2.8 Compendium written by the subject, also referred to as the manifest
Whenever the experts refer to page numbers in the manifest, these refer to the page numbering in the police’s work copy in PDF format. The copy contains 1801 pages. In the work copy, paragraphs with small print in the original manifest are converted to normal font.
2.8.1 Assumptions for the expert review of the compendium
The experts have carefully considered the extent to which it is appropriate to go into the subject’s compendium 2083, hereafter called the compendium.
To begin with, the experts rated the compendium as a possible important source of information. After the committee started the talks with the subject, and then learned of his ability and will to cooperate, we have been able to significantly reduce the importance of the compendium as a source of information for the forensic psychiatric statement. The experts have found it far more useful to ask the subject to comment on the various topics the compendium covers, directly, to the extent that these have been of importance for the forensic psychiatric statement.
When reviewing the compendium, the experts considered whether it contained information that went beyond what the subject has told the experts. The experts have also asked the subject to assess parts of the compendium in order to get his account of how these parts are believed to appear for the casual reader.
The experts have not gone much into the historical part of the compendium, nor have they made that the subject of further discussion with the subject. The subject has in talks with the experts explained the historical significance of the historical section of the compendium and has assured the committee about his extensive study of the topic. This is accounted for in the meeting minutes.
Likewise, the experts have only to a small extent used the compendium in a review of the subject’s political views and his use of terms related to this. However, this has been a topic of great importance for the subject, and all terms in the compendium of special importance have been mentioned and accounted for by the subject as far as it has been desirable and possible. The experts have reviewed the introductory chapters of the compendium to understand the subject’s basic ideas and thinking, and to make sure that significant areas are not left out.
The experts have briefly gone through the more technical and chemical aspects of the compendium in order to get an overview. The experts’ interest in these areas have limited themselves to see if they reveal certain aspects of the subject incoherent, that is, see if he appears as complete or fragmented. We have also used the same considerations on the operational part of the compendium, in which the subject describes the preparation of the impugned acts.
2.8.2 Important remark:
The experts stress that they have not taken a position on the subject’s political message or point of view. This is obviously beyond the experts’ mandate. Likewise, the experts have no qualifications to assess the compendium’s literary quality or the quality of the materials he has quoted, or otherwise produced.
For the experts it has been the egocentric bias in the compendium that has been of importance and interest, i.e. the subject’s own perceived importance given both directly derived from historical events and his subsequent self-given, future importance for Europe and the world.
The experts will only provide a brief general comment, as well as some short particular comments to the compendium and its content:
2.8.3 General consideration:
The experts were immediately puzzled about the concept of the compendium. The subject’s proclaimed intention with the compendium is to save Europe from multiculturalism and Islamic takeover, and he has stated to the experts that the spreading of the compendium was his ultimate goal of the entire operation. He has however had several approaches to the latter.
Against this background, the experts registered the subject’s inability to see the compendium’s obvious, banal, and sometimes downright infantile wording in some parts of it. The subject appears, both objectively through academic achievement and by clinical impression, rather intelligent than the opposite. The experts therefore find it reasonable to question the reasons for producing such a text.
Given that one can ascertain his intelligence, one must ask the question what such a lack of overall understanding can be caused by. The experts have put this in the context of a development in the subject, where he from some point between 2000 and 2006 seems to lose and thereafter lack the overall, cognitive and intellectual functions that one would expect that he would use to assess the outside world’s experience and understanding of the product.
The experts will in the review chapter return to the issue that his general cognitive and intellectual decline is as a basis for all the subject’s assessments.
When one considers the compendium from this perspective, it appears both in the individual parts and as a concept almost pathetically self-centered, where he at the most banal level goes into detail about his thoughts and activities almost from birth to date.
The way this appears to the experts, the compendium, both in its entirety and in detail as commented below, gives clear suspicions about basic and underlying delusions of grandeur.
Such egocentricity may very well be explained as a function of the lack of distance and self-criticism in basic delusions of grandeur. This is reflected in the way the subject treats his own importance and in the way he eventually ends up appointing himself as a midwife of the new era and the new Europe.
