Lecture 9

Disruptive behaviour disorders

emotions, behaviours

People with disruptive behaviour disorders have problems in the self-control of _______ and _______

Destructive and overt dimensions

The 4 dimensions present in disruptive behaviour disorders are overt-covert and destructive-non-destructive. On what 2 dimensions people tend to more at risk for long-term severe problems?

• harmful

• problems

• relationships

Even though fighting between siblings is common;

• Sibling aggression is ______

• Sibling conflict, hostility, and negativity predict greater emotional and behavioural _____ over time

• Conflict with siblings may lead to maladaptive behaviour problems in other _____

interviews, observation

→ 3, disruptive

For assessing ODD, we can use ______/checklists or ______

→ An example is the Disruptive Behavior Diagnostic Observation Schedule, which assesses preschoolers interacting in ___ contexts (w/ interactive examiner, busy examiner, parent) and they are pressed for _______ behaviour

Antisocial Personality Disorder can only be diagnosed at 18 years old, but there are similarities in both disorders

What’s the difference between CD and Antisocial Personality Disorder?

combinations

Per diagnostic criteria for CD, there are many possible ______ of symptoms

severe

→ below

There are certain combinations of 2 symptoms (which are considered subclinical) that are more ______ than certain combinations of 3 symptoms

→ If the cut-off stays 3, we might be missing some high severity people who happen to be right _____ the cut-off

2

• guilt

• empathy

• performance

• emotions

→ 12, relationships, settings

To be diagnosed with CD - with limited prosocial emotions, you need ___ of these callous and unemotional traits:

• Lack of remorse or ______

• Callous, lack of ______

• Unconcerned about ______

• Shallow or deficient affect → doesn’t express _______

→ They must be persistently present over the last ___ months and in many _______ and ______

• 2,6

• earlier, severe, instrumental

• punishment

Having callous and unemotional traits (CU):

• ___% to ___% of youth with CD have these traits significantly

• When youth have CU traits, CD is _____ onset, aggression is more ______ and more ______

• Associated with insensitivity to ______ so it’s harder to treat

• same

• 50

• CD

CD and ODD:

• Can be diagnosed at the ______ time

• ___% of all children with CD have not been diagnosed with ODD

• Some children may start with a ODD diagnosis then add _______ diagnosis with age