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1996 Dr. Joel Nance Psych Eval. Judicial Notice Taken by Courts Claudine Dom Brow Ski

1996 Dr. Joel Nance Psych Eval. Judicial Notice Taken by Courts Claudine Dom Brow Ski

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)Jul
y
13,
1996
l\
Ms.
Claudine
Dombrowski Box304 
Lamed,
Kansas 67550-0304
To
Whom
It
May Concern:
I met with
Ms.
Claudine
Dombrowski
at her request
for
three hours
onMay
14th, 20th
and
23rd.
Ms.
Dombrowski
is
a thirty-one-year old Licensed Practical Nurse.
She
specializes
in
psychiatry, andrecently fmished a position
at
Topeka State Hospital
which
she
held for-three
years.
Her
daughter, Rikki,was born
on
December
12,
1994.
Ms.
Dombrowski
is
in
the process
of
seeking a
divorce
from
Hal,
hersecond husband,
whom
she married
in
October
1995. They
had
seen each
other
for
two
years
before that;during which time
she
was
unaware that
he
was
married
to
another
woman.
She
states that
he
divorced hisfrrst
wife
in
September
of
1995. Ms.
Dombrowski
consulted
with
me out
of
the
concern
1hat her husband
was
trying
to
force
a serious custody dispute
by
claiming that
Ms.
Dombrowski
was
emotionally unstable;she wanted to
have
a professional assessment
by
a neutral party with which
to
respond
to
that accusation.
Ms.
Dombrowski gives
thefollowing
history.
She was
born
in
Beloit, Kansas, but her
family
soon
moved
from
there.She
has
few
early
childhood
memories. The
first
is
of a Christmas
time:
she
and
her brotherwere chasing
each
other around the house.
She was
often
ill
and
in
the hospital
as
a child,
and
suffered
some
damage
to
her right
kidney
due to ureteral reflux
"from
her
bladder.
Eventually
she
had
surgery for this, theureter
was
re-implanted
and the
kidney
recovered.
n)She
was
in
foster
care
during
many
of
her
early
years.
She
is
not entirely sure
why
this
was,
but believes that/
she
was caught
in
some
sort of triangular issues
between
her parents. She
has
a sense that
some
similarprocess
is
occurring
now as
she
and her husband try to sort out their relationship
as
divorcing
parents, and isdetermined that
Rikki
not be
harmed
by
this.
Ms.
Dombrowski's
memories
become
clear
and
continuous
at
about the
age
of
12,
when
she
was
restored
to
her mother's
care.
She
remembers
starting
to
get
interested
in
boys
that
year. Her
mother wanted her to waituntil she
was
16
before beginning
any
relationships.
Indeed,
she had her
frrst
boyfriend
at 16;-they
wouldhold hands
and he
carried her
books
to
andfromschool. She did well
in
school at
all
levels
throughachieving her
LPN.
She
often
made
grades
of
A without opening her
books
simply
by
taking
in
the
classroom material.
Ms.
Dombrowski entered the
United
States
Army
National Guard
in
1983 at
the
age
of
18.
She
had a sixmonth triiining period
followed by
three years' active
service.
In
1992
she joined the
army
reserves, andserved
one
year
of
active
duty,
from
January
to
December
of
1994,
to
team
nursing.
She enjoyed
this untilher child was
born.
Shortly after this event
she
left
the military because
of
their requirements that she
come
in
on
weekends
and
odd
hours
which were
incompatible with carrying
for
a newborn child.llrideed, this
was
a child who had
some
early special
needs.
Rikki
had
been
born at 36 weeks' gestation after a period
of
maternal hypertension
and
oligohydramnios,
andwassmall for
gestational
age.
She
spent
seven days
in
thenewborn
ICU
before
going home.]
Rikki
is
now
doing
very
well, and
Ms.
Dombrowski, a proud motherindeed, showed
me
a number of photos
of
her daughter
in
robust health.It is worthy
of
~ < *
here
that
in
addition to having spent
many
of
her early childhood
years
in
foster care,
Ms.
Dombrowski
loSt
her
fITSt
four
pregnancies through spontaneous miscarriages. These events
have made
issues
of
parenting
and
of the
bond
between mother
and
daughter
more
intensely
loaded for
her then might
0Jtherwise
be
the case .
.
/
 