Although the subject some places in the manifest modifies his own importance by referring to how others may get influence in the future, it appears almost as the birth text that establishes his role in an almost all-encompassing later salvation context.
2.8.4 Special considerations
184.108.40.206 Fundamental delusions of grandeur
• Knights Templar
The specific parts that immediately caught the experts’ attention and interest are the sections on the design and construction of the community he describes as Knights Templar, which is his background for using the plural we when he talks to us about his operation and reasons and forces around this.
The subject devotes significant and zealous attention to the issue, from this one can conclude its importance for the subject. It is, both in the compendium and during conversation with the subject, unclear and very difficult to understand to what extent and if at all someone else is in the picture, or if the organization, including other cells in activity, in its entirety is a product of the subject’s imagination, as well as a legitimization of we as a concept.
The experts observe the passion and obvious fascination with which the subject theoretically «constructs» an organization with awards and decorations down to the smallest detail. Inspired primarily by the U.S. military tradition, he uses a lot of time and space to create a hierarchical glorification of heroes and martyrs, also along the lines of Islamic martyrdom and on a medieval backdrop.
The experts then observe that it all ends up in the decorations he believes he has earned after completing the operation, whether this would end in his own martyrdom with death in battle, or the way he believes it is now ended, namely, with full completion of the operation and further struggle from the very status and position his deeds have caused.
In his compendium, the subject uses considerable space to clarify various definitions and lines of command that all shall reveal his unique position in a future society. The manifest’s review of previous knights, reproduced with historic photos in halos, will form a backdrop for understanding the rank he has awarded himself as Justiciar Knight Commander.
In his compendium, the subject describes himself as having a future national importance as National Grand Master Knight Commander or a European importance as a Pan-European Grand Master Knight Commander.
The subject has acquired a sort of uniform, and have in all seriousness let himself be photographed, decorated with the medals he believes he merits. The image is part of the conclusion of the compendium and is put together with pictures of himself in battle position. In contrast, the subject has placed images of his family, happy and dressed for a party with his mom and sister.
The subject’s interview with himself: Further studies, compendium page 1605.
For the experts, the parts of the interview that focus on further detailed clarification of the subject’s political views are of lesser importance. The experts, however, have emphasized the interview as a concept, and the importance the subject gives himself by this.
In this light one can see the subject’s statements about how family and friends have tempted and pressured him to live a normal life, and what he thought about that. It is quoted from the manifest page 1616:
This is exactly what my family and friends have implored me to do for years now. They have pressured me and I must admit I have been somewhat ridden by guilt in this regard. At the same time I know what has to be done. I could never ignore the current situation without doing anything. In this regard I felt I had two choices. Create a large family (3-5 children) or completely focus on my tasks as a part of the European resistance movement.
The subject’s descriptions are reminiscent of previous historical/religious figures who have been tempted to take the broad road and a bourgeois life in contrast to the task of salvation along the narrow path and emerge with deprivation and possible martyrdom.
• Knights Templar Log, compendium page 1682
This section of more than 70 pages is further evidence of the compendium’s more banal, egocentric approach. The entire section is characterized by somewhat detailed descriptions, first of first friends and then of his own development from the ordination in 2002 to an almost round-the-clock description of his actions before the criminal events. These diary-like notes are interspersed with long expositions on how the subject chemically and technically has gone forward.
The description of the subject’s friends is a fairly meaningless detailed description of insignificant details, partly dotted with distant or indirect negative characteristics, to completely banal details of parties and alcohol consumption in Budapest and Oslo.
The experts find that such an approach documents a clear self-centered position and a more grandeur-like world view, meaning: «The details are important because they are details about my person and that makes even the smallest details important.» The same applies to the subject’s further diary-like notes, alternating between technical details and personal events. In this document, the detailed records seem to be motivated by the subject’s understanding of his own extraordinary importance, and thereby serve as documentation of his way to martyrdom and thus a recipe for others to do the same.
