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Record

Draft: efta02746668

CURRICULUM VITAE

Updated 06/17/09

TABLE OF CONTENTS

PRESENT POSITION2
EDUCATION2
MEDICAL LICENSE2
CERTIFICATION3
ADDITIONAL TRAINING3
SOCIETY MEMBERSHIPS, PAST AND PRESENT
COMMITTEES3
HONORS4
PROFESSIONAL ACTIVITIES4
REVIEWER5
BOOK REVIEWS5
PUBLICATIONS5
ABSTRACTS7
PRESENTATIONS AT NATIONAL AND INTERNATIONALMEETINGS
AND INVITATIONAL ACADEMIC LECTURES9
MEDIA12

NAME: Ryan Chaloner Winton■, M.D.

DATE OF BIRTH: May 10, 1976

PLACE OF BIRTH: Titusville, Florida

MARITAL STATUS: Single

PRESENT POSITION:

07/2008 — Psychiatrist Present Richard C. W.., MD, PA 2500 West Lake Mary Blvd; Ste 219 Lake Mary, FL 32746 Ph: 407-322-8199

03/01/2008 - 07/31/2011 Affiliate Instructor University of South Florida Department of Psychiatry

03/03/09 — Assistant Professor of Psychiatry 06/30/12 University of Central Florida College of Medicine Department of Medical Education

EDUCATION:

1995 - 1999 Johns University Baltimore, Maryland Double Major - Biology and Psychology B.A. Degree, graduated Phi Beta Kappa with honors

1999- 2003 Georgetown University School of Medicine Washington, DC M.D. Degree

2003 -2004 Internal Medicine Internship Sinai Hospital of Baltimore/Johns Baltimore, Maryland

2004 -2007 Resid Johns.. Hospital Department of Psychiatry and Behavioral Sciences Baltimore, Maryland

2007 - 2008 Fellow in Forensic Psychiatry Case Western Reserve University Cleveland, Ohio

MEDICAL LICENSE:

2004 Maryland — D62746 - Inactive 2007 Ohio — 89483 - Inactive 2007 Florida — ME99792

CERTIFICATION:

2008 Diplomate, American Board of Psychiatry and Neurology, #58286

ADDITIONAL TRAINING:

2006 Forensic Psychiatry Review Course American Academy of Psychiatry and the Law, Chicago, IL

2007 Forensic Psychiatry Review Course American Academy of Psychiatry and the Law, Miami Beach, FL

2008 Florida Forensic Examiner Training University of South Florida College of Behavioral and Community Sciences, Ft. Lauderdale, FL

SOCIETY MEMBERSHIPS, PAST AND PRESENT:

Member, Academy of Psychosomatic Medicine

Member, American Psychiatric Association

Member, Maryland Psychiatric Society

Member, American Academy of Psychiatry and the Law

Member, American Medical Association

Member, Ohio Psychiatric Association

Member, Florida Psychiatric Society

Member, Southern Psychiatric Association

Member, The American College of Psychiatrists

COMMITTEES:

2005 - 2007 Public Relations Committee, Maryland Psychiatric Society

2005 - 2007 2005 - 2007 2005 - 2007 2007 - present 2007 - present 2007 - 2009 2008 - 2009 Legislative Committee, Maryland Psychiatric Society Disaster Committee, Maryland Psychiatric Society Resident and Fellows Committee, Maryland Psychiatry Society Psychopharmacology Committee, American Academy of Psychiatry and the Law Research Committee, American Academy of Psychiatry and the Law Corresponding Committee on Graduate Education, American Psychiatric Association Member, New Member Task Force, Southern Psychiatric Association

HONORS:

1999 Phi Beta Kappa, Johns University 2004 *Superior" performance rating, 1st-year residency, by Sinai Hospital Department of Medicine's Clinical Competency and Evaluation Committee 2005 Dorfman Award, presented by The Academy of Psychosomatic Medicine for best review article of the year for Definition, Diagnosis, and Forensic Implications of Postconcusslonal Syndrome. Psychosomatics, 46(3):195-202, May-June 2005. 2005 Rappeport Fellowship, American Academy of Psychiatry and the Law

PROFESSIONAL ACTIVITIES:

2008 Written testimony on Elder Abuse in support of bills HB873/S8501 Criminal Law - Crimes Against the Elderly or Persons with a Disability— Penalties, prelsolagt2 Maryland House Judiciary Committee for Delegate Kramer, District 19 County, Maryland. Hearing March 4. 2009 Central Florida Psychiatric Society representative to Florida Psychiatric Society's Council Meeting, January 10.

