Manor stabbing, ‘bad psychic combination’

A rare clinical picture, as well as “inauspicious”. Doctor Carlo Calanchini defined the combination of psychopathy and psychosis from which the 29-year-old author of double stabbing at the Manor of Lugano on November 24, 2020. The psychiatrist was in fact questioned today at the Federal Criminal Court of Bellinzona, at the end of the first day of the trial which saw as a supporting element the interrogation the defendant herself.

‘Not negligible cognitive difficulty’

On the basis of the expert report, drawn up on behalf of the Public Ministry of the Confederation, the clinical situation of the woman appears complex. Calanchini in fact concluded «a mild mental retardation, which is superimposed on a psychopathic disorder with paranoid traits. It is a rather complicated disorder, therefore treatment and therapy are also more difficult ». Moreover, the diagnosis is complicated also in its single aspects. Starting with mental retardation: according to the report, the woman’s IQ stands at 75, when the lower limit for diagnosing mental retardation is 69. However, according to previous calculations, the IQ would actually have been 67, but also 90 when the 29 years old was a child. “They are limit values ​​- explained the psychiatrist -. However, we are faced with a not negligible cognitive difficulty. This has already manifested itself in school with learning difficulties. Then there were relational difficulties, periods of loneliness, isolation, depression ».

‘Lack of empathy’

As for psychosis, according to Calanchini the elements for diagnosing schizophrenia “are not sufficiently fulfilled (or at least they were not fulfilled at the time of the report, ed). In any case it can be said that he suffers from a similar disorder that approaches schizophrenia ». In general, citing his own professional experience, the doctor specified that it is «a combination of psychosis and psychopathy that I have never seen. It is an unfortunate combination of lack of empathy and mental retardation, perhaps for genetic reasons “he added, replying to the adjudicator. Roy Garré who asked him for details on the prognosis.

Medium-high risk of relapse

The latter does not seem favorable. “There is a well-founded danger of committing new crimes against the person,” Calanchini said, speaking of the average risk of recidivism, compared to the medium-serious risk according to the second expert Alessandra Canuto, who will be heard by the Court tomorrow. “Mental retardation is not curable – added the psychiatrist -. The psychotic component, on the other hand, could improve, but I have the impression that it already has deep roots. The defendant will likely fail to develop better judgment. I am therefore not very optimistic ». And actually, what struck during the interrogation of the 29-year-old was the apparent absence of a displeasure for what was committed, which indeed the defendant claimed by stressing that she would do it again.

In light of the disturbances detected, the appraisal established a diminished average degree of imputability at the time of the facts, for which it is being investigated for repeated attempted assassination. “All the facts?” Asked the President of the Court Fiorenza Bergomi referring to the other two counts: the violation of the federal law banning al-Qaida and Islamic State groups as well as the repeated illicit exercise of prostitution, both occurring before November 24, 2020. “Yes – the psychiatrist’s reply -, taking account of the fact that the third offense is completely different from the two previous ones “. Pressed by the defenders of the 29-year-old, Daniele Iuliucci And Simone CreazzoCalanchini then provided further details on the link between charges and mental disorders.

Isis? ‘Scenario he knows very little about’

«The disorders he suffers from existed for a long time, therefore the crime committed cannot be considered as a direct consequence of a psychotic explosion or a contingent factor of the moment. However, the relationship between aggression and mental disturbance should be studied more closely ”. With regard to her radicalization and the link with ISIS, the psychiatrist highlights how the accused would have “fallen into a scenario that for her is largely fantastic and of which she knows very little: she knows less about that world than a any person who gets information in the newspapers or on the news ».

‘Closed stationary treatment’

So what solution for a profile like this? «The peritanda should ideally be connected in a closed structure, without access to potentially dangerous tools, with activities that are simple to do and supported by adequate socio-psychiatric staff». A stationary treatment in a closed structure, therefore, for at least three years which should then be reassessed gradually. Calanchini, however, defined a possible transfer to the prison for dangerous psychiatric inmates Curabilis in the Canton of Geneva as “over-proportioned”, also considering a detention in the cantonal penitentiary adequate.

Manor stabbing, ‘bad psychic combination’