480 723 FEDERAL SUPPLEMENT, 2d SERIES The Lod Airport Attack markedly changed Pablo’s personality. ‘‘He wasn’t very approachable, as he was before,’’ testified Angel (Trial Transcript, Dec. 3, 2009, p. 94, ln. 1–2). Pablo lost between 60–80 pounds after the Lod Airport Attack, a significant weight loss for him. (Trial Transcript, Dec. 3, 2009, p. 95, ln. 25.) Pablo would speak very little. ‘‘And he didn’t work—he practically lost the capability to function at work,’’ said Angel. (Trial Transcript, Dec. 3, 2009, p. 93, ln. 17–18) Pablo’s significant change in behavior also terribly affected his wife, Antonia. She found his changes so difficult ‘‘because the person to talk to, who would spend time with us, who would go out with us, that main provider, he wasn’t there anymore.’’ (Trial Transcript, Dec. 3, 2009, p. 94, ln. 3–7) Pablo never traveled outside of Puerto Rico again. (Trial Transcript, Dec. 3, 2009, pp. 94–95) Antonia would be protective of Pablo and make sure that no one would raise the topic of the Lod Airport Attack around Pablo, because, explained Angel, ‘‘if that happened, then he [Pablo] could go into a crisis or into a depression again.’’ (Trial Transcript, Dec. 3, 2009, p. 94, ln. 1–17) Psychological Evaluation of Pablo by Dr. Alexandra Ramos–Duchateau As a result of the Lod Airport Attack, Pablo suffers from medical conditions that precluded his ability to testify at trial. He has a medical certificate stating that he currently has Alzheimer’s, diabetes, is 28. Dr. Ramos reviewed the written declaration of Pablo Tirado–Ayala dated November 16, 2007. (Exhibit 46) She also read a newspaper article titled, ‘‘La Matanza de Tel Aviv’’ and a newspaper article from The New York Times dated June 4, 1972. Dr. Ramos had the opportunity to interview Angel. She also visited Pablo at the nursing home, but at the time of the evaluation he was bedridden, unable to speak, blind, and required assistance blind, bedridden, and unable to ambulate or communicate. A declaration executed by Pablo in the context of the D.C. Action (but never submitted to the D.C. District Court) was submitted to this Court in lieu of Pablo’s live testimony. (Exhibit No. 46) This written declaration, along with Angel’s testimony at trial, was supported by the testimony and written evaluation 28 of Dr. Alexandra Ramos–Duchateau (‘‘Dr. Ramos’’), a clinical and forensic psychologist. (Exhibit No. 10) Dr. Ramos holds a bachelor’s degree in Psychology from Princeton University. She also has a master’s and doctoral degrees from the University of Illinois Urbana–Champaign. After receiving a doctoral degree, it is customary to do an internship, which Dr. Ramos did at the University of Illinois–Chicago. Subsequent to her internship, Dr. Ramos engaged in postdoctoral studies at the University of Texas in Dallas, and later began a private practice in Puerto Rico. (Exhibit No. 9) Dr. Ramos testified at trial that from the data she evaluated, it is her opinion that Pablo has, since the time of the Lod Airport Attack, suffered from Post–Traumatic Stress Disorder and Major Depressive Disorder. Dr. Ramos stated that Pablo met all the symptoms criteria for those two diagnoses, especially right after Lod Airport Attack, but also throughout the rest of his life. (Trial Transcript, Dec. 3, 2009, p. 110, ln. 22–25) Dr. Ramos assigned Pablo a score of 30 on the Global Assessment Functioning Scale (‘‘GAF’’),29 which represents severe through a feeding tube, so she was unable to interview him directly. (Trial Transcript, Dec. 3, 2009, pp. 105–106) 29. The GAF measures whether a person is capable of normal functioning in a wide range of activities on a scale of 0–100. A score of 100 represents superior functioning in a wide range of activities. A score of 30 represents serious impairment in communica-