Question

Instructions: Read the following case study and answer the questions at the end.

Devin is a sixteen year old male with moderate mental delays, living with his parents in an upscale neighbourhood. Since he turned 15, Devin has begun to grab at his genitals and emit loud grunting noises whenever he is in the vicinity of girls his own age. This has caused Mr. and Mrs. Quentin a tremendous amount of distress. Because Mrs. Quentin’s profession requires them to entertain clients both at their home and at other venues, this is becoming a very big problem. Here are the results of an interview with Mr. and Mrs. Quentin:

Who is present and what happens just prior to the behaviour?

Well, actually a variety of things typically happen. When there is a girl present who is between the ages of 14 and 20, when we are in a group of people at a party and when his father and I are engaged in conversation with clients.

Has it ever been the case when it hasn’t happened?

Hmmm, only once. The second to last party we were determined not to be embarrassed and so one of us stayed with him all night, engaging him in conversation and getting him food and drinks. Other than that, it always happens. There have been a few parties where no young girls are present and he’s done it to my client’s wives. It’s so embarrassing. That one time we thought it was over, but the last party was horrible. He came across the room toward a young girl and oh, it was horrible.

Has there ever been a time when it’s just been one of you there?

Only a couple of times…he still acted up. It didn’t seem to matter whether or not it was his father or myself.

Is he equally likely to emit the behaviour when the parties are at home versus away?

Yes.

Is there any variation to the party? Time of day? Dinners versus non-dinners, entertainment?

He’s less likely to do it at sit-down dinners, but time doesn’t seem to make a huge difference.

Let’s specifically define the behaviours involved.

He grunts (short, loud, low-pitched vocalizations that sound like short U sound (uh, uh) repeats this sound 6-10 times). He walks quickly (twice normal speed) toward female coming within 18 inches proximity. He places right hand over his genitals and contracts and releases his hand repeatedly. The grunting typically happens 1-2 seconds before he starts to walk and grab (those behaviours happen simultaneously). It can occur any number of times from once in an evening to 7-8 incidences per party.

What happens following the behaviour?

Many different things, depending on the occasion. The girl screams, backs away or cries for help; his father or I rush to him , scold him and lead him from the room. Others at the party rush in to hold him back, others gasp or scold him.

Anything he consistently gets following his behaviour?

Hmmm…a reaction from the female and a scolding from us, I guess.

Anything removed from his environment?

Just him!

Questions:

1. After implementation of treatment what would you do and why?

Answer 1

Well the age of the boy says that he has effect of increased male hormones which are the result of puberty of course . But point here is other children of his age also face the same but they do not  behave the same . By this we can make out that he is addicted to pornography cause watching it he is not aware of the fact that these reactions are for adults and privacy is maintained regarding this but this child lacks sex education .

As we can see his parents are worried and scolding him number of times but not providing him counseling or sex education.

Treatment is necessary for sure but more than treatment he needs counseling . His treatment should not involve much medicines because he is young and may have more hormonal issues but he need a cognitive therapy in which his thinking towards woman have to be redefined .

After treatment is complete he has to be in observation always as with the passage of age he can again fall in this and may turn into a pervert. To avoid this a child needs a attention and not the scolding always . He has to be kept in clean and respected family environment always so that he understands that what he was doing was a very abnormal antisocial activity.