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Document No. 34859409 | Ref: X34 | XCLAS-GBR

PSYCHOLOGICAL TRIAL REPORT

TRINITY HOSPITAL
Graham Butler Dates of Evaluation: 13/2/24
Case No.: 7,980 15/2/24
Trial Code: BBPRS 20/2/24
Admission Date: 2/2/24 11/3/24
Date of Report: 12/3/24

REASON FOR REFERRAL:

This was the second inpatient admission for this 44 year old, divorced, white
male. He had 18 years of formal education, graduating from the University of
Leeds with an MSc in Fire and Explosion Engineering in 2002 from which he
immediately entered into employment with the engineering firm Arup. He
stayed with the company until his dismissal on August 9 2019 which resulted in
his first admission to Trinity Hospital due to symptoms of major depression
with possible psychotic features.
After being discharged and placed onto a medication program, Mr. Butler
reintegrated with some marginal success. His wife filed for divorce in late 2022
citing “emotional distance” amongst other factors and since the court
appearance on 18 March 2023, Mr. Butler was not seen by either friends or
family for some span of months.
Mr. Butler was arrested on November 3 2023 for gross misconduct and battery
resulting in grievous bodily harm. The trial on January 29 2024 resulted in a not
guilty by reason of insanity verdict; Mr. Butler was admitted to Trinity Hospital
Secure Wing on February 2 2024.
Due to the mixed success of Mr. Butler’s previous medication program, he was
selected by Dr. Richard Penrose, M.D. for his Binaural Based Psychological
Reconfiguration Scheme (BBPRS) – a clinical trial funded by the private
medical research company Binauricorp.

INITIAL ASSESSMENT AND DIAGNOSIS:

[Extract from Dr. Penrose’s Journal (dated 13/2/24)]
5 hours of testing and a 2 hour diagnostic interview, conducted by myself and Margaret Eliott,
M.A., initially revealed an alert and highly attentive individual with no overt delusions of
reality. Avoidance of eye contact was noted, but most likely due to nerves. Seemed to keep
track of conversations well with minimal distraction. Very well presented and organised.
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Patient’s attitude was co-operative at the start. As the series of tests progressed, noted a
distinct increase of temper and aggravation within the patient.
Had a violent episode when a break in testing was suggested. Assaulted my colleague and had
to be restrained by orderlies and sedated. Testing had to be postponed until today (Tuesday,
February 13).
Patient distinctly different today; only mild sedatives were used therefore no effect can be
attributed to them. Increased delusional and paranoid behaviour. It has become clear that
yesterday’s behaviour was forced, possibly in an attempt to be discharged. Today’s behaviour
reflects reports from nurses and orderlies. Speech more disorganised. More easily distracted.
He keeps hearing doors open behind him and turns around to see who is coming: auditory
hallucinations. Margaret theorises the lack of eye contact yesterday was not an avoidance
tactic but instead an attempt to keep his eyes on the door. Plausible theory, but alas
improvable.
After tests were completed and consultations with his social workers and previous psychiatrist
Dr. Sarah Wright, M.D. were carried out, we revised his previous diagnosis into a fully
manifest paranoid schizophrenia.
Admission into the BBPRS on the Dopamine program suggested and granted.
Treatment will commence presently.

TREATMENT RESULTS:
[Extract from Dr. Penrose’s Journal (dated 15/2/24)]
Patient has undergone the first round of binaural treatment and initial results are promising.
As shown by previous subjects, unlike conventional antipsychotic medication, the binaural
treatment takes effect immediately. Brain algorithms are reconfigured and dopamine activity
in the mesolimbic pathway is reduced – effectively eliminating symptoms. Though we have
had radical success with the program so far, I honestly did not expect this patient, more active
and alert and potentially more violent than previous subjects, to be affected so quickly and so
positively
Patient is slightly disorientated. Surely the sensation of normalcy must be quite staggering so
assessment will reconvene in five days, with three daily one hour rounds of treatment in the
interim.
[Extract from Dr. Penrose’s Journal (dated 20/2/24)]
Binaural treatment seems to be a massive success. The patient appears normal with all of the
telling clues present at our first meeting eliminated. Does this mean we have destroyed the
mental illness? Too early to tell, but the results of the binaural treatment are infinitely more
promising than those achieved by the drugs we normally use which have been known to have
serious side effects. Whilst drugs merely compensate for the current activity in the brain, our
binaural technology actually rearranges the neural pathways. This treatment attacks the cause,
not the effect. Simply, what our technology does is drug emulation, but in the process of
creating our “digital drug” we are not constrained to the realities of Chemistry. We can create
anything we want with whatever effect we want. And the best thing of all, there are no side-
effects. The patient is proof of this, he’s highly appreciative and co-operative and the speed of
his recovery is actually shocking. We are on the cutting edge. This technology will not only
shape psychiatry, but the way we live our day to day lives. Years of work seem to be finally
paying off. We will continue the course and monitor the patient’s progress.

