Does his family ever take him to church? If they don't I would start there. Being Puerto Rican myself, I know that almost everyone there goes to catholic school. (I did.) Does he? There are unobtrusive ways to help him without scaring him or his family, such as holy water in his bed and/or clothes, playing with water (with a water hose try to trick him into walking over it). With children I don't like the idea of salt baths, but stuff like- Bless the house with incense when he's in school, 'agua de florida' his room as you bless it.
As for non-neg related problems, he might have a sort of high-functional form of Autism(whose name I forgot- I think it starts with 'M'). where the intelligence is higher than average and the behavior is almost normal, except for some anomalies like obsessive-compulsive and ritualistic behavior. But they are not your typical autistic person, they are intelligent and articulate, but don't really relate to. So a person like that who is prob. smarter than their parents (I'm not saying that's the case here) can probably learn fairly quickly what buttons to push, and lack a certain set 'rules of behavior' that others take for granted.
Well, I'm sure the Dr's. have probably explored that route, but I thought I'd throw it in for consideration.
Did you read PPSD? if not then check out here,
http://www.astraldynamics.com/tutorials/?BoardID=10
and meanwhile we will send a prayer his way.
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