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Girl Who Played with Fire, The - Stieg Larsson [129]

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with a society based on the rule of law, at least not in its present form. It’s a balancing act between respect for the individual and respect for the potential victims that a mentally ill person may leave in his wake. Every case is different, and each patient must be treated on an individual basis. It’s inevitable that we in the psychiatric field also make mistakes and release people who shouldn’t be out on the streets.”

“Well, I don’t think we need to go into social politics in great depth here,” Bublanski said cautiously.

“Of course,” Teleborian said. “We’re dealing with a specific case. But let me just say that it’s important for you all to understand that Lisbeth Salander is a sick person in need of care, just as any patient with a toothache or heart disease is in need of care. She can still get well, and she would have gotten well if she had received the care she needed when she was still treatable.”

“So you weren’t her doctor,” Faste said.

“I’m one of many people who was involved with Lisbeth Salander’s case. She was my patient in her early teens, and I was one of the doctors who evaluated her before it was decided to place her under guardianship when she turned eighteen.”

“Could you give us a little background about her?” Bublanski asked. “What could have made her murder two people she didn’t know, and what could have made her murder her guardian?”

Dr. Teleborian laughed.

“No, I can’t tell you that. I haven’t followed her development in several years, and I don’t know what stage of psychosis she’s in at present. But I can say without a shadow of a doubt that the couple in Enskede had to have been known to her.”

“What makes you so sure?” Faste wanted to know.

“One of the failures in the treatment of Lisbeth Salander was that no complete diagnosis was ever established for her. That was because she was not receptive to treatment. She invariably refused to answer questions or participate in any form of therapy.”

“So you don’t actually know if she’s sick or not,” Modig said. “I mean, if there isn’t any diagnosis.”

“Look at it this way,” Dr. Teleborian said. “I was given Lisbeth Salander just as she was about to turn thirteen. She was psychotic, showed obsessive behaviour, and was obviously suffering from paranoia. She was my patient for two years after she was committed to St. Stefan’s. The reason for committing her was that throughout her childhood she had exhibited exceedingly violent behaviour towards schoolmates, teachers, and acquaintances. In repeated instances she was reported for assault. In every case that we know of, the violence was directed at people in her own circle, that is, against people she knew who said or did something that she perceived as an insult. There is no case of her ever having attacked a stranger. That’s why I believe there must be a link between her and the couple in Enskede.”

“Except for the attack in the tunnelbana when she was seventeen,” Faste said.

“Well, on that occasion she was the one who was attacked and she was defending herself,” Teleborian said. “Against, it should be said, a known sex offender. But it’s also a good example of the way she behaves. She could have walked away or sought refuge among other passengers in the carriage. Instead she responded with aggravated assault. When she feels threatened she reacts with excessive violence.”

“What’s actually the matter with her?” Bublanski asked.

“As I said, we don’t have a real diagnosis. I would say that she suffers from schizophrenia and is continually balancing on the brink of psychosis. She lacks empathy and in many respects can be described as a sociopath. It’s surprising, frankly, that she has managed so well since she turned eighteen. She has been functioning in society, albeit under guardianship, for eight years without doing anything that led to a police report or arrest. But her prognosis—”

“Her prognosis?”

“During this entire time she has not received any treatment. My guess is that the illness we might have been able to treat and cure ten years ago is now a fixed part of her personality. I predict that

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