Little Bubba’s Not ready for Nashville Yet

Little Bubba

The following case histories come from the journal Dr. Gary Brown kept of his thirty years of practice in a small southern college town. Included is information on the latest research on various neuropsychological disorders and the Applied Behavioral Analysis (ABA) techniques appropriate to the behavioral problems associated with the various neuropsychological disorders. References and links to sites with additional information are also included. Of course, names and other identifying details and events have been changed in all of the cases presented here to insure confidentiality.

Five of the cases in this volume have been previously published in various formats. The Journal of Behavior Therapy and Experimental Psychiatry published a scholarly account of “The Longest Running Horror Movie.” Abbreviated versions of “The Longest Running Horror Movie,” “Wild Child,” and “Treasuring Tourette’s” appeared in the online publication, The Write Brain. Another online journal, Perspectives: A Mental Health Magazine, published an early, abbreviated version of “The Trichee,” and The Humanist published “The Sometimes Son.”

Table of Contents
1. Little Bubba’s Not Ready for Nashville Yet
This child with severe autism illustrates the full range of behavioral problems associated with the disorder:
2. The Half-Dead Child de Jour
Transient hemiplegia (paralysis) and failure to thrive syndrome were diagnosed in this child.
3. The Sometimes Son
Usually, autism is considered to be a life-long condition and does not disappear like it did in this child.
4. The Longest Running Horror Movie
Childhood fears and phobias can be debilitating and last into adulthood.
5. Wild Child
Cases of wild or feral children who have been abused and neglected have appeared in the literature since the 1700’s. And they have one thing in common.
6. Jaws
Biting is a common behavioral problem in children with neuropsychological disorders. But this case is extreme.
7. The Night Life Ain’t No Good Life
The problems with diagnosis and treatment of ADHD and various sleep disorders are presented in this case.
8. The Trichee
Trichotillomania (pulling out hair) is a difficult disorder to treat.
9. Tourette’s Turtle
Tourette’s is a neurological disorder that is usually treated with drugs.
10. A Flashdance of Normality
Microcephaly (small head circumference) result in a child with mental retardation. This case history covers nearly two decades.
11. Silently Screaming
Locked-in Syndrome and Persistent Vegetative States are difficult to diagnose in children with traumatic brain injuries.
12. The Twinship
When one twin has a disability, in this case neurological damage at birth, and the other does not, special problems as well as opportunities arise.
13. The Boy Who Seized Control
Seizures are common in kids with various neuropsychological disorders and a variety of treatments are available. Pseudo seizures are also common and if not treated properly can result in status epilepticus
14. Poor Kids
Nurse D. had told me the county was rural and isolated but I wasn’t expecting the variety of neuropsychological disorders. Microcephaly, Down’s, Williams’Syndrome, Fetal Alcohol Syndrome, Prader-Wili Syndrome, ADHD, Angelman Syndrome, Cerebral Palsy, Fragile X Syndrome, pica, and other un-diagnosable disorders all in one day.
15. Smiling Sally
Kids with Down Syndrome are easy to work with and usually do well.
16. The Lambs Are Not Always So Silent
Cortical damage can cause disinhibition leading to uncontrollable rage. Unfortunately, many of these patients end up with the potted-plant syndrome.
17. The Old Turkey Vulture Trick
Loretta O. had been diagnosed with Pervasive Developemental Disorder. And she’d learned the old turkey vulture trick — projectile vomiting.
18. The Usual Suspects
Kids who have been exposed to stressful events or have neuropsychological disorders suffer more than their share of behavioral problems. …