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“By his own description, through complete invention and fabrication, he perfected the creation of personas that gave him unparalleled access and opportunity,” Mr. Phillips stated. “In a very real sense, Mr. Muth has justifiable reason to believe that he possesses unique talents and skills that have lead him to some degree of fame and high living, if not actual financial fortune.”

Mr. Muth called police on Aug. 12, 2011, to the couple’s Georgetown row house, where he said he had found Drath unconscious on a bathroom floor. Initially treating her death as the tragic result of a robbery, police turned their investigation to Mr. Muth, who’d given Drath’s family a letter dated April 11, 2011, within days of her death, stating he would collect $150,000 when she died.

Mr. Muth was arrested and jailed. After attempting a 40-day hunger strike, he was admitted to St. Elizabeths, where he has remained since February.

After his incarceration, Mr. Muth began writing a memoir titled “Judgment at Washington, Triumph of Illusion: a Journal of Life in D.C. Jail,” a 250-page manuscript that contains his account of what happened to his wife and the aftermath of her death.

“Since being appointed Brigadier General, I have been on the radar of Iranian intelligence,” Mr. Muth wrote. “The crime has all the elements of a professional hit. The killer entered and exited the house and committed the crime without leaving a trace.”

Mr. Hugonnet, however, stated in his evaluation that even the title of the memoir points to his diagnosis that Mr. Muth is a narcissist who “is not, and has never been, mentally ill.”

“The bold and pithy title … illustrate[s] Mr. Muth’s appreciation for his own uncanny ability to create and turn misperceptions into reality,” he stated. “Mr. Muth is like the expert chess master able to play several chess matches all at once and still win.”