It should also probably
be
noted at this point that some circumstantial medical evidence recently came
10
f0':~t
which
h~
led
to
questions
wh~ther
Ms. Dombn:>wski
mi~t
have been sexually abused during one
of
')
...
le foster penods. Ms. Dombrowski
has
no recoHectlOn
ofhavmg
been abused, and may well
nothaveoeen;
however, the possibility exists
that
something may have happened to her which could have intensified herawareness
of
dangers a young daughter might face alone in the custody
of
a man: even her own father.
We
discussed the very bitter relationship with her estranged husband. She reports that he has a problemwith feelings
of
jealousy which she says are unfounded, and which
seem"1o
have come to a state
of
violentintensity during her pregnancy with
Rikki.
She states
that
she did not know that her estranged husband wasmarried until she was three months pregnant with
Rikki.
She further says that she had no notion
of
hispotential for violence until she was five months pregnant. This was when he struck her for the first time.She declined to call the police after violent incidents until after
Rildci
was born, but reports that she had ablack eye from his abuse at the time she gave birth to Rikki. She also reports that in her previous marriage,which lasted seven years, there was no abuse or physical fighting whatsoever. Thus, she has not
had
apattern
of
seeking
out
abusive
or
physically contentious relationships. She readily volunteers that she diddefend herself physically from her
husband's
attacks. This was especially true
if
she feh that her husbandwas unaware
ofthe
proximity
of
their child to scenes
of
violence. At such times, she felt fearful that Hal wasso out
of
control that Rikki might
be
inadvertently harmed.Ms. Dombrowski recounts a number
of
ways in which she came to
be
frightened
of
and by her
husband's
behavior. I will leave it to Ms. Dombrowski to recount the details
of
these experiences, but the materiai iscertainly
of
the nature
that
would very appropriately result in a justified sense
of
personal danger,traumatization, and very powerful emotional distress.Ultimately, Ms. Dombrowski moved out
of
the marital home and spent two weeks at the Battered
Women's
Shelter with her daughter. She found the program very helpful, and misses it and the people she met there.Ms. Dombrowski
has
now
taken a
job
in
Lamed
with the Department
of
Corrections, working in Youth
r
)rvices
as a Court Services Specialist. This allows her to-be near her mother, who provides some help with
, j
child care while Ms. Dombrowski is at work.Ms. Dombrowski is a well nourished, well deve10ped woman who appears her stated age. Her positive,energetic and engaging character came through strongly throughout these interviews. She is well endowedintellectually, and her thoughts are well rooted in reality. She maintains a logical, lucid, undisturbed train
of
wen-reasoned thought at
all
times. There is a tendency to experience frequent moments
of
anger at herhusband, and the first interview
was
focused on her feelings toward
hernusband,
and the legal system'sparadoxes and unavoidable delays. These frustrations seemed quite consistent with her situation. Despitetimes
of
anger and dismay about the events
of
the past few months, she maintains her good sense
of
humorthroughout and is altogether a very pleasant and cordial person to interview. Her affects are appropriate tothe material under discussion. The inquiry into vegetative signs and symptoms such as sleep disturbance,appetite disturbance, difficulties with
mood
and affect and
so on
reveals only relatively minor and transienteffects. These are more than adequately exp1ained by residues
ofher
traumatic experiences, as wen as hercurrent task
of
extricating herself from a devastating marriage and putting her life back together again. Shedenies any sort
of
visual or auditory hallucinations, delusions
or
unusual convictions. She has
hadno
experiences
of
"lost time,"
nor
of
finding notes to herself in strange handwriting,
or
discovering that thefurniture in the house has
been
rearranged without her being aware
of
it. -She does not experience herself asdeveloping intense positive and negative splits between different people into
"good"
and
"bad"
groups, andsays
"I
like people, and people like me." She has
no
significant history
of
head trauma except
forher
report
of
having been struck by her husband with a crowbar during an argument. There was no loss
of
consciousness at that time, and she has no other history
of
loss
of
consciousness, seizure
or
absence
attacks.She states that she·ordinarily is a light user
of
alcohol, and describes her usual intake as one glass
of
winewith dinner, two
~
10
three times per week. She has discontinued this practice at the suggestion
of
herattorney, since her husband accuses her
of
being an alcoholic.
t[\j
_/

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