2009 Testified before the Florida Senate Banking and Insurance Committee (SB 354) on Mental Health Parity. March 17.

REVIEWER:

-Archives of Internal Medicine -Clinical Geriatrics -Disaster Medicine and Public Health Preparedness -European Psychiatry -Journal of Neuropsychiatry and Clinical Neuroscience -Nature Clinical Practice Neurology -Neurology India -Psychosomatics -Social Science & Medicine -World Journal of Surgical Oncology

BOOK REVIEWS:

    1. Clark MR and Treisman GJ: Pain and Depression: An Interdisciplinary, Patient-Centered Approach. Psychosomatics, July-August 2006, 47(4)365-366.

PUBLICATIONS:

    1. RCW, Dunlap PK, RCW, CA, Blakey RE, J: Thyroid disease and abnormal thyroid function tests in patients with eating disorders and depression. The Journal of the Florida Medical Association, Inc. 82(3)187-192, 1995.

  • 2. RCW, RCW: Anxiety and Endocrine Disease. In Popkin, MK, Seminars in Clinical Neuropsychiatry 4(2)72-83, 1998.

  • 3. RCW, DE, RCW: Suicide Risk Assessment: A Review of Risk Factors for Suicide in 100 Patients Who Made Severe Suicide Attempts. Psychosomatics 40:(1)18-27, 1999.

  • 4. RCW, RCW: Fee-Splitting: Ethical Implications and Principles for Practice Management. Transference 20(2)14, 1999.

  • 5. ERCW, RCW: Long-term Psychological and Neurological Complications of Lindane Poisoning. Psychosomatics 40(6)513-517, 1999.

  • 6. RCW, RCW: False Allegations: The Role of the Forensic Psychiatrist. Journal of Psychiatric Practice 7(5)343-346, September 2001.

    1. RCW, Hall RCW: Principles of Physician Recruiting. In Handbook of Mental rmIth Administration and Management; Reid WH and Silver S (ed.): Brunner-Routfedge, New York, NY; Chapter 34:440-448, 2003.
    1. •RCW, •RCW, Chapman M: Identifying Geriatric Patients at Risk for Suicide and Depression. Clinical Geriatrics 11(10)36-44, October 2003.
    1. RCW, IMIRCW: Establishing Liaison Before Disaster Strikes. ii://www.psych.org/disasterpsych/pdfs/apadisasterhandbk.pdf; Chapter 2:12-19. 2004.
    1. ERCW, •RCW, Chapman MJ: Emotional and Psychiatric Effects of Weapons of Mass Destruction in First Responders. In: Bioterrorism: Psychological and Public Health interventions; Ursano RJ, Norwood AE & Fullerton CS (eds). Cambridge University Press:Cambridge; Chapter 14:250-273; 2004.
    1. .RCW, Appleby B, FiRCW: Atypical Neuroleptic Malignant Syndrome Presenting as Fever o nknown Origin in the Elderly. Southern Medical Journal 1(98) 114-117, January 2005.
    1. IRCW, RCW, Chapman MJ: Exploitation of the Elderly: Undue Influence as a orm of Elder Abuse. Clinical Geriatrics 13(2)28-36. February 2005. 13, •RCW, IMIRCW, Chapman MJ: Definition, Diagnosis, and Forensic Implicationsof Postconcussional Syndrome. Psychosomatics, 46(3)195-202, May-June 2005.
    1. -RCW, MRCW: Abuse of Supraphysiologic Doses of Anabolic Steroids. Southe rn M ical Journal, 98(5)550-555, May 2005.
    1. El ROW, ■RCW, Chapman MJ: Psychiatric Complications of Anabolic Steroid Abuse. Psychosomatics, 46(4)285-290, July-August 2005.

  • 16. ■ROW. ERCW, Chapman MJ: Medical and Psychiatric Casualties caused by Conventional and Radiological (Dirty) Bombs. General Hospital Psychiatry, 28(3):242-248, May-June 2006.

  • 17. ERCW,FRCW, Chapman MJ: Postconcussional Syndrome: A Work In Progress ( esponse to Dr. .. Letter to the Editor. Psychosomatics, 47(3):272, May-June 2006.