From page 1706 an example of what is described above is quoted :
I have been storing three bottles of Château Kirwan 1979 (French red wine) which I purchased at an auction 10 years ago with the intention of enjoying them at a very special occasion. Considering the fact that my martyrdom operation draws ever closer I decided to bring one to enjoy with my extended family at our annual Christmas party in December, I brought the other flask to XXXXXXX party a few days later and shared it with my friends. It was an absolutely exquisite experience that will not be forgotten. My thought was to save the last flask for my last martyrdom celebration and enjoy it with the two high class model whores I intend to rent prior to the mission. My interpretation of being a «Perfect Knight» does not and should not include celibacy, although some of my KT peers might disagree with me on this point. I believe that in order to strengthen the resolve, morale and motivation prior to a martyrdom operation, the Justiciar Knight should be encouraged to embrace and take advantage of a significant reward system designed to increase focus and remove any last doubts. A pragmatic approach, which involves acknowledging the primal aspects of man for the purpose of preparing him for a martyrdom operation, should always take precedence over misguided piety, which only increases the chance of jeopardizing the execution of the operation. And I believe the majority of war strategy analysts will agree with me on this.
The subject refers to himself on page 1707, in section 3 as follows:
I have an extremely strong psyche (stronger than anyone I have ever known)
and then in the 4th section:
Regardless of the above cultural Marxist propaganda; I will always know that I am perhaps the biggest champion of cultural conservatism, Europe has ever witnessed since 1950. I am one of many destroyers of cultural Marxism and as such; a hero of Europe, a savior of our people and of European Christendom — by default. A perfect example which should be copied, applauded and celebrated. The Perfect Knight I have always strived to be. A Justiciar Knight is a destroyer of multiculturalism, and as such; a destroyer of evil and a bringer of light. I will know that I did everything I could to stop and reverse the European cultural and demographical genocide and end and reverse the islamisation of Europe.
• Additional comments on the delusions of grandeur
As a concept, the compendium may appear similar to the way earlier saviors have been described in associated books. One can see the similarity with the Bible, which is also divided into different books. The compendium contains many descriptions that evoke associations with religious-like grandeur delusions.
Examples of this are the Knigths Templar‘s 12 founders in London (reminiscent of Jesus’ 12 disciples), temptations from others, the salvation aspect, preparing for martyrdom and to share a bottle of wine with the closest relatives before martyrdom. In addition, the strange ritual of sharing the last bottle with a hired prostitute can resemble Mary Magdalene-like theories.
220.127.116.11 General enemy concept, paranoia and grandeur
Without going into the subject’s political judgments, the experts note that his perception of the state of Europe and the state of Norway is extreme. Many of his interpretations and claims are without foundation. However, it seems most of this material is rather an application of existing political currents than a creation of his own, since a lot of it is cut and pasted from various web sites and historical sources. This is to say that his quotes and conclusions are shared by a number of people in Norway and elsewhere in Europe.
However, the experts are stricken by the intensity of the subject’s war terminology and his experience and description of being in a war which is leading up to the criminal acts. The experts can ascertain, both in the compendium and through contacts with him in our conversations and in the course of questioning, that he actually both emotionally and in reality has the perception of war, destruction and his own task of salvation.
The subject describes himself as in a situation with only two outcomes; destruction of his own culture and existence or the salvation by his martyrdom and long-term victory, with the final victory in year 2083.
18.104.22.168 Detailed diary July 2011 page 1741:
The subject’s records are for the most part detail-oriented about his activities, chemical planning, car rental and procurement of equipment. He describes with enthusiasm how he kills spiders in Åsta east, and he devotes much space to details around his daily tasks of a chemical character.
In the last part of the compendium’s diary entries, the subject has described a history of gold mining in Finnmark on the dates 21 and 22 July 2011. This he describes as the remnant of a cover story he had written into the manifest in case he was caught before the criminal acts. The subject did not have time, or in his own words he forgot, to remove the notes before the manifest was distributed. Quote:
Thursday July 21 – Day 81: Drive 11 hours straight to Kautokeino, sort out cheap hotel
Friday July 22 – Day 82: Initiate blasting sequences at pre-determined sites. Test dirt for gram of gold per kg. Have enough material for at least 20 blasts. Start capitalization of project as soon as I have results. Time is running out, liquidity squeeze inc. Call/email all my investor contacts with updated online prospectus/pdf.
