They also broke my glasses.
If you do not know exactly what happened, please read parts 1 and 2 previous to this post.
I will now post the Nursing Board result of the investigation, complete with the two nurses now in agreement and colluding to maintain that I attempted to stab them! NOTHING of this is in the chart or the accounts from any previous investigation, and I have the papers to prove it. But suddenly they grew new memories of what happened? Bullshit,. they lied to save their jobs, and it is clear that they got together to agree on a story, since it never even came close to happening as their now consistent with each other lies maintain.
But review the records and tell me what YOU see….Because to me it is OBVIOUS that they got away with abuse and soul murder.
you can contact me via the contact page. I have NOTHING to hide.
This was the complaint I sent to Nursing and Medical boards
STATEMENT TO DENNIS MENARD: SECRETARY OF STATE INVESTIGATOR
I admit that even though it was early in the morning on November 18, 2015 on Unit D at the Vermont Psychiatric Care Hospital’s Unit D, I was slamming doors. The noise was very loud. Yet never before had this triggered anything from the unbelievably patient and forbearing staff on Unit D, except perhaps some bemused bewilderment at what set me off. After all, with only 3 patients on the unit at any time and the other two either still awake, or highly medicated and dead to the world, it usually did not matter to anyone if I raised a ruckus. But this time, because Annette Brennan was the nurse on duty, it mattered a great deal more than it should have.
Instead of letting me slam my door a few times and cool off, as I had so often before, Nurse Brennan came barreling through the doorway and into my bathroom, where I had been sleeping on a mattress since shortly after my admission, two weeks before. I backed away. Brennan pushed up closer, yelling at me, “You will not slam any more doors tonight, do you understand?!”
To explain what preceded this, you should know a little of the “backstory.” I had gone to the med window about a half hour earlier, asking for an extra Ativan for “anxiety”. But really I needed it because I had been unable to speak since Nov 15. On November 19, people were coming to evaluate me from Meadowview Recovery Residence in Brattleboro, and I needed to be able to have a voice to speak with them.
Now, you should be aware that for many years catatonia and long episodes of mutism have been a problem for me. In 2003, a Connecticut doctor discovered that Ativan by
IV was effective for my catatonia. When mutism was the bigger problem, my outpatient doctor at the time decided to try Ativan orally, seeing mutism as a feature of catatonia, and she used it with good result.
However, at VPCH the on-call doctor, Dr. Lasek, had not been told about my relapsing mutism, nor my need for Ativan. He only knew about my complaints of sleeplessness and anxiety. So when called around 1:30 AM he refused me a second tiny dose and ordered me to try to relax on my own and sleep for two hours, before he would order another.
This is what occasioned, at nearly 2:00 AM, my panicked outburst of door slamming. But the real trigger for what followed was that Nurse Brennan did something she should not have. My advance directive explicitly warns against it. She grabbed me by
the wrists. Yes, feeling threatened by her being up in my face, I had thrown a notebook at the wall. But I had not thrown it at her, as Nurse Mansukhani who was watching all this, explicitly states in both the chart and her APS interview. Maybe having cornered me in the bathroom, Nurse Brennan saw my mute shaking my fists as threatening. Even so, she ought to have backed away. Just backed away not provoked trouble.
Instead, she approached closer and, here is the thing, she reached out and she grabbed both my wrists. Immediately, the other nurse, Jennifer Mansukhani, watching from the door, said to her, “We don’t go hands on here at VPCH.” I want to repeat this because it is vitally important, even though it was never mentioned in the chart. Nurse Mansukhani cautioned Annette Brennan, even as she grabbed me: “WE DON’T GO HANDS ON HERE AT VPCH.”
But no one, not Jennifer Mansukhani, not anyone, came to my aid. I pulled and I struggled to get loose from her grip but Nurse Brennan only held on tighter. So reflexively, and in terror, I bent my head to bite her fingers with my teeth, desperate to get her to release me. And the chart says as much when it reports, “Patient tried to bite staff times 3.” Well, of course I did not just up and bite staff for no reason. The reason, the only reason, I bit staff, that is, bit nurse Brennan, is because she had me by the wrists and restrained me, without just cause. And because being mute i could not simply tell her to let go!
Of course all hell broke loose. The nurse yelled for help and help arrived in seconds with staff now officially going “hands on” to stop me from biting and to restrain me completely .
As they bodily hoisted me off the floor, screaming but wordlessly, one man asked, “What now? Brennan answered promptly, “Bring her to seclusion!” and so following her directive, without trying any other intervention, they carried me there, even though there was a large armchair right in the empty day room they could have placed me in to calm down…
So there I was, in seclusion largely because Nurse Brennan had backed me into my own bathroom and grabbed my wrists in a moment of inappropriate anger, telling me I was not going to slam doors on her watch.
After staff dashed from the seclusion room, I ran after them but they closed the door, locking me in alone. Dazed and sad, and frightened, I sat back down on the mattress, not moving, my back to the door. I heard them talking. Scarcely listening, I tried to calm myself and wondered how long they planned to keep me locked in that room. Then I heard someone say, “She has her glasses and watch. We have to take them away from her!” (So what? I thought. What is the problem?)
But they piled in again, all of them pushing on top of me at once, knocking me in the face and severely bruising my nose and breaking my eyeglasses in their zeal to take away my glasses and watch and my medical band. Then they proceeded to fondle my body, looking for pockets, of which I had none. All this time I was screaming, without verbalizing a word…and fighting them in protest at their violation of my person. They tried to dash out of the room and lock me alone inside again, but I followed them and escaped, wedging myself in-between their ranks. So someone said. “Back inside!” and we all moved as one, back in towards the mattress.
Instead of trying anything to calm me or disentangle themselves and leave again, or better yet trying to follow the instructions on my detailed Advanced Directive and the one plea I had made from the moment I arrived at VPCH, which was never to leave me alone in a seclusion room, imagine my dismay when I heard nurse Brennan shout, “Get the Bed!”
The bed? The restraints bed? For what? What had I done to deserve The Bed? All I had done was try to get out of their terrifying seclusion room, a seclusion room I never deserved to be dragged to in the first place!
