*graphic and adult content* Jodi Arias Trial media/ timeline thread **no discussion**

Mcmi - norming is a reference group - normative population to compare scores . . . normed against clinical treatment . . patients already having a psychological disorder .. . results in#553 compared againt non-symptomatic population? . . no population with mental health issues
why would weneed to look @ JA's behavior . . . . compared to people with MH disorder

Demarte lookedat this beforein people inpsychiatric settings . . . would not use ths test on norml population

what approach did ALV take?
much more subjective approach - no report written . . . no test data to compare . . .

Dr.Carp and Dr. Samuels you were told about tests you could run yourself . . .but with ALV there is no objective data . .. no report.
what did she do then?
ojection - lack knowledge
approach

Sustained . ..
ALV were you provided any materials that she created such notes?
I was provided with notes
audiotape with prosecutor
yes
discuss the approach she took in this case
yes

what was your understanding o her approach
interviewed JA and looked @ records
big piece of missing data is giving tests - adds an objective measure

another piece of data to be incorporated not just coming from JA in clinical interview

changing stories about the events . . . raise red flag with ALV approach?
yes -inconsistencies doesn't support accuracy .. . more data points more accurate objective

extremely afraid of defendant because o her stalking behavior . . . .ALV did't believe TA . . . do yu see anything in her approach to give ability to decide on the truthfulness . . . .

this is one piece of objective evidence - you use it as a piece of data. . . .
whether or not this is something to be believed . . . approach make it better for eval.

what that does is chnge from objective to subjective data - something to read . . .
doesthat tell you anything bout the ultimate conclusion based upon subjective or the words
objection - lack foundation
approach please

Subjectification. . . taking objective and making it subjective . . ..would you believe valid?
it is unreliable - no objective data relied upon - report would be completely subjective .. .

exhibit #456 = talked about already . .. . approach to change o make subjective first sentence . .valid opinion - change words in jurnals . . .

it would make it subjective an unreliable
any course ever take to become psychologist this is an appropriate approach>
no

you administered one TSI . . .and other tests
Wide Range Achievement test = WRAT = self report measures like TSI an MMPI reading thresh hold required . . . give her threshold . . .read @ certain level - tells you she couldread and take the other tests.

very brief reding test . .. read outloud

WAIS - intelligence .Wexler Adult Intelligence = test of overall intelligence = IQ test . .
divided into parts . . . 4 domains . . . . comprise the score
verbal comprehension - person formulate words an word k now
non verbal intelligence - put together puzzle
short term memory .. . she performed well on it - no memory affected
processing speed - how fast she thinks

relatively high -above average range . . . reference records.

JW objects - overruled
exhibit #621 - review it . . .give it back

overall IQ 119

very superior range - scored 136 verbal comprehension . . .very superior . highest possible you can get = very high in descriptor domains

MMPI - Minnsota Multiphasic Personality Inventory - general psychopathology and personality disorders . . . (how relate to people - how we carry ourselves with people . .
average typical normal population that it is normed on.

is there such a things being a jerk?
not using that verbage

objection - approach

Overruled. . .

JM- issue about MMPI . . . one of the thngs . . personality . . I started to say jerk . .what is it exactly do you mean? not usethat term . . . . I would say aggressiveness . . . personality trait . . when does personality traits start . .develop early . . .temperament in toddler years . . continues to develop in childhood and adolescents and becomes firm in adulthood.

situation person is depressed . . . .that is situational . . . I would look @ patterns of behavior

Axis 1 - disorder . . . transient disorders . . clinical disorder

Axis - personality disorder and mental retardation

depressed and in jail .. . . personality?
no indication depression in the past = I would label it non-personality

how important for forensic setting.
look @person in sutaiotn in maladaptive way . . .. the personality trait is not helpful to them - impairment in their life (people in their life cause stress to).

567 questions?
gave test to JA . . . true or false . . . mostly true or mostly false to her

would you read questions to her and write it on legal pad vs. answer sheet.

no - put it thru computer twice - so no error entering it.

MCMI . . . similar .. .a number of scales identified on there.
a section . . group of answers into meaningful categories . . . ie: depression or somaticize - somatic symptoms . . ..
validity scale .. . tells us what the test taker approach is . . . whether they tried to not answer appropriately . . ..