This is going to be an all-or-nothing scenario. If I fail to generate acceptable precious metals yields, in combination with swift initiation of the capitalization for securing the areas I will be heavily indebted. I must complete capitalization of the mineral extraction project within August at latest! When I have the required seed capital I will have enough funds to employ the services of professional blasting engineers.
If all fails, I will initiate my career with a private security firm in conflict zones to acquire maximum funds in the shortest period of time to repay the debts.
First coming costume party this autumn, dress up as a police officer. Arrive with insignias 🙂 Will be awesome as people will be very astonished 🙂
Side note; imagine if law enforcement would visit me the next days. They would probably get the wrong idea and think l was a terrorist,
22.214.171.124 Agriculture manuals/family photos
The subject has a 15-page batch of agricultural how-to’s and a subsequent dictionary of agriculture. His reason for this, expressed upon a direct question from the experts, is that he believes his way is the only one or best one, and that he therefore must be sufficiently detailed so that his followers may learn from his experiences.
Furthermore, he then concludes the manifest with miscellaneous photographs where a picture of a dressed up family with mother, sister and himself emerges as the most glaring in its contrast to the case in general.
Both examples, very strange or bizarre in the context, can be seen as a direct result of the same considerations as described above with non-realistic grandeur and, consequently, a total lack of self-criticism.
2.9 Expert opinion from the Public Health Authority regarding intoxication
Medical examination done at the time of arrest concluded that the subject could be mildly influenced.
The subject had also stated that he had taken steroids and stimulating substances and it was therefore made an assessment of the impact level by division director, prof. dr. meg. Jørg Morland, partially quoted here, but without the general drug information as this statement is believed to be documented by a separate expert witness in the case:
From document 03.02.06 it is stated that the accused in the period 25/4 – 15/6/2011 used 40 mg Dianabol a day by ingestion of 4 tablets. Allegedly he had also taken a dietary supplement, Mariatistel. In the period 15/6 – 22/7/2011 he has used 50 mg Stanasolol (Vinistrol) daily, in addition to Mariatistel. The accused has used an antihistamine preparation (probably Loratadine), principally through the course of a week about 14 days before the current event (doc. 03.02.01, 02.03.06). The 2-3 final days leading up to 22/07/2011 he has taken a mixture of ephedrine, caffeine and aspirin, which the accused has called «Ekastac». From the case document 03.02.01 it seems that this «Ekastac» mixture is something the accused has mixed himself. One misses further time information for the intake of «Ekastac on 22 July 2011. The bomb explosion occurred at 15:26 hours, on 22 July 2011, followed by shooting throughout the afternoon the same day. After the arrest, a blood sample was obtained from the accused at 01:51 hours and a urinalysis at 01:37 hours on 23 July 2011. In this connection at 01:39 hours a clinical examination was performed by a physician.
In the examination, there were some deviations from the norm in the sense that the accused’s face/skin was described as flushed. He was also described as tired-looking with shiny eyes, large pupils and slow reactions to light. The doctor also stated that the accused’s behavior/state of mind was adequate/normal, but somewhat shaken. The doctor concluded that the accused appeared to be mildly influenced at the time of the clinical examination. It was further noted that the effects could be attributed to the use of ephedrine, but that some of the findings made during the survey could also be caused by psychological stress. In connection with the clinical forensic examination conducted on 26 July 2011, see document 03.02.06, hair samples were taken of the accused.
New hair samples were taken of the defendant on 31.08.2011, i.e. about 5 weeks after 22 July 2011.
The blood sample taken on 23 July 2011 at 01:51 contained ephedrine (a central nervous stimulant) in a concentration of 0.2 micromoles per liter, a concentration of caffeine of 19.3 micromoles per liter, and a cotinine (an inactive conversion product of nicotine) concentration of 1.3 micromoles per liter. Salicylic acid (the active ingredient in aspirin) was not detected. Urine samples taken on 23/7/2011 at 01:37 contained ephedrine. The sample also contained transformation products of stanozolol and decreased levels of luteinizing hormone, LH (doc 03.02.07).
