“The mother’s behaviour was not compatible with the behaviour of the average, prudent mother who must bring up her child in a peaceful environment,” and that, “Any change of environment of the child would have negative consequences.”
“S was registered at the nursery school on20th January 2014 . The child from the beginning looked to be seeking the company of other children and was trying to integrate and play with them. He had difficulty playing and collaborating with other children because he had not learned how to share with the result that he was pulling any toys he wanted from the hands of the other children and had a developed Ego (“but I want it”). He has an issue with boundaries and when he must follow certain rules he becomes very stressed and restless. He is an adequately clever boy and has satisfactory knowledge for a child of his age. He is a bit behind in his prewriting activities; he does not know yet how to hold felt pens correctly and has difficulty in simply scribbling. His speech is not clear enough, which may be due to the fact that the child speaks more than one language. Usually when he’s in a hurry or when he is enthusiastic about something he repeats words (stammers). On the whole, he is a smiling child, eager and cooperative who, however, has difficulties in collaborating and integrating in a group.”
“At the level of behaviour, S is a very sweet boy with the need to involve himself in two-part relationships. He is cooperative, follows – but not always – instructions, completes, upon encouragement, activities and actively participates in them. He presents difficulties in concentration, of attention, elements of hyperactivity and compulsion, even if, in the tests that interest him more, the picture becomes different.” (C135). She refers to his speech suggesting immaturity both at the level of understanding and expression. As far as his understanding is concerned, he has difficulty accepting complicated commands and in answering questions that have to do with his recollections of listening to a short story. She refers to his speech being characterised by articulation problems, flow disruptions and oral facial muscles which are weak with diminished mobility. She refers to his cognitive level, raising questions about his fine and gross mobility, his spatial orientation, et cetera. She refers to: “There must be taken into consideration the difficulties of emotional type as they are reflected in his play and drawing as well as the gaps that become clear at the level of psychosocial support from the family environment.”
“By taking into consideration the age and the needs of the child as well as the fact of his exposure to three different languages, it is recommended that the child is immediately integrated in a speech therapy programme so that his linguistic skills can develop to a maximum and, more specifically, with the following targets.”
“From the clinical evaluation of S, I became aware that he: • Had good eye contact with both his father and the examiner, • Does not present stereotypes or other peculiar motor behaviours, • Has understanding capacity within the normal levels for his age, • Presents small difficulties in fine mobility, • His level of speech development is within the normal levels for his age, taking into consideration that this is a ‘trilingual’ child that lives in the UK with parents from other countries. When speaking one language with me he completed the words that he did not know in that language with those from the other language, thereby confirming his ability to comprehend oral speech and to communicate verbally, • Presents a mild phonological disorder that has to do with the pronunciation of the letters ‘s’, ‘z’ and ‘x’, • Does not suffer from any disorder of the autistic range.” • Had good eye contact with both his father and the examiner, • Does not present stereotypes or other peculiar motor behaviours, • Has understanding capacity within the normal levels for his age, • Presents small difficulties in fine mobility, • His level of speech development is within the normal levels for his age, taking into consideration that this is a ‘trilingual’ child that lives in the UK with parents from other countries. When speaking one language with me he completed the words that he did not know in that language with those from the other language, thereby confirming his ability to comprehend oral speech and to communicate verbally, • Presents a mild phonological disorder that has to do with the pronunciation of the letters ‘s’, ‘z’ and ‘x’, • Does not suffer from any disorder of the autistic range.”
“During the joint psychiatric forensic interview of parent and child: • S was happy, • Was seeking body contact with his father, • Was enjoying being in his father’s arms, • Was seeking to play with him, • Was playing with humour using the toys that were in my office, and • Was enjoying playing with his father. • The father was playing with young S a game of role play and symbolic play, by following and enriching the child’s play, but not intervening, respecting the initiatives of S.” • S was happy, • Was seeking body contact with his father, • Was enjoying being in his father’s arms, • Was seeking to play with him, • Was playing with humour using the toys that were in my office, and • Was enjoying playing with his father. • The father was playing with young S a game of role play and symbolic play, by following and enriching the child’s play, but not intervening, respecting the initiatives of S.”
