Conduct Disorders and Severe Antisocial Behavior

Front Cover
Springer Science & Business Media, Apr 30, 1998 - Psychology - 152 pages
As reflected in the title, the purpose of this book is to guide clinicians in understanding and treating youth with severe antisocial behavior. Children and adolescents with conduct disorders operate at quite a high cost to society. In many opinion polls, juvenile crime and violence is rated as one of the most pressing concerns for many in our society. This widespread concern has prompted professionals from many disciplines to search for more effective interventions to prevent and treat youth with such disorders. This book is my attempt to summarize the current status of this very important endeavor. In providing this guide to clinicians, I have attempted to emphasize the critical link between understanding the clinical presentation, course, and causes of conduct disorders and designing effective interventions for children and adolescents with these disorders. Many past books, book chapters, and review articles have emphasized one or the other of these objectives. Some have provided excellent summaries of the vast amount of research on youth with conduct disorders without explicitly and clearly describing the clinical applica tions of this research. Others have focused on the implementation of specific interventions for youth with conduct disorders that is divorced from a basic understanding of the many diverse and clinically important characteristics of this population. The overriding theme of this book is that successful clinical inter vention requires an integration of both bodies of knowledge.
 

Contents

An Introduction to Conduct Disorders
1
A Complex and Important Construct
2
An AppliedScience Orientation
3
Overview of the Books Structure
6
The Nature of Antisocial Behaviors and Conduct Disorders
9
Dimensional or Categorical Views of Conduct Problems
11
Prevalence of Antisocial Behaviors and Conduct Disorders
12
Developmental Trajectories of Conduct Disorders
14
Integrating Correlates into Causal Models
58
Chapter Summary
66
Clinical Assessment
67
Specific Assessment Techniques
69
Combining Information into a Clear Case Conceptualization
87
Chapter Summary
91
Treatment I The Basic Techniques
93
Contingency Management
95

Stability of Conduct Disorders
17
Chapter Summary
19
Classification of Conduct Disorders
21
Oppositional Defiant Disorder and Conduct Disorder
22
Subtypes Based on Patterns of Behavioral Covariation
25
Subtypes Based on Socialization and Aggression
28
Callousunemotional Traits and Conduct Disorders
29
Conduct Disorders and Cooccurring Conditions
32
Chapter Summary
38
The Etiology of Conduct Disorders
41
Dispositional Correlates
43
Environmental Correlates
49
Parent Management Training
98
Cognitivebehavioral Skills Training
106
Stimulant Medication
111
Chapter Summary
113
Comprehensive Approaches to Treatment
115
Fast Track Program
117
Multisystemic Therapy
119
Flexible Multimodal Treatment of Conduct Disorders
122
The Future of the Treatment of Conduct Disorders
132
References
135
Index
149
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Page 146 - Bashir, MR, Schwarz, M., Richards, IN, Plapp, JM. & Stewart, GW (1988). Oppositional disorder: Fact or fiction? Journal of the American Academy of Child and Adolescent Psychiatry 27, 157-162. Reynolds, CR, & Kamphaus, RW ( 1992) . The Behavior Assessment System for Children.

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