The boy who ties things up
Posted: Thu Jul 15, 2004 9:39 am
I have an interesting case and would appreciate some input from the list. I
have some rems in mind, but would like to hear others views
So, here it is
Robyn
--------------------------------------------------------
Boy, 5yrs, blonde, blue eyes, fair skin but tans okay, big for his age (in
the 99th percentile) and very strong.
Presenting complaint: Behaviour - has no idea of consequences
Initial visit from Mother, where most of the information was gained. Then a
visit with the boy.
Life Space:
M lives with his mother and father and sister (7yrs) on a country style
property, where the mother keeps some horses for riding.
M goes to pre-school, and the teacher believes him to be bright but not very
creative.
10lb 6oz at birth - induced and 2 weeks overdue - mother had epidural (was
in a posterior position) (the mother is around 5ft 11 and father at least
6ft.
As a baby could never be placed on his back - would scream, but okay on
tummy or side.
Breastfed for 6 months then given Farex and veges etc...
Walked 14 months
Early teeth
Spoke really well
Fully vaccinated to date
Meningecoccal vaccine 6 months ago
Chicken pox at 4 yrs otherwise no illnesses other than a tummy bug.
When M 15 months old, mother developed septicemia from a strep throat and
ended up in hospital for 3 weeks with a blood clot in leg. Apparently, when
the father brought M to visit, he would not look at his mother, or speak or
touch or go near her which was unusual behaviour as he was quite clingy and
"mummy's boy" before this. As soon as she came home though, he was back to
normal.
Until about age 3 suffered from separation anxiety
--------------------------------
He likes routine and to stick with it
Polite, kindhearted, considerate, attached to the family
Relationship with father - they rub each other up the wrong way
He becomes frustrated if he thinks you are not listening or don't understand
him
Can be aggressive, but not always.
Can play rough with friends - is excessively strong, and gets excited and
can't control it.
He likes to play with older kids than himself - maybe due to size
similarities.
Generally happy
Very observant, really checks people out, and then knows how to push their
buttons.
He has to be kept busy
If you tell him not to touch somehting he will go straignt for it
When he gets 'excited' or is doing one of his 'problem' behaviours, 'he gets
a look on his face' and does not seem to be aware of what he is doing.
He is impulsive - gets an idea in his head that he wants to do something -
then is defiant and stubborn - obstinate - and even if told cannot do
something will do it anyway.
If he doesn't get what he wants he can become cranky and can become
aggressive and will punch and snatch
He is independent with his play - and that is often when he gets up to
mischief eg:
Climbed to the top of the pantry cupboard to retrieve a cutting knife on the
top shelf (there to keep away from him as he has a fascination with knives
and swords etc.)then went outside to his mothers horse float, and she found
him inside the float, slashing the vinyl padding interior. He was not angry
looking, or worked up, or excited, just calmly slashing with a glazed look
on his face. When confronted, he could not explain his behaviour.
He was found with a long stick in the garden, totally wiping out the plants
swinging the stick back and forth - again with no anger, excitement or other
obvious emotion.
He was described by his mother as an animal magnet. She said that he can be
cruel to animals, and on the other hand will play happily and kindly with
them as well. Cruelty is not outstanding but for example, he threw a young
kitten into the dam once.
His mother also mentioned that he loves to play with the dog and the cat,
however, there is a strange aspect to this --- after awhile, he may have to
go and do something, and will tie the dog or the cat up to something, so
that they won't leave, and so that when he comes back they will still be
there for him to play with.
On this note, I would also like to mention that he ties up the trees in the
garden and other things. When I asked him why, he said that he didn't want
them to leave. I discussed this with him, and it was pretty consistent -
the animals leaving, the trees leaving, certain objects in the house he ties
up as well and says he doesn't want them to go away.
**At this point, the possibility that the mother going away could have
impacted on this sensitive child came up for consideration.
He plays rough with toys, and pulls them apart - is very inquisitive and
likes to know how things work.
