Conduct Disorders in Childhood and Adolescence ( Cambridge Child and Adolescent Psychiatry )

Publication series :Cambridge Child and Adolescent Psychiatry

Author: Jonathan Hill; Barbara Maughan  

Publisher: Cambridge University Press‎

Publication year: 2000

E-ISBN: 9780511035838

P-ISBN(Paperback): 9780521786393

Subject: R749.94 child psychosis

Keyword: 神经病学与精神病学

Language: ENG

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Conduct Disorders in Childhood and Adolescence

Description

Conduct disorders are very common and the most frequent reason for clinical referrals to child and adolescent mental health facilities. Aggression and oppositional behaviour in youth often becomes persistent, and substantially increases the likelihood of adult problems of criminality, unstable relationships, psychiatric disorder, and harsh parenting. This comprehensive book by leading clinicians and researchers reviews established and emerging aspects of conduct disorder. It highlights the complexity and probable heterogeneity of the condition, including the biological, neuropsychological, and cognitive factors, and the role of attachment and family influences. Preventive and treatment approaches and outcomes are reviewed, with developmental and gender-based variations emphasized throughout. Integrating findings from a wide range of research perspectives, this is a uniquely authoritative survey of a common clinical and social problem, and will be essential reading for mental health practitioners and others with clinical, sociological or medicolegal interests in child health and behaviour.

Chapter

Conclusion

REFERENCES

3 The development of children's conflict and prosocial behaviour: lessons from research on social understanding and…

Introduction

Developmental changes in childhood

Anger, aggression and conflict

Gender differences in the early school years?

Developmental themes

Conflict strategies

Gender differences in conflict strategies within close relationships

Prosocial behaviour

Gender differences in prosocial behaviour?

Gender differences in normal and troubled children?

Moral reasoning

Gender differences in moral development and reasoning?

Individual differences in social understanding and their links to conflict and prosocial behaviour

Conclusions

Acknowledgements

REFERENCES

4 Neural mechanisms underlying aggressive behaviour

Introduction

Aggression: its relation to other behaviours

The brain and aggression

Neuroanatomical basis of aggressive behaviour

Methods

The modular limbic system and aggression

The amygdala

The septum

The hypothalamus

The midbrain

The frontal neocortex

Neurochemical modulation of aggressive behaviour

Amino acids

GABA

Monoamines and aggression

Serotonin

Dopamine

Noradrenaline

Peptides

CRF and aggression

Vasopressin (AVP) and aggression

Opioids and aggression

Interactions between amines and peptides

Steroids and aggression with special reference to testosterone

Steroids and aggression during development: organizational effects

Steroids and aggression post-pubertally: activational effects

Conclusion

Acknowledgements

REFERENCES

5 Biosocial influences on antisocial behaviours in childhood and adolescence

Introduction

Key issues in the development of the brain

Background

Brain development

The interplay between brain development and experience

Sex differences

Psychobiological theories of risk

Temperament

Approach and inhibition

Attention

Possible links with conduct problems

Frontal cortex

Neurotransmitters

Background

Monamines, development and experience

Possible associations with conduct problems

The prediction of antisocial behaviours from hypothesized biosocial systems

Heart rate

Temperament

The antenatal and perinatal periods

Conclusion

REFERENCES

6 The epidemiology of disorders of conduct: nosological issues and comorbidity

Is conduct disorder a disorder?

Studies of individual symptoms of behavioural disturbance

Factor analytic studies of child behaviour problems

Rates of conduct disorder using the ICD or DSM diagnostic systems

Age and gender effects on conduct disorder

The problem of comorbidity

Rates of diagnostic comorbidity from general population surveys using the DSM

The meaning of comorbidity

Comorbidity as a marker of severity

Comorbidity between conduct disorders and emotional disorders – are the latter simply part of the former, does conduct…

Subtypes and disorders defined by comorbidity

Comorbidity with substance abuse – timing of onset or comorbidity as predictors of adult outcomes?