Hair samples taken on 26/7/2011 contained ephedrine. I this sample, metandienon (active substance Dianabol) and stanozolol were also detected.
Hair samples taken on 31/8/2011 contained ephedrine and stanozolol.
Both hair samples have been analyzed at the Institut fur Dopinganalytik und Sportbiochemie Dresden. A copy of the analysis report from this institute is included.
About the substances:
Ephedrine is a central nervous stimulant drug which primarily has medical applications because of its ability to affect the respiratory system in a beneficial way for people with asthma, bronchitis and similar lung problems. Ephedrine can, depending on the dose size, provide central nervous stimulant effects similar to amphetamines. These will be rejuvenating effects, faster heart rate and blood pressure rise. Higher doses and higher blood concentrations may give intoxication symptoms where increased confidence, increased risk-taking and loss of critical skills may occur. It is also assumed that there will be an increased risk of aggression and violence. Physical agitation, tremors, sweating and mild breathing problems may accompany this. Furthermore, particularly at high doses, mild confusion, sensory distortions, paranoid thoughts, or illusions and hallucinations and dizziness may occur. High doses symptoms will be similar to those that may occur with the use of amphetamines and other central nervous stimulant drugs. These symptoms will usually be of short duration and often disappear after a few hours when the concentration of the central nervous stimulant drug drops. It has also been shown that such high-dose psychosis-like symptoms occur more easily in people with schizophrenia (Curran C et al (2004) Br. J. Psychiatry 185, 196-204).
In the literature, it is also described (Baselt, RC (2011) Biomed. Pubt, 591-94, Nyland H (1973) Tidsskrift for the Norwegian Medical Association. 93, 2027-29) that repeated administration of ephedrine for a long time can lead to the development of a psychotic condition with many similarities with schizophrenia and other psychoses triggered by the use of central nervous stimulants. It appears in the literature to be described in the order of 50 such cases of ephedrine triggered psychosis. In most cases it will involve the use of high daily doses, for example, around 200-300 mg per day.
The half-life of ephedrine given in the literature is indicated to be from 3 to 7 hours with respect to blood/plasma concentration.
Caffeine is the main active ingredient in e.g. coffee. Caffeine is a light central nervous stimulant drug, with far less potential to cause intoxication, compared with, for example, ephedrine and amphetamine. Caffeine generally provides reduced need for sleep and stimulating effects. Such effects would be likely to be registered by the typical «coffee drinking» levels of caffeine in the blood, from 5 to 20 micromoles per liter. On a more speculative basis, it has been assumed that caffeine can have effects in the brain that may reinforce the intoxication effect of, for example, ephedrine and amphetamine.
The half-life of caffeine is in the area of 3-12 hours in blood.
Anabolic steroids (AAS) like metandienon and stanozolol are substances that have similar effects as the male sex hormone, testosterone. They increase the structure of muscle mass by training, and have in large doses a number of side effects with regard to hormonal disturbances, increased risk of cardiovascular diseases and diseases of other organs. It is controversial whether the use of drugs can lead to increased risk of aggression and violence. An extensive survey (Report No. 4 (2004) National Health Services Research Centre) where more than 1,500 scientific papers were presented concluded that evidence has not been presented that small and medium doses of AAS lead to aggression or violence. The survey also concluded that «The combined information from the controlled clinical trials using the highest doses indicate that the use of AAS in large doses may in particularly susceptible individuals trigger psychological conditions that are referred to as mania/hypomania, i.e. conditions that may also involve increased aggression.”
There are many other observational studies in the field, with the common weakness that they are poorly controlled and have little value with respect to saying something about the causal relationship between use of AAS and the risk of violence.