9 validity scales . .. she was able to use results f the tests. . .

other scales?
clinical scales - primary areas looed @ . . . looked@ them all but 10 scales . . . why important to you?
face validity . . .. look @ items on a test . . . .
ie: high face validity . . . I cry all th time . . .tends to say depression or not.

with regard to defendant 10 clinical scales.. .. results of her MMPI . . . there are 10 scales. .. of ten we see 3 or 4 elevations . . .a tap on shoulder - something going on this domain . . .

the number 65 is the thresh hold . . .above may indicate something . . .

7 of the 10 scales. . . majority of them above the thresh hold
mean to you . . read materials, clinical interview and now have this elevation?

because 7 scales . . a lot of data to look @
I then examined top 2 or 3 - able to interpret into personality profile.

people with personality profile do relatively good job of hiding from others but still experiencing anger emotion . . wrong in some kind of way from someone . . violent oubursts . . .seething very angry . . .externalize blame - someone else did something to me .. .conceptualize it an justify it in their mind .. . .

she internalized the anger?
objection -this is generalized not specific to JA

Lunch recess - counsel please approach


Let me guess . . . . Intermittent Explosive Personality D/O???

We are back . . . on time . . . . Dr. DeMarte takes the stand . . . she speaks to Mike the court reporter and smiles.

waiting for the jury

Jury, defendant, Dr. Demarco and JM all in courtroom.

profiles . . . anything to do with MMPI . . . floating profile a number of elevated domains over 65 . . . floating profile often seen in person's with borderline Personality Disorder


borderline!!!!!!!

in way which JA smiled as if it were a highschool picture . . . strange and immature . .. her parents described her as being "happy as hell" . . . . this is why I gave the intelligence test . . .

result of that testing . .. reach a diagnosis? . . . conducted 4 tests we have already discussed. . . . behavioral observations too.

Borderline Personality D/O - think of it as seen in teens . . sense of immaturity - emotional lability . . .unstability - unstable relationships, emotions, lots manipulation involved, large sense of immaturity . . . .think of like a teen ager
f
DSM - used to look for specific sypmtoms . .

the TR version is updated . . . it is not completely different from the Dsm . . .but the subsections are different . . . how do you tell one from the other . . these 2 disorders might have overlap - here is what to look for.

not laid out like PTSD just a list of symptoms like caracteristics . . .

JM is moving to have exhibit #622 entered . . . copy of the DSM-4=TR involving diagnosis of Borderline Personality D/o

refresh recollection . . . . she knows them off the top of her head but feels it would be helpful to review.

first criteria . . . .DSM-4TR lists
frantic efforts . . . . . . efforts to avoid real or imagined abandonment.
a symptom of JA . . . abandonment . . we don't want to be alone but Borderline PD have terrified feeling of being abandoned by ohers. . . looking for a pattern over time . . engage in behaviors to try and keep people close but these behaviors often push people away . . demonstrated life and earlier . . after she and TA broke upshe moved to Mesa . . spoke to TA's brother - over step boundaries and be intrusive . . . she said she checked his FB . . . don't leave me - I want you near by spying on him and being intrusive with is space in general . . .

2nd criteria - unstable and intense interpersonal relationships

people with Borderline personality d/o - have problem with relationship . . they split people . . . idealized people on a pedestal no matter what they do they idealize them . . . and devalue there is no good in them.

JA met symptoms for borderline personality d/o = had ability to go from boyfriend to boyfriend - she had strong idealize man she was with . .. even though he wasn't monogamous with her from the beginning but she kept this saccharine sweet idealized thoughts about him.

identity disturbance = back to thinking of teenager -when we are young we have sense of who we are as person - can shift over time but when we are adults we become relatively stable . . .in borderline personality disorder that is not sta ble but changing . . .her tendency to join Mormon church very quick . . . even in her relationship with Darryl . he indicated she changed her hair bought a car to be like his wife . . . she bahved one way with one boufriend with MM they lived in tent . . around DB and TA she was much more professional . . depends on whos in her environment

impulsivity - tendency to do things on whim - not be thought ful in actions . . . not a stable characteristic on behalf of ja - doesn't believe JA meets this criteria

Suicidal behavior/ideation: . . . self explanatory . . . .can see suicidal behavior in a number of different psychological disorers throughout life . . .had access to her diary throughout many years . . . consistent pattern of her writing she didn't want to be alive = she met this criteria

affective instability - easiest way to think of this is a roller coaster of emotions . . .up and down . . . when weactually show that to people they say they have bi-polar disorder . . . consistent pattern of her boyfriends all described her as having quick shift emotions . . . saw this in her journal in the same day within one day very quickly up and then very down . . .

one more thing ....pattern of consistent behavior - her parent describe this since she was very young

chronic feelings of emptiness . . .

