ch 9 conduct problems lecture notes Flashcards

1
Q

what is juvenile delinquency?

A

young offender between 12 and 17 years of age who has “violated criminal legislation and is therefore subject to punishments determined by a youth court

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2
Q

conduct problems and antisocial problems are terms used to describe:

A

-age-inappropriate actions and attitudes that violate family expectations, societal norms and personal or property rights of others.
-problems in controlling emotion and behaviour.

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3
Q

what is criterion A for oppositional defiant disorder (ODD) in the DSM-5?

A

A pattern of angry/irritable mood, argumentative/defiant behaviour or vindictiveness lasting at least 6 months as evidenced by at least 4 symptoms from any of the following categories and exhibited during interaction with at least one individual who is not a sibling.

Angry/irritable mood:
-often looses temper
-is often touchy or easily annoyed
-is often angry or resentful.

Argumentative/defiant behaviour:
-often argues with authority figures or, for children and adolescents, with adults.
-often actively defies or refuses to comply with request’s from authority figures or with rules
-often deliberately annoys others
-often blames other for his or her mistakes or misbehaviour.

Vindictiveness:
-has been spiteful or vindictive at least twice within the last 6 months

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4
Q

what is criterion B for Oppositional defiant disorder (ODD) in the DSM-5?

A

the disturbance in behaviour is associated with distress in the individual or others in his or her immediate social context (family, peer group, work colleagues), or it impacts negatively on social, educational, occupational or other important areas of functioning.

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5
Q

what is criterion C for oppositional defiant disorder (ODD) in the DSM-5?

A

the behaviours do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood dysregulation disorder.

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6
Q

explain the 3 levels of severity for ODD?

A

mild: symptoms are confined to only one setting (home, school, work, with peers)

Moderate: some symptoms are present in at least two settings.

Severe: some symptoms are present in three or more settings.

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7
Q

by what age does ODD usually appear by?

A

age 8

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8
Q

What is criterion A for conduct disorder in the DSM-5?

A

A repetitive and persistent pattern of behaviour in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least 3 of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion present in the last 6 months.

Aggression to people and animals:
-often bullies, threatens and intimate others.
-often initiate physical fights
-has used a weapon that can cause serious harm to others
-has been physically cruel to people
-has been physically cruel to animals
-has stolen while confronting a victim
-has forced someone into sexual activity

Destruction of property:
-has deliberately engaged in fire setting with the intention of causing serious damage
-has deliberately destroyed other property

Deceitfulness or theft:
-has broken into someones house, building,car
-lies to obtain goods or favours or to avoid obligations
-has stolen items of nontrivial values without confronting a victim.

Serious violation of Rules:
-often stays out at night despite parental prohibitions, beginning before age 13
-has run away from home overnight at least twice while living in the parental home or once without returning for lengthy period.
-truant from school, beginning before age 13

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9
Q

what is criterion B and C for conduct disorders in the DSM-5?

A

B. the disturbance in behaviour causes clinically significant impairment in social, academic or occupational functioning.

C. if the individual is age 18 years older, criteria are not met for antisocial personality disorder.

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10
Q

what are the 3 different types of conduct disorders?

A

childhood-onset type: Individuals show at leas one symptom characteristic of conduct disorder prior to age 10yrs

adolescent-onset type: individuals show no symptom characteristic of conduct disorder prior to age 10 yrs

unspecified onset: criteria for a diagnosis of conduct disorder are met, but there is not enough information available to determine whether the onset of the first symptom was before or after age 10 yrs

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11
Q

characteristics of childhood onset conduct disorder

A

-first symptoms by age 10
-more likely to be boys
-show more aggressive symptoms
-more likely to engage in illegal activity
-persistent antisocial behaviour over time
-more likely to have ADHD and family dysfunction

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12
Q

characteristics of adolescent onset conduct disorder

A

-by age 15
-equal sex ratio
-less severe behaviour/lower psychopathology
-less likely to commit violent offenses or to persist in their antisocial behaviour

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13
Q

what are some associated characteristics with conduct disorders?

A

-cognitive and verbal deficits
-deficits in executive functioning
-school and learning problems
-family problems
-peer problems
-health-related problems

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14
Q

explain what problems a child with conduct disorder may have in regards to school and learning

A

-underachievement, grade retention, special education placement, dropout, suspension, expulsion
-neurological or language deficit, lack of self esteem and socio-economic disadvantage may lead to it

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15
Q

what is reactive aggression?

