positive psychology and psychiatry, multiple intelligen-
ces, and developmental psychology. In a central chap-
ter, Dr. Fung takes a deep dive into the brain wiring
associated with various capacities and intelligences.
This could be helpful for educating courts as to the
bases for differences, supplementing clinical informa-
tion and psychometrics. Taking its cue from Dr.
Grandins thinking in pictures, the book includ es
seven color plates depicting brain functioning, nonlin-
ear thinking, executive functioning, and related con-
cepts. Other chapters contain practical information
about strengths-bas ed constructions of conditions such
as savantism, autism, A DHD, and dyslexia.
Neurodiversity is neither about legal matters nor
aimed at forensic professionals. Yet, in an introduc-
tory chapter, Drs. Fung and Doyle cite research
showing barriers to inclusion of neurodiverse citizens
leading to increased rates of incarceration, unemploy-
ment, and underachievement. They regard the con-
ditions discussed as invisible to implementation of
legislation such as the Americans with Disabilities
Act, since the differences requiring accommodations
are harder to grasp than, say, the need for a wheel-
chair ramp or screen reader. Following a chapter on
neurobiology, subsequent discussions explore educa-
tion, employment, and assistive technologies. All
chapters contain exceptional references, suggested
readings, and learning aids.
The subject of neurodiversity, as it interfaces with
matters of civil law (discrimination, entitlement) and
criminal law (from diminished capacity to mitiga-
tion), will likely increase in prominence. As Drs.
Fung and Doyle observe in the first chapter, how-
ever, there is a potential metaphysical matter:
whether the neurodiverse conditions describe medi-
cal illnesses, products of social construction (disabil-
ity), or simply a natural distribution of attributes.
My own work has included evaluations of students
and employees, on the civil side, and autistic individ-
uals seeking sentencing departures, on the criminal.
Employing respectful and persuasive language is a
challenge. As the book contributors observe, the lan-
guage and labeling to describe such individuals is a
work in progress. Some affected persons prefer first-
person descriptors such as person with autism ver-
sus identity-first labels such as autistic or dys-
lexic. Forensic professionals should be sensitive to
the individuals preferences, especially when there is
resistance to a medical model explanation for accom-
modations or behavior. Beyond that, the language
employed in reports must reflect statutory or regulatory
wording and not be so abstract as to hinder legal argu-
ments. Neurodiversity supplies needed ingredients for
describing conditions and prescribing plans for individu-
als who might otherwise go unnoticed amid typical dis-
ability claims and parlance.
Disclosures of financial or other potential conflicts of interest: None.
Femme-F a tale Frauds: A Re view of
Inventing Anna and the Dropout
Inventing Anna. Netflix; 2022. Frenkel, D, Verica, T,
von Scherler Mayer, D, Kuras, E, Stewart, N, directors.
Rhimes, S, creator and producer.
The Dropout. Hulu; 2022. Showalter, M, Gregorini, F,
Watson, E, directors. Meriwether, E, creator.
Reviewed by Karen B. Rosenbaum, MD, and
Susan Hatters Friedman, MD
DOI:10.29158/JAAPL.220054-22
Key words: fraud; forensic psychiatry; film; suicide; female
psychopathy
Anna Sorokins story is cleverly told through Shonda
Rhimes Inventing Anna on Netflix beginning with,
This whole story, the one youre about to sit on
your fat ass and watch like a big lump of nothing is
about me. Each episode has the qualifier, This
whole story is completely true. Except for all the
parts that are totally made up. The series is based on
the article by the reporter Jessica Pressler who inter-
viewed Ms. Sorokin in Rikers as she was awaiting
trial, as well as some of her friends and victims.
1
The
Anna Sorokin character comes to life through actress
Julia Garner of Netflixs Ozark fame, with an
endearing enigmatic accent that has Russian under-
tones. The reporter character, Vivian Kent, is based
on Jessica Pressler and is played by Anna Chlumsky
of Veep and the unforgettable 1991 film My Girl.In
the series, Vivian Kent is pregnant and attempting to
regain her reputation after a career difficulty; she sees
Anna Sorokins story as a way for her own career to
be revived. She is sympathetic to the protagonist
Anna, who has a way of seeing into people that helps
Books and Media
490 The Journal of the American Academy of Psychiatry and the Law
her to charm and defraud them. As forensic psychia-
trists, we are often similarly empathic toward the
people we are interviewing who are in bad situations
of their own making.