“The occupational therapy evaluation showed difficulties in proportion to his age in most fields of development. S presented the picture of a child that had not received the necessary stimuli from his environment so as to be able to associate with children of his own age. It was particularly difficult for him to express himself. He did not know how to play games of his age and wasn’t able to communicate properly. Those skills are conquered through mimicking and education which, in his case, were not achieved.”
“Generally, S seems to be a child with a strong need of stability. Intense changes may affect him in every aspect of his life, pushing him sometimes to express himself through previous behaviours and attitudes (i.e. regression).”
“● In my opinion and according to the child development specialist, the ergotherapist, the speech therapist and the nursery, S does not suffer from any congenital development disorder or other primary child psychiatric disorder. • The symptoms which he presented during my initial assessments may have been caused by the disrupted relations within the family (between the parents and in the extended paternal and maternal family) and the conditions under which he arrived in Syros, where he was living without the stability of either parent figure. This assumption is corroborated by the fact that his improvement fluctuated without there being some sort of stability in his environment. That is why at one point recently I requested a social report on the environment in which he is living, which is not required and which there is no time to pursue following the judgment delivered by the English court requiring S to be present in his family home in England on14th August 2014 .”
“During my many months association with his paternal family, in particular, and during the three meetings with his parents in Syros (two with the father and one with the mother), I observed numerous instances of manipulative behaviour on the part of the adults towards both me and the other professionals working together on S’s case, mainly for the purpose of collating expert opinions for the litigation, of contradictory statements on both sides, and of conflicting information between the two sides (paternal and maternal families), i.e. there is no reliable source of information by which to measure any improvement in S’s psycho emotional development.”
“S joined the setting in April 2012. Since joining the setting, S has become a popular member of the group. He has a bubbly personality and always makes people laugh! He enjoys interacting with his peers and adults alike. S is above average in all areas of the specific development with regard to the Early Years Foundation Stage. The specific areas include personal, social and emotional wellbeing, communication and language skills and physical development. S is a happy, confident boy. S has always been collected on time from pre-school. We have never had any concerns regarding S’s home life. The mother has always been diligent, ensuring S attends pre-school and has always been an active participant with regard to S’s learning. She has always seemed to be very proud of S’s achievements at pre-school. S is always well dressed, clean and cared for. When staying for lunch, S always has a healthy packed lunch. S seems to adore his mother, and likewise his mother seems to adore S. They would both chat happily about their weekends and evenings together. We hope this information is helpful. I hope this situation can be resolved at the earliest opportunity.”
“A darling boy: boisterous, full of life, doing very well at school [she had spoken to the teacher] no different from other children of his age. He likes the outdoors, the cinema, drawing, colouring and playing on his laptop.”
“[The mother] is suffering from bipolar disorder in active phase (mixed state), does not take her medication and is in need of compulsory hospitalisation in a psychiatric clinic because she might become dangerous to herself and to others. Additionally, improvement is expected from the forced psychiatric hospitalisation.”
“Throughout the duration of our discussion, the patient was co-operative, calm, fully orientated with where she was and what time it was. She gave us a full history regarding her life over the past few years, about her marriage, her relationship with her husband, her child and her in-laws. From the psychiatric clinical assessment of her mental functions which took place on24th January 2014 , absolutely no symptom of psychiatric illness emerged (her feelings were normal and within natural fluctuations, her behaviour was calm and within limits, the content and coherence of her thought were normal, her judgment was correct and there were no disorders noticeable in her understanding).”
“I do not believe that the mother’s depression significantly impairs her ability to care for her child. However, at times when her depression is at its worst then her ability would not be as normal. With regard to the nature and extent of such impacts I believe that the extent of these are mild. The nature of such impacts would be typical symptoms of depression, an individual loses motivation, drive and interest in a variety of areas. The mother’s ability would not be at its optimal level. The mother has identified at times when she has been depressed and taken herself appropriately for treatment. She has carried on under treatment, has not been identified as a person of concern by professionals over her ability to take treatment and care for her children despite their awareness of her circumstances.”