" She wouldn't make eye contact. She didn't react to heat or cold — or pain. The insertion of an IV needle elicited no reaction. She never cried. With a nurse holding her hands, she could stand and walk sideways on her toes, like a crab. She couldn't talk, didn't know how to nod yes or no. Once in a while she grunted.

She couldn't tell anyone what had happened, what was wrong, what hurt.

Dr. Kathleen Armstrong, director of pediatric psychology at the University of South Florida medical school, was the first psychologist to examine Danielle. She said medical tests, brain scans, and vision, hearing and genetics checks found nothing wrong with the child. She wasn't deaf, wasn't autistic, had ...

" She wouldn't make eye contact. She didn't react to heat or cold — or pain. The insertion of an IV needle elicited no reaction. She never cried. With a nurse holding her hands, she could stand and walk sideways on her toes, like a crab. She couldn't talk, didn't know how to nod yes or no. Once in a while she grunted.

She couldn't tell anyone what had happened, what was wrong, what hurt.

Dr. Kathleen Armstrong, director of pediatric psychology at the University of South Florida medical school, was the first psychologist to examine Danielle. She said medical tests, brain scans, and vision, hearing and genetics checks found nothing wrong with the child. She wasn't deaf, wasn't autistic, had no physical ailments such as cerebral palsy or muscular dystrophy.

The doctors and social workers had no way of knowing all that had happened to Danielle. But the scene at the house, along with Danielle's almost comatose condition, led them to believe she had never been cared for beyond basic sustenance. Hard as it was to imagine, they doubted she had ever been taken out in the sun, sung to sleep, even hugged or held. She was fragile and beautiful, but whatever makes a person human seemed somehow missing.

Armstrong called the girl's condition "environmental autism." Danielle had been deprived of interaction for so long, the doctor believed, that she had withdrawn into herself.

The most extraordinary thing about Danielle, Armstrong said, was her lack of engagement with people, with anything. "There was no light in her eye, no response or recognition. . . . We saw a little girl who didn't even respond to hugs or affection. Even a child with the most severe autism responds to those."

Danielle's was "the most outrageous case of neglect I've ever seen." "