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David W. ~}reswald, M.A., M.P.C.C. 16030 Ventura Blvd., S~ite #530 Encino, Ca. 91436 (818) 907-5591

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March 20,

1994

RE:

Jennifer

Greene:

by: Case Repbrt requested J. D. Michael J. Siegel, P.O. Box 162221 Sacramento, CA. 95816-2221 (916) 725-1529
!

CASE

REPORT

in Jennifer Greene has been a patient under my care She was intensive psychotherapeutic treatment since 2/25/93. self-referred for the treatmE~nt of Multiple Personal i ty Disorder, Major Depression and Post-Tra.umatic Stress Disorder. Abuse History: Ms. Greene is an apparent survivor of ritualistic abuse. From very early childhood this patient appears to have suffered physical/sexual/mental abuse of catastrophic proportions. A sampling of types of abUSE!and torture which Ms': Greene has reportedly e nd'ur-e includes d the f oLl owi ng : (1) ~umerous anal, vaginal and oral rapes, (2) savage physical beatings, (3) torture with electro,shock, (4) forced narcotic usage and ingestion of noxious ma t.er t a Lss , (5) IDng periods of bound or shackled con:finement, (J6) isolation, (7) starvation, as well as (8) being forced to Hitness the t.orture and murder of other ritual abuse victims. Symptomotology: 1<1s. Greene displays the :following symptoms, all consistent with an }fPD/RAdiagnosis: (1) int.erna 1 voices, (2) time loss and/or a rrm ee i a , (,3) drama-tic changes in handwrit.ing, (4) an overwhelming history of child abuse, (5) intense flashbacks of t.raumatic experiences, (6) frequent horrifying nightmares, (7) an extreme propensity to dissociate and depersonalize, (8) frequent suicidal idea t.ion and se If-dest.ruct.i ve impulses, and (9) a voluminous production of graphically detailed artwork of _ritualistic content. Most importantly, I have to date conversed 'with more than 30 distinct alternate personalities. Ms. Greene has displayed an ent.renched system of destructive progral1l:ijled responses consis-:'ent wit.h mind-control techniques commonly utilized in satanic and. druidic cult.s. Indeed, all the above

appears to have been the result of lifelong abuse at the hands of an organized perpetrator group. It further appears that~his patient has been continuing to be harassed and abu:!::ed cult members even while in treatment. by Finally, Ms. Greene has been extensively assessed resulting in an ABSENCE of any psychotic or factitious elements to her presentation. DSMIII-R Diagnosis: 300.14 309.89 296.33
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Multiple Personality Disorder Post Traumatic Stress Disorder Major Depression, Severe, Recurrent

Medicat Lon x \ ---------Medications have been. prescribed and monitDred by Ms. Greene's psychiatrist <Jacqueline Lichtenstein, M.D., 16550 Ventura Blvd., Suite #420, Encino, Ca. 818-986-0404).
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Hospi talizatioii"s: It has been necessary for this patient to be admitted for inpatient psychiatric treatment on several occasions in the past six mont.hss . All such admissions occurred at Hollywood Community Hospital of Van Nuys. These hospitalizations were made in an effort to: (1) protect the patient from her own suicidal and self-destructive impulses, (2) stabilize vo Lat I Le .conflicts within her alter personality system, (3) provide protection from a forced or programmed return to activitieE5 within the organized perpetrator group, and (4) to provide a supportive environment during episodes of severely impaired functiemal ity. Though Ms. Greene has indeed made psychotherapeutic progress since initiating treatment with this therapist, it is not unlikely that additional future hospital izations may be r-e qu Lr-e , d Present Cond~tion: Given what this patient has had to contend with, she has made good psychotherapeutic progress during her course of treatment. Ms. Greene ~s both motivated and courageous, and has processed a huge amount of overwhelming emotionality and terrifying memories of ritualistic abuse. However, she remains severely impaired, subject "to: (1) intermittent suicidal depression, (2) intrusive and debilitating flashbacks of torlure and a variety of traumatic abuse, as well as (3) frequent episodes of overwhelming anxiety, panic attacks, and amnestic dissDciation. . !
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Prognosis:
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The
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prognosis for MPD in general,

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and for
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Ms.
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Greene! in
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treatment, these patients invariably ~ill s~bsta;tially improve. However, the course of treatment is intensive and lengthy. Ms. Greene will require continued psychotherapy (2-3x/wk) for a
2

~ ~f~. ~~~ In'CenSlve 'treatment schedu1.e" f or- some y~as oYlowing. 'Despite the enormous amount o:f remaining traumata to be processed; I am confident that she-will make a full and complete recovery.
OitI.. a;n-~.
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If I canbe to oblige.

of any further

assistance

will be

more

than

happy

Sincerely,

David W. Neswald, M.A. M.F.C.C. 16030 Ventura Blvd. Suite #530 Encino, Ca .. 91436 (818) 907-5591
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