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Chapter 10

Disruptive Behavior Disorders

Disruptive Behavior Disorders

Disruptive Behavior Disorders

Behavior is excessive for age

Disruptive Behavior Disorders

Behavior is excessive for age

Violate expectations, norms, rights of others

Disruptive Behavior Disorders

Behavior is excessive for age

Violate expectations, norms, rights of others

Types of aggression:

Instrumental vs. reactive

Overt vs. covert

Destructive vs. non-destructive

Disruptive Behavior Disorders

Behavior is excessive for age

Violate expectations, norms, rights of others

Types of aggression:

Instrumental vs. reactive

Overt vs. covert

Destructive vs. non-destructive

Huge financial and psychological cost to society

Developmental tasks

Developmental tasks

Compliance with rules, avoidance of aggressive behavior

Developmental tasks

Compliance with rules, avoidance of aggressive behavior

Prosocial behavior – conscience, positive peer relationships

Oppositional Defiant Disorder

Oppositional Defiant Disorder

Prevalence

Up to 16% of children

More boys than girls

Similar rates across cultures

Conduct Disorder

Conduct Disorder

Prevalence

Up to 8% of children

More boys than girls, especially if early onset

More common in low SES families

ODD vs. CD

ODD symptoms usually around age 6, CD symptoms usually around age 9

Most children with ODD do not progress to CD

Half of children with CD have no prior diagnosis of ODD

40% of children with CD have later Antisocial Personality Disorder as adult

Associated characteristics

Associated characteristics

Cognitive delays; language problems; executive functioning deficits

Associated characteristics

Cognitive delays; language problems; executive functioning deficits

School and learning problems

Associated characteristics

Cognitive delays; language problems; executive functioning deficits

School and learning problems

Family problems

Associated characteristics

Cognitive delays; language problems; executive functioning deficits

School and learning problems

Family problems

Peer problems

Associated characteristics

Cognitive delays; language problems; executive functioning deficits

School and learning problems

Family problems

Peer problems

Self-esteem deficits

Associated characteristics

Cognitive delays; language problems; executive functioning deficits

School and learning problems

Family problems

Peer problems

Self-esteem deficits

Health-related problems

Associated characteristics

Cognitive delays; language problems; executive functioning deficits

School and learning problems

Family problems

Peer problems

Self-esteem deficits

Health-related problems

Comorbidity: ADHD, depression/anxiety

Course

Course

Etiology

Etiology

Genetic influences

Etiology

Genetic influences

Prenatal factors

Etiology

Genetic influences

Prenatal factors

Neurobiological factors

Etiology

Genetic influences

Prenatal factors

Neurobiological factors

Social-cognitive factors

Etiology

Genetic influences

Prenatal factors

Neurobiological factors

Social-cognitive factors

Family factors

Etiology

Genetic influences

Prenatal factors

Neurobiological factors

Social-cognitive factors

Family factors – coercion theory, attachment, family stress, parent antisocial

Etiology

Genetic influences

Prenatal factors

Neurobiological factors

Social-cognitive factors

Family factors – coercion theory, attachment, family stress, parent antisocial

Societal factors

Etiology

Genetic influences

Prenatal factors

Neurobiological factors

Social-cognitive factors

Family factors – coercion theory, attachment, family stress, parent antisocial

Societal factors – living environment, media

Etiology

Genetic influences

Prenatal factors

Neurobiological factors

Social-cognitive factors

Family factors – coercion theory, attachment, family stress, parent antisocial

Societal factors – living environment, media

Cultural factors

Assessment

Assessment

Early identification

Information from different settings

Treatment

Treatment

What is not effective?

Treatment

What is not effective?

What is effective?

Treatment

What is not effective?

What is effective?

Other resources

www.ncjrs.org – National Criminal Justice Reference Service

www.cdc.gov – Center for Disease Control and Prevention report on youth violence prevention

www.conductdisorders.com

Quiz