  • 18. ROW. RCW, Chapman MJ: Neuroleptic Malignant Syndrome in the Elderly: Diagnostic Criteria, Incidence, Risk Factors, Pathophysiology, and Treatment. (CME article) Clinical Geriatrics, 14(5):39-46, 2006.

  • 19. F RCW, liRCW, Chapman MJ: Effects of Terrorist Attacks on the Elderly, art I: Medica and Psychiatric Complications of Bombings and Biological, Chemical, and Nuclear Attacks. Clinical Geriatrics, 14(8):26-35, 2006.

    1. IMRCW, RCW, Chapman MJ: Effects of Terrorist Attacks on the Elderly, Part 2: Posttraumatic Stress, Acute Stress, and Affective Disorders. Clinical Geriatrics, 14(9):17-24, 2006.
    1. IMIRCW, IMIRCW: Malingering of PTSD: forensic and diagnostic considerations, characteristics of malingerers and clinical presentations. General Hospital Psychiatry, 28(6):525-535, 2006.
    1. iSRCW, IERCW: A Profile of Pedophilia: Definition, Characteristics of Offenders, Recidivism, Treatment Outcomes, and Forensic Issues. Mayo Clinic Proceedings, 82(4):457-471, 2007.
    1. •RCW, ERCW: Detection of Malingered PTSD: An Overview of Clinical, Psychometric, and Physiological Assessment: Where Do We Stand? Journal of Forensic Sciences, 52(3):717-725, 2007.
    1. MRCW, Macvaugh GS III, Merideth P, J: Commentary: Delving Further Into Liability for Psychotherapyl it,I. The Journal of the American Academy of Psychiatry and the Law, 35(2):196-9, 2007.
    1. .RCW, -RCW, Chapman MJ: Psychiatric Effects of Terrorism: Medical and Societal Implications of Recent Attacks. In: Focus on Terrorism, Vol. 9; Linden EV (ed), Nova Science:New York; Chapter 11, Publication date: 3fd Quarter, 2007.
    1. -RCW, ERCW: The 1995 Kikwit Ebola outbreak Model of virus properties on system capacity and function: A lesson for future viral epidemics. American Journal of Disaster Medicine, 2(5):270-276, 2007
    1. .RCW, ERCW, Chapman MJ: Central Serotonin Syndrome: Part (— Causative Agents, Presentation, and Differential Diagnosis. Clinical Geriatrics, 15(12):18-25, 2007.
    1. RCW, IIIRCW, Chapman MJ: Central Serotonin Syndrome: Part II Pat ophysio ogy, Drug Interactions, and Treatment. Clinical Geriatrics, 16(1):24- 28, 2006
    1. IFRCW, Resnick PJ: Psychotherapy Malpractice: New Pitfalls. Joumal of sychiatric Practice, 14(2):119-121, 2008
    1. F RCW, I RCW, Chapman MJ: Violence in Older Persons: Part I ccurrence n Forensic/Criminal Situations, Partner Relationships, and Sexual Offenses. Clinical Geriatrics, 16(5):27-32, 2008
    1. IMIRCW, RCW, Chapman MJ: Violence in Older Persons: Part II Occurrence n Hospitals and PharmacologicaUBehavioral Treatment of Agitation, Aggression and Violence. Clinical Geriatrics, 16(6):28-32, 2008.
    1. RCW, RCW, Chapman MJ. The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics. Gen Hosp Psychiatry. 2008 Sep-Oct;30(5):446-52. Epub 2008 Jul 23

  • 33. RCW, SH: Drug Diversion Program Rights. Legal Digest. The Journal of the American Academy of Psychiatry and the Law, 36(4):579-580, 2008

  • 34. RCW, RCW, Chapman MJ: Nursing Home Violence: Occurrence, Risks, and Interventions. Annals of Long-Term Care, 17(1):25-31, 2009

  • 35. Paul RK, Lockey C,ERCW, Bursztajn H: Practice Management: Managing Risks When Practicing in Three-Party Care Settings. Psychiatrictimes.com, 26(2), Feb. 3, 2009.

  • 36. ERCW,M RCW, Chapman MJ: Letter to the Editor response re: Nursing Home Violence: Occurrence, Risks, and Interventions) Annals of Long-Term Care, 17(1):25-31, 2009), Annals of Long-Term Care, 17(4):17-21, 2009.

  • 37. ERCW, RCW, Myers W, Chapman M: Testamentary Capacity: History, Physicians' Role, Requirements, and Why Wills are Challenged. Clinical Geriatrics, in press.

