Podcast
Questions and Answers
What is a common characteristic of aggression in children with Intermittent Explosive Disorder (IED)?
What is a common characteristic of aggression in children with Intermittent Explosive Disorder (IED)?
- They often show aggression towards teachers only.
- They rarely feel remorse after aggressive acts.
- Their aggression is typically directed towards family or friends. (correct)
- They usually feel in control during aggressive outbursts.
Which behavior is not typically associated with Intermittent Explosive Disorder (IED)?
Which behavior is not typically associated with Intermittent Explosive Disorder (IED)?
- Bullying.
- Physical assault.
- Aggression towards family members.
- Calm and cooperative interactions. (correct)
Which of the following is an example of covert symptoms of conduct problems?
Which of the following is an example of covert symptoms of conduct problems?
- Lying. (correct)
- Robbery.
- Breaking and entering.
- Physical assault.
How do children typically feel after showing aggressive behavior during an outburst related to IED?
How do children typically feel after showing aggressive behavior during an outburst related to IED?
What type of behaviors are not characteristic of children with IED?
What type of behaviors are not characteristic of children with IED?
Which of the following best describes the nature of overt symptoms in conduct problems?
Which of the following best describes the nature of overt symptoms in conduct problems?
Which behavior is indicative of aggression directed at strangers in children with IED?
Which behavior is indicative of aggression directed at strangers in children with IED?
Which of the following is an example of antisocial behavior that may not involve physical aggression?
Which of the following is an example of antisocial behavior that may not involve physical aggression?
What behavioral characteristics are associated with children showing both conduct disorder (CD) and limited prosocial emotions?
What behavioral characteristics are associated with children showing both conduct disorder (CD) and limited prosocial emotions?
What act did Cade commit that resulted in significant damage and led to his first arrest?
What act did Cade commit that resulted in significant damage and led to his first arrest?
Cade's fascination with which of the following activities caused the most concern for his psychologist?
Cade's fascination with which of the following activities caused the most concern for his psychologist?
Which behavior demonstrates Cade's lack of empathy towards others?
Which behavior demonstrates Cade's lack of empathy towards others?
What was the nature of Cade's behavior when he used a box cutter?
What was the nature of Cade's behavior when he used a box cutter?
Which statement best describes Cade's relationships with peers by sixth grade?
Which statement best describes Cade's relationships with peers by sixth grade?
What evidence is there that Cade showed early signs of antisocial behavior?
What evidence is there that Cade showed early signs of antisocial behavior?
What is the approximate percentage of youths meeting the criteria for Oppositional Defiant Disorder (ODD)?
What is the approximate percentage of youths meeting the criteria for Oppositional Defiant Disorder (ODD)?
How much more likely are boys to develop Conduct Disorder (CD) compared to girls across all ages?
How much more likely are boys to develop Conduct Disorder (CD) compared to girls across all ages?
What is the lifetime prevalence of Conduct Disorder (CD) in boys?
What is the lifetime prevalence of Conduct Disorder (CD) in boys?
What condition is most commonly associated with Conduct Disorder in youths?
What condition is most commonly associated with Conduct Disorder in youths?
Which gender is more likely to develop comorbid anxiety and depression?
Which gender is more likely to develop comorbid anxiety and depression?
What is the common set of genes believed to predispose children towards?
What is the common set of genes believed to predispose children towards?
Which factor is a strong predictor of anxiety and depression in children with ODD?
Which factor is a strong predictor of anxiety and depression in children with ODD?
What does the dual failure model posits concerning conduct problems?
What does the dual failure model posits concerning conduct problems?
What is a significant limitation of Parent Management Training (PMT)?
What is a significant limitation of Parent Management Training (PMT)?
Which type of parenting does Authoritative parenting emphasize?
Which type of parenting does Authoritative parenting emphasize?
Which group of families does Parent-Child Interaction Therapy (PCIT) specifically target?
Which group of families does Parent-Child Interaction Therapy (PCIT) specifically target?
