easy to fix almost like a fucking band aid on a tire. But I can’t put my finger in it. It’s not me I’m talking about, right? Something’s wrong. Nobody talks about it. DOCTOR 30:54 Well I said I would give you 20 minutes and I gave you 35…so… I think we settled up and talk a little bit more but. You can’t… DOCTOR 31:13 I don’t, I don’t know how to help you anymore Tiffany besides that you need to not… fall into addictive behavior. You need to be stronger because what that means to me is being strong enough TIFFANY 31:37 I wanna kill myself and that’s a good way to do it. You know I’m not really trying to kill myself but like, fuck I really like its nice to check out. Its too all encompassing, I mean you have no idea of what I’ve seen and it’s not like I’ve seen like all hardships or whatever I mean I can feel brains I can do like whatever I can like that I can loose my dad and I can lose my best friend whatever I’m fine. But like its all that stuff… it’s true with that there’s a woman that says uhm…that we’re scared of what we can do y’know? What is his response to “I want to kill myself?” Will he address it? Will he, at this point (“anymore”) introduce referral to another professional? We are not make to wait very long for his response: DOCTOR 32:22 Do you wanna text? Or receipt? TIFFANY 32:33 No. I’ll get it down here. TIFFANY 32:27 That we’re scared of what we can do DOCTOR 32:37 Why? TIFFANY 32:38 That we are powerful beyond measure, you know? DOCTOR 32:42 I know all that. TIFFANY 32:36 Cause nobody here will really believe that. And I’m starting to realize that. That sounds really fucked. Maybe I’m just a stupid drunk? I’d like to be that. I seriously would can fuckin knock me in the head. TIFFANY 33:20 I gave you 200 dollars – knock me in the fucking head. DOCTOR 33:25 can you what? TIFFANY 33:28 I’ll give you 200 dollars – knock me in the head. I’m just kidding. This is very close to a co-dependent relationship.. That which Tiffany attributes to “kidding” is articulated perfectly.. She goes to him to help continue her theme of self punishment and he obliges.. DOCTOR 33:37 There’s nobody who can fix you but you. TIFFANY 33:40 I know…. How often will he lecture her into her answering that she “knows” before he allows her the dignity of intelligence? DOCTOR And TIFFANY I hate that. DOCTOR you can’t like you have to choose to be different TIFFANY I know.. DOCTOR as long as this whatever voice is muttering stuff inn you and the mantra is going on and on and on your head TIFFANY 34:04 Do you see a pattern? DOCTOR 34:06 Yeah TIFFANY 34:07 What’s the mantra? DOCTOR 34:10 Darkness. you see darkness? TIFFANY 34:26 yeah. DOCTOR 34:17 It’s like the little boy whatever movie “I see dead people.” You know, Bruce Willis movie. Its like that, you see, you see darkness and you keep muttering darkness and you need to change what you see. TIFFANY 34:30 I can’t its too late. DOCTOR 34:34 Well…then. Then what are you doing here? He has already shown why she is there.. She is there because he withholds from her the very thing she seeks:. Recognition.. TIFFANY 34:40 That’s exactly why I’m fucking talking to you DOCTOR 34:45 And I’m telling you, it’s never too late. TIFFANY 34:50 That’s the thing. I can’t fucking put a rosy ass On everything. DOCTOR 34:57 If you want to be led down that path of darkness you will create it for yourself TIFFANY 35:05 I should actually lead it. DOCTOR 35:07 You will create it for yourself. More energy this is. This is math. The more energy you put towards something the more you create it. TIFFANY 35:17 I should lead it, because at least I know which direction it’s going. And I know there’s not enough power to make it ….I mean there’s… DOCTOR 35:32 You should not lead the darkness. You should change direction if that’s what you think is happening., You need to start making decisions that change that for you. You affect others. If you can affect others TIFFANY I know Tiffany had an acute need of acceptance by him, including a recognition by him that she understands in life. His reluctance to do so likely had a negative impact upon her. In Statement Analysis, we note the words “I’m sorry” in an open statement for whatever reason. We note their repetition as well. They are often associated with guilt. When they are repeated, they are important but when they are found in context with repeated suicidal ideation, we must elevate them even more. Here, Tiffany is expressing sorrow to one of whom no such sorrow is socially due (outside her bill/appointments, etc). This sorrow should have been, in the very least, addressed by him. It indicates not only suicide, but self loathing and/or self destructive tendencies. This includes putting oneself in the wrong place at the wrong time. DOCTOR you can affect many things TIFFANY I would never do that. DOCTOR but if you …. Like most people… TIFFANY 36:00 Sometimes you can take like uhm I’m sorry…you can take sometimes you cant take something…. Let’s say you have a ball of good energy, if you will, if you come at it with enough force no matter it is – if it’s positive and negative. Then, you hit it with the right amount of force you can eliminate It’s the..but you have to have both of those forces to eliminate it. Uhm..it’s really important thing to think of. And I don’t think of this very often. But it’s something that I know. And it’s not gonna happen in my lifetime sadly, I’m gonna be old when it happens. I don’t know if I will have that much force. But I’ll fuckin settle for darkness trying just to make sure. And I don’t want to have to. I’ll just try to get married and have kids hopefully they have kids….they’re good people. And who cares? We’re only going