Initial Findings
The folder is the color of weak tea and the corner is darker than the rest, the way paper darkens when it has been set down in a ring of condensation and then forgotten. The stamp on the cover reads INTAKE, COGNITIVE REALIGNMENT PROTOCOL, in a font designed by someone who wanted you to feel that the decision had already been made. The fluorescent tube overhead is the kind that hums at a frequency just shy of pain. You do not hear it so much as develop, slowly, a headache shaped exactly like it.
Inside the folder, the first page is a form. The form is not interesting. The form is the kind of document that exists so that a building can claim to have done its job. Name of subject, redacted. Designation, JB-14. Age, seven. Referring party, the line for which has been filled in with the single word SCHOOL and then, beneath it, in different handwriting, a small parenthetical that reads teacher concerned, see attached. Nothing is attached. What is interesting, if you know how to read these forms, and the evaluator clearly did, is the section labeled Presenting Behaviors. There are checkboxes. Disordered speech. Affective flattening. Compulsive ideation. None of them are checked. At the bottom of the section is a write-in line, and on the write-in line, in a careful, slightly cramped hand, someone has printed the phrase unauthorized perceptual framing, and underlined it once.
This is the file of a boy who, by every measure the form was designed to capture, is fine. He sleeps. He eats. He answers questions when asked. He sits where he is told to sit. The teacher who referred him noted, in a sentence that did not make it into the official transcript but did make it into a margin, that he is the politest child she has taught in nineteen years. The problem is what he says when he is asked about his day. He says he went to JaJa.
He does not say he dreamed about JaJa. He does not say he imagined JaJa. He says he went there, the way another child might say he went to his grandmother's house, and he describes it with the patient repetition of someone explaining a real place to a person who has never visited. There is a beach on the east side. The trees on the north end are taller. There is a path that loops back on itself if you walk it wrong, and you have to know which turn to take or you end up at the same rock twice. He has drawn the rock. The drawing is in the folder. It is, by the standards of a seven-year-old, a competent rock.
He has been asked, in three separate sessions, whether anyone else is on the island. He has answered yes, in three separate sessions, without elaboration, except to add, once, that the person there is waiting for him, and that this is why he has to keep going back. The evaluator's notes on this answer are minimal. The evaluator's notes on this answer are minimal in a way that suggests the evaluator did not want to write them down.
Halfway through the form, near the middle of the second page, there is a checkbox next to the phrase subject demonstrates awareness of evaluation. The checkbox has been filled in. It has also been crossed out. Above the crossing-out, in a different pen, the same checkbox has been filled in again. That second mark has also been crossed out, in a third pen, the kind of cheap red ballpoint that bleeds at the tip. Next to the third crossing-out is a small notation that reads see margin, but the margin is empty. Whatever was supposed to be there did not get written, or got written and then removed, or was never going to be the kind of thing a person puts on a form.
This is, in a clinical sense, a paperwork problem. Three different evaluators, or one evaluator across three different moods, could not agree on whether a seven-year-old boy understood that he was being studied. The form does not have a field for that disagreement. The form assumes that the question has an answer. The last page of the intake is mostly blank. There is a section for evaluator comments, and the comments are brief, and they are the sort of comments a person writes when they are aware that the document will be read by someone above them. Cooperative. Verbal. Recommend continued observation. No flag for secondary review.
Below the comments, at the very bottom of the page, in a space not designated for any input at all, the boy has written something. He has written it with a pencil, and he has pressed so hard that the letters have embossed the page underneath, and the page underneath that. The letters are uneven. The second J is taller than the first. The word is JaJa. Around the word, the evaluator has drawn a loose red circle, and next to the circle, in the same red ballpoint that crossed out the checkbox the third time, has written the annotation non-referential mark-making. The pencil, when you look closely, has gone through the paper in two places. You can see the desk through the holes.