But the bed was gotten and as they clamped restraints on my body, Ms Brennan was the person who held my head between her hands as she commanded me — I was howling in terror beyond words, without any words – “YOU WILL CALM DOWN RIGHT THIS MINUTE!” Again and again, gripping my face between her hands, she ordered me to calm down.
You should be aware that my advanced directive EXPLICITLY states and always has, and they were aware of this, that I have been deeply traumatized by the use of restraints and seclusion and that their use should be avoided at ALL costs.
Holding me down as I screamed, they fastened an extra restraint, a fifth restraint, a thick plate of velcro across my chest so I could not sit up nor do more than bend my neck slightly, before I lost strength and had to put my head flat on the narrow gurney.
Then what I can only term “the goon squad” trooped out, with Annette Brennan and Dr Joseph Lasek leaving last, saying, and I want to emphasize this because of its sheer brutality: “You will tell us out loud when you are safe enough to be released, or you will remain in restraints.” Then they departed too.
Although two monitors were posted in the adjoining room, I could not see them because of the chest restraint, nor were they permitted to say a word to me. I screamed in despair and terror but it made no difference. Yes, I once heard Chelsea’s voice from somewhere, a sweet, female staff member who had remembered my Advance Directive. She took a risk and told me from her position across the other room, “Pam, try to take a deep breath, try to calm yourself, I am here, you are not alone…” I tried to be grateful, indeed I was grateful. But as soon as I heard that Chelsea was there for me, they replaced her with someone who was told in no uncertain terms not to speak to me again.
I remained very still and so was rewarded with an assessment at every fifteen-minute interval to see whether I was “safe enough” to be released from restraints. Time and again they said I was “non-responsive” or non-compliant because I could not answer them in spoken words. Nurse Brennan made a point of checking my restraints and touching my body, without asking permission. You can read this in the chart if you do not believe me. She expected me to accept her touching me, and not flinch or kick in reaction. But no one would frame Yes or No questions to allow me to communicate! Yes, I became increasingly frustrated and upset. I was not unwilling to answer their questions, I was simply unable to. And they would leave me in restraints, again and again, hour after hour, writing in their chart notes that because I “refused to speak” I would stay that way.
First one hour passed, then two, then three. Finally the nurse Jennifer Mansukhani, relented and allowed as how I might answer the “safety” questions with a shake or nod of my head.
“Will you remain safe and not hurt anyone?” she asked me, standing above me.
I nodded my head.
“Will you remain safe and not attempt to harm yourself?”
I nodded again.
Will you get up go back to the unit to and to your room and continue to behave safely if we let you out of restraints?” (I am writing these questions from memory so they won’t be exact, but you get the gist of them.)
Nod, nod, nod.
Ms. Mansukhani seemed pleased with my responses but also at a loss as to what to do with them. She paused. “Okay, Pam. I have to go back and confer with Nurse Brennan and the doctor.”
She left, turning her back, promising to be back shortly.
Instead, it took an hour, and when she did come back, she arrived with Nurse Brennan and a plan. “We have decided that we want to free up a hand so you can write a safety plan. Then if we approve it and if it is adequate we will see about taking you out of restraints.”
I frowned. Annette Brennan had in the meantime moved to the end of the gurney where my stocking feet were exposed. Her groin pushed against my toes and the soles of my feet. I felt an immediate revulsion, feeling molested by someone who knew I was vulnerable. Helpless to resist, I kicked out mightily. If I could have spoken in words I would have yelled too, but I could say nothing, only scream wordlessly and kick. This got her to swiftly move away. Someone else present suggested that she pass me at the head of the bed next time.
But writing up a safety plan was just upping the ante. I shook my head emphatically. They trooped out, leaving me alone again, still in restraints at 5:00 o’clock in the morning.
My muscles and veins hurt because I had remained still for so many hours. Afraid I would develop a blood clot, I carefully circled each leg ten times, restraints clanking as I did so. Then I bent each knee a few inches up and down, up and down. Ditto with my arms, until I was satisfied that I had done enough and could relax into the absolute stillness required for an assessment. I later learned my self-administered range-of- motion exercises was described as “patient flailing in restraints.”
Jennifer returned around 6:30. Making motions of desperation, I offered to write a safety plan. But the night shift was leaving. “First shift will have to take you out of restraints. It is too late for us to do it now.”
When I heard this, I let out a despairing howl and suddenly urine poured into my clothing. That meant little to the third shift; they left doing nothing about it. Only when first shift came on and found me, soaked in urine, and still in five-point restraints at 7:00 am did they relent and give me both Ativan and my morning meds. Even so, I wasn’t actually released until 7:30 am.
A patient has the right to be free of unnecessary restraint, and to have the least restrictive environment possible. The fact is, I DID NOT POSE AN
IMMINENT THREAT OF HARM TO SELF OR OTHERS when this incident occurred. I only fought when assaulted by people restraining or secluding me!… I should never have been placed in restraints. Any possible danger – kicking when Annette’s groin pressed against my bare feet? or merely grimacing? — that I may have seemed to pose was wholly induced by the situation.
It is repeatedly on record that Annette Brennan, RN, with the doctor’s complicity ordered that I was not to be released from 5-point restraints until I spoke aloud, stated multiple times in multiple ways. This led to many instances of grotesque abuse, including when Nurse Brennan pushed her groin against my bare feet and then accused me of kicking her.
Please understand what happened: I was immobilized in 5-point restraints, including a large chest restraint. She herself noted that I was lying quietly at the time. So why and how did Ms. Brennan’s groin make contact with my bare feet? I could not “lunge” at anyone, despite the notation later made in my chart. I could not even see Nurse Brennan unless she was right at my side. She pressed her groin against my feet while I was in a helpless and vulnerable state. So I protested by kicking out to the very extent that my restraints allowed. Her behavior violated every professional standard and code there is. It was indeed abuse of everything a nurse stands for.