Evaluation of analytical findings:
Ephedrine: In the experts’ opinion, the ephedrine concentration in the accused’s blood at the time of crime and the time immediately prior to this is the important point in this case. A calculation of the ephedrine concentration for the period between 12:00 to 15:30 on 22/7/2011, however, depends on the known last intake point for ephedrine. Currently there is no certain information about this. The expert has therefore assumed for now that the last intake was before 12.00 on 22/7/2011. Then it can be calculated that the ephedrine concentration in the accused’s blood at that time has been of the order of 0.6 to 1.5 micromoles per liter, by taking into account the half-life of ephedrine in the range of 6 to 4.5 hours. The calculated concentrations from 0.6 to 1.5 micromoles per liter would represent an intake of approximately 25 to 100 mg ephedrine if the intake took place some time before 12:00. When ephedrine is used for therapy, the single doses are usually around 20 to 60 mg. One finds therefore that the ephedrine intake may have represented what would be called a therapeutic dose of ephedrine, or a slightly higher dosage.
Caffeine: As for ephedrine, the time of last intake is not known. When it is assumed that this was before 12:00, we find that the caffeine concentration in the accused’s blood in the period 12:00-15:30 has been in the order of 80-125 micromol/liter by using a half-life of 5 hours. These are levels that might otherwise be achieved shortly after taking 500-800 mg of caffeine, which is equivalent to 4-6 cups of coffee of medium to high strength (130 mg caffeine/cup). In the literature (Baselt, RC (2011) Biomed. Pubt, 236-239) some cases are described of what might be called coffee intoxication with significant central nervous stimulant symptoms when the caffeine concentrations in the blood are 250 micromoles per liter or higher. On this basis, the expert believes that the accused may have been under the influence of caffeine to such an extent that a moderate intoxication effect can not be ruled out.
The importance of Anabolic steroids with regard to the impact in the form of altered state of mind or intoxication during the relevant period, at 12:00-15:30, is by the expert’s assessment highly unlikely. The interpretation of the measurements of AAS and transformation products indicates that the accused’s explanation regarding the use of these drugs may be correct. The reported usage represents a high dosage. This is not an extremely high consumption, even if it exceeds the therapeutic use in a medical context about 8 times with respect to dosage. Reports from the so-called AAS user communities mention even higher dosages.
Drug Effects in the period, at 12:00-15:30 on 22/7/2011:
The expert’s view of the mandate is reflected in the above heading.
According to the expert’s assessment, the impact in the period 12:00 to 15:30 may be described as a slight to moderate influence of a central nervous stimulant, depending on the assumed concentration. The impact is difficult to compare with the influence of alcohol, because of fundamental differences in the mechanism of effects of ephedrine and alcohol, but the impact can according to the expert’s assessment probably be equated to the impact that can be achieved by an intake of amphetamine (by mouth) of doses of the order of 10-30 mg of amphetamine by non-habitual users. The expert assumes a certain reinforcement of the ephedrine effects because of the significant effects of caffeine concentrations that may have existed.
Possibility of additional influence as a result of regular use of ephedrine and steroids in the period before 22/7/2011:
The reported use of ephedrine does not represent a long-term high dosage consumption. The analysis results do not point toward high dosage consumption. The possibilities of an ephedrine-induced psychosis of some duration must be considered as minimal.
According to the expert’s assessment, the alleged use of anabolic steroids is unlikely to have caused any additional effect, but a possibility of enhanced aggression and hypomania/mania can not be ruled out completely.
2.10 LABORATORY report from the NORWEGIAN LABORATORY for DOPING ANALYSIS, OUS
An analysis has been done of the urine sample that was taken on 26/7/11 and sent to the doping laboratory at Aker by the public health institute NIPH. This is the result:
Assignment: Analysis of anabolic-androgenic steroids and other anabolic substances in urine (MD 10, MD 14).
Results: The urine sample confirmed the finding of 3′-hydroksystanozolol, 4(3-hydroksystanozolol and 16(3 hydroksystanozolol.
The concentration of the luteinizing hormone (LH) was 1.4 I E/l. Specific weight and pH were determined to 1.011 and 6.2, respectively. The endogenous steroids showed low concentrations in relation to population-based reference values.
Interpretation: The identified compounds are metabolites of stanozolol and the findings are consistent with the intake of anabolic-steroid stanozolol androgene.
The analysis is a qualitative analysis and a quantitative estimate of the substances must be interpreted with caution. Yet the amount of metabolites is consistent with the ingestion of stanozolol the last day(s) prior to sampling, hence also with the information on the requisition.
