Following BDI, if Burke Ramsey was the person behind the alleged sexual assault or sexual abuse to the victim, could it be possible he was also a victim of the said abuse? Guidelines for Medico Legal for Victims of Sexual Abuse Signs: -bedwetting (enuresis) and soiling (encopresis) beyond the usual age, regression (in behavior, school performance, and attaining developmental milestone), social problems, problems at school, poor self esteem *The child victim of abuse tries to manipulate children or adults into touching his or her genitals or causes physical harm to his or her own or others’ genitals. Reference: Sexuality Information and Education Council of the United States SIECUS FACTS FROM THE CASE: Burke Ramsey's interview with a child psychologist January 8, 1997 (BONITA PAPERS) Social Services had previously provided Dr. Bernhard with some history on Burke which indicated an ongoing bedwetting problem, but Burke denied this saying that it happened a long time ago. Children are usually honest about this in interviews, and Dr. Bernhard wondered why Burke was not. Many of Burke's other responses also created areas of concern for the doctor. Burke displayed an enormous amount of lack of emotion, almost to the point of indifference, which Dr. Bernard explained may be attributed to shock, but could also have been a lack of attachment to his family. Since his mother had appeared very emotional when she brought Burke for the interview, Dr. Bernard thought that perhaps Burke could not deal with the family’s emotions and had therefore just withdrawn Dr. Bernhard felt there needed to be more follow-up with Burke in the discussion of sexual contact. The only show of emotion by Burke, other than the irritation with the questions about the actual crime, was when Dr. Bernhard began to ask about uncomfortable touching. Burke picked up a board game and put it on his head an action indicating anxiety or discomfort with these types of questions and that there was more that he was not telling her. Dr. Bernhard asked Burke if he had any secrets, and he said, “probably, if I did, I wouldn't tell you, because then it wouldn’t be a secret. (FOREIGN FACTION, Kolar) I had reviewed an investigator’s report that documented a 1997 interview with former Ramsey nanny - housekeeper Geraldine Vodicka, who stated that Burke had smeared feces on the walls of a bathroom during his mother’s first bout with cancer. She told investigators that Nedra Paugh, who was visiting the Ramsey home at the time, had directed her to clean up the mess. There were other police reports in the files that documented what I thought could be viewed as related behavior. CSIs had written about finding a pair of pajama bottoms in JonBenet's bedroom that contained fecal material. They were too big for her and were thought to belong to Burke. Additionally, a box of candy located in her bedroom had also been observed to be smeared with feces. Both of these discoveries had been made during the processing of the crime scene during the execution of search warrants following the discovery of JonBenet’s body." NEWS: The Sun BY EMMA REYNOLDS FOR NEWS.COM.AU and DANNY COLLINS 21st September 2016, 4:14 pm They cited the evidence of a housekeeper who said excrement the size of a grapefruit was once smeared on the young girl’s bed sheets. Linda Hoffman-Pugh said: “After they sealed off JonBenet’s room, the crime scene technicians went through it, they apparently found faeces smeared on a box of candy she had got for Christmas.” (BONITA PAPERS) JonBenet was not the only child in the family who had a history of bedwetting... Burke also had the same problem past the age when most children start sleeping through the night without a bedwetting incident. Patsy had also had problems in toilet training Burke and out of frustration kept him in diapers past the age of three. Although considered intelligent by his teachers, Burke appeared to lack self-motivation and had motor skill problems which made it difficult for him to transfer his thoughts to paper, whether in the form of handwriting or typing. LINDA WILCOX (PMPT page 258) When the police interviewed me, they asked if the kids wet the bed a lot. I said yes. Detective Harmer asked if I thought that was unusual, and I had to say, "Not really. Not at that age." Burke wore Pull-Ups until he was six, and JonBenet always wore them. But I also told the police it was curious to me that Burke stopped wetting the bed when he stopped being the focus of Patsy's attention. And that was when JonBenet became a chronic bedwetter. But you know if you have little kids around that age, they are bedwetters. When I left in September of 1995, they were both still wetting their beds. PETER BOYLES RADIO SHOW Linda Wilcox Interview July 21, 1998 PETER BOYLES: Can you remember any specific questions they asked you about the Ramseys? LINDA WILCOX: They asked me about the bedwetting. They asked me if I knew that those children wet the bed and I said, yes. And they asked me if that seemed unusual and I said well, no. About the bedwetting and John saying he didn't know. If someone is there once a week cleaning and knew, how could a parent not know?