According to Baumrind's developmental theory, which type of parenting leads to children's behavior problems?
According to Baumrind's developmental theory, which type of parenting leads to children's behavior problems?
What aspect of PMT is less effective for certain parents?
What aspect of PMT is less effective for certain parents?
What role do therapists play in Parent-Child Interaction Therapy (PCIT)?
What role do therapists play in Parent-Child Interaction Therapy (PCIT)?
What do low levels of both demandingness and responsiveness represent in Baumrind's parenting styles?
What do low levels of both demandingness and responsiveness represent in Baumrind's parenting styles?
Which parenting style sets high expectations and provides support to help children meet those expectations?
Which parenting style sets high expectations and provides support to help children meet those expectations?
What is the primary goal of Problem-solving skills training (PSST)?
What is the primary goal of Problem-solving skills training (PSST)?
Which of the following is NOT a step in the problem-solving process of PSST?
Which of the following is NOT a step in the problem-solving process of PSST?
How long do treatment effects from PSST typically last?
How long do treatment effects from PSST typically last?
Which treatment shows better outcomes when combined with Problem-solving skills training?
Which treatment shows better outcomes when combined with Problem-solving skills training?
What does Aggression Replacement Training aim to provide to adolescents?
What does Aggression Replacement Training aim to provide to adolescents?
In problem-solving steps, what role does the therapist play during the practice?
In problem-solving steps, what role does the therapist play during the practice?
Which of the following statements about PSST is true?
Which of the following statements about PSST is true?
Which step immediately follows generating possible courses of action in PSST?
Which step immediately follows generating possible courses of action in PSST?
What is the main focus of the Anger Regulation Training (ART)?
What is the main focus of the Anger Regulation Training (ART)?
What are the three main components of Anger Regulation Training?
What are the three main components of Anger Regulation Training?
Which of the following is a feature of Multisystemic Therapy (MST)?
Which of the following is a feature of Multisystemic Therapy (MST)?
Based on Bronfenbrenner's ecological model, which factor is crucial in understanding a child's development?
Based on Bronfenbrenner's ecological model, which factor is crucial in understanding a child's development?
What can be a consequence of insufficient parental monitoring according to the content?
What can be a consequence of insufficient parental monitoring according to the content?
How does the content describe the impact of community factors on children?
How does the content describe the impact of community factors on children?
What is a potential benefit for parents involved in the treatment programs mentioned?
What is a potential benefit for parents involved in the treatment programs mentioned?
Which statement is true regarding the youths who undergo ART?
Which statement is true regarding the youths who undergo ART?
Flashcards
Physical Aggression
Physical Aggression
Behavior that involves physical harm or aggression towards others, including hitting, kicking, punching, or threatening.
Covert Aggression
Covert Aggression
Acts that involve deception, manipulation, or dishonesty, such as lying, stealing, or cheating.
Family/Friend-Directed Aggression
Family/Friend-Directed Aggression
Aggressive behavior that is directed towards family members or close friends.
Bullying and Robbery
Bullying and Robbery
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Out-of-Control and Remorseful
Out-of-Control and Remorseful
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Intermittent Explosive Disorder (IED)
Intermittent Explosive Disorder (IED)
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Overt Symptoms in IED
Overt Symptoms in IED
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Covert Symptoms in IED
Covert Symptoms in IED
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Conduct Disorder (CD)
Conduct Disorder (CD)
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Limited Prosocial Emotions (LPE)
Limited Prosocial Emotions (LPE)
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Treatment Resistance in CD & LPE
Treatment Resistance in CD & LPE
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Pyromania in Children
Pyromania in Children
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Lack of Remorse in CD & LPE
Lack of Remorse in CD & LPE
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Lying and Deceit in CD & LPE
Lying and Deceit in CD & LPE
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Emotional Reactivity in CD & LPE
Emotional Reactivity in CD & LPE
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Lack of Concern for Others in CD & LPE
Lack of Concern for Others in CD & LPE
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What is PCIT?