9 symptoms in the DSM-4TR - 5 of them must be met to meet Borderline Personality DO

a long time of feeling empty . . . JA stated she has felt this way since adolescence . . .


Inappropriate intense anger - tendency to engage in angry and aggressive behaviors . . . looking for a pattern of behavior . . .she identified it in an email to TA

show you an exhibit - Feb 14, 2007 from JA to TA . . . discuss her inappropriate intense anger? it does.

#643 hands over to JW for admit to exhibit.

9 symptoms . . .

transient stress-related paranoid ideation. . ..

times of extreme stress we see high levels of paranoia. . . . not seen in this case.


I would also like to clarify . . .
JM - no there is no question to you . . .does it relate to Borderline Personality DO?
yes I would like to offer an example in criteria in #2

@ the bench

#643 - inappropriate intense anger . . . what does it say? read out loud 2nd paragraph

However you already know the secret . . . you can . . . at any time . . . my anger I've kiked doors, smashed things, broken things,it hurts people and hurts me . . attracts lower

chose the right and see everything thru a filter of love . .. I will never stop striving to be Christlike.


written by the defendant . . . 2/14/07 16:58 - 4:58pm . . .
story involving defendant she discussed receiving candy and underwear on this same day . . . yes she discussed receiving underwear . . .

included in one of these symptoms in borderline pd . .

a gift is a positive thing but we are seeing negative things here . . .

intense and interpersonal relationships
I would say I can't make that relation without more information

Dr.Samuels said PTSD and you disagree
I did (I do)

who does the typing and revew of th report
I do
any errors
they are mine

exhibit #544 - his conclusion and diagnosis . . .clearly under criteria for PTSD . . . if an individual making that assessment fall short under C or d for PTSD

falls short according to this . . . it falls short in D and I have to review C but I think it falls short

why not a case of PTSD . . .

in terms of the DSM

4 primary categories . . .symptoms look for in PTSD . . .presence person experienced a strong traumatic event - horror, fear. . .
2nd category - re-experiences symptoms
3rd - avoidance (avoid truma)

4th is increased arousal . . . - a change of arousal . . newly ability to become angry - becoming hypersensitive . . have an excited response with a jolt.

a is presence of traumatic event cause strong sense of horror/fear
Dr. Sam said she got PTSD result from the killing way she descreibes it she felt fear . . .she met criteria for A.

what if 2 intruders came in . . .
if that is what he based his diagnosis on that would be inaccurate

what if it is an event that didn't occur - wouldn't that automatically do away with PTSSD.

yes- all questions specific to that event that caused the trauma . .. .

trauma if none then doesn't that make PTSD

can it be based on a made up event?
It cannot be based on a made up event!!!


ALV says JA got PTSD from abuse from TA . . .
no physical abuse . . . if those events did not occur . . .
similar to before if the event isn't true then the PTSD would not apply

I would agree it would meet criteria for A if the murder triggered trauma

re=experiencing event - criteria B

5 symptoms listed and one or more must be met (1 of 5 must be met)

first symptom - re-experiencing - symptm B -
have to reference back know category as a whole but want to be sure . .. first - recurrent and intrusive distressing recollections.

symptom - thoughts about the trauma keeps invading their mind bothers them . . . think about it a lot.
she thought about it but not @ level we see with PTSD.

not uncommon to think about it but so traumatized by event it causes disruption in everyday . . .

in her journals or interviews indicate distress recollections? no

2nd recurrent distressing dreams of the event -
having nightmares and dreams about what happened - frequently recurrent

she said sh wsa having some dreams but not recurrent
dreams of the event discussed?
no

acting or feeling if the traumatic event were re-occurring - reliving it - you can see with PTSD they re-enact the episode - reliving it.

killing TA is triggering event

carry out the killing cause her distress?
no

intense psychological distress @ exposure to cues - shortened version . . . when there is cues of the trauma . . anything related to tA - talking about him, symbols or signs related to him cause signs and symptoms of the distress . . . strong intense
not seen with JA.