* Boldface indicates Ryan C. W. ■, MD

ABSTRACTS:

  • 1. RCW, Hazard SC, ERCW, CA, Blakey RE, J: Thyroid Disease in Eating Disordered and Depressed Patients. -146th Annual Meeting, American Psychiatric Association, May 25, 1993, San Francisco, CA, P.1.57 (Poster Session).

  • 2. RCW, DE, RCW: Suicide Risk Assessment: A Review of Risk Factors for Suicide in 100 Patients Who Made Severe Suicide Attempts: Evaluation of Suicide Risk in a Time of Managed Care.

    • Psychiatric Practice and Managed Care, American Psychiatric Association, Vol. 5, No. 5, P 12, Sept-Oct 1999.

  • 3. ERCW, Gould N, McCann U, McKibben J: The Role of Morphine In the Development of Acute Stress Disorder and Posttraumatic Stress Disorder in Patients with Severe Burn Injury.

    • 411` Annual Meeting, American Burn Association. San Antonio, TX, Mar 25, 2009.
    1. Gould N, McCann U, McKibben J, RCW: Pen-traumatic Heart Rate as a Predictor of Acute Stress Disorder and Post-traumatic Stress Disorder in Patients with Burn Injury.

- 419 Annual Meeting, American Burn Association. San Antonio, TX, Mar 25, 2009.

* Boldface indicates Ryan C. W. M, MD PRESENTATIONS AT NATIONAL AND INTERNATIONAL MEETINGS AND INVITATIONAL ACADEMIC LECTURES:

  • 1. Thyroid RCW, Hazard SC, Dunlap PK, liRCW, CA, Blakey RE, J: disease and abnormal funct on test tents with eating isor ers and depression. Poster Session - American Psychiatric Association Annual Meeting, San Francisco, CA, May 25, 1993
  • 2. RCW, RCW: Management of Hostage Situations. Psychiatric Responses to Trauma, U.S. State Department Conference on International Terrorism, hosted by Uniformed Services University of Health Sciences, Washington, D.C., April 28, 1999
  • 3. RCW, RCW: Terrorism: Its Aftermath and Long-term Effects on Survivors - A Consultation-Liaison Perspective -- Part I. Psychiatric Responses to Trauma, U.S. State Department Conference on International Terrorism, hosted by Uniformed Services University of Health Sciences, Washington, D.C., April 28, 1999
  • 4. RCW,M RCW: Terrorism: Its Aftermath and Long-term Effects on Survivors - A Consultation-Liaison Perspective - Part II. Psychiatric Responses to Trauma, U.S. State Department Conference on International Terrorism, hosted by Uniformed Services University of Health Sciences, Washington, D.C., April 28, 1999
  • 5. RCW, ERCW, DE: Impact of Managed Care on Suicide Risk Assessment. American Academy of Psychiatry and the Law, 1999 Annual Meeting, Baltimore, MD, October 15, 1999
  • 6. RCW, RCW: Ethical Issues in Managed Care. American Psychiatric Association, 1999 Ethics Workshop, Washington, DC, November 3, 1999
  • 7. RCW, RCW: Terrorism, Bioterrorism and Disaster Aftermath and Long-term Effects on Survivors. Cycle of Violence: Assessment and Management of Aggression - A Mardi Gras Symposium, Tulane University, New Orleans, LA, February 26, 2000
  • 8. RCW, ERCW: Bioterrorism Dealing with Medical and Psychiatric Consequences of Victims and Responders. Cycle of Violence: Assessment and Management of Aggression - A Mardi Gras Symposium, Tulane University, New Orleans, LA, February 26, 2000
  • 9. RCW, RCW: Psychiatric Consequences of Terrorism, Bioterrorism and

Disaster. Rocky Mountain Emotional Trauma Symposium, Pathways Treatment Center, Kalispell, MT, June 29, 2000

