“I guess we could try it and see how it goes,” she told John Jr. “I understand there's lots of reasons for you to stay here with your dad. My going away and doing my work doesn't mean I don't love you, or that I'm not available.”
She talked over John Jr.'s request with his father, who said he was okay with keeping the boy as long as Cathy paid him child support, which he'd never paid to Deanna.
“I was willing to let my child hate me,” Cathy said, looking back. “I can't tell you how bad it hurt. But I also told him I loved him.”
She took her son clothes shopping for school, and left him at his dad's house, where she paid for rent, groceries and other bills. She called John Jr. frequently and picked him up on weekends, when his father played with the band. Later, Cathy wondered if she'd been too clinical and logical in dealing with her nine-year-old, not showing her emotions enough.
Because John Jr. had been okay without the Ritalin that summer, his father decided to see if he'd “grown out of it.” But by a couple of weeks into John's fourth-grade year, the school was calling and sending home notes that his behavior was out of control. John had to go back on the drug, and even so, he was still getting into fights daily and causing other problems.
One day, Cathy got a call from the principal's office, saying the boy wasn't taking his meds. John Jr. was coming to school hungry and unkempt, and they'd already called Child Protective Services (CPS) to report his father for neglecting him. They said they were going to turn the boy over to CPS, but they would let Cathy take him, instead, if she came over right away. Cathy left work immediately.
Within several days of staying with his mother, John Jr. was already crying to go back with his father. “It isn't Daddy's fault,” he kept saying, referring to the school's need to call CPS.
John Sr. had told his son that it was his own fault they couldn't stay together, because the boy hadn't been following orders. When Cathy heard this, she couldn't believe it. “He made it real ugly,” she said. “I blocked it out.”
Although the CPS investigation found the home situation satisfactory, John Jr. blamed his mother for reporting the abuse, even though she'd never called CPS. By Thanksgiving, John Sr. asked Cathy to keep the boy at her house. After four years of living on workers' compensation and disability, John Sr.'s benefits had run out. He'd become even more depressed, and he was having a hard time buying food.
Father and son saw each other around Christmas, and John Sr. would always remember the moving gesture that his son had made. They couldn't afford a tree because Cathy had always been the one to pay for it, so John Jr. trooped into a field and came back with a tree branch. Never one to get sentimental with his kids, John Sr. later told Deanna how much that moment had meant to him.
“That really surprised me and touched my heart,” he said. “It's something I'll never forget.”
Cathy put John Jr. into Ramona Avenue School, near her house in Hawthorne, where they were in the process of enrolling him in special education. But by now, the boy felt that both of his parents had rejected him, which set off an average of five fits of rage each day. During these, he threw objectsâand himselfâagainst the wall. According to his medical records, he told his doctors that he had acted bad to see if Cathy would give him away. When Cathy tried to be affectionate with him, he pushed her away, saying that “his mommy and daddy had once said they loved each other, and now look at how things were.”
And it only got worse from there.
Chapter 8
John Jr. was really taking the separation hard. He not only had difficulty falling asleep, but he cried while dreaming, wasn't eating much, and began to act in ways that really alarmed his mother, such as picking fights with groups of neighborhood boys who were bigger, tougher and outnumbered him.
Within a week of coming to live with Cathy, he was sent to the principal's office for acting out. After also pushing the principal's papers onto the floor, he got himself suspended. The school had been creating an Individual Education Plan for him, which would allow him to enter a program for the severely emotionally disturbed. They just couldn't handle him in the regular classroom.
Cathy was at her wit's end too. “I was a wreck,” she recalled. “Here I was, I've lost my home. I've separated from my husband. My child is now suicidal, getting kicked out of school, and I was having to file bankruptcy.” She knew, however, that he couldn't stay in regular school, because he was too disruptive.
Days after he was suspended, John Jr. was so angry at Cathy that he threatened to run into the street, jump out of their second-story apartment window, run into traffic or stab himself. He also began to play dangerous games with electrical wiring and setting more fires. He lit several candles all over the house, dripping hot wax on furniture and the rug. He also lit a roll of toilet paper on fire and tossed it into the bathtub.
“I hate my life,” he said. “I hate everything. I might as well be dead.”
His father had given him a guitar, and John Jr. was so angry at John Sr. for abandoning him that he buried the instrument in the flower planter outside.
When she noticed it was missing, Cathy asked him where his guitar was.
“Dad hates me,” he replied. “I don't need it anymore.”
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Around this time, Cathy started seeing a new man, an electrician named Dan. Still angry at Cathy, John Jr. tried to warn away her new boyfriend: “Don't become disabled, or she'll leave you too.”
This comment hit a little too close to home for Cathy, but she tried once again to take it in stride. He was obviously a very sick little boy. Recognizing this, she tried to get him hospitalized, but her health provider refused to take action, suggesting instead that she bring him to urgent care. Because of the problems with her son, Cathy had transferred jobs from the kids' unit to the adult unit at UCLA, where she called the medical director for advice.
“I need help,” she told him, near the breaking point herself. “My kid is a mess. I don't know what to do.”
“Bring him in,” he told her. “We'll get him admitted.”
On February 1, 1989, John Jr. was admitted to the child inpatient wing, known as 6-West, where he stayed for five weeks.
The doctors at UCLA considered statements by Cathy, John Sr. and their son in assessing the situation. John Jr.'s hospital records show that he was not very self-aware, denying many of his symptoms, his depression, psychotic symptomatology and “current suicidality.” However, he admitted to wanting to kill himself in the past and acknowledged having problems in school, “making enemies and having trouble with kids being mean” to him. He denied his insomnia, saying, “I stay up late, and he denied his hyperactivity, saying, “I like to be doing things all the time.” He reported that he liked his classes, especially math, and enjoyed swimming, soccer and basketball.
