07d_Disruptive, Impulse-Control, and Conduct Disorders Flashcards
Oppositional Defiant Disorder:
Essential Features
Angry/irritable mood
Argumentative/defiant behavior
Vindictiveness
[*behavior is with non-sibling]
Oppositional Defiant Disorder:
Characteristic symptoms
Lose temper
Argue with authority figures
Noncompliance with requests from authority figures or with rules
Blame others for mistakes
Oppositional Defiant Disorder:
Diagnostic Criteria
4+ characteristic symptoms
6+ months
Intermittent Explosive Disorder:
Overview
Recurrent behavioral outbursts
Due to inability to control aggressive impulses
Intermittent Explosive Disorder:
Two Main Criteria
Verbal or physical aggression
Behavioral outbursts that cause
- damage or destruction of property
- and/or physical assault that injures people or animals
Intermittent Explosive Disorder:
Verbal or physical aggression duration criterion
2+ times a week
3+ months
Intermittent Explosive Disorder:
Behavioral Outbursts frequency criterion
3+ behavioral outbursts within a 12 month period
Intermittent Explosive Disorder:
Symptom characteristics
Aggressiveness is not proportional to provocation or a precipitating social stressor
Outbursts are not premeditated or committed to achieve a tangible outcome
Intermittent Explosive Disorder:
Age criteria
6+ years old
Conduct Disorder:
Overview
Behavior that violates basic rights of others and/or age-appropriate social norms or rules
Conduct Disorder:
Diagnostic Criteria
3+ symptoms in past 12 months
1+ symptom in past 6 months
Conduct Disorder:
Four Categories of Characteristic Symptoms
Aggression to people and animals
Destruction of property
Deceitfulness or theft
Serious violation of rules
Conduct Disorder:
Age Cut off
Conduct disorder cannot be diagnosed individuals over age 18 who meet the criteria for antisocial personality disorder
Conduct Disorder:
Gender-related differences
More common in males
Males: physical and relational aggression
Females: exhibit more relational aggression
Characteristic Female Symptoms: lying, truancy, running away, and substance abuse
Conduct Disorder:
Childhood-Onset Type
1+ symptom prior to age 10
Conduct Disorder:
Adolescent-onset type
No symptoms prior to age 10
Conduct Disorder:
Specifier: Limited prosocial emotions
Lack of remorse or guilt
Callous lack of empathy
Unconcerned about performance
Shallow or deficient affect
Which subtype of Conduct Disorder is associated with the highest degree of aggressiveness?
Childhood-Onset
Childhood-onset Conduct Disorder:
Increased risks for adulthood
Continued aggressiveness
Antisocial personality disorder
Substance related disorder
Conduct Disorder:
Etiology: Life-course-persistent Type
Begins as early as age 3
Increasingly serious transgressions that continue into adulthood
Related to:
Neurological impairment
Difficult temperament
Asverse environmental circumstances
Conduct Disorder:
Adolescence-Limited Type
Temporary form of antisocial behavior
Reflects a Maturity Gap
Antisocial acts are usually committed with peers and are inconsistent across situations
*e.g. shoplift with friends but is here to rules at school
Conduct Disorder:
Maturity Gap
Contrast between the biological maturation level and inaccessibility to adult privileges/ rewards
Conduct Disorder:
Patterson: Parent Management Training
Parents are taught to reward positive behaviors
Replace physical punishment for undesirable behaviors with:
- time out
- response cost
- similar techniques