    1. RCW, URCW: Suicide in an Era of HMO's and Managed Care. Rocky Entain Emo tonal Trauma Symposium, Pathways Treatment Center, Kalispell, MT, June 30, 2000
    1. RCW, IIIRCW: Psychological Response to Disasters and Terrorism. grnationa ociety of Political Psychology, 23rd Annual Scientific Meeting, Seattle, WA, July 4, 2000
    1. ERCW, MRCW: Biological Warfare Attack Scenarios, Response to Terrorist Attacks, and Sources of Conflict. American Academy of Psychiatry and the Law, Pre-AAPL meeting, Ireland, September 16-26, 2000
    1. •RCW, IRCW, Chapman M: Workplace Violence. American Academy of Psychiatry an the Law, Pre-AAPL meeting, Ireland, September 16-26, 2000
    1. ERCW, MRCW: Biological Warfare: Attack Scenarios and Public Health Issues. Grand Rounds, Hennepin County Medical Center, Minneapolis, MN, December 8, 2000
    1. ERCW, Bioterrorism: A Short History of Biowarfare & Analysis of the Threat. rand Rounds, Mayo Clinic, Jacksonville, FL, August 15, 2001
    1. RCW, IFIRCW: Situational Suicide. Halifax Medical Center, Daytona Beach, MiSeptem er 13, 2001
    1. ERCW, ERCW: Domestic Violence: The Physician's Role. Halifax Medical Center, Daytona Beach, FL, September 14, 2001
    1. EIRCW, IIRCW: Terrorism, Bioterrorism and Assault with Anthrax as a Biological eapon. -Florida Psychiatric Society, Fall Meeting, Coconut Grove, FL, November 4, 2001 -Grand Rounds, Louisiana State University Health Sciences Center, Shreveport, LA, January 30, 2002
    1. RCW,pRCW: Smallpox. Grand Rounds, Louisiana State University Health ciences enter, Shreveport, LA, January 30, 2002
    1. IIERCW, MRCW: Psychopharmacology Forensic Risk and Clinical Practice: Things the clinician must know. Apopka Community Health Center, Apopka, FL, March 13, 2002
    1. RCW, pRCW: Overview of Terrorism and Bioterrorism. Orlando Police Academy, r ando Police Department, Orlando, FL, August 2, 2002
    1. ■I RCW: Workplace Violence, School Shootings and Occupations at Risk: Analysis of current data and psychological profiles. Orlando Police Academy, Orlando Police Department, Orlando, FL, August 2, 2002

  • 23. ■I Rcwin RCW: Smallpox as a Biological Weapon. Orlando Police Academy, Orlando Police Department, Orlando, FL, August 2, 2002

  • 24. RCW: Smallpox as an Agent for Biological Warfare. Southern Psychiatric Association Annual Meeting, Loews Ventana Canyon Resort, Tucson, AZ, October 3, 2002

  • 25. In RCW,MI RCW: Domestic Violence: The Physician's Role. Mandatory Madness, Halifax Medical Center, Daytona USA, Daytona Beach, FL, December 14, 2002 26.. RCW,. RCW, Chapman MJ: Workplace Violence, School Shootings and Occupations at Risk: Analysis of current data and psychological profiles. Orlando Police Department, Orlando, FL, February 11, 2003

  • 27. RCW,Ill RCW: Medical and Psychological Sequelae of Bombings: Implications for First Responders and Critical Government Staff. Orlando Police Department, Orlando, FL, February 11, 2003

  • 28. RCW,MI RCW: Domestic Violence: The Physician's Role. Florida Psychiatric Society Spring Meeting, Orlando, FL, April 5, 2003

  • 29. RCW,. RCW: Terrorist Bombings: Medical and Psychiatric Impact. Southern Psychiatric Association's Annual Meeting, Nashville, TN, October 11, 2003

  • 30. III RCW,. RCW: Terrorism, Bombings, and Psychiatric Casualties. University of Florida, Department of Psychiatry, Visiting Professor Program, November 7, 2003

  • 31. RCW,. RCW: Domestic Violence: The Physician's Role. Tampa Bay Psychiatric Society, Tampa, FL, sponsored by Pfizer, January 29, 2004

  • 32. RCW, RCW: Smallpox as an Agent for Biological Warfare. Orlando Police Academy, Orlando Police Department, Orlando, FL, August 13, 2004

  • 33. In RCW, RCW: Medical and Psychiatric Casualties of Terrorist Bombings. Orlando Police Academy, Orlando Police Department, Orlando, FL, August 13, 2004

  • 34. RCW,Ill RCW: Medical and Psychological Consequences of Bombings. Grand Rounds, Tulane University, Department of Psychiatry, New Orleans, LA, January 28, 2005

  • 35. IN RCW, RCW: Psychological Sequelae of Weapons of Mass Destruction on First Responders. South Central Center for Public Health

Preparedness/Alabama Department of Public Health,, AL, Satellite Conference, May 6, 2005