Blaming his mother for his parents' separation, he claimed she was trying to give him away. The records noted that both parents expressed guilt that John Jr. had to be hospitalized. The records also noted that he wasn't doing as well after Cathy and Dan moved in together. While John was in the hospital, someone had broken into Cathy's apartment and stolen her son's medications. She moved into Dan's apartment because she felt safer there.
Patient has increased difficulty and anger regarding the separation,
the records state, noting that he was very protective of his father and very angry at his mother, but he also showed separation anxiety when Cathy left the unit after visiting.
During the exam to determine his mental status, John Jr. kept looking out the window, distracted by children playing outside, and kept messing with the blood pressure cuff and reflex hammer. He moved around quite a bit, chanting “yes-no, yes-no,” or “no-no-no-no-no,” making faces in disgust and appearing annoyed at the questions.
“Everybody asks that,” the boy kept saying.
The doctor's analysis:
Patient's peer relationships have always been poor, although he did make one female friend this last summer at mother's house. He tends to antagonize other children, is very short-tempered, and has poor sharing skills... . His thought process was unremarkable with no evidence of psychosis. Cognitively, he had good comprehension, intact memory and appeared to be of at least average intelligence. His insight was poor and his judgment was fair to poor... . He often speaks with much bravado about this place, bragging that he knows it well (his mother is an NPI nurse), and bragging about his physical strength or other skills to defend against feelings of abandonment, confusion, low self-esteem, and lack of control in recent circumstances.
During his stay there, John was initially not very well liked by the other children, and he stayed on the periphery of their activities. Occasionally, the reports stated,
he was quite violent towards his peers, sometimes hitting them or striking them quite impulsively.
But slowly he was able to get along better with his peers and form friendships. His anger toward Cathy lessened, and he gradually accepted that he was going to live with her. Cathy came for family therapy, and although John Sr. was initially “unable” to do this, he spoke with the doctor at length by phone. He later came for several visits, and said he would take John Jr. every Saturday in the future.
Upon admission, John Jr.'s diagnosis was adjustment disorder with mixed emotional features, ADHD, with symptoms of major depression and chronic depression, known as dysthymic disorder. By the time he was discharged, his depressive symptoms were gone, leaving his final diagnosis as ADHD and adjustment disorder with mixed emotional features.
Although our evaluation at this time did not show that patient met criteria for either major depression or bipolar disorder, there is affective disorder as well as depressive spectrum disorder in the family, and this will be an area for evaluation in follow up as time goes on,
the doctor wrote.
John Jr. seemed better upon his discharge, but the stability was only temporary. He was transferred to Zela Davis Elementary School, which had programs in special education, where he began acting quite bizarrely, barking like a dog and licking the chalkboard.
“Why are you acting like a dog?” Cathy asked.
“Because people like dogs,” he said.
Some twenty years later, when she and John Jr. were talking about events and emotional problems that could have led to his sexually violent behavior, he told her that between the ages of five and six, he'd been molested by a female family friend in Palmdale, who told him to lick her genitals “like a dog.”
They never discussed the connection to the doglike behavior he exhibited as a ten-year-old, but Cathy believed him after putting her own memories together. The behavior seemed to make more sense in that light. She didn't think he made this claim for sympathy, because he didn't mention it to her in that context. “This may seem weird because my son can be such a big liar,” she said recently, but at some point, “he tells me the truth.”
Jennifer Brandt, a friend of John's from high school, told reporters recently that he'd confided in her that he'd been molested by a male family member as a child. But an ex-girlfriend, Jennifer “Jenni” Tripp, who said they had discussed her own molestation, said recently that he had never discussed this allegation with her, and it seems that he would have.
While this doglike behavior was occurring, Cathy took John to a behavioral specialist at Kaiser, who doubled his Ritalin dose over the course of a few days. The day he got the highest dose, the school nurse called Cathy and told her that John was hallucinating, seeing demons and was trying to stab himself with a paper clip he'd stretched into a point.
“Do you want me to call an ambulance?” the nurse asked. Cathy declined, saying she was only fifteen minutes away. She was going to pick up her mom, then take John to the hospital. If he was still out of control when she got to school, they could call an ambulance then. But by the time she got there, he was cooperative and said the nurse was lying about his hallucinations.
“They just wanted to get me into trouble,” he told Cathy, who took note of this early paranoia, which she said “became a part of his lifelong persona.”
She called Kaiser Permanente to read them the riot act for overmedicating her son, and again demanded that he be admitted. “You overdosed him! You gave him these meds!” she screamed.
This time, they conceded, saying she could take him to Los Altos, a children's mental hospital. He stayed there for sixty days, during which time the doctors had to take him off all his medications for the first two weeks just to stabilize him.
“John has the most severe hyperactivity I've seen in all my years as a psychiatrist,” one doctor told Cathy.
They put him on an antidepressant she believes was Elavil and then discharged him. After being home for two weeks, even John Jr. could recognize that he wasn't doing well.
“Mom, I need to go back in the hospital,” he said.
Cathy didn't believe him, thinking he was seeking attention or exaggerating. “We're going to try to deal with this without going to the hospital,” she said.
Two days later, after he had problems in school once again, she gave in and took him back to Los Altos for an additional thirty days, until they could adjust his medications properly. Although he seemed better able to concentrate on school with the Ritalin, the side effects outweighed the benefits. As a result, they took him off it for good.