Developmental approaches to conduct disorders

Is conduct disorder becoming more common?

Conclusions

REFERENCES

7 Conduct disorder in context

Introduction

Correlates, causes and chains of risk

Environmental lessons from genetic research

Conceptualizing contexts

Heterogeneity of conduct disorder and specificity of risk

Risk variables and risk processes

Individual differences and group levels

Sex differences

Family context

Parents, children and parenting

Abuse and neglect

Marital discord and family breakdown

Poverty and social disadvantage

Neighbourhood and community contexts

School context

Cumulations and configurations of risk

Sex differences

Conclusions

REFERENCES

8 Genetic influences on conduct disorder

Introduction

Genetic strategies

Behaviour genetic designs

Twin studies

Adoption studies

Family studies

Molecular genetic strategies

Cytogenetics

Genetic and environmental influences

Twin studies

Adoption studies

Family risk factors

Chromosomal influences

Molecular genetic studies

Conclusions

REFERENCES

9 The role of neuropsychological deficits in conduct disorders

Introduction

Empirical evidence for a verbal deficit

Empirical evidence for executive dysfunctions

Theoretical accounts of the relations between neuropsychological dysfunction and antisocial behaviour

Gender differences

Future directions

Samples

Control variables and control groups

Tasks

Prospective studies

Theory development

REFERENCES

10 A reinforcement model of conduct problems in children and adolescents: advances in theory and intervention

Introduction

Relationship contingencies and development

Parenting practices and coercion

Intervention trials

Changing contexts and evolving problems

Contribution of peers: deviancy training

Contributions of siblings

Contextual factors

Niche-building

Conclusion

Acknowledgements

REFERENCES

11 Perceptual and attributional processes in aggression and conduct problems

Processing and the development of conduct problems

Overview of models of social information-processing and social cognition

Issues in conceptualization and measurement of perceptual and attributional processes

Latent structures versus on-line processing

The role of emotion

Contextual factors

Heterogeneity of outcome groups

Aggregation across behaviours as a factor in prediction

Summary of research findings

Perceptual processes: the encoding of social cues

Attributional processes: the interpretation of social cues

Do early family experiences predict individual differences in processing?

The role of maltreatment and physical abuse

Aggressive models

Insecure attachments

Caregiver–child commonalities in processing

Do perceptual and attributional processes mediate the link between early socialization experiences and later conduct…

Future directions in the study of perceptual and attributional processes

Understanding gender and developmental effects

Gender effects

Developmental issues

Reciprocal processes: experience, behaviour and cognition

A proposed transactional–developmental model

Acknowledgements

REFERENCES

12 Attachment and conduct disorder

Introduction

Attachment theory and the systematic study of parent–child relationship quality

Rationale for predicting a link between attachment and conduct disorder

Specific mechanisms

Evidence associating attachment with conduct problems

Infant attachment and conduct problems

Concurrent links between attachment and psychopathology

Issues and limitations

Multifinality and equifinality

Intercorrelated risk factors

Placing attachment in a developmental context

Measurement

Clinical applications of attachment theory to the treatment of conduct disorder

Conclusion

REFERENCES

13 Friends, friendships and conduct disorders

Scope and overview

A developmental perspective

Some methodological issues

Influence(role) of deviant friends on conduct disorder

Peer influence model

Individual characteristics model

Social interactional model

Mixed model

Who associates with deviant friends and why

Peer rejection

Parental processes

Dual role of friends

Features of friendships

Putative mechanisms of influence

Friends and prevention/intervention of conduct disorders

Friends' influence on girls' maladjustment

Future directions and conclusions

Concluding comments

REFERENCES

14 Continuities and discontinuities of development, with particular emphasis on emotional and cognitive components of …

Predictors, degree of continuities and caveats

Different interpretations of continuity

Some caveats

Escalation from earlier disruptive behaviour to conduct disorder

Oppositional defiant disorder and attention deficit hyperactivity disorder

Aggression

Early antisocial personality symptoms

Multiple pathways to serious symptoms of conduct disorder

Development sequences

Multiple pathways

Risk factors and continuity and escalation in disruptive behaviour

General emotional and cognitive factors associated with disruptive behaviour

A matrix of emotional and cognitive aspects of disruptive behaviours

Specific emotions and cognitions associated with overt–covert and reactive–proactive dimensions of disruptive behaviour