In The Dropout, the protagonist had been told by
a female Stanford professor that her idea would not
work, as it was not based on science. She wanted to
invent a skin patch that would both detect infectious
disease and administer appropriate antibiotics. Her
company, Theranos, was a combination of two
words, Therapy and Diagnosis. Eventually, she
dropped the patch idea and established her company
to develop a small machine that would be able to run
hundreds of diagnostic tests from a single drop of
blood from a finger. She would not listen to anyone
who tried to tell her that this was physically impossi-
ble. When it began to come to light that her machine
(dubbed the Edison) did not work, she would retort
that people who doubted her and her technology
were trying to keep powerful women from advanc-
ing. In the Hulu Series, Amanda Seyfried, who
played Lilly Kane in Veronica Mars and played Karen
in the film Mean Girls, does an excellent job of
embodying the wide-eyed Elizabeth Holmes, who
for years allegedly artificially deepened her voice and
wore all black to imitate her idol, Steve Jobs of
Apple.
When Ms. Holmess character first runs into trou-
ble with her powerful board, she brings in Sonny
Balwani, an experienced businessman in the tech
world to become COO of Theranos. Mr. Balwani,
played in the Hulu Series by Naveen Andrews of the
popular television series Lost, changes the culture and
feel o f Theranos and, like Elizabeth Holmes, seems
more interested in the bottom line and selling ideas
than in actually implementing a working device that
could help patients. They developed an intimate rela-
tionship that was a secret, which became controversial
and, in the end, contentiou s. In later legal proceedings,
they chose to be tried separately. In the real world,
Elizabeth Holmes claimed that she was unduly influ-
enced and psychologically abused by Mr. Balwani,
who was eighteen years her senior and who she had
met when she was eighteen. Mr. Balwanisreal-world
trial began while The Dropout was airing, causing sev-
eral potential jurors to be dismissed.
2
In the Dropout series, when people in the company
who realized that an unreliable, inaccurate machine
could harm patients attempted to speak to Mr.
Balwani or Ms. Holmes regarding their concerns, they
were met with anger and dismissal and were forced to
sign nondisclosure agreements. Despite these agree-
ments, a few brave people, including the grandson of
famous board member and supporter of Elizabeth
Holmes, George Shultz (played by Sam Waterston,
perhaps best known for his 16 seasons as Jack McCoy
on Law and Order) spoke up and became sources for
the reporter character John Carryrou. In the series,
employees were threatened and stalked in attempts to
intimidate them. Ian Gibbons (played by Stephen
Fry), the former lab director of Theranos, committed
suicide before he was to testify at a deposition involving
a patent lawsuit against the company. In the real world,
Carryrou wrote the Wall Street Journal article that first
broke the Theranos scandal.
3
He also wrote the novel
Bad Blood and created the podcast of the same name
as the series.
In these two recent miniseries, the protagonists
Anna Sorokin, a self-proclaimed German heiress liv-
ing in posh New York City hotels, and Elizabe th
Holmes, founder and CEO of Thera nos, are both
strong, compelling, motivated young white women
characters. Both series depict how these women were
able to fool powerful people into investing money
and time in them through their artful capacity to con-
vincingly sell others on their own stories of future suc-
cess as if they were already successful. While many
young, accomplished women struggle with Impos ter
Syndrome, Ms. Sorokin and Ms. Holmes seemed to
have the opposite problem, abundant confidence
with no credentials to support it. Ms. Holmes
dropped out of Stanford after her freshman year, and
Anna Sorokin (who also went by Anna Delvey) was
not the heiress she claimed to b e but hailed from
Russia and later Germany where she and her family
lacked means, and she was teased mercilessly by her
peers. Ms. Holmessstory,astoldthroughThe
Dropout, also portrays early childhood teasing and a
history of a sexual assault at Stanford.
Both the portrayals of the protag onists in Inventing
Anna and The Dropout share similar traits with young
womenseeninfictionwhohavepsychopathictraits
as described by Cerny et al.
4
In shows like Pretty
Little Liars and Gossip Girl, girls portray characteris-
tics such as lying and bullying to get ahead while of-
ten remaining charming to the outside world. They
and other such characters served to normalize bad
behavior in young women(Ref.4,p233).Boththe
Anna and Elizabeth characters have an idea that they
Books and Media
Volume 50, Number 3, 2022 491
believe in, and they will stop at nothing to realize it
even when there is no substance behind it.
Both miniseries protagonists, Anna Sorokin and
Elizabeth Holmes, pleaded Not Guilty and went to
trialforseveralcountsoffraud.InInventing Anna,
Anna Sorokin insisted that her lawyer not proceed
with his recommended defens e that Ms. Sorokin was
not close to defrauding investors (an attempt to dis-
prove an element of the crime required by the prosecu-
tion to make its c ase) because she was actually proud of
how close she came to realizing her dream of creating a
Soho House-type clubhouse for artists. In the real
world, Elizabeth Holmes testif ied in her recent trial.
