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Child Psychopathology

Child Psychopathology. Oppositional-Defiant Disorder Conduct Disorder Reading: Chapter 6. Does Bart Simpson have a Disruptive Behavior Disorder?. 7G02 I will not waste chalk 7G03 I will not skateboard in the halls 7G04 I will not burp in class 7G06 I will not instigate revolution

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Child Psychopathology

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  1. Child Psychopathology Oppositional-Defiant Disorder Conduct Disorder Reading: Chapter 6

  2. Does Bart Simpson have a Disruptive Behavior Disorder? 7G02 I will not waste chalk 7G03 I will not skateboard in the halls 7G04 I will not burp in class 7G06 I will not instigate revolution 7G09 I will not draw naked ladies in class 7G07 I did not see Elvis 7G10 I will not call my teacher "Hot Cakes" 7G13 Garlic gum is not funny 7G12 They are laughing at me, not with me 7G01 I will not yell "Fire" in a crowded classroom 7F03 I will not encourage others to fly 7F03x I will not fake my way through life 7F02 Tar is not a play thing 7F01 I will not Xerox my butt

  3. Ways of thinking of antisocial behavior • Overt vs. covert • Destructive vs. nondestructive • Verbal vs. physical aggression • Instrumental vs. hostile aggression • Direct vs. indirect aggression • Reactive vs. proactive agression • Four types of youth violence (Figure 6.4): • Situational • Relationship • Predatory • Psychopathological

  4. DSM-IV Criteria • Oppositional-Defiant Disorder (T: 6.1) • age inappropriate stubborn, irritable, and defiant behaviors • Conduct Disorder CD (T: 6.2) • persistent pattern of violating basic rights of others and societal norms or rules • Antisocial personality disorder (<18 yrs) • repetitive aggressive, law-breaking behaviors • signs of psychopathy (no guilt or remorse)

  5. Gender differences • For CD, 3:1 male-female ratio • Boys show earlier onset and greater persistence • Gender disparity decreases in adolescence • Early signs: • Boys - aggression and theft • Girls - early menarche, sexually precocious • Note: CD boys & girls are drawn together

  6. Developmental pathways • Life-Course-Persistent Pathway • Figure 6.7: Patterson’s 1992 Dev’t Model • Adolescent Limited Pathway Difficult Temperament Attentional Problems Oppositional Behavior Conduct Disorder Contact with Law Young adulthood: “Normal” adjustment CD arises during teen years What kind of trouble? How permanent is impact? Life trajectory?

  7. Biological Causes of CD • Temperament, impulsivity, emotional lability, lack of persistance, restlessness, negativity, poor coping • Genetic contributions for overt behaviors and LCP path (parent crminality) • Insensitivity to rewards • Low psychological arousal & autonomic reactivity: Sensation-seeking

  8. Social cognitive factors • Cognitive deficiencies and distortions • misinterpretation of neutral events as hostile • Bill: he “looked at me” wrong • Deficits may occur encoding and interpreting • Problem solving: • searching for R, choosing one, implementing

  9. Family factors • Dysfunctional family functioning • Family conflict, violence, inconsistent or ineffective parenting, transitions, antisocial family values (e.g., police are stupid) • Bidirectional causality • Coercive parenting cycle • Insecure attachment may predict antisocial behavior • Other family stress (e.g., financial)

  10. Societal factors • Poverty, crime areas, residential mobility, no sense of community • Media influence: Reinforces pre-existing tendencies towards violent or exploitive acts • Culture and ethnicity are confounded with SES, may exacerbate problems in teen years (gangs & “turf” may be along ethnic lines)

  11. Treatment • Poor prognosis for antisocial behaviors & LCP • this includes psychotherapy, group therapy, tutoring, punishment, boot camps • Early intervention for ODD and CD: • Parent-management training • Cognitive problem solving skills training focus on distortions and deficiencies • Multi-systemic treatment: Family system manipulation

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