    1. RCW,MI RCW: Medical and Psychological Aspects of Terrorist Bombings. Grand Rounds, Sinai Hospital, Department of Medicine, Baltimore, MD, June 2, 2005 RCW: Managed Care Disrupting the Physician-Patient Relationship: The New Realities. (Abbreviated version) Forensic Psychiatry Fellows and Residents, University of Florida, Gainesville, FL, January 24, 2006
    1. i RCW,MI RCW, Chapman MJ: Managed Care Disrupting the Physician-Patient Relationship: The New Realities. Presidential Address. Southern Psychiatric Association, Baltimore, MD, September 30, 2006.
    1. i RCW,MI RCW: When the System is Overwhelmed: Protecting the Provider during Biodisaster. Satellite Conference, University of Alabama Birmingham South Central Center for Public Health Preparedness/Alab Department of Public Health/Tulane University School of Public Health, AL, February 27, 2007. RCW: Testamentary Capacity from Isaac Ray to Anna N e . Grand Rounds, Case Western Reserve School of Medicine, Cleveland, , March 28, 2008
    1. RCW,M RCW, Rundell JR, Winstead DK: Psychiatrists' Role In Disaster Management: Lessons Learned. Course 14, American Psychiatric Association, Annual Meeting, Washington, DC, May 3, 2008.
  • 42. RCW: Violence in the Elderly: Forensic and Treatment Concerns. Forensic Forum, Florida Psychiatric Society, ChampionsGate, FL, September 20, 2008.
  • 43. RCW: Testamentary Capacity: From Isaac Ray to Anna Nicole Southern Psychiatric Association, September 25, 2008.
  • 44. RCW: Testamentary Capacity: From Isaac Ray to Anna Nicole-Forensic Psychiatry Program, University of South Florida, Tampa, FL, January 29, 2009.
  • 45. RCW, MI RCW: Domestic Violence as Portrayed in Film A Realistic Appraisal? Florida Psychiatric Society, St. Petersburg Beach, FL, March 20, 2009.
  • 46. El RCW, Silberman E, Preven D, Weissman S (chairperson): Indications for the Use of Combined Talking Therapy and Pharmacotherapy and How to Teach in Residency. Corresponding Committee on Graduate Education, CW16, American Psychiatric Association, San Francisco, CA, May 19, 2009.

* Boldface indicates Ryan C. MD

MEDIA:

    1. Time Magazine, Definition, Diagnosis, and Forensic Implications of Postconcussional Syndrome, May 16, 2005
    1. Reach MD Radio, Pedophilia. April 25, 2007
    1. MD Consult. Doug Joint telephone interview with Richard C. W. ■, MD, Pedophilla. May 2, 2007
  • 4. The Korean Broadcasting System, KBS Special, Pedophilla. March 11, 2008.
  • 5. Tony Pipitone, WKMG-TV Channel 6, Mothers Who Kill Their Children. October 28, 2008.
  • 6. J. L. . Orlando Medical News. Cyberchondriacs. November 13, 2008.
  • 7. Fox 35 News, Orlando. Forensic Implications of Anthony case. December 11, 2008.
  • 8. Fox 35 News, Orlando. The Anthony Case: DNA Evidence. December 12, 2008.
  • 9. Jessica, WKMG-TV Channel 6. The Anthony Case: Baker Act and Stressors. January 23, 2009.
  • 10. Nam Nae Won and Jihyun Song. Korea Educational Broadcasting System. Pedophilia. March 30, 2009.
  • 11. Keith Landry, Fox 35 News, Orlando. Effects of Stress and Financial Strain. June 15, 2009.
  • 12. Heidi Hatch, Fox 35 News, Orlando. Effects of Stress on Families. June 16, 2009.

Jane Doe #4

[REDACTED]

v.

Jeffrey Epstein

AFFIDAVIT OF RICHARD C.W. [REDACTED] M.D.

STATE OF FLORIDA

COUNTY OF SEMINOLE

On this day personally appeared before me, the undersigned authority, Richard C.W. [REDACTED] M.D., who, being by me first duly sworn under oath deposes and says:

  1. My name is Richard C.W. [REDACTED] M.D. I am over the age of majority, and make this affidavit and declaration upon the basis of personal knowledge of the factual matters contained herein.