discuss what happened between TA and JA yes. . she didn't have this strong intense distress she was exposing herself to that . . she writing journal about it - there are cues she s walking towards . . . .going to the funeal

psysiological reactivity to to cues of the traumatic event . . . visceral response . . beating heart, sweating, (throw up) . . physical response

a note to her Atty but other than that nothing else

section C - avoidance
how many symptoms to chose from 7, . . .3 or more

efforts to avoid thoughts, feelings and conversations associated with the trauma


similar to stuff highlighted before - she was writing about it quite a bit in her journals
objection
sustained

lets be more specific - wriing in her journals . .
she writing a lot about TA - saying good things
after the killing

efforts to avoid activity/places or people
associated with the trauma - these are all associatied with the trauma

does not meet this criteria . . . she went to his memorial service, wrote a letter to hs family . . . surrounding herself
how about sending 20 iris to his gma
that would be one

taling to mutual friends
does she meet that criteri - she was not putting effort to avoid the

inability to recall important aspect of the trauma

(*****dING DING DING)
when people are exposed to traumatic events they have acute recall but lose aspects of the traumatic event.
based her report alone . . . . Dr. D does not agree that she meets criteria but based upon JA's report only yes

when people experience traumatic event . . . not like what we ate for breakfast . . .times people become hypervigilent focus . .

don't believe JA because way she report the memory loss . . . not usual in what we see

she reported several hour gapin her memory
not how it typically works. . .traumatic events . . tend to lose small aspects of the incident . .. when there is a traumatic head injury or substance abuse issue ...

time too long of a gap one problem

traumatic memory -the more people talk they tend to gain more - that is what we do in treatment . . . that is not pattern JA displayed

she indicated to Dr. D she went to go and grab the knife . . .memory was absent until put knife in dishwasher or not . . ..until he hit Hoover dam

she told Dr. Samuels in his report that she remembers getting rid of the weapons . . . Dr. D saw her after Dr. Sam . . . . usually gain little bits more and more as you talk . . she should have a little more memory when seeing me not less

another aspect . . . what JA reported to Dr. D . . when reached Hoover dam . . .a little blood on her hand . . I knew this meant that I killed him . . .how do you know that if you have no memory? . . she said I knew I did . . . .that is impossible or illogical you would not think a little blood on my hand . . . not first thing I killed someone

markedly decreased interest . . . .stop engaging in the world . . stop doing things they enjoyed . .. JA spent time with friends she had wanted to attend school

noindication of ?anti-donia?/

humping on Ryan . . . Borderline personality DO . .. idealized or devalue people . . . JA just engaged in a killing and then go have a romantic encountered a flip occurred . . devaluing and idealizing . . . . she was at the point of devalue - despising


detatchment from others or estrangement - feeling like can't be around people . . estranged from them . . .

doesn't meet this criteria . . . related to go to social acts . . going to memorial, gonna go camping at one point . . .

restricted range of affect
a blunted level of affect . . . . may not have feelings of love during that time no kind of drastic emotions . . .

she talks about how much she loved TA after the killing -


sense of forshortened future
people with PTSD have difficult time seeing their future will be like . . so involved with their trauma - not talk about themselves out side trauma .. . things like dating

saw in her journal she talked about courting other men . . she had a job

so B & C are not met

this diagnosis of pTSD is not appropriate

lets talk about D - there are 5 must meet 2
increased arousal - difficulty falling or staying asleep -
when she got to jail . . . had trouble falling asleep in jail - not related to trauma just a change in environment

irritablility or anger . .
consistent highlighted before is much more personality . . . we would see this as increased after the trauma not as a pattern seen in her entire life

difficulty concentrating -
ability to maintain/sustain attention . . . she struggles with being clumsy . . . .after the trauma event this is not a new symptom - doesn't meet this criteria

hypervigilence - tendency of hyper aware . . . protective . . .make self look around make sure safe . . . .

saw videos of JA . . . it was not present in her

exaggerated startle response - tendency to get startled very easy - exaggerated jerk . . startle response.

did you see this with defendant . . . I was lucky to have video . . .times door slamming and noise - would have seen that kind of symptom

she does not have PTSD

Dr. Carp - PTSD consstent with abuse

familiar with adjustment d/o -
a change in behavior happened in change in environment
with Ms. ARias I did diagnose her ..
objection

Dr Samuels did not give her this diagnosis . . .

memory issues involved in this case . . . JA indicated she has a very large memory gap the night of the killing . . .

are you familiar with fight or flight regarding memory

a fear response occurs in fear situation fear stimulus - cause fear body protect self . . .our body sweats . . . . evolution if tiger bits on it will slide off easier - it becomes secondary (memory) because we are trying to protect self

