Prof. Sil'Anion's Patient Records

[Mharren]

Patient Name: CARMENSITA ENCAITAR KEEGAN (http://wow-tng.org/showthread.php?t=10382&highlight=Carmensita)
Gender: FEMALE.
Ethnicity: ELVEN-NYD (Undisclosed/Confirmed).
Family Status: WIDOW/ESTRANGED (Unconfirmed)
Referral Source: OTHER.
Forwarding Assessment: N/A.


-Session I.-

Patient presents with seeming physical health. Note made of an odd and undetermined accent characterized by broken pronunciation and a unique slang lexicon. Other than possible psychiatric illness, patient appears healthy.

When questioned about her family status the Patient gave contradicting and inconsisting testimony. Three distinct 'husbands' were named; Nani an 'Old human/demon', Aderas Keegan an 'Imortal being from planet Naglefarium'and Nachytsm Encaitar. Patient was unable to produce conclusive proof for the existance of any of the three men.

Note: A flask was presented with the initials A.K.
engraved upon it as the patients submission of proof for
the existance of 'Aderas Keegan'.

When asked when she last saw 'Aderas Keegan' the patient proclaimed that she had not seen him since the past season of Fall and that she speculated that he may have gone back to the planet Naglefarium or onto "The North Place". Patient also mentioned that he was a "Military Man".

An established chronological order to these three marriages is not yet established. It is possible no marriages (or men for that matter) have ever existed.

Note: Obvious signs of delusional thinking made apparent
by the belief of a fictional planet (Naglefarium) as well as
patient's certainty that her unique religious beliefs are an
established Religion with a prominant following, yet is
unable to provide a confirmational reference.

Patient adheres to a unique beleif system; High regard for a goddess named 'Odette' who also appears to be represented by a wolf figure. When asked what kind of feelings being unable to locate ones husbands might cause the patient proclaimed that 'Odette take the pain away...no let me be sad."

The patient made mention of a deceased child...a pregnancy that was subject to trauma-induced miscarriage after three as-yet-unnamed men attacked her and killed her. The chidl was claimed to have been emitted, dead, after revival by a man identified to be 'Rethsil, of The Grim'. When asked who declared her as Dead, she claimed that 'Rethsil' had.


~Conclusions~
Diagnosis: DELUSIONAl PERSONALITY NYD/NOS.
Prognosis: NYD.

There were times in the interview when the patient appeared 'lost' or 'confused' (when asked to provide definitive information, particularly temporal information). Patient's claims are inconsistant with currently accepted reality and while the patient does not appear to be a threat to anyone else or herself, psychological breakdown may occur if her delusional phantasmogria 'Life' is broken without proper supervision may shift the patient into probable harm.

Fantastic belief system as well as fictional life history are congruent with the fabrication of delusions with the subconscious purpose of masking or eliminating the true contexts of past traumas.

Currently the patient's diagnosis, prognosis and proposed course of treatment are inconclusive as most aspect of the patient are currently considered to be Not-Yet-Determined.

Refer for continued treatment.


- Prof. Mharren Sil'Anion

[Mharren]

Patient Name: SEVIK SIL'AMORE (http://wow-tng.org/showthread.php?t=14696)
Gender: MALE.
Ethnicity: ELVEN (Sin'Dorei).
Family Status: COSANGUINOUS-DIZYGOTIC-HETEROSEXUAL
Referral Source: PRIMARY PHYSICIAN
Forwarding Assessment: PARANOID-ANTISOCIAL PERSONALITY



-Pre-Assessment-

Patient was accompanied by his twin sister/lover 'Silvannia Sil'Amore' for the initial interview. Referral was accepted from the primary (family) physician; 'Apothecary Morton' (Forsaken). Referral was made in the interest of a more in-depth psychiatric assessment of both twins, but primarily the male. Reasons cited: Conflict of interest & loss of the Patient-Physician Trust Paradigm. No specific reasons provided by referring physician beyond "Male patient is uncooperative --> Trust Issues." (Morton, Referral I.).

First review of the transferred patient records reveals a long family history of inbreeding and almost complete genetic segregation from the regular population. Further records have been requested for complete review and cataloguing of physiological and psychological defects registered in the extended family history. This matter is complicated by the fact that Morton kept both seperate and combined patient records for the twins in question. There is evidence that for certain aspects Morton failed to provide differentiating criteria for determining which twin his claims were made regarding.


-Session I.-

Both twins are strikingly similar in their physical appearance, particularly their facial characteristics. The female 'Silvannia' is juxtaposed in contrast to her brother in that her personality is outgoing, friendly and 'care-free', 'Sevik' presents with a silent, observative and introverted personality and is remarkably unfriendly and unresponsive to standard interactive provisions.

When posed with the standard opening question of "What brings you here today?" (Sil'Anion, Session I. [Sevik Sil'Amore]) the patient responded with a snicker and a mumbled response that remained undetermined. The female sibling was quick to 'correct' his behaviour and answer for him; "Apothecary Morton thinks Sevik worries too much...that he's mean" (Silvannia Sil'Amore, Session I. [Sevik Sil'Amore]).

Patient was particularly unwilling to engage in direct conversation with the assessing physician (Sil'Anion). Answers attained were simple, general and largely impersonal. Expanded communications were given by the female sibling in a form of 'expanded translation or clarfication'. Patient appears to rely upon his sibling for complex interaction with others.