He is competitive, and will race them from the car to the house - however,
he has to win - if he doesn't he cries and gets very angry.
I watched this happen, when we were playing a game he made up in the
office - when his mother won the game, he had to change the rules to favor
him.
He was a little shy when he first met me, then relaxed and we played leggos
for 1 hr. He was constantly playing mind games with me, and would excited
and show off all the way through - but was a nice kid, not nasty or cruel in
any way I could see.
He gets devastated when smacked
Loves consolation and will go to mother easily for it
----------------------------------------------------------------
His skin was warm all over - and would class him as HOT
His mother found him playing outside in winter in the sprinkler, recently,
all his clothes wet, and really enjoying himself - and not seeming to notice
the cold. He wears summer clothes in winter (our winters are not that cold
though, maybe 15-20 degrees celius during the day
He loves the beach, and being in the water, playing in the ocean
Likes the sun
***he will not walk on a jetty, where you can see the water moving between
the planks, or if it moves - and he has had difficulty handling being in a
boat. I thought of the possibility of the rubrics that mentions vertigo from
running water underneath, of which there are quite a few rems.
He is THIRSTY all the time and has been since birth - and guzzles water
He loves LEMONS and sucked them as a baby as well
He loves PICKLED ONIONS
He loves RAW VEGETABLES and makes his own food quite readily
Eats yoghurt (father is allergic to cow's milk)
He acts out after eating tomatoes, but likes them
He loves CLIMBING and has not fear of climbing up a ladder onto the roof of
the house and will do it readily. However, he is a little wary of being on
the moving horses - even though he likes the horses.
*He dislikes SPIDERS,and wants to kill them - however, he loves the
character SPIDERMAN
Sleeps on his side
Sweats on head and neck but not really the rest of his body - it used to
smell musty
His lips are very dry and chafed - in winter and are red
He loves to DANCE
---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.718 / Virus Database: 474 - Release Date: 9/07/2004
have some rems in mind, but would like to hear others views
So, here it is
Robyn
--------------------------------------------------------
Boy, 5yrs, blonde, blue eyes, fair skin but tans okay, big for his age (in
the 99th percentile) and very strong.
Presenting complaint: Behaviour - has no idea of consequences
Initial visit from Mother, where most of the information was gained. Then a
visit with the boy.
Life Space:
M lives with his mother and father and sister (7yrs) on a country style
property, where the mother keeps some horses for riding.
M goes to pre-school, and the teacher believes him to be bright but not very
creative.
10lb 6oz at birth - induced and 2 weeks overdue - mother had epidural (was
in a posterior position) (the mother is around 5ft 11 and father at least
6ft.
As a baby could never be placed on his back - would scream, but okay on
tummy or side.
Breastfed for 6 months then given Farex and veges etc...
Walked 14 months
Early teeth
Spoke really well
Fully vaccinated to date
Meningecoccal vaccine 6 months ago
Chicken pox at 4 yrs otherwise no illnesses other than a tummy bug.
When M 15 months old, mother developed septicemia from a strep throat and
ended up in hospital for 3 weeks with a blood clot in leg. Apparently, when
the father brought M to visit, he would not look at his mother, or speak or
touch or go near her which was unusual behaviour as he was quite clingy and
"mummy's boy" before this. As soon as she came home though, he was back to
normal.
Until about age 3 suffered from separation anxiety
--------------------------------
He likes routine and to stick with it
Polite, kindhearted, considerate, attached to the family
Relationship with father - they rub each other up the wrong way
He becomes frustrated if he thinks you are not listening or don't understand
him
Can be aggressive, but not always.
Can play rough with friends - is excessively strong, and gets excited and
can't control it.
He likes to play with older kids than himself - maybe due to size
similarities.
Generally happy
Very observant, really checks people out, and then knows how to push their
buttons.