Abuse was intrinsic to the situation that Brennan (with Dr. Joseph Lasek’s complicity) set up. I should have been released very quickly, except that the staff involved repeatedly refused to ask me their “safety questions” in a manner to which I could respond. Since they had decided I “refused to speak,” they would not permit me to communicate in any other fashion. They acknowledged this was deliberate both verbally and in writing. Several times, the chart says, I was lying quietly in 5-point restraints on the bed, but as I “refused to speak” I would not be released.
Even when Nurse Mansukhani relented enough to ask me the requisite “safety questions” in a yes/no fashion, I had not met their conditions for release so they left me there. This was punishment, and it was abuse, pure and simple.
Finally, I want to show you just one example of what these illegal conditions of release led to, the supposed violence I exhibited and their claims that “patient still needs restraints.” The chart states that they offered me “patient’s own blanket,” when they discovered that I was cold. My response is described as “violent.” What they don’t say is that this was the hospital’s extremely heavy weighted blanket, filled with shot pellets. When Nurse Mansukhani had a male tech bring this and try to drop it on top of me, a patient shackled in 5-point restraints, I was terrified for my life and I responded from that fear: I could not understand why anyone would do such a thing unless they were trying to suffocate me.
(Why in god’s name didn’t they just release me from restraints at that point? I was obviously not trying to harm anyone or myself. I was shivering from the cold that was all…Why? Because they were intent on punishment, not in fact on safety.)
But you see how interpretations written in my chart became inaccurate in the extreme? Because Nurse Brennan insisted on my speaking aloud rather than finding some way for me to communicate, she deliberately rejected any attempt to understand what was going on.
Nevertheless, the fact remains that whether I refused to speak, as she claimed, or whether I could not speak, which was reality, it does not matter. I had the right not to be restrained as punishment or for coercion. I also have always had the right not to speak and to communicate however I so choose, whether VPCH staff, or you, or anyone else likes it or not.
I believe that because she got angry Nurse Brennan grabbed my wrists, restraining me inappropriately, initiating a chain of events that eventuated in my torture.
Instead of stopping the chain reaction at any point along the way, Brennan kept it going, wanting to force me to speak. She chose to further punish me with seclusion and 5-point restraints. She did this for four and a half hours with deliberation and full knowledge of the possible consequences for me, consequences she checked off in boxes (“trauma to patient”) each time she had the doctor renew the order for restraints. I live with those consequences now and have had to live with them every day of my life since that night.
This is the truth of what happened, and I have told the truth on every occasion about this terrible incident at VPCH on the night of November 18, 2015, even when it was unpleasant and did not make me look good. I hope you will see that.
This was my complaint to the Adult Protective Services, as Licensing and Protection refused to investigate. I AM NAMING NAMES…OF THE GUILTY.
I had been mute for days prior to the date of Nov 18, 2015, when still mutein the early morning, on Unit D at Vermont Psychiatric Care Hospital I started slamming doors because I could not communicate my frustration at not being granted a PRN for Ativan. This was NEVER a danger to self or others. I had done this many times on the unit and was never punished for it, or restrained for it. I also had on file on the unit at that time a signed notarized Advanced Directive on the first 2 pages of which is stated in bold letters the request NOT to use ultimatums or seclusion or restraints because of previous traumatic experiences.
Annette Brennan, the charge nurse, apparently angry with me, came into my room and yelled: “I will not have you slam doors again on my watch!” She then backed me into my tiny bathroom, which I had been using as my bedroom ever since I had been admitted, and grabbed my wrists even though I was mute and unable to object, and when I attempted to biteher fingers to get freeshe called for me to be placed in seclusion.
Once in seclusion, she had staff reenter the seclusion room to have my wristwatch and glasses forcibly taken from me, resulting in injuries to my face and breaking my glasses, even though I was not demonstrating any violence or injurious behaviors, *not* until she called for a team and show of force to gang up on me.
Then she placed me in 5-point restraints only after she had staff reenter the seclusion room and I attempted to leave the seclusion room(if you look carefully at my chart you will see this was the reason for her calling for 5 point restraints and not violence of any sort) despite the Advanced Directive that had been much discussed during my stay in the prior three weeks. This AD states in unequivocal terms that seclusion and use of mechanical restraints has been extremely traumatizing for me and worsens my condition.
Not only that, Nurse Brennan convinced the on call doctor that my lack of speech was volitional and willful and wrote an order which she had Dr. Joseph Lasek sign that I was not to be removed from restraints *until I spoke aloud* NO MATTER HOW COMPLIANT I was, no matter how quietly I lay there. In point of fact they refused to ask me the requisite questions to let me out of restraints even though I lay so still I triggered an assessment every fifteen minutes… This order resulted in severe trauma and several hours of restraints. PLEASE NOTE that no one disputes the fact that I was mute and had been mute for days before this night. This order and Nurse Brennan’s part in what happened was torture. It constituted punishment and unnecessary restraint. None of it was necessary but Ms Brennan was angry with me for an episode of swearing that had occurred several weeks earlier and she lost her temper and her cool.
Brennan’s violated CMS regulations from the earliest point of this interaction because I was not a danger to myself or anyone else when Ms. Brennan first put hands on me, and only when I was touched against my wishes involuntarilythereafter could my behavior possibly been considered dangerous, and yet I was involuntarily restrained for several hours. Even a year later I still suffer an unbearable trauma from this event which my AD, a legal document, was intended to avoid, but it was ignored entirely…
THE FOLLOWING IS THE APS REPORT, WITH NEGATIVE FOR ABUSE…
1. On 11/22/15 DLP received a report indicating PW, alleged victim, was physically abused and unlawfully restrained by a staff member “Annette” at the Vermont Psychiatric Hospital. (Later identified as Annette Brennan, RN)
2. On 11/25/15 this investigator emailed PW to discuss the current allegations and arrange for a face to face interview with another investigator.