Femme Fatale was a film trope that was notably
used in the forties and fifties in movies such as Double
Indemnity and The Postman Always Rings Twice. In
this paradigm, a woman uses her seduction abilities to
get what she needs from society by using a man to get
it for her. Abbey Bender in her New York Times
Magazine article
5
explains that in the eighties and nine-
ties, the erotic thrillers such as Basic Instinct and Fatal
Attraction made explicit the way in which a woman
can use her sexuality to get what she wants. Bender
explains how the femme fatale never apologizes, unlike
many other portrayals of women who say Im sorry
even when the situation has nothing to do with them,
let alone being their fault. In this way, these series pro-
tagonists are almost enviable as they fight until the end
without admission or arguably even a full understand-
ing of the harm that they caused. In the case of
Theranos, it was reported in The Dropout podcast
6
(on
which the series was based) and other sources that
many people were misdiagnosed, at least one case each
of erroneous HIV and cancer diagnoses, with numer-
ous other erroneous results given to individuals who
were tested using this technology in Walgreens stores
in California and Arizona. The New York Magazine
article that Inventing Anna was based on ends with a
quotation from the real Anna Delvey to Ms. Pressler
that well summarizes her belief in herself, Money, like
theres an unlimited amount of capital in the world,
youknow?...Butthereslimitedamountsofpeople
who are talented (Ref. 1, p 115).
In these series, there appears to be a difference in
how these female protagonists (Anna Sorokin and
Elizabeth Holmes) were regarded by investors com-
pared with their male counterparts depicted in recent
television series, such as the CEO/founders of Uber
and WeWork. Joseph Gordon-Levitt depicts a care-
free, crass, misogynistic protagonist Travis Kalanick,
founderandCEOofUberinShowtimes Super
Pumped, while Jared Ledo transforms himself into a
charismatic character, Adam Neumann in the Apple
TV series WeCrashed. Neither male protagonist seems
to conform himself to anyones expectations to please
his board, even when it would serve him well. The
Elizabeth Holmes character, however, transforms her-
self into a more male prototype of a CEO, modeling
herself through her voice and her dress code after Steve
Jobs. Anna Sorokin in Inventing Ann a changes her
characterandherbackstoryforwhomeversheisspeak-
ing to at the time.
Both Inventing Anna and The Dropout are enter-
taining limited series depicting young ambitious
women in male- domina ted fields , who were tried and
convictedforfraudcharges.Bothserieswillbeinter-
esting viewing for forensic psychiatrists to better con-
sider the mindset of women getting ahead in society
who may or may not have mental illness, but who
have unusual thought processes and perhaps psycho-
pathic traits, in a compelling and complex packa ge.
References
1. Pressler J. Maybe She Had So Much Money She Just Lost Track of
It. New York Magazine; 2018 May. Available from: https://www.
thecut.com/article/how-anna-delvey-tricked-new-york.html#_ga=2.
115835270.1888140252.1 659530569-534897532.1659530568.
Accessed August 3, 2022
2. Pulliam-Moore C. S unny BalwanisTheranosTrialhasbeen
Complicated by the Dropout. The Verge; 2022 Mar 16. Available
from: https://www.theverge.com/ 2022/3/16/22980890/sunny-bal wani-
theranos-trial-the-dropout-h ulu. Accessed August 3, 2022
3. Carreyrou J. Hot Startup Theranos has Struggled with its Blood -test
Technology. The Wall Street Journal; 2015 Oct 16. Available from:
https://www.wsj.com/artic les/theranos-has-str uggled-with-blood-tes ts-
1444881901. Accessed August 3, 2022
4. Cerny C, Friedman SH, Smith D. Televisions crazy lady trope:
female psychopathic traits, teaching, and influence of popular
culture. Acad Psychiatry. 2014; 38(2):23341
5. Bender A. Why I love Erotic Thrillers. The New York Times
Magazine; 2022 Mar 29. Available from: https://www.nytimes.com/
2022/03/29/magazine/erotic-thrillers-recommendation.html. Accessed
August 3, 2022
6. Jarvis R. The Dropout. ABCaudio; 2019-2022. Available from:
https://abcaudio.com/podcasts/the-dropout/. Accessed April 9, 2022
Disclosures of financial or other potential conflicts of interest: None.
Books and Media
492 The Journal of the American Academy of Psychiatry and the Law