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Eventually, she tried to seduce the adoptive father. When she was arrested by the police for prostitution, she kept her child facade up and she was sent to an orphanage where she tricked a family into adopting her. She escaped from the hospital and she continued to allow herself to be abused by becoming a prostitute that was for the wealthy pedophiles. To cover these scars, she wore the ribbons on the affected areas. As she was struggling against her restraints, it caused the scars that are on her wrists and neck. Leena was one of the Saarne's most violent patients by forcing the staff to keep her in a straightjacket which she was constantly fighting to escape from. She was caught and she was placed in the Saarne Institute which was an Estonian mental hospital. When her father took a new sexual partner on, he informed Leena that it was because she would "Never be a real woman." This pushed the brokenhearted Leena into insanity and she killed her father and his girlfriend. But because this unnatural relationship was all of what she knew, it caused further difficulties in her search for a healthy relationship with a normal man. Leena was sexually abused by her father from infancy which rendered her permanently reproductively sterile. Leena was born in Estonia and she was diagnosed with hypopituitarism at infancy which was a disease that blocked her physical growth and it made her appear like a child when she was an adult. Because she was physically not quite a grown woman and chronologically not a child, it was difficult for her to have an adult relationship with a "Normal" man which was one of the things that she yearned for.
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Leena suffered from a pituitary disorder that caused her to be a proportional dwarf. Leena's choice for her American alias of the name, "Esther" which alluded to the Biblical figure who was once an orphan and she became Persia's Queen, her multiple mentions of Heaven and carrying her male victims' pictures around inside an old Bible suggested that she was somewhat influenced by the Judeo-Christian concepts, but clearly not on the moral levels.
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She had extreme talent in music and art and she was able to learn how to use the languages quickly. She could easily induce fear, empathy and admiration as it was shown during her first interaction with the Colemans whenever it suited her ambitions. She was highly intelligent, highly manipulative and she was superficially charming when she was needed, but she lacked either remorse or a conscience. Leena Klammer who used Esther Coleman's alias in the United States was a 33 year old woman who was Orphan's main antagonist. She murdered several people including the families who adopted her.
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