3. On December 3, 2015 Investigator Denise Anderson interviewed the alleged victim, PW, at Meadow View Recovery Residence in Brattleboro. PW has been residing at the facility since her discharge from Vermont Psychiatric Care Hospital. PW alleges staff at VPCH conducted an unlawful restraint on her during her stay at the hospital; she has documented this incident on her blog which she indicates she will provide to Investigator Holland-Kelley via e-mail. She stated the incident occurred around 1:00AM on November 18th, the day after her birthday. PW reported she had been “mute” for a few days and asked for a pill of Ativan as it helps her to speak. She stated the staff gave her .5mg and she stated she wanted another.5mg and they refused to give this to her. She stated she was agitated by this denial and a staff member named, Annette, entered the bathroom and grabbed her wrists and had PW’s arms over her head. PW stated she attempted to bite Annette. She stated at that point multiple staff persons entered the bathroom and escorted her out of the bathroom horizontally; each staff person having a limb, and “dumped her onto the mattress in the seclusion room.” PW stated she heard the staff persons conferring because PW had her eye glasses and other items on her person. She stated the staff entered the seclusion room and grabbed these items, including her eye glasses. PW stated this is when they injured her nose (PW has provided a photograph of these injuries). She stated when the staff attempted to exit the room she exited the room with them and the staff escorted her back into the room. PW stated the staff had told her she was not to exit the room but she ignored this command. PW stated it was at this point they used the restraints and secured her to the mattress. PW stated she was restrained for approximately 6 hours; she stated the staff are supposed to assist individuals with range of motion; PW stated she was fearful of developing a blood clot given she was restrained for so long. She stated she did range of motion to her body the best she could as a result. PW stated the staff interpreted this as resistance and considered her to be “flailing.” She stated she did not want to be humiliated by asking to go to the bathroom and then getting restrained again so she stated she opted to urinate in her clothing. She stated Annette “just wanted to take control of things; she wanted to be in control.” She stated she finally agreed to a safety plan and was released from the restraint.” PW does not believe the seclusion was necessary; she believes staff was unnecessarily rough in removing her glasses. PW believes the staff; specifically Annette just wanted to be in control. (Interview with PW,
4. PW meets the criteria of a vulnerable adult as she is over the age of 18 and she has chronic mental health conditions which require she receive assistance with her IADL’s and ADL’s. At the time of this report PW was an inpatient at a licensed psychiatric hospital in Vermont.
5. A review of medical records was done stemming from the noted incident on 11/22/15 involving PW and Annette Brennan, RN. According to the documentation, PW was behaving in an unsafe manner and was considered a danger to herself and others. The staff at VPCH followed hospital policy and procedures to ensure PW’s safety and the safety of the staff. PW was not cooperative with the on duty staff during this time and refused to communicate with them. To ensure everyone’s safety, the staff followed MD orders to assure PW was safe.
6. Further review of the incident report by Annette Brennan RN and other staff members dictate all staff was trying to work to keep PW safe as well as themselves. PW was attempting to kick and bite staff so they had to resort to means to keep everyone safe. Everything done was under the direction and orders of a physician.
7. On 12/21/2015 Mr. Perry stated the VPCH conducted their own investigation involving PW through the JCAH and he would send along the documentation requested for this investigation.
8. On 1/4/16 an invitation to interview letter/request was sent to witness Jennifer Mausukhan, RN with a response due 1/11/16. 9. On 1/4/16 an letter with an invitation to interview response was sent to Annette Brennan with a response date of Jan 15th
10. On 1/7/2016 Ms. Brennan had a telephone interview with this investigator. Ms. Brennan recalls being the nurse in charge on the particular day of the report. She recalls being in the back room with the supervisor and hearing banging going on outside the room. She went out to check and found PW had gone into her bathroom where she had put her mattress on the shower floor thus making her bathroom her safe room. She was trying to slam her door all the while she had 2:1 observation. There were 2 male staff members there. Ms. Brennan decided to put herself between PW and the 2 male staff members because she did not want the staff to be wrongfully accused of anything inappropriate with PW. PW hit Ms. Brennan in the stomach with a notebook and then went to swing at her with her other free arm. It was at this time Ms. Brennan made the decision to ‘take down’ PW and brought her out into the hallway. She had PW carried by 3-4 staff members to the seclusion area. The MD came to assess PW. PW was later searched and as the MD was leaving the room PW tried to attack him. PW grabbed one of the techs around the ankles and Ms. Brennan made the call to put PW in restraints at this time for her own safety and the safety of the staff. PW had received Ativan 1 mg. PRN but the MD did not want her to have any more Ativan. Ms. Brennan said she was checking PW from outside the room. She observed PW move all of her extremities as well as do some ROM (range of motion) to her feet and ankles. She went to check PW up close and PW kicked her in the groin. “I made the decision not to take her out of restraints for ROM”. An employee event was filed. PW screamed extremely loudly later on while still in seclusion. “I was the object of her anger as I was the one making the decision to put her in restraints. She did not just hit me she also hit other staff members and spit on them too. PW was taken out of restraints between 7 and 730pm that evening”. Ms. Brennan denies harming PW at any time.
11. On 1/7/2016 Ms. Mansukhani had a telephone interview with this writer. She stated she was on duty the day of the particular incident noted in this intake report. She stated it was the first time she had met with PW – she didn’t really know her well. She remembered PW going up to the window requesting more Ativan and being told she couldn’t have more (after checking with the MD). Ms. Mansukhani offered her some Melatonin but PW refused that offer. PW became enraged when she inquired which MD had been called and learned it was the MD on call and not her primary MD. (Per policy). PW was lying on the mattress on the floor of the bathroom when nurse Mansukhani went back in to see her. PW was on a 2:1 protocol. PW threw a notebook she had at the wall, not directly at anyone. PW tried to bite Annette (Brennan) and she was kicking. There were a lot of staff members there in the room. They picked PW up and carried her to seclusion area. The MD said not to medicate PW at this time. Ms. Mansukhani stated she went to the other side of the unit at this time because there were only 2 female staff members on duty on the other side and another patient was having a difficult time. PW’s side had 6-7 staff members. When she returned she said she saw PW had restraints on and remembered being surprised and asking what had happened. She recalls asking Nurse Brennan if anyone had checked the restraints on PW. Nurse Brennan told me she had been checking them when PW began kicking her and kicked her in the groin. We offered PW a bedpan which she refused. Ms. Mansukhani got the impression PW was cold and offered her a blanket but PW tried to ‘bite me’ so we removed the blanket. The team decided it was a safety issue so PW did not get the blanket. PW refused to speak to any of us (staff). Nurse Brennan and the doctor said PW had to ‘speak’ a contract to be taken out of restraints which she refused to do. PW later also refused to ‘write a contract with us’. At no time did Ms. Mansukhani observe PW being physically mistreated by any staff members. She observed PW being agitated and struggling with staff. She also observed PW hitting, spitting and kicking staff. “We all tried very hard to meet her needs and get her out of restraints. It didn’t work out that way,” Ms. Mansukhani stated.
