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PSY341H1 (32)
Chapter 6

psy341 - chapter 6 conduct disorders.doc

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University of Toronto St. George
Ross Hetherington

Chapter 6 Conduct Problemsincreased substantial in the past 25 yearsaffects males and females all social classes all family typesmost lethal forms decreasing in US since 1994DescriptionConduct and antisocial problemswide range of ageinappropriate actions and attitudes of a child that violate family expectations societal norms and the personal or property rights of othersContext Costs and PerspectivesContextmany young people admit to antisocial actsie alcohol smoking drugsoadolescences excessively conventional trusting anxious and socially incompetent illadjustedantisocial behaviour rises and then falls in developmentoboth parents and teens describe antisocial behaviour decreasing with ageantisocial behaviour ovary in severityminor disobedience to fightingosome decrease others increase with age and opportunityomore common in boys during childhood but difference narrows in adolescencemost physical aggression is during childhoodSocial and Economic Costs5 of children have extreme pattern of antisocial behaviour and account for 50 of all crime in the US and 3050 clinical referral20 of all mental health expenditures in the US attributable to crimeMore teens in US die from firearm injuries than all diseases twice as likely to be victim of violence compared to adultsPerspectives legalojuvenile delinquencychildren who have broken a lawlaws change over time and differ across locationsoofficial vs selfreported delinquencyominimum age of responsibility in most states and provinces is 12oadaptations to hostile environmentcarrying weapon for selfdefenceReaction to environment vs mental healthLatter requires persistent pattern of antisocial behaviourpsychologicaloexternalizing behaviourcontinuous dimension which includes a mixture of impulsive overactive aggressive and rulebreaking actsconduct problems usually one standard deviation above meantwo subdivisionsrulebreaking behaviourorunning away setting fires stealing skipping school alcohol and drugs vandalism aggressivebehaviourofighting destructiveness disobedience showing off being defiant threatening others disruptive at schoolotwo independent dimensions of antisocial behaviour see Fig 62 pg 157overtcovert ranges from over visible acts ie fighting to covert hidden acts lying stealingovert ochildren tend to be negative irritable and resentful in reactions to hostile situationsoexperience higher levels of family conflictcovertoless social more anxious and more suspicious of othersofamilies provide little supportmost children exhibit bothchildren in frequent conflict with authority show most severe family dysfunction and poorest longterm outcomedestructivenondestructive dimension ranges from acts such as cruelty to animals or physical assault to nondestructive behaviours such as arguing or irritabilitycross the two for the followingcovertdestructive property violationsovertdestructive aggressionohigh risk for later psychiatric problems and impairment in functioningcovertnondestructive status violationsovertnondestructive oppositional behaviourpsychiatric oDSMIVTR disruptive behaviour disorderspersistent patterns of antisocial behaviour ODD and CDoAntisocial personality disorderpublic healthoblends legal psychological psychiatric perspectives oprevention and interventionogoal to reduce injuries deaths personal suffering and economic cost of youth violence
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