What is PCIT?
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What is the foundation of PCIT?
What is the foundation of PCIT?
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How do authoritative parents behave?
How do authoritative parents behave?
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What happens when parents are not authoritative?
What happens when parents are not authoritative?
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How is PCIT related to PMT?
How is PCIT related to PMT?
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Who might PMT not work well for?
Who might PMT not work well for?
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Why is PMT less effective with teenagers?
Why is PMT less effective with teenagers?
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Why is PMT not always accessible?
Why is PMT not always accessible?
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Problem-solving skills training (PSST)
Problem-solving skills training (PSST)
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What are the steps of PSST?
What are the steps of PSST?
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PSST: What is the goal?
PSST: What is the goal?
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Aggression Replacement Training (ART)
Aggression Replacement Training (ART)
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What is the core principle of ART?
What is the core principle of ART?
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What does ART aim to develop?
What does ART aim to develop?
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What is the structure of ART?
What is the structure of ART?
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What is the key focus of ART?
What is the key focus of ART?
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Reciprocal Intervention Training (ART)
Reciprocal Intervention Training (ART)
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Multisystemic Therapy (MST)
Multisystemic Therapy (MST)
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Bronfenbrenner's Ecological Systems Model
Bronfenbrenner's Ecological Systems Model
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Anger Control
Anger Control
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Moral Reasoning
Moral Reasoning
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Social Skills
Social Skills
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Social Problem-Solving
Social Problem-Solving
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Parental Monitoring
Parental Monitoring
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Prevalence of IED in youths
Prevalence of IED in youths
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Gender Difference in IED Prevalence
Gender Difference in IED Prevalence
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Outward vs. Concealed Symptoms in IED
Outward vs. Concealed Symptoms in IED
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Academic Challenges in CD
Academic Challenges in CD
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Link between CD and ADHD
Link between CD and ADHD
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Substance Use and Academic Difficulties in CD
Substance Use and Academic Difficulties in CD
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Genetic Link to Substance Use and Conduct Problems
Genetic Link to Substance Use and Conduct Problems
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Study Notes
Conduct Problems in Children and Adolescents
- Conduct problems are a significant concern, affecting up to 50% of children referred for mental health treatment.
- DSM-5 categorizes conduct problems into three types: conduct disorder, oppositional defiant disorder, and intermittent explosive disorder.
Types of Conduct Problems
- Conduct disorder: A pattern of behavior violating the rights of others or societal norms.
- Oppositional defiant disorder (ODD): Characterized by angry/irritable mood, argumentative/defiant behavior, and vindictiveness.
- Intermittent explosive disorder (IED): Repetitive angry outbursts resulting in verbal or physical aggression.
Effects of Conduct Problems
- Conflict with caregivers and authority figures
- Impaired relations with parents and teachers
- Actions that violate societal standards and rights of others.
- Adverse effects on children's behavioral and socio-emotional development.
- Increased risk for interpersonal and occupational problems.
Oppositional Defiant Disorder (ODD)
- DSM-5 disorder characterized by a pattern of angry/irritable mood, argumentative or defiant behavior, and vindictive behavior toward others.
- Causes distress to parents, teachers, and other caregivers.
- Adversely affects parent-child interactions.
- Leads to negative impacts on children's educational and social activities.
Distinction with Normative Child Behavior
- Developmental increase of oppositional and defiant behavior is normal in toddlers and preschoolers.
- Clinically significant ODD behaviors involve the number and frequency of disruptive behaviors, and the child's overall development context.
- Children with ODD display increased problematic behaviors compared to children without it.
- Children with ODD consistently exhibit tantrums, arguments, and mean behaviors.
- A substantial percentage (approximately 70%) of clinic-referred children exhibit tantrums and denial of adult requests
Diagnostic Criteria for Oppositional Defiant Disorder
- A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months, evidenced by at least 4 symptoms from the categories below and exhibited during interaction with at least one non-sibling.