@ times they act very different . . . brain doesn' act in the same way normally does . .. frontal lobe . . we plan . . .organize planful behavior not what a dog might do . . . no higher order behaviors seen . .

did you see any higher order behaviors in the fight or flight memory loss
Objection
Approach

Day 48 - Rebuttal Pt. 1

Jodi Arias Trial - Day 48 - Part 1 (Rebuttal Starts) - YouTube


Pt. 2 - Jodi Arias Trial - Day 48 - Part 2 - YouTube

Pt. 3 - Jodi Arias Trial - Day 48 - Part 3 - YouTube

Pt - 4 - Jodi Arias Trial - Day 48 - Part 4 - YouTube

DAY 48 - NO SIDEBARS:

Jodi Arias Trial Day 48 Part 1 [NO SIDEBARS]

Jodi Arias Trial Day 48 Part 2 [NO SIDEBARS]

Jodi Arias Trial Day 48 Part 3 Of 3 [NO SIDEBARS]

cinderella said:

This is my first post here and I wanted to share the Valentine email from Jodi that was shown in court today. Sorry if this is the wrong place. https://twitter.com/starknightz/status/324325054949257220/photo/1

Click to expand...

Can this go into the media/timeline thread?

I transcribed the text for people on mobile devices who won't be able to read the small text.


---
bit of loss for words. And perhaps a little bit intimidated, not necessarily because of how angry you were, but because I wasn't sure how you would react to me trying to comfort you. I compare it to my own experiences, and I know that sometimes, I don't want to hear it, I just want to yell and scream and vent (yes, I do on very rare occasions), and go through the motions until the situation plays itself out. Other times, I need comforting and to be told that everything is ok. I wasn't sure exactly what you were needing, so I just listened, and as the conversation evolved, my heart filled with compassion [] you.

However, you already know the Secret. I don't need to remind you. But you are so powerful, and you can turn this situation around at anytime [sic]. I found out, much to my regret, that my anger is very destructive. I've never beaten up anybody over it, but I've kicked holes in walls, kicked down doors, smashed windows, broken things. It hurts people [redacted?] and it hurts me. It lowers my vibration and attracts unwanted lower-vibrational situations and people into my life. So I strive every day to "be the bigger person" and be a living example and Choose the Right and see everything through a filter of love. But it doesn't always work that way! I mess up. Sometimes I forget who I am. But I will never stop striving to be Christ-like as much as I possibly can.

This morning, I woke up feeling awful. I called Darryl (only because I had to give him the phone number to our mortgage lender) and he said, "hey, I was just going to call you. Any change in your situation?" An that's all he had to say. I lost it
---

JW w/Dr. D. -

I missed some of the beginning of testimony re: DV child witnesses grow up to be perpetrators . . .. I need to go back and listen to that part!!!!


What tests do you use now in your practice . . . we didn't talk about yesterday.

I listed multiple ones yesterday
RBands Neuropsychological Damage . . .

do you have other Dr's working with you?
2 others under contract - disability evaluations under Dr. D contract . . . she also does this same work under contract

you have an advertisement in Psychology Today?
it's a website . . . I also have a private practice website

Do you pay for this advertisement?
I haven't paid
have they asked you for money
no

offer free consult
that is part of the website verbage they use . . . if a patient is interested in therapy and they call me
$130 - 200 website range I fall into . . .
I charge $125 for therapy
sliding scale - box check - no
if someone could not afford and didn't have insurance they would have to look elsewhere.

if someone has insurance we are required to follow the contracted rate . .
less than $125 per hour - for some but not all . . . equivelnt not more

contrast that with forensic services
Prosecutor or defense Atty or plaintiff atty . . . or the court
or $250 for testimony and $300 per trial interviews

yesterday and today you are making $300 per hour - significantly more money than people for therapy . . .
from an hour to hour basis

how many forensic cases have you had?
how many you were hired by prosecutor?
yes
for '06 cases
criminal?
2 by prosecutor - 1 by defense Atty, one by court . . . civil case

last 2 civil I have one criminal defense . .
worked for Bayliss - forensic work
hired by prosecutor?
also by defense
50/50 ???

more so often for the court . . . . 50/50 by the court
not by the court . .. prosecutors vs. defense

I would say more prosecution not 50/50 - not something I would keep track of.

You have 2 cases w/county Atty office
yes
you spent 12 hours speaking with JA -
yes

there is a lot of materials - I reviewed some before, some after, same day . . . . between sessions - continually .. ..

continued reading materials never went back . . . 12 hrs interview and testing . . . it was about 12 hours the day I tested 5 hrs. .. 15-30 min after that I spent questioning her.

