Chapter 23 Disruptive Behavior Disorders

Disruptive Behavior

disorders that involve ongoing patterns of uncooperative, defiant, and hostile behavior toward authority figures, typically manifesting in children and adolescents.

Kleptomania

a psychological disorder characterized by a recurrent impulse to steal items that are not needed for personal use or monetary gain.

Pyromania

a psychological disorder characterized by an uncontrollable urge to set fires for pleasure or gratification.

Conduct Disorder

a severe behavioral disorder in children and adolescents involving aggressive or antisocial behavior that violates societal norms and the rights of others.

Conduct Disorder Assessement

disturbed peer relationships, aggression toward people/animals, property destruction, deceitfulness, theft, running away

quiet, reluctant to talk , disrespectibe

perceive the world to be aggressive

tough appearance but low self esteem

Conduct Disorder Nursing Interventions

decrease violence, increase compliance

promote social interactions

proving patient and family education

Conduct Disorder Treatment

early interventional parenting education, social skill training, family therapy, medication

decrease violent behavior, increase compliance, improve coping and self-esteem

promote social interaction, and education and supporting parent

Oppositional Defiant Disorder

A childhood condition characterized by a pattern of angry, irritable mood, argumentative behavior, and defiance towards authority figures.

Oppositional Defiant Disorder Acceptable Characteristics

1. occasional psychosomatic complaints

2. inconsistent and unpredictable behavior

3. eagerness for peer approval

4. competitive in play

5. erratic work-leisure patterns

6. critical of self/others

7. highly ambivalent towards parents

8. verbal aggression to parents

9. strong moral and ethical perceptions

Oppositional Defiant Disorder Abnormal Characteristics

1. Fears, anxiety, guilt about interactions, health and education

2. defiant, negative, depressed behavior

3. learning irregular or deficient

4. poor personal relationships

5. unwillingness to assume greater autonomy

6. inability work or socializing

Oppositional Defiant Disorder Treatment

parent management training models of behavioral interventions

1. decreasing reinforcing attention for negative behavior

2. rewarding positive behavior

3. consistent expectation and consequences

Intermittent Explosive Disorder

Characterized by recurrent episodes of aggressive behavior or outbursts, often triggered by stress or frustration, leading to significant distress or impairment in function.

frontal lobe dysfunction

Intermittent Explosive Disorder symptoms

include sudden bursts of anger, physical aggression towards people or property, and emotional outbursts disproportionate to the provocation.

Intermittent Explosive Disorder Treatment

SSRI antidepressant, mood stabilizer, anticonvulsant mood stabilizer, Cognitive Behavioral therapy, Anger management

Intermittent Explosive Disorder Non-pharm Interventions

may include therapy techniques such as cognitive-behavioral therapy, anger management, and social skills training to help manage and reduce aggressive behavior.

Attention Deficit Hyperactivity Disorder

is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with functioning or development.