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The treatment was continued until March 11 when the binaural machine
suffered a fatal glitch and had to be repaired. Because of the maintenance,
treatment had to be suspended. The patient, having accepted his new routine,
protested but soon submitted. The following is a transcript from an orderly’s
digital dictator (please note the orderly and the nurse wish to remain
unidentified):

P: So unfortunately the machine appears it will be unavailable for another two days . is that ok ?
[pause]
P: Mister Butler . are you alright ?
B: Broke the dam .
P: Excuse me ?
B: You broke the dam . broke the dam . broke the dam.
O: What’s happening ?
[repeating]
B: Broke the dam .
P: I’m not sure . he appears to be having some kind of episode . have no idea why.
O: Thought you said his brain was fixed.
P: Don’t worry . it is . perhaps we haven’t accounted for withdrawal symptoms.
B: You broke the fucking dam and I can’t keep it quiet no more . no more . dam . broke dam broke
fuck fuck you fuck you dam .
O: Sedation ?
P: Not yet . let’s see where this goes . we need to see if this is withdrawal from the treatment or if his
brain is resetting .
O: He’s hurting himself . we need to sedate .
P: For god’s sake . I said not yet . who’s that ?
[A door opens. it is Sue Harold, another patient of Dr. Penrose’s]
H: My head really hurts .
P: What’s wrong ?
H: I feel it all again .
P: Excuse me ?
[The door opens and a nurse enters]
N: Doctor come quick .
P: My god . what is happening ?
B: Broke my dam . fucking kill you piece of shit .
O: Watch out .
[recording ends]
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permission under sanctions of the Freedom of Documents Act 2089. Please refer queries to your
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SUMMARY AND RECOMMENDATION:

After the failure of the binaural machine and the resulting suspension of
treatment, Mr. Butler seemed to lapse into an extreme psychotic episode. Dr.
Penrose’s other two patients in the hospital, Sue Harold and Gloria Young,
suffered similar regressions into past behaviour.
Their expected treatment time was 2pm. After an hour of no treatment, all three
subjects were described as being withdrawn and quiet. Two hours later, Mr.
Butler exhibited the aforementioned symptoms, Mrs Harold reported searing
headaches and, at approximately 5:15pm, Ms Young was found dead in a toilet
stall, having strangled herself to death with a noose improvised out of a torn bed
sheet.
At approximately 5:17pm on Monday March 11 2024, Mr. Butler inserted a pen
which he stole from the orderly into Dr. Penrose’s neck. He then stabbed the
orderly in the knee and, before he could be sedated, inserted the pen into his
temple, killing himself instantly. His last words were, according to the orderly,
“I’m going to plug up that bottle”.
Dr. Penrose died at 7:44pm due to complications arising from blood loss.
As a result of the violent and suicidal tendencies of Mr. Butler and Ms Young,
Mrs Harold has been placed under heavy sedation indefinitely.
In reaction to the described events, Dr. Joseph Wagner, M.D., President of
Binauricorp, released the following statement today:

Out of respect for the families involved, I will not reveal details or names. All you need to
know is that, as a result of the incident at Trinity Hospital, Leeds, the Binaural Based
Psychological Reconfiguration Scheme is, as of this moment, terminated. The events that
transpired have highlighted how Man’s technology cannot ever hope to comprehend or even
have an effect on God’s: The human mind is fragile and misunderstood; it is an alien territory
on which we have no right to tread. We thought foolishly that our technology was helping the
poor individuals involved, that our technology was aiding their brains in fighting their
illnesses. But all we were doing was dampening their neuroses; letting them build up to the
point of flooding out onto a psyche we made soft and defenceless. Binauricorp accepts
responsibility for the lives lost yesterday due to our presumptuous, and fundamentally flawed,
research and, irrespective of what shareholders we have, will be dissolved as of the end of this
statement.
To all the other companies out there experimenting in binaural technology: I implore you to
stop. This cannot, nor will not ever, work – The brain is too vast and our resources are too
limited. The human mind is not meant to manipulated by machines. It will rebel even to the
point of self-destruction. Please, take my advice. The cost of this technology far exceeds its
worth.
Thank you and may God have mercy on our souls.

This document cannot be copied, replicated or removed from the premises without express
permission under sanctions of the Freedom of Documents Act 2089. Please refer queries to your
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