12 - 12.5 hrs . . . . I spent a lot of time . . . I did find some inconsistencies in what she was saying.

JW - what we are talking about here is the hours you spent with JA 12 - 12.5 = you have no idea what you spent . . . for that $250 hours . . . over 50hours? . . . yes probably over 50 . . .
bill to prosecutors office
correct I send my bill to you except the bill I sent to you
for our interview

you spoke to one other person Steven alexander - didn't speak to anyone else and didn't do more interviewing ..

conversation with TA brother 30 min . . .behavioral observations, interview, and testing

advertisement in Psychology Today - list qualificcations where went to school you license number in Az - you have practiced for 8 years . . . .you have been practicing as a psychologist for 3 years . . .

they don't have a space for that . . . even though you have practicing psychologist 3 yrs
you are adding the word psychologist I have been practicing for 8 yrs

but that was before you had your license. . . . .
you talk before you had only your bachelors degree before your Master's degree . . . you didn't have your license
it was unnecessary
practicing therapy without a license?
that happens all the time

ALV has her masters and she has a license
I was going thru process of achieving my doctorate

you clarify with people when they ask about 8 years background it was Master's level not as psychologist -
yes I clarified that with someone just 2 weeks ago.

Trauma patient . . .
specific interviews for trauma patients
nowhere on your CV
that is right because I don't include each and every eval on each and every patient . . .

it doesn't list trauma victims
sure it does . .. Mother and infant study
passiveness and anti-social behavior those specific have trauma victims

you don't list it on CV
I feel it necessary to pad my CV
s.

do you have anywhere listed trauma
I have taught trauma, schizophrenia, bi-polar, I have taught 4 courses @ Michigan State University - abnormal psychology undergraduate students while I was Master

exposure to trauma aspects of trauma and different measures of trauma
no it was about community exposure and the effects

a member of associations =- not a member of any specific trauma association
part of license - education so many hours a year
attend conferences?
I can


attended trauma conferences, read specific trauma journals . . .
testing that you did you gave the WRAT
correct

5.5 hrs doing testing . . .
very quick test
just them being able to read words - wanted to make sure she could MMMPI make sure she could read . . .

you had seen some of her journals and could see she could write , she writes quite a bit - you couldn't tell she could read?
I felt it good practice to ensure she could read

gave the WAIS - overall intelligence test -- gives an IQ score - had some contact with her 12 hours of time . . .read thru text messages between her and TA

at that point in time - she able to follow conversations - you still concerned she had

sense of immaturity
low IQ
I was curious what that could mean - comprehensive and rule out
found she has a pretty high IQ
correct

2 of the tests of the 5.5 hrs . . being paid $250 per hour

the other ay you spoke of objectivity of testing - lack compassion when interviewing

I don't walk in having compassion for the person immediately but it is possible to have it

objective testing
test scores mean a lot to you
objective is another data point

doing these tests . . different tests are objective they are computer scored . . MMPI and TSI is scored by hadn . . .

could have scored
pierson version

scoring sheet scores it handscoring
still consider it objective
yes
unless the data is altered if done per protocol then yes

handscore done per protocol you would agree objective

PDS score - only given once before

I have never given the PDS
Post Traumatic Stress test
Edna Phoa . . . creator of the test

you had to buy own copy because you didn't have it
I borrowed one from a colleague

jAs answers from the PDS
borrowed actual test questions
didn't have experience giving that
similar to other self report measures - never gave that specific one

PSD test questions not given by the defense
only the bubble sheet would be considered raw data
owners of PDs test -- creators people who do these Pierson Assessments
I think that is who distributes

the company that owns the test now Pearson . . .have copyrite on this test . . .

seen the MMPI -
I have seen many tests

JM wrote down the questions . .. . we were talking about PTSD . . . he was taking notes -

you were showing him the test questions - copyrighted.
he is not practicing psychologist but you still shared copyrighted information with Atty
yes

part of the PDS test from Dr. Samuels - raw data
JA's answers
correct

the test is broken up into different parts
part 1 discuss traumatic events . . . asks you.......