The low value of the LH and the low endogenous steroid concentrations indicate a suppression of the body’s own production of testosterone and its metabolites.
Note: Confirmation is done with chromatographic separation and mass spectrometric detection.
In addition, the screening analysis found ephedrine and phenylpropanolamine metabolite and a significant concentration of caffeine. These findings are not confirmed.
Peter Hemmersbach, prof dr laboratory manager
2.11 Letter to the mother from the sister of the subject, from 2009 or 2010
Attached to the questioning of the mother is a letter that the daughter XXXXX wrote to her mother. The letter expresses a despair by the distance and the difficulties in keeping contact with the brother. From the letter, consisting of three typed pages, it is quoted from page 2 about the subject:
Anders is not going anywhere, Mom. He wants nothing of life except what he has been doing over the last few years, plus what he is doing now. When you gave him the phone after you and I had talked, then he asked if he could call me later because he was in the middle of a «discussion». I asked what kind of discussion, and he would not answer. When he called me back he said that he was playing computer games. So apparently he is still doing that! This is not normal, you know, Mom! He is 30 years old! Adults do not go about like this. There are many friends of mine that I grew up with who have decent jobs in Norway. Nothing much to brag about. They are not rich at all, but they are having a great time with what they have and think they have a good life with the jobs they have and friends and family.
3. Acquired Information
The experts have, with the subject’s written consent, obtained additional information beyond what is available in the received documents.
3.1 General Physician XXXXX
The subject has been associated with this center most of his life. The received medical records date back to 1991.
Overall one can say that the record contains no information about any serious illness, neither of somatic nor of psychiatric nature.
In the years from 1991, he is treated with allergy medications. In the mid-nineties, a couple of benign lipomas were removed. Furthermore, for a period he was treated for acne.
From 1998 he is intermittently treated for acute stress/situational imbalance in which he indicates heavy workloads and 15-hour days as a cause for insomnia. He gets a prescription for sleeping pills once or twice a year. In 2003, he requested treatment for hair loss. After 2003 there is only one prescription for sleeping pills in 2008. In 2010 he receives a medical certificate needed to obtain a driver’s license.
The following note dated 13/4/11 has been found:
Long conversation, he believes he has been infected by his mother’s sinus infection even though he has used a face mask before. First he had a soar throat, then nasal congestion and cough, this started a few days ago, he is somewhat better, but feels some pressure in the sinuses when he sneezes. He agrees to wait and see how it goes for a couple of days, use the nasal spray. Many questions and miscellaneous info. He thinks it is strange that he has a cold since he is living so healthily!
Trying to explain that this does not sound like sinusitis in need of treatment, at least try first without, and use nasal spray
On 15.04 antibiotics was prescribed. Physician XXXXXXXX stated in an additional note dated 24/8/11 that He did not wish to be examined at the clinic.
3.2 Follow-up by health care service at Ila prison
The experts have, with the subject’s written consent, obtained additional information beyond what is available in the received documents. Since then we have gained access to his medical records at Ila from 26/7/11 to date. Upon admission he was assessed on the same day by the psychiatric nurse with no particular findings. Then a medical evaluation of him was done the next day, also without specific findings. It is quoted from the consultation 27/7/11:
When he has finished dressing, he says it is ready. The cell is tidy. He gets up and shakes hands. He makes eye contact. He speaks an eloquent Oslo dialect and the sentences are coherent. There is no sign of incoherent language. When spoken to, he shows no sign of latency. He provides good formal contact. No emotional connection is perceived. His mood is stable throughout the conversation. His mood seems somewhat excited, almost cheerful.
He explains that he has carried out an operation. He uses military terms about what he has done and says that he is part of a network with the same attitude as he has.
When asked how he is, he says that he is doing fine in his cell. He is amazed at how well he is treated. He keeps in shape by carrying out a four-hour training program and in this way gets to exercise all the muscle groups of the body.
Medical history. He says that he has not been ill before. He uses no regular medication. He has never had a need for consulting a psychologist. He has used two types of anabolic steroids from the spring of 2011 until the 22/7. These he had purchased over the Internet. On 22/7 he took a preparation consisting of ephedrine, caffeine and aspirin for the purpose of raising performance.
