This letter to Judge Ron Panioto from Dr. Jaqueline Kowalski, also a nun, is posted on Hamilton County's Web site. Here, family names are redacted.
12-14-99
The Honorable Ronald A. Panioto
Court of Common Pleas
Division of Domestic Relations
800 Broadway
Cincinnati, Ohio 45202
RE: (redacted)
D.O.B. 8-10-96
(The girl) was referred for psychotherapy by her mother, Theresa (redacted), who expressed some concern about behaviors that (the girl) was exhibiting. She had called the Seton Family Center on August 6, 1999, stating that she believed that (the girl) had been sexually abused by her father, Dr. (redacted). (The girl) had been to her father's house the evening before and had come home saying: "my pee-pee hurts". Upon investigation Mrs. (redacted) noted that there was a blister on (the girl's) clitoris. She further reported that (the girl) had a bath before going to her father's house the day before. (The girl) told her that Daddy had given her another bath in the morning before returning her to her mother's house. Dr. Kowalski suggested that Theresa take (the girl) to Children's Hospital emergency room to be seen by the SAM clinic. (The girl) was examined by the staff
at Children's Hospital. The report indicated that there was redness in the vaginal area. Since the hymen was intact, and since (the girl) had had a recent bath, the emergency room nurse was unable to determine whether there was sexual contact.
(The girl) began therapy at the Seton Family Center on August 10, 1999. (The girl) is a three year old blond-haired, blue-eyed child, with a sturdy build, and being tall for her age. During the first few therapy sessions (the girl) spent much time dressing and undressing dolls. She was also quite interested in using telephone and calling the therapist, Dr. Kowalski, pretending to take the baby to the hospital. She said when asked about her trip to the hospital: "Daddy pee-peed on it" pointing to the vaginal area of the doll. When asked to clarify the information regarding herself (the girl) stopped talking. She then had the baby sitting on an imaginary toilet "pooping". She began putting masking tape over the mouth and around the head of the baby saying: "can't cry". 
(The girl's) mother said that (the girl) had put tape over her own mouth at home. When asked why she did it she said: "Daddy did it." Since (the girl's) story was not consistent in its retelling, Dr. Kowalski decided to wait until the next session to see whether or not the story would be told in the same way.
In the ensuing sessions (the girl) focused on painting and playing in the ball pit. She spoke freely about her mother, brother and maternal grandparents. Whenever a question was asked about her father she would ignore the therapist or change the topic.
Because of the different behaviors (the girl) was exhibiting, her mother wanted her to come into our playroom at least once a month. (The girl) was quite focused on using puppets and putting a puppet shows. Her favorite puppets were a mother bird and a nest of three little chicks. The theme of each puppet show was the mother bird feeding, nurturing and protecting her babies.
On Friday, Dec. 10, 1999, Theresa called the Seton Family Center saying that (the girl's) behavior at home had changed drastically. She reported that (the girl) had started masturbating while lying on the floor in front of the television set. Her mother described the activity as (the girl) putting both hands over the vaginal area and rubbing hard. When asked by her mother why she was doing that (the girl) replied: "it feels good". Mrs. (redacted) then asked (the girl) who told her to touch herself because it felt good. (The girl) replied "Daddy said so". This behavior was not seen in the therapy room.
The girl came in for an emergency session on Dec. 13, 1999. She approached the puppets and wanted to put on a puppet show. Instead of her usual theme of birds, (the girl) chose puppets that had people faces. She chose a mommy puppet, a daddy puppet and a baby puppet. She also chose a doctor and a doctor's kit. She stated that the baby was sick and needed help and alternately played the parts of the mother, the father, and doctor, asking the therapist to act out the others as requested. She became fixated on the vagina of the baby, needing to use the medical instruments to examine it.
The therapist got out the anatomical dolls at this point and (the girl) promptly undressed the little girl and put her finger into the vagina saying: "Daddy does it. Daddy does it." The therapist asked (the girl) if Daddy does it to her and she replied "yes". (The girl) then got out a rubber knife and held it between the legs of the anatomical girl, trying to push it inside the vagina. She repeated the same action with the two other dolls, one of which had a small hole between the legs because it was the doll that could be fed water and would wet its diaper. She kept saying: "can't cry, can't cry". When asked about the knife, (the girl) became very agitated, and said: "Daddy does it." When the therapist asked her to show her how Daddy does it, giving her male anatomical doll, she bacame more agitated: pulling on blanket, hands fluttering around the toys on the table, eventually closing up the doctor's kit, and saying: "I don't want to play anymore."
(The girl) also had a large bruise on the front of her left leg between the knee and the ankle. When asked about it she would not reply either to Dr. Kowalski or to her mother.
The therapist spoke with (the girl's) mother telling her that she would need to report this information to Children Services. Mrs. (redacted) stated that Judge Panioto had wanted any information which related to the welfare of the (redacted) to be given directly to him. The therapist spoke with Judge Panioto on Dec. 14, 1999 and he requested that she fax him this report. Dr. Kowalski, (the girl's) therapist, also spoke with Tracy Marr from Children's Services who also asked for a copy of this report.
S. Jacqueline Kowalski, Ed.D., ABPS. ACFE
Psychologist # 3521
