Examination done on May 27, 1991
PSYCHIATRIC EVALUATION
PURPOSE OF THE EXAMINATION :
I proceeded with the evaluation of the above referenced patient, at
the request of Doctor Roger Dorion of the Régie des Rentes du Québec.
(Pension funds). The purpose of this examination was to determine if the
applicant has a severe and prolonged disability; unable to hold wage paying
job, for a long term. If he is older than 60 years, making him unable to
perform any wage paying job such as his previous one.
STUDY OF THE RELEVANT FILE DOCUMENTS:
Although it is not a question of a medical report, it is impossible
to retract a bulky document of forty-three (43) pages produced by the attorney,
Guy E Dulude, on December 4, 1989, this document reports the adventures,
could we say, of a honest bus driver which, not only satisfy the requirements
of his employer towards the end of 1970, but also took advantage of his
spare time to work on a project for the establishment of a radio communication
system for transportation control, which will reduce operation costs, a
project known by the initials of CDRIL (Administration council for international
and local references, this is the subject).
It appears this project, from the beginning, was accepted very favorably
by various authorities, the employer, the governmental officials, so much
so, that famous project CDRIL even obtained a corporate charter & registration
under the Canadian federal law .
All these facts are reported in a report that we can read with great
interest from the beginning until the end. Let us summarize by saying the
creator and the instigator of the project quickly arrived at this conviction
that there was a plot to steal its discovery, a plot with the multiple
ramifications and having for consequence many adventures, attacks, car
race, followings, etc.
In September 1985, we had to expect it, the problem became a psychiatric
problem. Some on-the job accidents having occurred meanwhile
are used more or less of pretexts to make the all work situation worst.
Some on the job accidents having occurred meanwhile are used more or less
as pretexts to make the work situation worst.
See:1
Basic Information concerning
"on-the
job accidents having occurred"
The ditch grows between the self-educated bus driver which believes
to hold the invention which will make him a celebrity and the transport
company which finds him increasingly cumbersome to have as a driver an
individual who thinks he is a victim of an international plot and makes
it clear to be extremely scared for his own safety.
He comes to the conclusion also to be worried about the possibility
of sabotage of the vehicles he could drive, apprehending to be the object
of a murder attempt covered up by accident, and the subject comes up with
all kinds of requirements which are not at the agreeable to the employer,
and asks the employer to release him from responsibilities in case of an
accident would occur.
The ditch grows hollow, and as it happened in those kind of situations
apparently crazy and eccentric but that have a certain logic, the man alone
against the whole world finds burning defenders in the person of his doctor,
psychiatrist, psychologist.
See:
2
Basic Information concerning the person of his doctor, psychiatrist,
psychologist
The expertise ordered by the employer have always this ungrateful role
in psychiatric clinic to consider the facts by removing them from their
emotional or magic gangue, with the conclusion that the Victim exists only
in paranoiac imaginary . The things are known differently but are similar
to the observations of Doctor Robert Brunet, and the clinical data of this
examination will imply the same diagnostic (?????) in a letter from 23
July1990, Doctor Robert Brunet explained and shown the circularity of the
paranoiac reasoning, so that the psychiatrist finds himself in a paradoxical
position to supplement a certificate of medical disability concerning an
individual whose principal symptom is precisely to deny that it is sick!
It's useless to enter all the details, all these documents are read
once again like a true novel, which it is enough to mention however, independently
of undeniable pathology psychiatric, that the dismissal and then disability
seem to be justified for reasons of safety. This note has its importance
in measurement or, in spite of its disease, the subject, to a certain point
remains active, functional, hyper-organized, and as it will be mentioned
in conclusion that an incurable pathology is not necessarily absolutely
and completely invalidating.
CLINICAL PSYCHIATRIC EXAMINATION :
This meeting proceeded according to a known diagram, I would like to
mention that both the patient and doctor enjoyed the session.