- This pattern causes significant distress to the individual or others in their immediate social context (e.g., family, peer group), or negatively impacts areas of functioning (e.g., social, education).
- The behaviors don't occur solely during a psychotic, substance use, depressive, or bipolar disorder.
Diagnosis
- DSM-5 guidelines determine if disruptive symptoms are recurring enough to warrant diagnosis.
- Most ODD symptoms occur daily in preschoolers and weekly in adolescents.
- Children should demonstrate mean or vindictive behavior at least twice over 6 months.
- Elevated norm-referenced behavior ratings beyond 93rd and 95th percentiles signify severe ODD.
- ODD symptom categories include angry/irritable mood, argumentative/defiant behavior, and vindictiveness.
- The relationship between symptoms and negative effects on life (e.g., depression, ADHD) can potentially be predicted.
- Severity of symptoms occurring in only one setting (mild), two settings (moderate), or three or more settings (severe).
Conduct Disorder (CD)
- DSM-5 disorder with a repetitive and persistent pattern of behavior violating the rights of others or major societal norms.
- At least three of 15 criteria must be present in the past 12 months (with at least one in the past six months).
- Categories include aggression to people/animals, destruction of property, deceitfulness/theft, and serious rule violations.
ODD and CD
- ODD and CD can coexist.
- Many children with ODD do not display the more severe symptoms of CD.
- CD can be present in youth displaying no significant ODD symptoms.
- CD is a predictor for future antisocial and substance use problems.
- ODD is a predictor for both behavioral (defying, arguing) and emotional issues.
Case Studies
- Case studies illustrate individuals diagnosed with ODD or CD.
- Illustrate specific behaviors and challenges experienced by individuals diagnosed with Conduct Disorder.
- Demonstrate specific family dynamics and coping strategies.
Intermittent Explosive Disorder (IED)
- A disorder marked by repeated outbursts of anger resulting in verbal or physical aggression.
- Recurrent outbursts, lasting for 3+ months, occurring at least twice monthly.
- Outbursts exhibit emotional intensity grossly disproportionate to the provocation or stressor.
- Outbursts lack premeditation and cause significant impairment or distress in daily functioning.
- Chronological age is at least 6 years.
Signs and Symptoms (across disorders)
- Overreaction to minor annoyances
- Aggression frequently directed toward family/friends
- Lack of remorse or emotional empathy
- Conduct can range from mild disobedience and defiance to severe aggression
Causes, including:
- Genetic factors
- Shared environmental factors
- Difficult temperament or emotional regulation
- Hostile parenting
- Low parental monitoring
- Peer rejection
- Neighborhood risk factors such as educational resources, inadequate monitoring, and high crime neighborhoods.
Treatment
- Parent Management Training (PMT)
- Parent-Child Interaction Therapy (PCIT)
- Videotaped modeling
- Problem-solving skills training (PSST)
- Aggression Replacement Training (ART)
- Multisystemic therapy (MST)
Prevalence
- Prevalence statistics for ODD, CD, and IED are provided (broken down by gender and age groups.)
Associated Disorders
- Common co-occurring conditions like ADHD and substance use issues are discussed.
Medications
- Medications (e.g., methylphenidate, risperidone) and their potential effectiveness and side effects in treating conduct problems are examined.
Developmental Pathways (3 pathways)
- This section details the different trajectories toward conduct problems, highlighting childhood onset, adolescent onset, and an ODD-only pathway.
What Works and Doesn't
- This section evaluates the efficacy and limitations of various interventions. Examples of methods that prove ineffective, like incarceration, and methods proven better, like multisystemic therapy are provided.
- Explains why certain interventions may be ineffective for treating conduct problems.
General Summary
- This chapter outlines the concepts of conduct problems in children and adolescents, including types, factors, diagnosis, and treatment approaches.
- It also covers prevalence, associated disorders, developmental pathways, and common treatment approaches for these conditions.
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