  2. I have maintained a private practice in psychiatry and forensic psychiatry since 1996.

  3. I, also, currently serve as a Courtesy Clinical Professor of Psychiatry at the University of Florida, College of Medicine, Gainesville, Florida; Affiliate Professor, Dept of Psychiatry and Behavioral Medicine, University of South Florida; and Professor of Psychiatry, Department of Medical Education, University of Central Florida College Medicine.

  4. I received my undergraduate degree from the Johns [REDACTED] University and

"K"

medical degree from the University of Florida College of Medicine, Gainesville, Florida.

  1. I served as aLieutenant Commander in the United States Navy, where I researched and evaluated biological and neurochemical factors associated with the onset of psychiatric disorders and served as arepresentative to the Joint Services Task Force planning Operation Homecoming, the return of POW's from Vietnam.

  2. I have previously served as an assistant clinical professor at the University of South Florida College of Medicine, directed one of the ten model mental health centers in the United States, and served as amedical consultant to the Kennedy Space Center.

  3. I am aformer member of the academic faculty at the University of Texas, in Houston, Texas where I served as Assistant Professor and then Associate Professor of Psychiatry and Internal Medicine, Director of Clinical Research, Director of Residency Training, Chief of the Consultation/Liaison Service, and Chief Psychiatrist at the M.D. Cancer Hospital in Houston.

  4. I, also, have served as aProfessor of Internal Medicine and Psychiatry at the Medical College of Wisconsin where I was appointed Chief of Psychiatry at the Milwaukee County and Froedtert Hospitals.

  5. In addition, I have served as aProfessor of Psychiatry and Internal Medicine and Associate at the University of Tennessee College of Medicine, Memphis.

  6. The amended complaint filed by Jane Doe I/4 against Jeffrey Epstein makes

sensitive allegations of sexual assault and abuse upon aminor and seek damages in excess of $50 million. Jane Doe $4 alleges confusion, shame, humiliation, embarrassment, and severe psychological and emotional injuries. It is further alleged that she suffered, and will continue to suffer, severe and permanent traumatic injuries, including mental, psychological, and emotional damages.

  1. She alleges the intentional infliction of emotional distress and that Mr. Epstein's conduct caused severe emotional distress, severe mental anguish and pain.

  2. She further alleges that she has suffered personal injury including mental, psychological and emotional damage.

  3. Plaintiffs counsel has retained an expert witness, Dr. Klirnan of the Psychological Trauma Center, adivision of Preventive Psychiatry Associates Medical Group, Inc., of San Francisco, California, of which Gilbert W. Klimart, MD, is the medical director. Dr. Kliman's initial records indicate the following concerning Jane Doe $4.

  4. Plaintiff reports a history of alcohol use and art ex-boyfriend who drank alcohol and used pills that were "a form of oxycodine [sic' aform of heroine [sic)." (Page 18, tape 1)

  5. Plaintiff reports obtaining a restraining order against her ex-boyfriend, stating that he would spit in her face, push her, and was abusive. (Page 20, tape 1)

  6. Plaintiff reports talking with two psychiatrists at age 16 or 17 due to family

issues and boyfriend issues. (Pages 2 and 3, tape 3). In the tapes, she makes no mention of telling the psychiatrists of her alleged encounters with Epstein. Moreover, while Plaintiff denies recruiting other girls, on page 24 of the Palm Beach Police Report, Plaintiff said she left anote for Epstein that indicated "for a good time call [Plaintiff] and [friend]" and left the girls' phone numbers.

  1. Plaintiff noted that while in high school a friend, Chris, died in amotor vehicle accident, that she was in shock from his death, and that she got over it after about/ In to 2 years, but that it still bothers her. (Page 4, GK Contemp notes)

  2. Plaintiff noted that aclose friend, Jen, died in a motor vehicle accident and that she was in shock for two months. (Page 4, GK Contemp notes)

  3. Plaintiff reported, "1 probably went there over 50 times." (Page 3, tape 4)

  4. Plaintiff was arrested at age 17 for DUI on 3/09/05. (Police Offense Report)

  5. On 10/31/04, fight occurred between plaintiff and Preston4a in back of cab. Plaintiff (age 17) had been drinking. Police were called for theft of cab fare. Upon arriving at residence, police found plaintiff in home with no shirt on. Plaintiff refused to cooperate with police and threatened to kill herself. alawas arrested for violation of protective order. (Police Offense Report)

  6. On 2/28/02, plaintiff was charged with shoplifting bras from Sardines and was issued a juvenile referral form. (Police Offense Report)