When asked if he hears voices that others can not hear, the answer is negative. As described above, there are no signs of this in terms of stopping conversation for him to be able to listen to what the voices would say. Asked if he feels sadness or depression, he denies it. On the contrary he says that he feels very well. He is explained that the department manager has been told that he would take his life. He wonders where we have heard that. He is against suicide by principle and will not do it.
My assessment of the prisoner’s mental condition is that he does not appear depressed. There is no evidence of hallucinations as by psychosis, in particular, he is not guided by voices.
Suicide is the result of a depressive state, either after a prolonged depression or as a result of an acute despair. It can also happen during a psychosis in the form of inner voices commanding the patient to perform the action. At my exam today, I find no signs of depression or psychosis. The risk of suicide is therefore considered to be low.
During the next days he was assessed daily and observed especially for signs of suicidality. On 2/8/11, a formal admission assessment by physician XXXXXXXX was made, also with no findings with regard to psychosis, depression or suicidality.
On the following daysm the subject appears more depressed, but denies suicidal ideas. Begins to indicate his desire for life in percentages, and says he is between 10% on bad days and 25-30% on better days. He believes the apathy limit is at 0% and below that is where the suicidal thoughts would appear.
On 1/8/11 one discusses potential after-effects of his consumption of steroids before his arrest. At Aker one contacts the hormone lab, which conveys:
After contact with the responsible physician XXXXXXXX, possible symptoms such as loss of concentration, fatigue and depressed mood/depression are indicated. However, this will most likely, if at all, occur a few weeks after stopping consumption, when the drugs disappear from the body. In other words, no problems are expected as mentioned to begin with. Symptoms can be alleviated by the addition of testosterone. However, this is controversial in the medical community, and will extend the time util the body’s own production starts up again, if this happens, the following analyses are relevant: FSH, LH, testosterone and SHGB. Analysis of samples taken on 22/7 allegedly showed high concentration of stanozolol in the blood, and low production of testosterone.
Conversation with Breivik today at about 14:00. He says he is bored and wants access to more reading material. He is in need of smoke. This is dealt with by the prison guards. As previously stated, he has previously eaten sweets when stopping steroid intake to curb the discomfort. He will be allowed to purchase this with the help of the prison. Takes up the question of the length of the isolation period in Norwegian prisons, a discussion I do not enter. Reminds him again that the health service is there to safeguard his physical and mental health. He says he thinks about how a very long isolation (over years) will make it difficult to predict how he will cope. He think that prison units for the safeguarding of political prisoners like himself eventually will be built. For now, he is doing OK, and he said he will speak up if he notices any problems/depression etc. When asked, he indicates he tested the use of steroids earlier in order to find out how he could handle this. Prior to his «action» on 22/7, he had used the above mentioned steroid for a period of 9 weeks.
No changes are described in the subject’s condition in the subsequent weeks. He is assessed by psychiatrist Flikke without any particular findings on 9/9/11. From 14/9/11, health care is stepped down from daily to twice a week. This also goes on without any particular findings until the last note is made 2/11 by prison doctor XXXXX.
Supervision in the conference room at G. The conversation takes place through a glass wall. He seems alert and agile. Normal mood, and partially in a good mood. He says that he meditates several hours a day. This renews him and helps him to be creative and get new ideas when he wants to produce something. He describes himself as an intellectual person. He has thoroughly studied psychology and political analysis. The former he uses in his attempts to handle the isolation he feels. The latter to predict the impact his actions have had on the municipal election that was held, and on future elections. He feels that the authorities are in a hurry about his trial, so that this should not have a bad influence on the next election. We talk about that he must be stimulated through the body’s different senses. He agrees. He does not feel depressed. He has no thoughts of suicide*. Considered to be mentally stable. Low suicide risk.
3.3 MR SCAN
The experts requisitioned an MR scan of the subject’s head, but the subject did not wish to contribute to this. On the contrary, he considered it a violation of him as an ideological prisoner, as he regarded it as an insinuation of brain damage.