Mental Status and Behavior Observation (must have subheading):

Appearance, Attitude, and Activity

Kuklinski was a tall, physically imposing man. He was over 6 feet tall and over 300 pounds. He seemed physically fit, despite his immense size. He had several tattoos on his body at the time of his prison interviews. He had a beard and was balding. Otherwise, he presented a clean-cut disposition. His attitude was very soft-spoken, even when discussing horrific events. However, he did make it clear to the interviewer that, despite being incarcerated at the time of the interview, he still posed a threat to the interviewer.

Thought Process, Thought Content, and Perception

His thought process seemed coherent, with no obvious defects in cognition or reasoning. While he was relating horrific events and his thought content was disturbing, there did not appear to be an element of violent fantasy in his thoughts. His perceptions seemed to reflect normal perceptions about what occurred. In fact, when describing a murder in his youth, he acknowledges that the slight for which he killed the man was not a significant one.

Speech and Language

His speech is soft and he speaks in a manner above his 8th grade educational level. His language did not contain an inordinate amount of cussing or swear words. He also did not engage in significant overt threats in his language. He seems very aware of the power of words, apologizing when he knows his words will be offensive, even when it is clear that he does not care if his words are offensive.

Cognition, Insight, and Judgment

Kuklinski's judgment, insight, and cognition seem relatively unimpaired. His recollections are clear and he offers insight into the reasons behind certain crimes, including his involvement...

However, examining his behavior one sees a problem in his thought processes; as he felt law enforcement becoming more of a risk, he began to kill people close to him and engaging in increasingly sloppy behavior that led to law enforcement being able to gather evidence against him.
Summary and Impression:

Kuklinski's presents as a remorseless criminal, who neither hopes to get better nor believes that he will get better. Although incarceration will limit his potential target population, it is unlikely that incarceration would have prevented him from harming people in the prison population. Moreover, depending on the degree of contact with people in organized crime, he may have posed a continuing danger to the general population.

Kuklinski seems to be a devoted father and husband, but his relationship with his family was an unusual source of moral conflict. While he maintained that he would not hurt a child or women, his history of violence against his family betrays those ideals.

Treatment Recommendation:

Kuklinski's presents as a remorseless criminal, who neither hopes to get better nor believes that he will get better. It seems unlikely that any course of treatment would be successful. The best recommendation is incarceration and separation from the general population, to protect others from his continuing threat.