Conclusion Statement: Based on the interviews conducted and the evidence reviewed this case will be unsubstantiated. The available evidence indicates A/N/E did not occur. PW was in the midst of a psychotic episode and unable to control her own actions. The mental health staff followed their designated policies and protocols to ensure everyone’s safety at that time.
PLEASE NOTE HOW THEIR STORIES DIFFER FROM EACH OTHERS, AND HOW MINE DIFFERS FROM THEIRS…
(TO BE CONTINUED)
I am reprinting this here because it is so true, and because it cannot be located elsewhere on the net, at least not via Google…The author was brilliant but, alas, I can find no name for attribution. A BIG Thank you to Anonymous!
Criteria for Staff Personality Disorder
Staff Personality Disorder 601.83
A pervasive pattern of condescension, degradation of others, and controlling behavior beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
1. Condescending or degrading use of body language, vocal inflection, and behavior.
2. Presentation of two or more markedly different personality styles based entirely on context.
3. Persistent protection of people in positions of power even if such people have done something unethical or illegal.
4. Employment in one of the “helping professions”, or other situations in which a person has or can secure power over others.
5. Rigidity in application of rules and explanations to other people
6. Persistent or stereotyped use of euphemisms, jargon, deceptive language, and double standards in language
7. Persistent use of degradation, ridicule, and violence, either gratuitously or grossly out of proportion to the situation
The essential feature of Staff Personality Disorder is a pervasive pattern of condescension, degradation of others, and controlling behavior that begins by early adulthood and is present in a variety of contexts.
Individuals with Staff Personality Disorder display condescending or degrading body language, vocal inflection, and behavior (Criterion 1). They may use a patronizing “contaminated” smile, a sing-song voice, or the forms of language use described in Criterion 6. This behavior would be considered patronizing when directed at the average individual.
Individuals with Staff Personality Disorder present two or more markedly different personality styles based entirely on context (Criterion 2). For instance, while dealing with “clients”, while alone, they may be vicious, punitive, and controlling. When dealing with the general public, they may adopt a saintlike persona. It is not at all uncommon for the antisocial behavior of people with Staff Personality Disorder to go unnoticed, even when that behavior extends to torture or murder.
Individuals with Staff Personality Disorder will persistently protect people in positions of power, even if those people have done something unethical or illegal (Criterion 3). This may consist of putting up a “united front” to clients or to the public. People with this disorder will hide or excuse antisocial behavior in others with the disorder. Hiding may take the form of altering logs and failing to report abuse. Excusing may involve character assassination directed toward victims of mistreatment or abuse, or diminishing their credibility in some other way, while making it seem as if the behavior is the only logical response to certain sorts of people. They will also use these techniques of hiding and making excuses, to justify and rationalize their own behavior.
Individuals with Staff Personality Disorder are often employed in one of the “helping professions”, or other situations in which a person has or can secure power over others (Criterion 4). People with this disorder are disproportionately represented among psychiatric technicians, group home workers, home health care aides, social workers, special education teachers, counselors, nurses (especially psychiatric nurses), direct care staff, and institution staff. People with this disorder may also be grammar-school teachers, prison guards, and other professionals in positions of direct power over others. These positions may be either the cause or the result of the disorder.
Individuals with Staff Personality Disorder are rigid when applying rules and explanations to other people (Criterion 5). This, curiously but characteristically, may not extend to others with this disorder. Individuals with this disorder are likely to use a narrow set of rules to understand the behavior of others, particularly clients. They will see most ordinary behavior as manipulative, attention-seeking, or non-compliant. When confronted with something like violence on the part of clients, they will fail to differentiate between malice, self-defense, and frustration at being trapped. This may result in across-the-board application of punishments such as are described in Criterion 7.
Individuals with Staff Personality Disorder may display persistent or stereotyped use of euphemisms, jargon, deceptive language, and double standards in language (Criterion 6). They euphemistically refer to others as special needs, challenged, or consumers. They prefer jargon to ordinary language, and describe the behavior of others using clinical and psychiatric jargon, often loosely adding such jargon into everyday conversation, e.g. saying that someone they dislike has a Borderline Personality Disorder. They use deceptive language, for instance referring to prisons as hospitals and violence as treatment. They use double standards in language, e.g. referring to themselves as getting bored but to clients as going off task. They may apply certain words in a stereotyped fashion, repeating over and over that others are non-compliant, attention-seeking, manipulative, or playing games, without apparent regard to context or motivation.
Individuals with Staff Personality Disorder display persistent use of degradation, ridicule, and violence, either gratuitously or out of proportion to the situation (Criterion 7). Degradation may take the form of degrading language such as “retard” or “psycho”, denial or pathologization of the existing identity or roles of others (for instance telling someone that thinking he is a writer is a delusion of grandeur), treating people like children, or assigning humiliating tasks. More advanced forms of degradation involve using elaborate methods to thoroughly confuse a person’s sense of reality or self on all levels. Ridicule might include laughing at the aspirations or humiliation of clients, or laughingly dismissing their communication or behavior. Violence includes physical or sexual assault, mechanical restraints, chemical restraints, and solitary confinement. These things may be undertaken gratuitously, on a whim, as a result of boredom or frustration. They may be out of proportion to the situation, such as restraining someone for making eye contact with staff. These things are often justified using the means described in Criterion 3.