A

display hostile attributional bias–more likely to interpret others behaviours as indicative or malintent especially when ambiguous, therefore their aggressive tendencies are a response to “perceived” provocation

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16
Q

what is proactive aggression?

A

more likely to have deficient/shallow affect, view aggressive actions as positive, may have high self-esteem, lack of concern for others.

17
Q

what health problems are associated with conduct disorder?

A

high risk for personal injury, illness, drug overdose, sexually transmitter diseases, substance abuse, physical problems as adults, premature death before age of 30 (4x higher in boys with conduct problems)

18
Q

what are the prevalence rates for ODD and CD?

A
  • 1-10% for ODD (higher for males)
  • 2-10% for CD (higher for males)
19
Q

whats the gender differences in relation to conduct disorders?

A

-gender differences are evident by 2-3 years of age
-during childhood, rates of conduct problems are about 2-4x higher in boys
-boys have earlier age of onset and greater persistence
- for boys the early symptoms of CD are aggression and theft
-for girls the early symptoms of CD are sexual misbehaviour
-50% of teenage boys and 25% of teen girls commit at least one violent act

20
Q

describe the course and development of conduct disorders

A

preschool: difficult temperament, hyperactivity, overt conduct problems aggressiveness/oppositionality

elementary school: withdrawl, poor peer relations, academic problems

Adolescence: overt or concealing conduct problems, association with deviant peers, delinquency (arrest)

21
Q

describe the Life-course persistent path (LCP)

A

-common in 10% of cases
-begins early and persists into adulthood
-subtle neuropsychological deficits heighten vulnerability to antisocial elements in social environment
-they show consistency across settings
-as young adults they struggle forming long lasting relationships
-complete, spontaneous recovery is rare after adolescence
-associated with family history of externalizing disorders

22
Q

describe the adolescent-limited (AL) path

A

-begins during puberty and ends in young adulthood
-less-extreme antisocial behaviour, less likely to drop situational factors, especially peer influences
-delinquent activity is often related to temporary situational factors, especially peer influences
-once they enter the adult world, many switch to more prosocial and adaptive behaviours
-persistence in early childhood may be the consequence of their antisocial behaviours at earlier stages (unplanned parenthood, school drop-out, substance use)

23
Q

what are the adult outcomes of conduct disorders?

A
  • the number of active offenders normally decrease by 50% by early 20’s
    -85% of delinquents stop engaging in criminal acts by late 20’s
    -even if antisocial behaviours decrease, coercive interpersonal styles may sometimes persist together with family, health and work difficulties
    negative adult outcomes are seen, especially for those on the LCP path
    males: criminal behaviour, work problems, and substance abuse
    females: depression, suicide, health problems
24
Q

what are the genetic influences of conduct disorders

A

Aggressive and antisocial behaviour in humans in universal
-runs in families within and across generations
-the strength of the genetic contribution is higher for children who display LCP and for those with callous-unemotional traits
-genetic risk works through different pathways: temperament, impulsivity, tendency to seek rewards, insensitivity, to punishment

adoption and twin studies:
-indicate 50% or more of variance in antisocial behaviour is hereditary
-suggest contribution of both genetic and environmental factors

25
Q

explain some neurobiological factors of conduct disorders

A

Behavioural approach system (BAS): stimulates behaviours in situations of reward or to avoid punishment

Behavioural inhibition system (BIS): explains out tendency to freeze, feel anxiety when we perceive danger.

antisocial patterns may derive from overactive BAS and under-active BIS

-structural and functional brain abnormalities in amygdala, prefrontal cortex anterior cingulate and insula

-variations in stress-regulating mechanisms and lower arousal and autonomic reactivity may lead to lower response to warnings and reprimands, poor response to punishment as well as fearlessness, reward seeking attitude

26
Q

what are some prenatal/birth complications that may lead to conduct disoder?

A

-low birth weight
-malnutrition
-lead poisoning
-mothers use of nicotine, weed and other substances during pregnancy
-maternal alcohol use during pregnancy

27
Q

what are some family factors in regard to causes of conduct disorders?

A

parental psychopathology: the presence of antisocial traits, can have a double effect as it impacts a child directly (genetic transmission) and indirectly (family conflict, stress, poor parenting)

Ineffective parenting practices have been found to be linked to conduct problems especially harsh parenting, neglect/poor monitoring

28
Q

explain the coercion theory proposed by patterson and colleagues

A

-overall mothers of children with antisocial problems tend to be less likely to enforce demands, therefore reinforcing the childs negative attitudes
-based on this theory, parent-child interactions provide a training ground for the development of antisocial behaviour