Note: Patient was observed to deny eye-
contact with the assessing phyiscian
(Sil'Anion) and became frustrated and
uncooperative on four seperate
intraconversational occassions. Protest was
made to the sister, not the assessing
physician. Evidence of abnormal
attatchment and dependency exists
between twins and is bidirectional.

When questioned about the relationship status between the two twins the Patient communicated clearly that his interests had only ever (and only ever would be) in his sister and that nothing could persuade him to abandon his committment otherwise ({para.} Sevik Sil'Amore, Session I.), a similar statement was made by the sister; "We were made for eachother, at the same time. Nothing has ever and could ever change that" (Silvannia Sil'Amore, Session I. [Sevik Sil'Amore]).

Complete and invasive physical intimacy in their romantic relationship is confirmed by both twins, neither of which display any mutual or individual recognition that such a relation is not held to be 'healthy'.

NOTE: Severe lateral shift in moral apptitude
evident in both twins.


~Conclusions~
Diagnosis: [MULTIAXIAL]PSYCHIATRIC-NYD/NOS.
Prognosis: PENDING.

Further sessions are required to obtain an 'initial assessment' as patient is predominantely uncooperative.

Singular assessment of the patient was denied (patient requests the presence of his sister for therapy sessions - request currently granted).

Singular assessment of the sister is pending an appointment.


- Prof. Mharren Sil'Anion

[Mharren]

Patient Name: PEARLLE
Gender: FEMALE
Ethnicity: ELVEN (Sin'Dorei).
Family Status: SERIAL MONOGOMY-UNOFFICIAL
Referral Source: PT.VOLUNTARY
Forwarding Assessment: N/A



-Session I.-

The patient presented herself in a timely fashion in the company of her minion. Patient expressed initial discomfort and difficulty beginning the session. Patient was encouraged to reiterate a general summary of her childhood.

Patient disclosed that she was raised w/o home and parents. Patient appears to have been an orphan that expressed a close relationship spanning childhood and into adulthood with an older male sin'dorei named Koranger.

Activities disclosed in childhood include various criminal techniques for procuring currency from others in Silvermoon's Murder Row. The patient was used as 'bait' in the form of a distressed child whom would draw the attention of passers-by at which point the male accomplice would 'relieve them of their coin' (Pearlle, Session I.).

As the patient matured 'the game changed' (Pearlle, Session I.) in manner that implicated the patients willingness to provide sexual services in the seclusion of side-streets as the method of 'bait'. Patient did not render services.

'Koranger' was revealed to have decided to fund the patients adult education and refinement.

Patient admits a sexually intimate relationship with 'Koranger' though she adds the disclaimer that their relationship is not 'Love' (Pearlle, Session I.). When asked about her love-life the patient implies a somewhat lengthy history of failed adult relationships. The primary cause of failure was said to be a tendency to 'promise what they cannot fulfill' (Pearlle, Session I.).

NOTE: Patient was unwilling to give
more convicting reason for continuing
to persue such relationships
beyond 'The Heart wants what the
Heart wants' (Pearlle, Session I.).
Feedback was given in regards to the
biomedical holding that the sensation
of the 'mind' is a product of the
structural properties of the brain.
Patient was resistant to the
simplification of the suggestion.

Patients primary occupation is that of contributing to the Horde's War Effort with The Alliance. The patient cites commitment to the culling of the Alliance with such comments as 'they're in my way' (Pearlle, Session I.) and several references to the implications of action held in her Horde Insignia.

NOTE: Patient made frequent facial
expressions and 'purring' noises while
talking about her actions against the
Alliance.


~Conclusions~
Diagnosis: N/A. (Psychologically sound).
Prognosis: N/A.

Patient does not appear to require psychiatric counselling or treatment. The patient is intelligent, operational and grounded in reality. READ: assessment based upon a single session.

Patient may benefit from lower-tier counselling that is more accomodating to her ideologies and less centered in the biomedical ideologies of medicine. Patient is resistant to pure-finite reasoning.

Patient denied opperatunity for second appointment.

VOLUNATRY TERMINATION.

PATIENT FILE CLOSED.

- Prof. Mharren Sil'Anion

[Mharren]

Patient Name: CARMENSITA ENCAITER KEEGAN.
Gender: FEMALE.
Ethnicity: ELVEN-NYD (Undisclosed/Confirmed).
Family Status: WIDOW/ESTRANGED (Unconfirmed)
Referral Source: OTHER.
Forwarding Assessment: N/A.


-Session II.-

The patient returned for a second session as scheduled. Her husbands still remain unfound. The patient revealed that she has taken to Northrend recently in persuit of combat. When questioned during the session regarding her reasons for currently taking a leave of absence from her previous position as a barmaid, the she referred to a change in season as her reasoning.

The patient proposes that winter is coming (READ: It is currently the season of Winter) and many people, including her own (READ: Followers of her unique faith) have embraced it and have taken to the dark things and the chaotic nature of Winter ({Para.}Carmensita, Session II.).

The patient spoke of having been reunited with an old love-persuit, a man of the hunter occupation whom she named 'Arte'.


~Conclusions~
Diagnosis: DELUSIONAl PERSONALITY NYD/NOS.
Prognosis: NYD.


Patient continues to appear inconsistant with her answers to questions. When asked to provide temporal estimations in relation to persons, places and things she spoke about she continued to appear 'blank'.

In lieu of a next-of-kin the name of a third party acquaintance was given by the patient for further questions.

Specified diagnosis of psychiatric pathology is currently pending cross-reference with the Third-Party, 'Kadesh'.

-Prof. Mharren Sil'Anion