1 / 18

Childhood Externalizing Disorders

Childhood Externalizing Disorders. Lori Ridgeway PSYC 3560. What are they?. Disorders you can “________” Oppositional Defiant Disorder (ODD) Conduct Disorder (CD) Attention Deficit / Hyperactivity Disorder (ADHD). Oppositional Defiant Disorder. Negative, _____________, defiant behavior

ilar
Download Presentation

Childhood Externalizing Disorders

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Childhood Externalizing Disorders Lori Ridgeway PSYC 3560

  2. What are they? • Disorders you can “________” • Oppositional Defiant Disorder (ODD) • Conduct Disorder (CD) • Attention Deficit / Hyperactivity Disorder (ADHD)

  3. Oppositional Defiant Disorder • Negative, _____________, defiant behavior • Losing temper • Arguing • Noncompliance • Deliberately annoy/blame others • Angry/resentful or spiteful • At least _____________

  4. Age & Gender • More common in __________ before puberty • Generally similar Sx’s • Exceptions • Males more confrontational • Males more persistent Sx’s • Number of Sx’s __________ with age

  5. Families & ODD • Hx of mood disorder, ODD, CD, ADHD, Antisocial Personality, substance-use disorders • Maternal _____________ • Marital discord • Inconsistency/harsh parenting

  6. Treating ODD • Parent management training • Principles of reinforcement & learning • _____________ • Behavior charts/token economies • Praise for incompatible behaviors • School consultations

  7. Parent-Child Interaction Therapy (PCIT) • Principles of learning & ____________ theory • Approx. 20 weeks • In vivo treatment • Two phases • Child Directed Interaction (CDI) • Parent Directed Interaction (PDI)

  8. Child Directed Interaction • Focus on positive parenting skills • _____________ • _____________ • Reflection • Imitation • Description • Enthusiasm

  9. CDI, cont’d… • Avoid • _____________ • Questions • Criticisms • Purpose = relationship building • 5-minute practice daily • Criteria to move on

  10. Parent Directed Interaction • _____________ phase • Teach effective commands • Consistency • Simple • Clear • Direct

  11. PDI, cont’d… • Teach behavior management • Behavior _____________ • Consistent consequences • Selective attention • Time-out • Gradual = home to public • Criteria to complete treatment

  12. PCIT Outcomes • Significant decreases in ODD Sx’s • Gains persist for up to 6 years • Reduces re-reports of _____________ • Group format • Foster parents, Head Start, ADHD

  13. Conduct Disorder • Violate societal norms & _________ of others • Aggression to people/animals • Destruction of property • Deceitfulness or theft • Serious rule violations (running away/truancy) • 3 in 12 months (with 1 in 6 months)

  14. Subtypes:Childhood-Onset • 1 Sx prior to _____________ • Aggressive & poor peer relations • Usually male • ODD as young children • Full criteria by puberty • Persistent/chronic course • Antisocial Personality Disorder

  15. Subtypes:Adolescent-Onset • No Sx’s before _____________ • Less aggressive & better peer relations • Ratio of males to females lower • Less chronic course • Better outcomes

  16. Culture, Age, & Gender • Settings where Bx is protective • Progress in severity over time • Early severity = worse outcomes • Males = confrontation • Females = non-confrontation

  17. Families & CD • Genetic & environmental influences • Adoptive or biological parent with ____ • Sibling with CD • Biological parents with alcohol dependence, mood d/o, schizophrenia, ADHD, CD

  18. Treating CD • Parent management training • _____________ treatment • Multi-systemic Therapy • 60-70% success rate • Intensive intervention within social system • Low case load & high burn out • On-call 24/7

More Related