{
  "document_metadata": {
    "page_number": "76 of 77",
    "document_number": "663",
    "date": "06/15/22",
    "document_type": "Forensic-Psychiatric Report",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Case 1:20-cr-00330-PAE Document 663 Filed 06/15/22 Page 76 of 77 Forensic-Psychiatric Report Ghislaine Maxwell FORMULATION Ms. Maxwell is a 59-year-old Caucasian woman, who is being evaluated at the request of her attorney in order to assess her current mental state and risk of flight. Ms. Maxwell has consistent described, and complained formally of, being subject to unfair and inconsistent treatment by correction officers and ongoing sleep deprivation throughout her incarceration. Research indicates that the experience of unfairness, disrespect, and a lack of safety significantly contributes to psychological distress in incarcerated individuals. Furthermore, recent research on the effects of sleep deprivation on cognitive functioning states that \"sleep deprivation resulted in a loss of cognitive flexibility through feedback blunting...sleep deprivation causes a fundamental problem with dynamic attentional control.\" Furthermore, one study showed that: Relative to baseline, sleep deprivation was associated with lower scores on Total EQ (decreased global emotional intelligence), Intrapersonal functioning (reduced self-regard, assertiveness, sense of independence, and self-actualization), Interpersonal functioning (reduced empathy toward others and quality of interpersonal relationships), Stress Management skills (reduced impulse control and difficulty with delay of gratification), and Behavioral Coping (reduced positive thinking and action orientation). Esoteric Thinking (greater reliance on formal superstitions and magical thinking processes) was increased. Page 7 of 8 DOJ-OGR-00010522",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Case 1:20-cr-00330-PAE Document 663 Filed 06/15/22 Page 76 of 77",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Forensic-Psychiatric Report Ghislaine Maxwell",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "FORMULATION",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Ms. Maxwell is a 59-year-old Caucasian woman, who is being evaluated at the request of her attorney in order to assess her current mental state and risk of flight.",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Ms. Maxwell has consistent described, and complained formally of, being subject to unfair and inconsistent treatment by correction officers and ongoing sleep deprivation throughout her incarceration. Research indicates that the experience of unfairness, disrespect, and a lack of safety significantly contributes to psychological distress in incarcerated individuals. Furthermore, recent research on the effects of sleep deprivation on cognitive functioning states that \"sleep deprivation resulted in a loss of cognitive flexibility through feedback blunting...sleep deprivation causes a fundamental problem with dynamic attentional control.\" Furthermore, one study showed that: Relative to baseline, sleep deprivation was associated with lower scores on Total EQ (decreased global emotional intelligence), Intrapersonal functioning (reduced self-regard, assertiveness, sense of independence, and self-actualization), Interpersonal functioning (reduced empathy toward others and quality of interpersonal relationships), Stress Management skills (reduced impulse control and difficulty with delay of gratification), and Behavioral Coping (reduced positive thinking and action orientation). Esoteric Thinking (greater reliance on formal superstitions and magical thinking processes) was increased.",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Page 7 of 8",
      "position": "footer"
    },
    {
      "type": "printed",
      "content": "DOJ-OGR-00010522",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "Ghislaine Maxwell",
      "Liebling, A.",
      "Durie, L.",
      "Stiles, A.",
      "Tait, S.",
      "Honn, K. A.",
      "Hinson, J. M.",
      "Whitney, P.",
      "Van Dongen, H. P. A.",
      "Killgore, W. D.",
      "Kahn-Greene, E. T.",
      "Lipizzi, E. L.",
      "Newman, R. A.",
      "Kamimori, G. H.",
      "Balkin, T. J."
    ],
    "organizations": [
      "American Psychiatric Association",
      "American Psychiatric Publishing"
    ],
    "locations": [
      "Arlington, VA",
      "Willan"
    ],
    "dates": [
      "06/15/22",
      "2013",
      "2019",
      "2008"
    ],
    "reference_numbers": [
      "1:20-cr-00330-PAE",
      "663",
      "DOJ-OGR-00010522"
    ]
  },
  "additional_notes": "The document appears to be a forensic-psychiatric report on Ghislaine Maxwell, assessing her mental state and risk of flight. The text is mostly printed, with no visible handwriting or stamps. The document includes citations and references to various studies and publications."
}