to be a fucking fossil. It’s not like we’re like trilobytes. From the Tertiary Period. Please don’t leave at me for about three seconds. It is about her wanting to be “normal”; something that the Doctor did not assist; even in the most minor of ways.. DOCTOR 37:51 It’s not about… everything (SOUND OF RECORDER MOVING) TIFFANY 38:09 I’m sorry. I know you have to go. Here she shows more concern for him.. Analysis Conclusion: The Analytical Question is: Does the Doctor indicate guilty knowledge of the murder of Tiffany Jenks? He does not. Guilty knowledge of a murder is something Statement Analysis will pick up without challenge. When someone intends to commit murder, it dominates their thoughts and the language will reveal a constant need to suppress information. The Doctor does not indicate guilty knowledge of the murder, nor does there exist even hints of it. Had he had guilty knowledge of the intent to commit murder, he would have had to, in the very least, indicated suppression and concealment. He does not. The Doctor does not have knowledge of what was about to happen to Tiffany Jenks just a few days later. This leads to a further question: Why would any intelligent person ask this question? The answer is found in the analysis not only of Tiffany’s words, but of the Doctor’s own words. It is to be noted that this is a small snapshot of their professional relationship but this is what the words reveal: Tiffany was a very intelligent young woman. She was acutely troubled and her words reveal the impact of substances; likely both prescribed and illicit drug use, along with alcohol. Tiffany is well above average intelligence who went to the Doctor and repeatedly addressed her hopelessness and her suicidal ideation. A theme that runs through her language is her need for this doctor to affirm her as a person. He does not. In this sense, he “sentences her” to irrelevancy where even the thoughts in her head are “not worthy” of analysis. With her advanced intellect, she recognizes his passive aggressive projection, including his need to be pedantic. He is insulted by her and shows it. Since she does not take his advice to stretch, practice yoga or meditation, he is insulted and shows it. He does not use therapy to allow her to analyze her life, her words and her choices; instead he either ignores her suicidal ideation or he furthers her hopelessness. This is where even the question as to possible guilt likely comes from. Even an untrained reader can recognize the callousness of his responses, including his need to assert his status “above” her in the question of the bill. He is uncomfortable with Tiffany’s strong intellect and although he appropriately identifies an addictive personality, he does not explore, nor even offer to explore later, any root cause. A theme for her, as seen in repetition, is his refusal to “listen” to her. Given her personality trait, this is likely something that is going to give him job security: she is going to come back over and over in her desperation to make him acknowledge her worth. He would not likely ever do so. He does not use her words, something skilled therapists and interviewers do (we are all most comfortable with our own words, having used them thousands and thousands of time, which reveal the most information), nor does he engage the topics she brings up. He consistently misses or ignores vital and pressing information. Yet where the denial of immediate suicide is made (which should have been unnecessary) he then moves the topic into suicide by introducing distancing language (Hemmingway). He ignores her pleading to process instead opting to dispense advice. He judges her when she needs no judge; she knows but he must compete with her and “beat her” to it. This, too, indicates his own weakness and lack of skill. His indifference to suicide is not likely to be considered criminal but it is to be noted that it is followed with more death talk, likely revealing his personal contempt for her. He reveals a struggle between wanting to help, and a personal defensiveness due to insult. In this sense, his responses appear to come closer to encouraging death then encouraging hope, including removal of future planning. He is pedantic, employs useless philosophical tangents and likely did more harm to Tiffany than good. By refusing to engage in a therapeutic context, one may consider that he, in the least, did not assist in discouraging the reckless endangerment of her lifestyle. This leads to the question of what she may or may not have done, had she had an effective session with him, where she was given some hope via her own insight by examining the most pressing issue she presented. In a single session, much should not be expected, but neither is there an expectation that hopelessness would be exasperated instead. Tiffany’s constant “I’m sorry” went unaddressed. It is when one is self loathing and may mean she is going to continue self destructively putting herself in the wrong place at the wrong time. Although there is no signals of guilty knowledge of this murder, the Doctor’s disposition towards Tiffany is unfavorable and may be the reason for the question to be asked.. In a sense, Tiffany used him for self-punishment.. The unethical part is that she is the patient, he is the doctor, yet he obliged. Tiffany Jenks was slowly committing suicide via self destructive behavior. This doctor did more than just not help. He indicated a competitive resentment of her and indulged her discussion with death that comes very close to encouragement. His own insecurities couples with indifference and resentment of her to send her out, perhaps, even more self destructive than when she came in.