Chapter 16Psychological Disorders of Childhood.ppt

Chapter 16Psychological Disorders of Childhood Overview developmental psychopathology study of abnormal behaviour in children developmental norms typical behaviour per age group? internalizing disorders problems affecting child’s internal world and are associated with subjective distress (e.g., anxiety) Comorbidity Is ADHD over diagnosed in N.A.? Case Study: Jeremy W. trouble at school learning disability? acting out? irresponsive to disciplinary measures lack of input from father Externalizing Disorders The most commonly diagnosed childhood disorders Characterized by the failure to control behaviour according to the expectations of others Externalizing symptoms include: rule violations, anger and aggression, impulsivity and deficits in attention Symptoms of Externalizing Disorders Rule violations normal vs. abnormal age of onset persistence into adulthood Negativity, Anger, Aggression intent of anger Remorse felt Symptoms of Externalizing Disorders Impulsivity Act before thinking Hyperactivity Squirming, fidgeting, or restless behaviour Connors Teacher Rating Scale Attention Deficits distractibility, frequent shifts from activity to activity, careless mistakes, poor organization ADHD 3% of children show symptoms More boys than girls hyperactivity, attention deficit (impulsivity) All symptoms are independent Children may have one or both symptoms symptom onset prior to age 7 symptom persistence of 6 mos. ADHD Subtypes predominantly inattentive (ADD) predominantly hyperactive-impulsive combined ODD Closely related to ADHD (50%) Distinct, but overlapping negative, hostile, defiant behaviour Primarily in school aged children symptom persistence of 6 mos. significant impairment in child’s life ODD Symptoms(4 of the following are present) Often loses temper Often argues with adults/authorities Actively refuses to comply with adult’s requests Often deliberately annoys people Often blames others for mistakes Easily annoyed by others Often spiteful or vindi