Guyer II, Ed .D.
PSYCHOLOGICAL EVALUATION . CONFIDENTIAL
Name: Ronnie L. Kimble
Testing: 10/28/97, 11/5/97, and 11/18/97
with his parents (12/2/97)
REFERRAL AND REFERRAL SOURCE: Mr. Ronnie Kimble was referred for
psychological evaluation by Mr. John B. Hatfield, Jr., J.D. He was
referred due to allegations that have been made that he murdered his
sister-in-law. Mr. Kimble denied these charges. Mr. Kimble complains
of a sleep disorder which he indicated was diagnosed while he was on
active duty in the U.S. Marine Corps. He was not clear on what exact
diagnosis was given to this disorder. i have not been able to get a
copy of his medical records. Mr. Hatfield has requested these from
USN (who is the Medical Corps for USMC).
RELEVANT HISTORY AND BACKGROUND: Mr. Kimble is the youngest in a sibship of two from an intact family. His description of his family leads one to view the family as not close. He indicated that he did see a counselor when he was younger. He felt that he saw this counselor due to some minor problems he was having as a child. This was approximately at his age of 12 years old. He related that he is a high school graduate. He stated that he has had no history of legal problems through high school or while in active duty in the Marine Corps. His father is a Baptist minister, His mother works as an insurance clerk with Travelers. Mr. Kimble had hoped to go to work tar the Postal Service when he left the U.S. Marine Corps. He is aware that his father was adopted and he has little knowledge of any psychological or medical history from that side of the family. He does feel that his parents show favoritism to his brother. There is a history of alcoholism in his father. Mr. Kimble indicated that his father has not drank for the past 20 years. Mr. Kimble teared as he spoke of his father being an orphan and of his father's stopping drinking. Much of this history was also documented in the newspaper story.
HISTORY: Mr. Kimble indicated that he has no medical problems with
the exception of a sleep disorder. He described periods of excessive
sleepiness and irresistible attacks of refreshing sleep. He related
experiences which sound like either hypnopompic or hypnagogic
hallucinations. He feels that on, at least one occasion, he walked 5
miles with his platoon while in a state of dissociated consciousness
where sleeping and waking states were combined for him. He also
explained that he had "stood guard duty" in this same state. He
denied experiencing insomnia, restless legs or other dyssomnias. He
did believe that he suffered with somnambulism as a child. Parents
confirmed that he often had trouble staying awake as a child. They
confirmed the rest of his history also.
OBSERVATIONS AND MENTAL STATUS EXAMINATION: Mr. Kimble was
interviewed in the Guilford County Jail. He was dressed in a prison
jumpsuit. General appearance revealed an alert and oriented 25 year
old male of mesomorphic build. He was cooperative and polite
throughout the diagnostic interview. There was no obvious indication
of deception during the interview or test administration. He was not
clear on the reasons for undergoing a psychological testing. He
exhibited no difficulty with eye sight or hearing. He was well-kempt
and motor activity was appropriate. He spoke in a normal rate, tone,
and volume. Mood was euthymic with full range of affect. Eye contact
was appropriate. He complained of hypersomnia and an uncontrollable
urge to sleep. He exhibited no indications of auditory or visual
hallucinations during the testing session. Thought was logical and
relevant. Thought content was dominated by his current situation of
being incarcerated and issues surrounding allegations that he had
murdered his sister-in-law. Memory was intact for recent and remote
events. He did exhibit some difficulty with long term memory and
distinguishing factual events from what Might be either hypnopompic
or hypnagogic hallucinations. Rapport was readily established and
Mr. Kimble appeared to put forth his best effort on all tasks
required of him. He exhibited no motor tremors, stigmata, nor tics.
He denied suicidal or homicidal ideations. Gross and fine motor
skills are intact.
TEST RESULTS AND INTERPRETATIONS: Current intellectual abilities as measured by the Wechsler Adult Intelligence Scale-Revised (WAIS-R), fall within the average range of intelligence with a full scale IC of 99, a verbal scale IQ of 88 (low average range), and a performance scale 10 of 118 (high average range). There is a significant discrepancy between his verbal and performance scaled scores. This would indicate and individual who is likely to make poor academic grades and possess a poor reading ability. Persons with this discrepancy are usually described as doers, not thinkers.
Ten (10) is
Bender-Gestalt-Perceptual Test was administered to further assess
perceptual motor functioning. Mr. Kimble scored no errors his Bender
reproductions. This would suggest that he is functioning at age
level in the perceptual sphere. Emotional indicators suggest a
withdrawn and fearful person who experiences problems with authority
figures. There are also indications of anxiety, tension, and
Minnesota Multiphasic Personality Inventory-2 (MMPI-2) test results
suggests an individual with a good ego-strength. He is somewhat
defensive. This is often seen in persons who are incarcerated. All
clinical scales fall within the normal range.
techniques support the findings of the MMPI. He exhibits an interest
in the common place and may become rigid and constricted when placed
under pressure. He does have a tendency to hold in emotions and then
possibly react in an emotional manner to what appears (to the casual
observer) to be an insignificant event. He does not view himself as
close to his mother or father. He does feel that he is close to his
wife and views her as his family. He is presently experiencing some
feelings. of depression and anxiety. This might be expected for a
person in Mr. Kimble's current situation. There are no indicators
that would suggest that Mr. Kimble abuses drugs or alcohol. This was
supported by Mr. Kimble's scores on the MMPI-2, MacAndrew's Alcohol
Scale, and the Addiction Admissions Scale, and the Addiction
309.28 Adjustment disorder with mixed anxiety and depressed mood.
Rule out --a Dyssomnia,
SUMMARY: Mr. Ronnie Kimble is a 25 year old white male who presents with the chief complaint of experiencing symptoms of a dyssomnia. He is presently under a great deal of stress from being incarcerated and charged with the murder of his sister-in-law. He denied these charges. He is currently functioning within the average range of intelligence with a full scale IQ of 99. His strongest areas of performance are in sequencing abilities, and psychomotor functioning. His weakest areas of performance were in general fund of information and vocabulary. He is experiencing some feelings of anxiety and depression due to his current situation. It is felt that his history of a sleep disorder bears further investigation. He denied suicidal or homicidal thoughts. There were no indications on his personality testing which would suggest the presence of suicidal or homicidal thought. There were no suggestions of sociopathy and he does appear to have the capability for empathy. He does know right from wrong and he is capable of aiding his lawyer in preparing his defense.
thorough evaluation by a certified sleep disorders clinic which
utilizes a multidisciplinary approach. There is such a clinic at
Moses Cone Memorial Hospital in Greensboro, NC, which is under the
direction of Dr. Clinton D. Young. There are also clinics like this
at Duke University, UNC-Chapel Hill, and Wake Forest.
2. A review
of his entire medical history prior to and including his time in the
USMC is imperative.
3. Follow up
pscyhotherapy to decrease his anxiety and depression.
Charles G. Guyer II, Ed.D., F.A.F.P., F.A.Co.P.
Psychologist (Health Service Provider #0694)
Published August 15, 2006. Report broken links or other problems.
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