{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T07:02:33Z","timestamp":1779692553699,"version":"3.53.1"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>Juan Fernando Hermosa, infamously known as \u201cThe Child of Terror,\u201d committed 23 murders in Ecuador between 1991 and 1992. This perspective article offers a conceptual and theoretical analysis of the interplay between institutional trauma, accountability, and psychopathology in juvenile justice settings, using Hermosa\u2019s trajectory as an illustrative example. Drawing on publicly available judicial records, academic literature, and journalistic sources, we advance the argument that institutional trauma, harm inflicted or exacerbated by juvenile justice and residential systems themselves, and the complete absence of organizational accountability\u00a0may interact to worsen, rather than reduce, severe antisocial outcomes. Hermosa\u2019s incarceration at the Virgilio Guerrero Institute is examined not as empirical evidence but as a theoretically informative case that highlights the potential consequences of punitive, non-rehabilitative environments. We propose that without procedural, therapeutic, restorative, and systemic accountability mechanisms, juvenile justice settings risk becoming trauma-generating institutions that compound pre-existing psychopathology. Particular attention is given to the hypothesized intersection of early childhood maltreatment and later institutional trauma as a pathway toward severe antisocial development. This perspective concludes by outlining key accountability mechanisms, external oversight, youth grievance procedures, trauma-informed staff training, and transparent error remediation, as essential components for preventing the escalation of violence among at-risk youth. The article aims to stimulate theoretical discussion and inform policy reform rather than to generalize from a single case.<\/jats:p>","DOI":"10.3389\/fpsyt.2026.1855731","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T06:04:21Z","timestamp":1779689061000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Institutional trauma, absence of accountability, and psychopathology in a juvenile serial homicide case"],"prefix":"10.3389","volume":"17","author":[{"given":"Carlos","family":"Ramos-Galarza","sequence":"first","affiliation":[{"name":"Centro de Investigaci\u00f3n ESTec, Facultad de Psicolog\u00eda, Universidad Indoam\u00e9rica.","place":["Quito, Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Obreg\u00f3n","sequence":"additional","affiliation":[{"name":"Centro de Atenci\u00f3n en Psicolog\u00eda Cl\u00ednica.","place":["Quito, 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