_disorder品行障碍课件.ppt

Conduct disorder Readings Wenar, C. Kerig, P. (2000)“ Conduct disorder and the devlopment of antisocial behaviour” in Developmental Psychopathology (pp. 189-210). Singapore: McGraw-Hill Lecture Questions What is Conduct Disorder and how does it affect children/adolescents lives? What are the diagnostic issues related to Conduct Disorder? What is the developmental picture and course in Conduct Disorder? What are some of the social issues related to Conduct Disorder? Conduct Disorder in Popular Culture Overview Another externalising problem Impacts on all rings of the social context web- young person, family, school, community NZ prevalence 3.4% age 11, 7.3% age 15, 5.5% age 18 More prevalent in clinical samples, around a third to a half of all child and adolescent cases Comorbidity with ADHD, ODD, learning disorders, depression Gender issues Ratio 3:1, more diagnosed in boys Research biased to study of boys DSM criteria differences and presentation differences Girls CD patterns more likely to begin in adolescence Girls comorbidity-depression, anxiety Influence of developmental factors Influence of how gender constructed Factors in drawing the line Context for the behaviour, adaptation or mental disorder? Seriousness of rule violations Frequency, intensity, endurability, pervasiveness Age appropriateness of rule violations Rule violation developmental picture Pre-school aggression to other children, disobedient to parents School age classroom disruption, unco-operative in playground, defiant at home Adolescence delinquent peers, violating the law, ignoring parental discipline, failing in school Rule violation ‘normal’ in adolescence Childhood behaviour better predictor of adult antisocial behaviour than adolescent behaviour DSM Criteria Aggression to people and animals (cruelty, bullying, fights, forced sex, mugging) Destruction of property (fire-setting and other ways) Deceitfulness or theft (breaking entering, ‘conning’, stealing Serious rule violations (staying