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I had a 7 year old girl brought to the hospital I worked out of at the time, while I was employed as a crisis intervention worker.
Flipping out, screaming, punching, kicking, biting, as they try to secure her on the stretcher. She kicks her mother in the face in the process, bad bloody nose, possibly broken, blood starts pouring out, 7 year old starts giggling and pointing at her mother as this happens.
Ya got me what the answer is to these situations.
Imo it boils down to a child needing to feel some semblance of control in their life, and because their brains haven't developed enough to find more constructive ways to do that shit like this happens.
You see this throughout humans all over the world, adults and children alike. Self-determination and the ability to make choices, however small, is important.
And it literally can be as simple as you picking 2 outfits that are appropriate for the day and letting them pick which one to wear. That's not to imply anything about the OP or the ER story...obvs every individual case is unique, and I'm not implying that picking your own underwear can cure psychopathy.
But, things as simple as this can cure neurotypical cases of children acting out if that behavior is rooted in a need for self-determination or control.
I recall reading an AMA on Reddit by a person who worked with child sex offenders (which is just yikes on bikes). They said that usually a child committing an act like this is impulsive rather than an ingrained personality trait or something like that. I wonder if such acts are similar.
Conduct disorder is though, but treating it early can reduce the risk of ASPD in adulthood which is mostly treated by prisons.