Dr. A. (Bram) Bakker, psychiatrist
J.J. Olthoff,
Family Guardian Bureau Youth Care Drenthe
P.O. Box 263,
9400 AG ASSEN
Amsterdam, October 4, 2005,
Dear Mr. Olthoff,
At the request of her treating psychotherapist Mr. H. Vlamings, on Thursday September 29, 2005 I saw Mrs. H. Booy, born 24-11-1963. She is known to you amongst other things because of problems with visiting with her daughter Julia.
Without doubt you are aware of the situation with mother and daughter, so I will not describe it here again.
In order not to become involved too much in all the different opinions that have been formulated about Mrs. Booij, I did not study any of the files. I did receive from her a copy of your letter of August 18 last (ref JJO/Jbooij 2174/JO/rb), in which you state you will need a psychiatric evaluation before you will be able to reinstate visiting rights. Mainly you pose the question whether (professional) help should be involved.
In the conversation with Mrs. Booij, which took place mainly in the presence of her partner (not the biological father of Julia) and which lasted about two hours, I have found no indication for the existence of a psychiatric dysfunction, and certainly not one which would make Mrs. Booij a bad mother.
In my opinion Mrs. Booij is an intelligent woman, who has functioned well all of her life, but who is suffering noticeably from the occurrences in the last year. It would be remarkable if this were not the case.
The psychiatric evaluation with a narrower scope I would like to outline as follows:
I saw a well groomed woman looking younger than her calendar age who made contact in an adequate manner. In the course of the conversation there was a marked growth in contact. Her consciousness was clear, orientation in time, place and person was undisturbed. Observation was undisturbed, there was no indication delusions or hallicunations. Intelligence was above average, thinking was quick and coherent. As regards content there was a slight preoccupation with what has happened to her. Her mood was normal with a modulating affect. There was no indication of suicidal behaviour. She had a good insight into her own situation, with the only note being that there was a slight inclination towards externalization.
My conclusion is that there is no evidence of a psychiatric dysfunction, such as diagnosed on Axis I of the DSM-system.
As far as her personality is concerned I cannot draw any far reaching conclusions, but it seems unlikely that a well-functioning medical doctor who has not, or rarely, been in contact with the GGZ or the justice department in the first 40 years of her life has a personality disorder.
Any remarks about neurological problems would be speculation, but this is not relevant to the contact with her daughter. I am of the opinion that it is in the best interest of mother and daughter that visiting rights are re-established as soon as possible. Special precautions are not warranted in my opinion.
I am of course prepared to further elaborate,
Regards
Dr. A. Bakker, psychiatrist