The patient is described as a short, very active, very detailed on his
extraordinary personal adventure and his dispute being sick since six (6)
years ! With the same energy, he will say he was accepted as an immigrant
in the United States "for political reason" (sic) based on an investigation
of the F.B.I. All its family was invited to follow him. He is
sure to be the object of a special attention on behalf of various individuals
of the national and international political world, who do not forgive his
discovery. Like all those people he is ostracized and even more, still
threatens his security. He declared that his suit case full of documents
disappeared as well as his wife's car.
Concerning his allegation
of:
"...as an immigrant in the
United States"
"...as well as his wife's
car."
See:
3
Basic Information concerning Dr. Pierre LABERGE, he possessed information
and had information at his disposition for the robbery of my wife car and
my immigration statue in transit.
Should it be added that self-criticism in similar circumstances is absolutely
unthinkable, the emotional position and in a certain direction the secondary
benefit, including those to be the Victim, override any realistic consonance,
if we can use this expression. The contents of the thought are entirely
invaded by the discovery, and all energies are directed on the self-defense
mode in order to preserve the copyrights, but especially the life of the
author threatened by those who want to steal the famous discovery. Most
paradoxical of this situation is at this end we are losing sight of the
fact and do not know anymore of what consists this famous discovery. The
characteristic of this situation and of this completely pathognomonic attitude
of the disease, it is the discoverer who takes all the place and we ends
up to forget the discovery.
At all events, and we can bring some nuances and other comments on this
interesting clinical case. The diagnosis of paranoia is retained, and this
actual doctor becomes circumspect and thoughtful by noting that certain
professionals in the field of psychology and psychiatry missed this such
an obviousness statement. While adding of course, in order to dissipate
any ambiguity and the address of a possible prosecutor, that the diagnosis
of paranoia does not imply any judgment is not prejudicial and is based
directly on the handbooks of psychiatric nosology. We are talking about
a disease which does not have anything defamatory, but is restrictive in
certain way but not completely, which is the direction of this conclusion.
See:4
Basic Information concerning his
psychiatry
CONCLUSIONS AND RECOMMENDATIONS
SERGE MOREL
N.A.S. : 216 366 971
CONCLUSION AND RECOMMENDATIONS:
The patient of course denies to have been or to be paranoiac. In his
opinion, which is perfectly his most legitimate right, his case is a matter
of international espionage ! Very strange and mysterious events happened
which consolidated him in this opinion that powerful people are after him.
It is easy to understand that in a such context and because of the imminence
of the danger (that it is real or imaginary does not change anything with
the problem), it could be contra-indicates that the subject occupies an
employment , some of its actions could be likely to endanger the entourage
in a case where he would like to protect himself from a possible attack.
It is contra-indicated that the subject can occupy his usual occupation
as bus driver, or an equivalent position in terms of responsibilities.
On the other hand, he could do very well at work in another field, he
has talents, he says in renovation, drives his truck in full safety for
the public, can do various work enabling him to earn its living reasonably.
In other words, and like it was even implied previously, even so he
has an incurable psychiatric disease, in fact a traditional paranoia syndrome
leading to megalomania and the percussion complex, does not imply necessarily
only in another order of ideas, apart from its combat with the powers which
are jealous of him, that the subject is not able to be useful and productive
by the means of various activities or he will benefit from his remarkable
determination which we hope could give great results, if this determination
were used correctly.
To finally conclude, the subject does not consider himself an invalid,
he knows that he can do and carry out things, earn its living, etc.., but
he has not escaped the actual circular reasoning in this file for several
years now: "if I am not invalid, I am right!". This reasoning is a sophism,
the subject can not be invalid very well within the meaning of the law
for any kind of remunerative work, in the same time maintaining his delirious
beliefs. It's at least the humble opinion of the undersigned.
I hope I answered to your questions relating to , and we must agree
with it, this unusual problem.
Best regards,
PL/gb PIERRE LABERGE, M.D.
Psychiatrist
Member of the Quebec
Medical Expert Society
Medical Bureaux Régie des rentes du Québec (RRQ)
