I think we overly rely on "the medical model." We tend to say what has this child "got" that is making him this way? Maybe it's what he "hasn't got" that is making him as he is. A human baby born into a middle class household with an educated mother is not born one bit more civilized than the baby who was born to a cave woman in prehistoric times. If you took a newborn Swiss or Canadian baby and dropped him off in the jungles of New Guinea with a family of head hunters, he'ld come to find cannibalism an acceptable part of life. Babies aren't born with "values." They have to be instilled. That happens through family dynamics, among other influences. It may be that there just isn't enough good dynamics going on in that home to civilize this child.

A woman has five year old twins she got through an encounter with a "sperm donor." That's a pretty amoral foundation right there. By now the kid has noticed that other kids have dads and he doesn't. Of course not all fatherless kids are monsters. But, when they're not, maybe some good influence filled the gap. This kid may be less fortunate. Maybe this mother just has no aptitude for imparting good values and no one else who does has shown up.