Overt disruptive behaviour

Covert disruptive behaviour

Implications for research and interventions

Acknowledgements

REFERENCES

15 Treatment of conduct disorders

Key characteristics to consider in relation to treatment

Heterogeneity of the disorder

Associated features

Two brief case vignettes

Vignette 1: family values

Vignette 2: multiple sources of dysfunction and stress

General comments

Current treatments of choice

Overview

Parent management training

Background and underlying rationale

Characteristics of treatment

Overview of the evidence

Overall evaluation

Cognitive problem-solving skills training

Background and underlying rationale

Characteristics of treatment

Overview of the evidence

Overall evaluation

Functional family therapy

Background and underlying rationale

Characteristics of treatment

Overview of the evidence

Overall evaluation

Multisystemic therapy

Background and underlying rationale

Characteristics of treatment

Overview of the evidence

Overall evaluation

Comments on the current evidence

Limitations of the evidence

Assessment of outcome domains

Magnitude and durability of therapeutic change

Attrition and subject selection bias

Developmental issues and perspectives

General comments

Developing more effective treatments

Predictors of treatment response

Addressing comorbidity

New models of delivering treatment

Conclusions

Acknowledgements

REFERENCES

16 The prevention of conduct disorder: a review of successful and unsuccessful experiments

Preventive experiments that reduced conduct problems

During the elementary school years

During the preschool years

During infancy

During pregnancy

Preventive experiments that did not reduce conduct problems

During the elementary school years

During the preschool years

During infancy

During pregnancy

Hypothesized mechanisms: what works and how?

Ongoing large-scale experiments

Design and implementation issues

Conclusions

REFERENCES

17 Economic evaluation and conduct disorders

Introduction

Cost and outcomes

Managed care

Identifying and meeting needs

Economics: topic and discipline

Needs, services and scarcity

Criteria for choice and evaluation

Effectiveness

Efficiency

Equity

A framework for evaluation

Cost-effectiveness analysis and other evaluations

Market allocations

Modes of evaluation

Cost–benefit analysis

Cost-effectiveness and cost–consequences analyses

Cost-utility analysis

Putting principles into practice

Cost measurement

Outcome measurement

Length of research period

Conclusions

REFERENCES

18 Antisocial children grown up

Introduction

Conceptual and methodological issues

Heterogeneity

Categories and dimensions

Continuity and change

Reports and reporters

Gender differences

Continuity and change: longitudinal findings

Broad-range childhood–adult studies

Assessments over more focused age spans

Secular change

Accounting for continuities and discontinuities

Individual susceptibilities

Hyperactivity

Neuropsychological deficits, cognitive impairments and school achievements

Aggressive and other behavioural trajectories

Multiproblem groupings

Depression, anxiety and shyness/withdrawal

Age at onset

Mechanisms for stability and change: person–environment interactions

Social cognitions

Accentuation effects

Environmental continuities

Selecting and shaping environments

Peer relations

Early adult role transitions

Assorting on deviance

Alcohol and substance use

Cumulating consequences: indirect chains

Breaking the chain: turning points in the life course

Testing for change

Positive adult experiences

Protective factors

Conclusions

REFERENCES

19 Conduct disorder: future directions. An afterword

Do conduct problems constitute a valid psychiatric disorder?

Essence of conduct disorder

Criminal responsibility

Concepts of causation

Heterogeneity

Comorbidity

Moderating effects and resilience

Evolutionary considerations

Prevention and intervention

Conclusions

REFERENCES

Index

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