All three of these patients have striking similarities to three of the main characters in the game. Jack Davis is very similar to Angela Orosco, Joshua Lewis is similar to Eddie Dombrowski and Joseph Barkin shares similar traits to James Sunderland. However, another theory says that all three notes refer solely to James, since all begin with the letter J. Jack represents the part of James who is normally a model person, yet also has suicidal feelings. Joseph represents the part of James who feels guilt and regret for killing Mary Shepherd-Sunderland and the delusions James is immersed in. Joshua represents the part of James who feels he needs to be persecuted and also represents his violent self (i.e. the act of killing).