(sorry missed a minute)

JA has a DSM4-TR next to her arm

whatever section you are referring to I would like to see it

marked #626
part 2 - questions on part 2 specifically ask about a trauma
yes

answer sheet room to briefly describe trauma event

exhibit #550 - ssee part 2 brief describe - assaulted/life threatened

according to what JA said TA assaulted her
on night of the killing
and told you her life was threatened
yes

further into the test - actual scoring part
you rescored Dr. Sams
right
scoring goes thru A,B,C,D

I am just talking about PDS test
ABC and D follow criteria in DSM - 4

four you are showing me yes
according this PDS test - JA meets criteria

according to the falsified traumatic event you are talking about

assaulted and her life was a threatened
by a stranger
make a different
absolutely

doesn't say stranger here - just said assaulted and life threatned
that is traumatic

if someone assaulted and life threatened by someone they know could be traumatic
some times it might not be traumatic


it cause a trauma
PDS test - scoring sheet - show same exhibit - symptom severity score - max is 51
if someone is exaggerating their symptoms - it is possible to get to 51. . . .
her score no where near 51

you didn't try to give this test yourself
correct

yesterday talked about triggering events
specifically related to what

something cause PTSD
yes specific event

triggering event not cause PTsd
triggering event - actual event not but something triggers the response

trigger event usually a trigger of something happened a reminder of the traumatic event

when PTSD diagnosed can come from multiple events
it can
or final event
right

that would be similar to soldiers coming home from war getting diagnosied with PTSD never physically harmed themselves . .. don't specifically discuss one event in a way

they will discuss many events - when they felt their life was in danger or heard of someone in danger it can trigger . . . associated with those events - trigger the fear response

MCMI = you did not give to JA
right

MCMI - tool measure long standing personality trait
correct
not a one time event
no

doesn't change over time - validity scales built into the test - to see if they are answering truthfully

no issues with regard to validity
within normal range
base range scores

exhibit #541 - Mcmi 3 profile - see some scores
anxiety - base rate is 75 - clinically significant - elevated in anxiety - yes

next highest PTSD - scale @ 69
while it doesn't hit 75 it is an elevated scale above normal - below clinical significant . . . 2 highest scales on MCMI - anxiety and PTSD
yes

2 more scales . . desirability
higher score 67 - to present self in overly desireable way . . . . ranking high wants to present self in a better way - they can minimize anxiety or Ptsd . . .not in this case - it didn't meet the threshold . .. it is not impacting her scores

it doesn't pass the thresh hold - throw it away
goal of validity scale - can we trust the test

high elevated on desirableity - doesn't meet the thresh hold

Borderline - base of 11
far below normal . . . below clinical significance just like all rest

you are trying to put a value on something . . .using the criteria in the manual - anything in the below 75 is not significant . . on this test it came up not significant

are you aware when McMI 3 scored . . .comes with a report
Dr. Samuels did not offer it to me

JW giving you what has been marked as
objection
approach

mcMI conducted by Dr. Sam . .
Axis 1 and Axis 2

rule outs Axis 1 - Anxiety Disorder Not Otherwise specified
Axis 2 - personality D/o . .. yes but you missed other Axis 1 - I am talking Axis 2 now

Axis 2 says deferred - that means no diagnosis
that is not correct

objection may we approach- JW?

MCMI produces a rule out diagnosis . . things to consider

MCMI - Dr. Samuels - he diagnosed Axis 1 - PTSD - acute
Axis 1 - Anxiety D/O

Axis 2 - based on MCMI - personality D/O NOS (a presence of one but not specifically indicating borderline)

TSI . . . conducted and hand scored - don't get computer print out . . . have the hand scores with her today - pull them out

Scale scores - this 2nd paper . . .

JW appears to be attempting to enter these into court
JA is furiously scratching her left eyebrow

JA keeping her eyes to the paper on the table in front of her.

Is that all of the scales you have for scoring the TSI . . raw score and t=score plot into a graph . . whether or not clinically significant . .. given 8/12/2011 - you gave TSI 1 but @ the time TSI 2 was recently put out . . . it is more updated version

benefit to use the outdated test
there was no benefit it was just released but not available to Dr. D . . the agency had not purchased (Bayliss) about a year after getting your license . .. you didn't ask Bayliss to get updated one . . ..

content using the old one
used WRAT and WAIS used updated versions
yes been out for several years

clinical scales on TSI - several elevated scales
AA - related to anxiety
she was elevated on that?
yes

actual clinical elevation is 65 not 75 on this test
anxious arousal . . . anxiety
depression elevated to 78
DA - Dr. asks to reference notes - defensive avoidance subscale . . . avoidance in general . . . doesn't differentiate . . .