Associated Features and Disorders
Individuals with Staff Personality Disorder may have a tendency to take care of people who don’t need taking care of, or imposing their idea of care onto other people regardless of context or other people’s wishes. They may have a tendency to rationalize their own behavior in terms of helping others and be apparently unable to see their victims as fully human. They can be highly manipulative, especially to those they regard as inferior. Staff Personality Disorder may be associated with Stockholm syndrome and complex post-traumatic stress disorder in individuals who have been subjected to abuse by people with the disorder. Thus, a significant minority of people who are in institutional situations may develop features of this disorder or the full-blown disorder. Staff Personality Disorder is sometimes seen in the prodromal stages of developing full-fledged Psychiatry Disorder. Non-disabled children who participate in “Circle of Friends” and other helping-based friendship programs are more likely than other children to develop Staff Personality Disorder by adulthood, as are children who have been raised to be caretakers to disabled siblings or parents. People who go into the “helping professions” or who work in institutions are at high risk of developing Staff Personality Disorder, even if they have shown no signs of it in the past.
Specific Culture, Age, and Gender Features
The pattern of behavior seen in Staff Personality Disorder has been identified in many settings around the world, but is especially common on the top end of unequal power situations. Children imitating adults may transiently show signs that seem to point to Staff Personality Disorder where none is present. In the past, it seemed that Staff Personality Disorder was more prevalent in females, but it is now accepted that due to cultural pressures, it can present differently in males and females.
The prevalence of Staff Personality Disorder is estimated to be about 5% of the general population, about 80% among individuals who work in outpatient settings, about 95% among individuals who work in inpatient settings and other total institutions, and about 20% among inpatients and other people who experience prolonged abuse at the hands of people with Staff Personality Disorder.
While there is considerable variability in the onset of Staff Personality Disorder, there is almost no variability once it becomes entrenched in a person’s identity. The most common pattern is that a person seeks a job in any of a number of “helping professions” and is gradually molded into the behavior patterns that typify Staff Personality Disorder. There is a window of opportunity in acclimation to these behavior patterns, in which a person may still have the insight to quit their job or resist further indoctrination. Once these behaviors become entrenched, they are self-justifying and rarely respond to reason or therapy. This is enhanced by the fact that many people with Staff Personality Disorder spend a lot of time socializing with other people with Staff Personality Disorder. A minority of individuals, when presented with the evidence of the harm they have caused to others with their behavior, truly become cured of Staff Personality Disorder, although literature indicates this requires constant vigilance to avoid falling into their old behavior patterns. Some people with Staff Personality Disorder acquire a disabling condition or another mental disorder and recover after learning what it is like to be subjected to the behavior of people with Staff Personality Disorder, but others will maintain their staff identity even within the inmate role.
Staff Personality Disorder is about five times more common among first-degree biological relatives of those with the disorder than in the general population. There is also an increased familial risk for Psychiatry Disorder.
Staff Personality Disorder often co-occurs with Psychiatry Disorder, and when criteria for both are met, both should be diagnosed. In instances where it is related to the development of post-traumatic stress disorder or other trauma-related disorders, it should be diagnosed in addition to those disorders with a notation that they are connected.
Other Personality Disorders may be confused with Staff Personality Disorder because they have certain features in common. It is, therefore, important to distinguish among these disorders based on differences in their characteristic features. However, if an individual has personality features that meet criteria for one or more Personality Disorders in addition to Staff Personality Disorder, all can be diagnosed. Although Histrionic Personality Disorder can also be characterized by manipulative behavior, Staff Personality Disorder is distinguished by condescension. Paranoid ideas or illusions may be present in both Staff Personality Disorder and Schizotypal Personality Disorder, but in Staff Personality Disorder these ideas are limited to concerns about the behavior of those under the person’s control (often inmates). Although Paranoid Personality Disorder and Narcissistic Personality Disorder may also be characterized by an angry reaction to minor stimuli, the reactions in Staff Personality Disorder have to do with specific situations related to the staff role and distinguish these disorders from Staff Personality Disorder. Although Antisocial Personality Disorder, Borderline Personality Disorder and Staff Personality Disorder are all characterized by manipulative behavior, individuals with Antisocial Personality Disorder are manipulative to gain profit, power, or some other material gratification, the goal in Borderline Personality Disorder is directed more toward gaining the concern of caretakers, and the goal in Staff Personality Disorder is to maintain control over a specific person or group of people. Also, while individuals with Antisocial Personality Disorder rarely show remorse for their antisocial behavior, individuals with Staff Personality Disorder make heavy use of specific rationalizations to justify their behavior to their conscience. However, some people with Antisocial Personality Disorder may have co-morbid Staff Personality Disorder and both should be diagnosed in that case. Personality Disorder can further be distinguished from other personality disorders by the typical pattern of protecting others with the disorder and persistent use of euphemisms and jargon to describe one’s actions.
Staff Personality Disorder must be distinguished from Personality Change Due to a General Institutionalized Condition, in which traits emerge solely in the institutional environment due to the direct effects of people with Staff Personality Disorder on an inmate’s behavior.
It also must be distinguished from Factitious Staff Syndrome, in which a person without Staff Personality Disorder masquerades as a person with Staff Personality Disorder in order to assume the staff role and effect change for the better for those under the power of people with Staff Personality Disorder. Factitious Staff Syndrome does not qualify as a mental disorder, but individuals practising it unwarily may develop Staff Personality Disorder.
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You can draw you own conclusions from their words, but know that half of what they claimed was going on was a LIE, or a misinterpretation at best…Remember, I was MUTE and they simply decided I refused to speak and were torturing me into speaking by keeping me in FIVE point restraints.
First of all, I need to make clear that I name the guilty not the innocent here. But I mostly remember the guilty, I wonder why?
As the famed WWII poet Henry Read wrote in his poem, The Naming of Parts:
” Today we have naming of parts. Yesterday,
We had daily cleaning. And tomorrow morning,
We shall have what to do after firing. But today,
Today we have naming of parts. Japonica
Glistens like coral in all the neighboring gardens,
And today we have naming of parts.”
Well, today we have the naming of the liars, and the guilty parties at VPCH, the Vermont State Hospital in Berlin, Vermont, those who either restrained me in 5-point restraints and kept me there for five hour because I could not speak, or colluded to lie about the incident these last two years in order to cover it up and not take responsibility for what happened. And now they have decided to accuse of trying to STAB them…,which is so beyond the beyond that I HAVE HAD ENOUGH!!!
