as someone with untreated klinefelter's syndrome, heaulme was at the time incapable of committing rape in the "standard" manner. however, in at least two instances he was accompanied by other men (one a distant cousin), who violated the victims themselves while heaulme killed them. he confessed the murders to medical personnel who did not reveal the information because of medical confidentiality. in many police stations, he did in fact recount false assaults.