He has been expelled from three school since he began his education and is currently attending junior high school after last attending a small charter school in his community. The shoplifting incident also caused his mother to ask his father to take him back into his home, he has lived with mostly his mother with infrequent visitation from his father, except for a year period where he lived with his father and stepmother and their other children, which ended at age 12 when he tried to vocalize feelings of concern about puberty to his stepmother and she perceived the conversation as deviant and asked that he be returned to his mother. Justin's anti-social behavior began at birth but has had periods of extremes, beginning with near constant conflict with his mother over mundane requests as well as other general rejections of authority, including an incident of extreme foul language focused at a school bus driver when he was two years old and in transit to speech therapy. Though the child usually refused to speak he still had the ability to call a bus driver an extremely foul name, language he learned from his father and the music his father listens to. His behaviors are frequently extreme at home but have also occurred in public and seem to exacerbate with age and exposure to other anti-social peers and adults, a consistent similarity with other anti-social children and adults. (Loeber, Farrington, Stouthamer-Loeber & Van Kammen, 1998, p. 17)

Interventions have included behavioral interventions, such as school sanctions, expulsion, punishment of removal of toys and electronic equipment by mother and father as well as the removal of privileges. Physical punishment has been very limited as his rejection of authority becomes excessively worse with the intervention of physical punishment and/or severe admonishment by adults. Any open intervention by adults, even in the most mundane and calm...

Justin also attended daycare and daycare based after school care (age inappropriate) until he was 12 years old as his mother felt he was unsafe when he was unsupervised and all age appropriate care did not have close enough supervision to force Justin not to exhibit anti-social behavior and rejection of authority. This care was actually the only care where he was considered, loving, appropriate and helpful and serves as the only long-term care that did not end in rejection. His mother was pressured to remove him from such care to attempt to allow him to develop age appropriate levels of responsibility. (Greene, 1999, p. 157) His age does not allow services, beyond mental health though he should participate in a mentor program as the only positive relationships he has in his life are with young unrelated men, of which there are only two who allow him to be affectionate and do not have the authority to admonish him or curtail his behavior. He has created these relationships himself, as he sometimes seeks attention from strangers as a result of feeling alone and lonely all the time. Fortunately, these two friendships have resulted in valuable connections, but are not official or guided by treatment.