Her survey of rehabilitation services in the rural area of Puerto Plata (Polanco, 2000) indicates that there were many young children in these communities who were completely isolated and were tied by their extremities because of apparent behavioral problems. They were often found in a very tiny dark room, clearly revealing the rejection of the family. However, in the majority of cases the opposite was true. The families, lacking the skills to develop the abilities of their children, over–protected them. Families had a very negative attitude regarding rehabilitation because they thought that the results were not worth the effort.