ABSTRACT
Samuel was referred for help at the age of five. His mother described his bad behaviour, unmanageable tantrums, episodes of exposing himself, and spitting. Samuel is the second, much younger child of a second marriage. The pregnancy was unplanned and unwanted. While pregnant, Samuel’s mother was told that her baby’s head was too small, with all the terrifying implications of a brain-damaged child that this conveys. This information may have been a medical error. We know that she was badly depressed during the pregnancy and post-natally. She went back to work one week after Samuel’s birth.
