Tuesday, 11 September 2012

Consultant Psychiatrist Dr Graham George

President
ACT Civil and Administrative Tribunal
Level 4, 1 Moore Stree
Canberra City ACT 2601

Dear Sir/Madam

Re: Alexander Marcel Andre Sebastian Barker Bailiff DOB 25 August 1970

Thank you very much for asking me once again to do a psychiatric assessment on Alexander Bailiff whom I have seen on numerous occassions for eithier psychiatric assessment or a Fitness to Plead assessment in relation to court charges. I am including in this report my most recent report on Mr Bailiff dated 29 April 2011 and another dated 7 August 2009.

On this occassion, Mr Bailiff was seen at the Alexander Maconochie Centre in an interview room. He was cooperative during the interview and understood the implications of the assessment. He was aware he was once again seeing a psychiatrist.

I acknowledge I have read the Expert Witness Code of Conduct in Schedule 1 of the Court Procedure Rules 2006 and I agree to be bound by it.

Because  of the fact I have seen Mr Bailiff on many occassions previously and reviewed copious file material on him, I have not reviewed that particular iinformation on this occassion. I believe that I first saw Mr Bailiff for a psychiatric assessment in 2002 when I was asked to give a second opion on that occassion. He presented as somewhat of a diagnostic dilemma and his diagnosis was somewhat uncertain.

However, review of the material at that time tended to indicate that he had an organic mental disorder secondary to a brain injury when he was a child and this brian injury was a direct result of being involved in a motor vehicle accident whereby his sister had died. [Vanessa Camille Bayliss]

Presentation

Mr Bailiff was dressed in prison clothes. He was hygienic in presentation. He was over 180cm in height and probably weighed in the area of 80kg. He had a thin constitution but looked reasonably fit. He had a full beard and wore glasses.

He sat on the short end of the table and spread out in front of him were several documents and letters.
He indicated that these related to his court case and what had occurred in his life recently.

Mr Bailiff did not exhibit any abnormal movements, mannerisms or motor tics, although there was a general sense of agitation associated with his presentation. He did not exhibit any speech impediments of abnormal vocalisations.

He did exhibit marker formal thought disorder. His associations were illogical at times and it was difficult to follow the thread of his conversation. He exhibited tangential thinking and derailment on numerous occasions. He switched between subject matter quite regularly and did not appear to be able to maintain his concentration in order to deliver a logical sequence of ideas. He also exhibited pressure of speech as well as flight of ideas. His conversation included detail that he had been in custody since Christmas Day. He said that over his first five days in remand, he read a 700-page book titled ''What the Bible is All About''. He then said that over the next 14 days he ''read the bible cover to cover.''





Yours sincerely,


Dr Graham George M.B, B.S., F.R.A.N.Z.C.P.
Consultant Psychiatrist

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