refer to notes
dissociation also elevated to 73

elevated to 80 - missed this

another scale elevated

ISR - impaired self reference - self concepts . . . related to idea speaking aobut yesterday

low self image - more related to self concept - some overlap with self image and self esteem - elevated to 83 . . . .an impaired self reference = she has lower self image or lower self esteem . . .
and identiy confusion - self concept

doesn't tell you identity or self image (JA has been paying attention) now looking back down to her papers

IE . . . reference - intrusive experiences . . . .show up as an item . . 61 T score
just below clinical significant

work you have done with DV women who have suffered . . . a lot of them suffer from low self image - correct

you believed you didn't think JA suffered low self image
no
but this shows different

it refers to both

T-score on anger - 43 - not clinical significant

JA floating profile - prone to violent outbursts or anger

you are confusing 2 terms - floating profile

JA personality traits tendency for outbursts
but on the TSI she falls below in anger

do you get composite scales?
that is what you have
you didn't get summary score

not in original TSI -
you are confusing terms again

what you are looking @ there
are you referring to the Summed Raw Score

Summary scales of Trauma, self and Dysphoria
not part of the scoring

the TSI can indicate PTSD
it can
based on test scores - elevated anxiety, depression, defensive avoidance
aren't those PTSD
seen in PTSD and personality d/o

experience with DV - patients coming in since 2004 and after license - patients had DV in their lives . . during this time seeing them . . . one part in CV you are interviewing 2 month spent interviewing
perpetrators

interview women with some type of DV and spent 2 months with perpetrators

you don't talk about assessing DV . . .during these times you doing research . . assessing DV relationships

several people come in part of my job whether they have been exposed to DV, or impact their lives . . . .interview

what research is you rely on to assess DV relationships
are you talking about specific diagnosis
research you rely on . . Lenore Walker's research - DV . . . no particular author that I tend to turn to all the time can't name another off the tope of my head

Lenore walker - talked about her yesterday . . . any books read recently . . .

I referred back to Lenore walkers recent book published in 2009 . . .I don't have titles of other books off the top of my head

journals access on line . . . I access journal articles not specific journals
if there is a

Wilmot is asking numerous questions bout journal articles names and journal names . .. Dr D doesn't retain this information - she read one just last week

Dr. D doesn't believe JA meets criteria for Battered womans syndrome . . . Lenore Walker published back in the 70's . . . many revisions and additional research done . . .after the initial book was very controversial . . .

6 criteria comes from Lenore Walker . . . from the 1970's . . . . ?
no there is now a criteria of 6 profile a battered woman
no - you are change words

criteria she has identified battered women's syndrome . . .dr. d not aware if it was published in her original but her most recent it is and based on the new book says new research and new criteria

MaryAnn Dutton - researcher . . . battered womens syndrome
I don't know of that specific . . . sounds like you have information

takes a global view of it now
= - very aware PTSd and battered women's syndrome

are you aware that Lenore Walker doesn't even use the 6 criteria
that seems inaccurate
you have never met her
no

her new research takes a trauma approach vs. the 6 criteria
I was not aware of that

you don't consider self expert in DV
I am expert in clinical psychology - had a lot experience in DV with people . . I wouldn't call myself an expert in DV . . . specifically yes

part of what you talked yesterday - you believe woman doesn't see a Dr. if her husband beats her or call police if he hits her - data point if isn't there suggest didn't happen . . yes and data point if it is there

you are aware they don't often call police, don't go to Dr when hurt by loved ones
yes

we talked about fight or flight syndrome
know about the brain - study
causes physiological response - we cant control . . .

we talked . . . just one moment

objection overruled

recess a little early - start early . . .be back @ 1:20 from lunch

JA expressing something to Nurmi camera pulls away

Jury is excused

Day 49 Pt. 1

Jodi Arias Trial - Day 49 - Part 1 - YouTube

Pt 2 -

Jodi Arias Trial - Day 49 - Part 2 - YouTube

Pt 3 -

Jodi Arias Trial - Day 49 - Court Finished For Today - YouTube

Day 50 Part 1 -

Jodi Arias Trial - Day 50 - Part 1 - YouTube

Part 2 - Jodi Arias Trial - Day 50 - Part 2 - YouTube

Part 3 - Jodi Arias Trial - Day 50 - Part 3 - YouTube


Self Esteem and Immaturity - Jodi Arias Trial - Self-Esteem and Immaturity - YouTube

Part 5 - Jodi Arias Trial - Day 50 - Part 5 (Juror Questions) - YouTube