  7. On 9/21/04, a protective order was filed against Preston after an incident on 9/20/04 in which he accused her of cheating on him. He then began choking her, threw her against a wall, and yelled at plaintiff. He dumped beer on her, threw cigarettes in her face, and slammed her into the ground. On a previous incident in August 2004, plaintiff reported they agued and Mr. egrabbed her by her arms and threw her to the ground outside her house. Plaintiff noted she was in fear because he has a violent history and has verbally threatened her friends, family and herself. (Petition for Injunction for Protection)

24.. All of the above show that this plaintiff came from an unstable and disturbed home, had been subject to previous physical and sexual abuse, was fearful, isolated, and had had suicidal ideation prior to meeting Mr. Epstein. For further elaboration of her history and background, access to all available records is crucial if one is to fully understand the impact of any of these events on her subsequent behavior and proportion the impact of specific events, if any, or her current and future level of function.

  1. In Dr. Kliman's initial replenishment retainer agreement and fee schedule (date 7/18/08), in a heading entitled "Regarding Pull Disclosure," Dr. Kliman notes that prior to deposition, counsel will make every effort necessary to provide experts with information requested by the experts including: 1) alist of all depositions, statements, declarations, and motions in the case, 2) a copy of any requested items, and 3) most importantly, /lift 4.f amedical, clinical,school, and work records known to the attorney in the case.

  2. Dr. Kfiman notes on page 8 of his contract opinion formation that he will not form opinions, give reports, or testify in certain circumstances. These include circumstances where he has reason to believe a retaining attorney has "available important aait lrelevantdocumentswhichsa beingdeliberatelywithheld from us." "We define such as documents in possession of retaining attorney, which wg hate r ested or thatwe ve stated would pig of medical opinion formation cal tbs topics concerning, which cam input is requested!' We request the same.

  3. It is critical for an IME examiner to be able to make a cogent assessment of any plaintiff and to understand their medical, social, academic, psychological and psychiatric condition/state prior to any act of alleged victimization. There are anumber of variables that combine to determine the effects of such alleged victimization; including the type and character of the alleged assault and key victim variables such as demographics; psychological reactions at the time of the trauma; previous psychiatric or psychological history, history of previous victimization; current or previous psychological difficulties; general personality dynamics and coping style; sociocultural factors such as drug use/abuse; poverty; social inequity and/or inadequate social support any previous history of abuse within or outside the family; whether individuals were abused by strangers, acquaintances or family members; and whether there was any history of indiscriminate behavior that may have placed them at increased risk. It is important to know if there had been previous sexual conduct, contact with police or welfare agencies, alcohol or drug use/abuse, voluntary sexual activity, contraceptive use, genital infections, or apparent indifference to previous abuse.

  4. It is also essential to understand the plaintiffs level of emotional support, whether any significant psychiatric illnesses were present, whether they were taking any medications (prescribed or non-prescribed), whether there had been previous suicide attempts, thoughts, plans, etc.

  5. Knowledge of plaintiff's relationships to her family and familial factors, including social disadvantage, family instability, impaired parent/child relationship, and parental adjustment difficulties is also critical.

  6. It is, therefore, crucial that the independent medical examiner has available to him afull and complete record that includes medical, previous legal, social, criminal, academic, psychological and psychiatric records/data; psychological tests; laboratory tests; and clinical, hospital, physician records.

  7. These, in essence, are the same or similar records that plaintiffs expert witness (Dr. Klizn an) feels are essential for him to do an appropriate evaluation. To obtain the necessary information, it will be necessary to identify the plaintiff by name. Such

identification will not humiliate the plaintiff since all we are requesting is pertinent information as noted above relative to their past medical and psychiatric histories and conduct. We would concur and request of the court that the same and/or similar information be made available to us to conduct our examination.

Respectfully submitted,

Courtesy Clinical Professor of Psychiatry, University of Florida, College of Medicine
Affiliate Professor, Department of Psychiatry and Behavioral Medicine, University of South Florida
Professor of Psychiatry, Department of Medical Education, University of Central Florida College of
Medicine

STATE OF FLORIDA
COUNTY OF SEMINOLE

BEFORE ME, the undersigned authority, personally appeared RICHARD C.W.
[REDACTED] M.D., who is ( ) personally known to me or ( ) who has produced
_____ as identification, and who did take an oath, deposes and says that
the attached Affidavit is true and correct to the best of his knowledge and belief.

SWORN TO AND SUBSCRIBED before me on this 4th day of August, 2009.

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