Journal of developmental and behavioral pediatrics : JDBP
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J Dev Behav Pediatr · Oct 2008
Case ReportsAn early male adolescent with externalizing behaviors, school failure, and a colostomy.
Jeff is a 14 (1/2) years old ninth grader who presents with his mother, father, and step-father because he is failing in school. Jeff was born with an imperforate anus, and he had several surgical procedures in the first few years of life. He has a colostomy, but it is not clear how well he cares for it independently. ⋯ The parents acknowledge that Jeff always tries to negotiate with them and they often give in. There is no known substance abuse or illegal behavior, although he has demonstrated destructiveness and stealing at home. Jeff's mother remarried a year ago, and her husband backed her in setting more strict limits for Jeff; at Jeff's request, he is currently living with his father most of the time.