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Matt has a kitestring of diagnoses, all of which the author appears to tax on his overwhelmed mother and stern father. Later in the story, it comes out the man is really Matt's stepfather and Matt's mother had other children who were taken into custody.
If a "Matt" ever existed, how much of this account is factual? As the other reviewer noted, mental illness have a biochemical/neurological base. Abuse and neglect compound any problems, but these twin evils don't necessarily cause neurological impairment....
The character of Nellie will effectively enrage you with her inept manner of "parenting", which serves to further illustrate one of the points of this book, which is that the system and its individual workers can only do so much.
Eleanor Craig, as the author of this work, seems to be trying to take on the niche carved out by Torey Hayden in the portrayal of disturbed children, although Ms. Hayden's works have never had the "composite of many cases" disclaimer attached, adding to the real-life drama of her work.
From other reviews I have read, this is definitely not one of Ms. Craig's better works (I picked it up at a second-hand shop) but her others are more read-worthy. I look forward to checking them out even if just for comparison's sake.
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