REASON FOR TREATMENT: Patient was referred to our facility for court-ordered psychiatric services upon his family’s relocation to Tucson. This was a condition of Ethan’s acquittal in the San Diego Family Court System.

Emma’s blood ran cold. She glanced at the date at the top of the records. They were almost eight years old—Ethan would have been ten. A child. What could he have possibly done at ten that required an acquittal?

In April, Ethan (age ten at the time) was seen playing with a neighborhood girl (age eight) in a culvert near their home in San Diego. A city worker who’d been assigned to clear a nearby drainage ditch testified that he witnessed Ethan strangling the girl, but by the time he was able to intervene, the girl had died.

When interviewed by police, Ethan claimed he had only been playing and that he had not intended to kill the girl. Due to his young age he was tried in family court, where he was acquitted of manslaughter. It was felt that Ethan displayed remorse for what he claimed was an accident, and that he hadn’t properly understood his own strength when roughhousing with the victim.

Emma felt like something was clamped down around her lungs, cold and metallic and painful. This wasn’t what Ethan had told her. For a moment she thought it had to be a mistake, or a joke. Maybe Nisha had been trying to get into the Lying Game and had mocked these up to mess with her. But somewhere at the back of her mind Emma knew the records were real. The papers shook in her fingers. She turned the page quickly, her breath short and hard.

Over the course of our sessions, Ethan confided in me that he had considered the deceased to be his “best friend,” but that she’d been playing with another child from the neighborhood just before her death. Again and again, he told me that “you weren’t supposed to have more than one best friend.” Ultimately, Ethan confessed to me that he’d killed Elizabeth Pascal on purpose, then lied to the authorities. Due to the double-jeopardy clause I am unable to make this observation to the court, as Ethan has already been acquitted.

Her mind reeling, Emma shook her head as if someone were reading the notes out loud to her. The shrink had to be wrong. She must have misunderstood what Ethan told him. The little girl’s death had been an accident, a mistake, and Ethan had been carrying this guilt for his entire life. No wonder he hadn’t wanted to tell Emma the truth. He must have been tormented by the memory. She kept reading, faster this time, looking for the words that would reflect her Ethan, the caring, thoughtful boy she had fallen in love with.