self-identity. the children frequently are raised by surrogate care takers or on their own which is what i understand happened with this young man. so they have no self reference. they have no self-identity. >> i don't disagree with that but that is a dynamic issue. that is not a diagnostic construct. >> i'm not sure it has to be diagnostic construct. it can be -- >> i'm sorry. >> is it in the dsmi? >> they don't have to be in the dsm three or four or five or whatever we're up to. you're saying you can make your own diagnostic construct and therefore your own treatment plan. >> i think one of the things that is missing in today's treatment programs is the knowledge of how our cultural affluenza. our addiction to money and the effects that it has on our children and our culture and our spirituality are ignored. >> no disagreement.