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we need to know whether, in your opinion, there is anything in Fortier’s history to suggest he could fit this profile? The paperwork for production of his records will catch up, but if you have a recollection of this patient, information you provide now may help us stop the killer before he strikes again.”

I had wrapped another quilt around myself, this one a blanket of icy calm. I could not let her hear the fear in my voice.

“I simply cannot . . .”

My blanket was slipping.

“I have a child, Dr. LaPerrière? Do you?”

“What?” Affront vied with the weariness.

“Chantale Trottier was sixteen years old. He beat her to death, then cut her up and left her in a dump.”

“Jesus Christ.”

Though I’d never met Marie Claude LaPerrière, her voice painted a vivid scene, a triptych done in metal gray, institutional green, and dirty brick.

I could picture her: middle-aged, disillusionment etched deeply in her face. She worked for a system in which she’d long ago lost faith, a system unable to understand, much less curb, the cruelty of a society gone mad on its fringes. The gang bang victims. The teenagers with vacant eyes and bleeding wrists. The babies, scalded and scarred by cigarette burns. The fetuses floating in bloody toilet bowls. The old, starved and tethered in their own excrement. The women with their battered faces and pleading eyes. Once, she’d believed she could make a difference. Experience had convinced her otherwise.

But she’d taken an oath. To what? For whom? The dilemma was now as familiar to her as her idealism had once been. I heard her take a deep breath.

“Leo Fortier was committed for a six-month period in 1988. During that time I was his attending psychiatrist.”

“Do you remember him?”

“Yes.”

I waited, heart pounding. I heard her click a lighter open and shut, then breathe deeply.

“Leo Fortier came to Pinel because he beat his grandmother with a lamp.” She spoke in short sentences, treading carefully. “The old woman needed over a hundred stitches. She refused to press charges against her grandson. When Fortier’s period of involuntary commitment ended, I recommended continued treatment. He refused.”

She paused to select just the right words.

“Leo Fortier watched his mother die while his grandmother stood by. Grandma then raised him, engendering in him an extremely negative self-image that resulted in an inability to form appropriate social relationships.

“Leo’s grandmother punished him excessively, but protected him from the consequences of his acts outside the home. By the time Leo was a teen, his activities suggest he was suffering severe cognitive distortion along with an overwhelming need to control. He’d developed an excessive sense of entitlement, and exhibited intense narcissistic rage when thwarted.

“Leo’s need to control, his repressed love and hatred toward his grandmother, and his increasing social isolation led him to spend more and more time in his own fantasy world. He had also developed all the classic defense mechanisms. Denial, repression, projection. Emotionally and socially, he was extremely immature.”

“Do you think he is capable of the behavior I have described?” I was surprised at how steady my voice sounded. Inside I was churning, terrified for my daughter.

“At the time I worked with Leo his fantasies were fixed and definitely negative. Many involved violent sexual behaviors.”

She paused and I heard another deep breath.

“In my opinion, Leo Fortier is a very dangerous man.”

“Do you know where he lives now?” This time my voice trembled.

“I have had no contact with him since his release.”

I was about to say good-bye when I thought of another question. “How did Leo’s mother die?”

“At the hands of an abortionist,” she answered.

When I hung up, my mind was racing. I had a name. Leo Fortier worked with Grace Damas, had access to church properties, and was extremely dangerous. Now what?

I heard a soft rumble and noticed that the room had turned purple. I opened the French doors and looked out. Heavy clouds had gathered over the city, casting the evening into premature darkness. The wind had shifted and the air was dense with the smell of rain. Already the cypress was whipping to and fro, and leaves were dancing along the ground.

One of my earliest cases unexpectedly came to mind. Nellie Adams, five years old, missing. I’d heard it on the news. There had been a violent thunderstorm the day she was reported missing. I’d thought of her that night from the safety of my bed. Was she out there, alone and terrified in that storm? Six weeks later I’d identified her from a skull and

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