First I will name the Unit D doctor. JOHN MALLOY Jr MD who worked on Unit D at VPCH and who was singlehandedly responsible for a large sheet of paper placed at the front of my chart from the third day I was in the hospital — that is from the the first day he met me, and after he had consulted with the Brattleboro Retreat’s doctor — against my express wishes — by phone only but had not received any official records. This paper had in HUGE LETTERS these words: HOW TO DEAL WITH BORDERLINE PERSONALITY DISORDER…now I do not and did not at any time have symptoms that would have made him think I had such a disorder, except that he had spoken with this monster psychiatrist, Marc McGee from the Brattleboro Retreat, who had diagnosed that secondary Axis II diagnosis within FIVE MINUTES of my — get this! — being forcibly brought into the Adult Low Stimulation Unit by two sheriffs who had not bothered to get a wheelchair but took me by the armpits and dragged me, trussed up like Hannibal Lecter, in leg irons and waist chain and handcuffs and full HOOD over my head and face, across a large parking lot down into the Retreat Basement and up to the second floor where they publicly hauled my helpless body down two long corridors to the ALSA unit before unshackling me…But did Marc McGee ask me why this angered me, I who had been completely compliant on the ride from Springfield and had been hooded the entire time to boot? NO he decided that I SHOULD NOT BE ANGRY so i must have Borderline Personality Disorder…Why? Because HE HATED ME, and his hatred of me meant that I could be abused by him with impunity…
But the thing is, he lied to me, and told me he had not diagnosed this, and it was only later when I found out that he HAD done so right then and there, that I threatened to sue him and to tell the Retreat CEO what he was in the habit of doing to patients he did not like, if he did not remove this designation from my official diagnosis. So he did, he did! When I left, it was not on my discharge summary!
But when Dr Malloy Jr spoke to Dr McGee, did Marc Mc Gee, who ran both Tyler 2 and Tyler 4 units at the Brattleboro Retreat inform him that I was not diagnosed with BPD? No, not at all, he told him the exact opposite, that I had a “long history of BPD” which is utter BULLSHIT and he knows it, Marc told John Malloy Jr that to cover up his own incompetence and John Malloy without bothering to do his own intake and history that VPCH requires him to do, and any thinking on his part, just took that as gospel.
Anyhow, I believe that nothing of what later happened at VPCH would have occurred if the staff had not been primed to abuse me by this sheet of paper that John Malloy Jr MD placed in my chart, instructing them to dismiss me as manipulative and devious and to treat me as a hated patient who needed to be disciplined.
That said, Today we have the naming of names, largely because I just heard from the Vermont Nursing Board that they will not take any measures against the nurse who instigated the Nov 18, 2015 incident of torture. And why? Because the nurse ANNETTE BRENNAN RN, who grabbed me, and had me restrained out of vengeance and kept me in restraints for 5 hours because “she is not to be released until she speaks aloud” (which never happened) was ANNETTE BRENNAN, and she and JENNIFER MANUKHANI RN both know that what they told the nursing board was nothing but a LIE, yet because the nursing board did not know this , and colluded with them, they got away with inventing after the fact something that is not in any part of any chart or debriefing or investigation by the Department of Adult Protective Services, when they investigated the same incident last year, no, nothing was mentioned but suddenly SUDDENLY both nurses manage to remember that I “tried to stab Annette Brennan”?!! Oh, what a load of absolute crap, and if the investigators were anything but idiots who wanted sinecures and not to have to bother to work, they would have done an investigation rather than sitting on their asses. They would have read through the incident in the chart enough to see this. I mean, NOWHERE NOWHERE is this rather critical “event” of my supposedly trying to stab a nurse with a pen ever mentioned (because it never happened) but suddenly it looms as THE ONLY AND PRIME reason why ANNETTE BRENNAN RN that fucking cunt was justified in restraining AND molesting me? Using Dr Joseph LASEK to write the order…
I would have said it took some nerve of those two LYING nurses to collude to make this up out of whole cloth, but they must have known the investigators would not even bother to look to see whether the chart says a word to corroborate this, no of course not. The whole thing was RIGGED to make me look like a assaultive FIEND from the first, when all I ever did was slam doors, NOTHING else, and ANNETTE BRENNAN RN had a hissy fit about it and GRABBED ME because she lost her temper, and Jennifer Mansukhani RN even at the time said, to HER, “WE DON’T GO HANDS ON HERE AT VPCH”, but she had and they did and they TORTURED ME for 5 hours that I cannot forget and will NEVER FORGIVE…
But they got away with LIEs, so I will name names. Annette Brennan, RN and Jennifer Mansukhani, RN TORTURED me and ANNETTE MOLESTED me a helpless patient in 5-point restraints on Unit D at the Vermont Psychiatric Care Hospital on November 18, 2015 with collusion by Drs Joseph Lasek and JOHN MALLOY Jr..
Tomorrow I will post the entire event as I wrote it to the Board, which refused to permit me to testify or to interview me. I wrote it in utter and complete honesty…But they never wanted honesty, they only want to LIE and DECEIVE AND FUCK ME OVER….but REVENGE IS MINE saith the lord as they will learn, and you had better know it!
I also plan to post the pages of my chart and the APS report…I don’t care anymore about MY privacy. FUCK those liars!
i started this portrait, derived from photographs seen in a National Geographic magazine lying around on Unit D, with the detested Crayola pencils that had to be a requisite 4 inches long or shorter…but eventually i was permitted to use ( and try to repair the portraits) with my Caran D’ache pencils, though it is very hard to try to layer anything over crayolas, especially on paper that is too thin to accept multiple layers…
I admit i had been slamming the doors at 2 o’clock in the morning but this never triggered anything before from the unbelievably patient and forbearing staff at Vermont’s Psychiatric Care Hospital, Unit D, except some bemused bewilderment at what had set me off and offers of PRNs to help calm me. After all, with only two other patients on the floor and those two either stll awake or dead to the world, it really did not matter if I raised a ruckus. But this time, because Hannette was the nurse on duty, my nemesis, it mattered a great deal more than it ought to have.