He has to be kept busy
If you tell him not to touch somehting he will go straignt for it
When he gets 'excited' or is doing one of his 'problem' behaviours, 'he gets
a look on his face' and does not seem to be aware of what he is doing.
He is impulsive - gets an idea in his head that he wants to do something -
then is defiant and stubborn - obstinate - and even if told cannot do
something will do it anyway.
If he doesn't get what he wants he can become cranky and can become
aggressive and will punch and snatch
He is independent with his play - and that is often when he gets up to
mischief eg:
Climbed to the top of the pantry cupboard to retrieve a cutting knife on the
top shelf (there to keep away from him as he has a fascination with knives
and swords etc.)then went outside to his mothers horse float, and she found
him inside the float, slashing the vinyl padding interior. He was not angry
looking, or worked up, or excited, just calmly slashing with a glazed look
on his face. When confronted, he could not explain his behaviour.
He was found with a long stick in the garden, totally wiping out the plants
swinging the stick back and forth - again with no anger, excitement or other
obvious emotion.
He was described by his mother as an animal magnet. She said that he can be
cruel to animals, and on the other hand will play happily and kindly with
them as well. Cruelty is not outstanding but for example, he threw a young
kitten into the dam once.
His mother also mentioned that he loves to play with the dog and the cat,
however, there is a strange aspect to this --- after awhile, he may have to
go and do something, and will tie the dog or the cat up to something, so
that they won't leave, and so that when he comes back they will still be
there for him to play with.
On this note, I would also like to mention that he ties up the trees in the
garden and other things. When I asked him why, he said that he didn't want
them to leave. I discussed this with him, and it was pretty consistent -
the animals leaving, the trees leaving, certain objects in the house he ties
up as well and says he doesn't want them to go away.
**At this point, the possibility that the mother going away could have
impacted on this sensitive child came up for consideration.
He plays rough with toys, and pulls them apart - is very inquisitive and
likes to know how things work.
He is competitive, and will race them from the car to the house - however,
he has to win - if he doesn't he cries and gets very angry.
I watched this happen, when we were playing a game he made up in the
office - when his mother won the game, he had to change the rules to favor
him.
He was a little shy when he first met me, then relaxed and we played leggos
for 1 hr. He was constantly playing mind games with me, and would excited
and show off all the way through - but was a nice kid, not nasty or cruel in
any way I could see.
He gets devastated when smacked
Loves consolation and will go to mother easily for it
----------------------------------------------------------------
His skin was warm all over - and would class him as HOT
His mother found him playing outside in winter in the sprinkler, recently,
all his clothes wet, and really enjoying himself - and not seeming to notice
the cold. He wears summer clothes in winter (our winters are not that cold
though, maybe 15-20 degrees celius during the day
He loves the beach, and being in the water, playing in the ocean
Likes the sun
***he will not walk on a jetty, where you can see the water moving between
the planks, or if it moves - and he has had difficulty handling being in a
boat. I thought of the possibility of the rubrics that mentions vertigo from
running water underneath, of which there are quite a few rems.
He is THIRSTY all the time and has been since birth - and guzzles water
He loves LEMONS and sucked them as a baby as well
He loves PICKLED ONIONS
He loves RAW VEGETABLES and makes his own food quite readily
Eats yoghurt (father is allergic to cow's milk)
He acts out after eating tomatoes, but likes them
He loves CLIMBING and has not fear of climbing up a ladder onto the roof of
the house and will do it readily. However, he is a little wary of being on
the moving horses - even though he likes the horses.
*He dislikes SPIDERS,and wants to kill them - however, he loves the
character SPIDERMAN
Sleeps on his side
Sweats on head and neck but not really the rest of his body - it used to
smell musty
His lips are very dry and chafed - in winter and are red
He loves to DANCE
---
Outgoing mail is certified Virus Free.
Checked by AVG anti-virus system (http://www.grisoft.com).
Version: 6.0.718 / Virus Database: 474 - Release Date: 9/07/2004
