God judges souls, not bodies. And only God has the true X ray vision, so to speak, that can tell what is due to a soul and what is due to a body. In the meantime that should prove no deterrent to the best medically scientific efforts of humanity to assist bodies to function better — nor to the efforts of moral teachers that instruct souls about the choice to make the best or worst of the environment they have to deal with.
“God judges souls, not bodies. “
Indeed, and the question before us is, are the actions and speech of the ‘enfant terrible’ in this story due to his soul or his body?
I don’t totally know, of course, but I do know that there is such thing as evil and some of us are more evil than others. Also, some of us hide our evil better than others.
I am loathe to put evil behavior down to simple physical factors; God does not.