Instead of letting me slam my door a few times and cool off, as i had so often before. or if not, then opening the safety door so when I slammed it it closed only on air, thwarting my attempts to make noise….instead of any of these non-personal interventions, Hannette decided to take another route no one else had ever done. She came right into my personal space and inner sanctum almost no one ever violated without asking me first. Not only did she enter my bed room, but she came right to the door way of my bathroom where I had pulled my mattress and situated my small bedroom stall inside there underneath the shower head.
I stood on the mattress, by the toilet, higher by a couple of inches, boosted by the mattress. But Hannette pushed up close and yelled at me, “You will not slam any more doors tonight, do you understand?! You WILL CALM YOURSELF right this instant!”
That was like yelling at me, BE spontaneous! Yeah, right. I had gone to the med window at this state hospital I had been committed to weeks before, asking for a second tiny dose of Ativan for severe anxiety and because I had been unable to speak for a few days. The next day the people from my recovery residence were coming and I needed to be able to sleep to meet with them in good form and i had to have a voice to speak with them…
for years catatonia and mutism have intermittently plagued me, and it was only in 2003 that we discovered how effective Ativan was for catatonia…later on, when mutism was the bigger problem, Dr C decided to try it, seeing it as as a feature of catatonia, with good results.
However, here at VPCH the on-call doctor,Lasix, knew nothing about my relapsing mutism, nor my need for Ativan. He only knew about my complaints of sleeplessness and anxiety. So called around 1:30 AM he refused me a second .5mg dose and ordered me to try to relax on my own and sleep for another hour, before he would consider a second dose.
This is what occasioned, at 2:00 AM my panicked outburst of door slamming. But I did not start the melee that ensued. Properly the trigger was Hanette’s grabbing my wrists. She restrained me in such a fashion for some reason, but now I dunno why exactly. Maybe she saw my mute shaking my fists at her as threatening. Even so, she ought to have just backed away from me, having cornered me in the bathroom, where I felt threatened by her!
As it was, however, she approached closer and grabbed my wrists, another mental health specialist nearby saying at the same time, “we dont want to go hands on here at VPCH.”
“Then don’t grab my wrists!” I screamed silently. But reflexively and in terror, I bent to nip her fingers with my teeth in order to get her to release me.
Well, that of course was where all hell broke loose… and much more to say but the library hours end now so I have to leave this for tomorrow when I can spend more time at the hospital computer.
So, what happened next you can guess. She yelled for help and help arrived in seconds in the form of staff prepared to go “hands on” not only to stop me from biting her but to actually restrain me completely.
As they bodily hoisted me off the floor, screaming wordlessly, one man asked, “What now? And HAnnette answered promptly, “Seclude her!”
This horrified me. Not again, not a third time in weeks. not in Vermont where they were trying so they assured me everywhere to reduce these events to zero…This was ridiculous.
But Hannette had had it in for me ever since the episodes early on in my stay — when there had been forced medication, something my Advanced Directive had explicitly advised against for good reason, and which the “good doctor ” had for some reason seen fit to decide to go for anyway…with predictable consequences. So for several days as a result I had been a version of the Exorcist’s Linda Blair over that first week or two and that is only a small exaggeration. The foul language spewing from my mouth in hourlong torrents was utterly uncharacteristic of me, both in kind and sheer amount.
But it was now nearly week three and after I had filed a grievance, the forced meds had been stopped and so too my involuntary Linda Blair imitations. Only Hannette it seemed still held those horrors against me. Everyone else had been both forbearing during those horrendous days and extremely forgiving afterwards. What is more, during my outbursts, even when I tossed chairs and overturned tables, no one had over reacted or punished me for the extreme and extremely disruptive behaviors i had exhibited at the time, no one.
Only once, when I became apparently dangerous, did the charge nurse put me briefly in five point restraints. and that was when I literally splashed urine all over him and other nurses and urinated on the rug in public and then hit him and two other people…But at no other time did they even come close to suggesting involuntary procedure such as meds or seclusion or restraints. Or at least not that I knew of.
Now here i was being dumped in seclusion largely because Hannette had grabbed my wrists, standing too close to me in my own bathroom!
Worse was to come. After the panoply of staff dashed from the room, I ran after them in anger but they closed the door and locked it, locking me in alone.
Hopeless, I sat back down on the mattress dazed and sad but not moving. I heard them talking but scarcely listened, trying to calm myself and wondering how long they planned to keep me in this god forsaken room. Then I heard someone say, “She has her glasses and watch. We have to get them!”
Soon they piled in again, all of them on top of me at once, peeling off my two pairs of glasses and watch and my medical band. And then they searched me for pockets of which I had none. All this time I was screaming, wihout verbalizing a word…and fighting them in protest at the intense violation of my person. Then as they tried to dash off I followed closely and almost escaped the room with them. This time they did not succeed in closing or locking the door, no, because I was wedged in-between. So someone said. “Back inside!” and we all moved as one back towards the mattress.
I thought they were going to use the maneuver Scott , that charge nurse. had used the other time, to twist my arms and legs in such a way as to make it difficutl for me to untangle myself and give them time to get out before I could follow. Not pleasant for me but not painful either and rather clever nonetheless.
But no, instead, to my dismay I heard Hannette call, “Get the Bed.” The BED??? For what? What had I done to deserve The Bed????
But the bed was gotten and within minutes I was trussed up in FIVE POINT RESTRAINTS for nothing more dangerous that holding up my fists at Annette and nipping at her fingers when she herself had grabbed my wrists!!!!
The worst is yet to be related alas. much worse. But I do not have enough time tonight in the library to explain it all and I need to post it tonight or it will be lost. I go home to MRR on Monday , which may be news to many who have been wondering where I am or have been.
It has been a long long journey and it is not over yet. More tomorrow on this story and perhaps I can also catch you up on other parts of it as well. In the meantime know that VPCH is by and large a good place all told, just not a place to call home, not if you have any life of your own left to live.
Tata for now.