Disruptive Behavior in Children Flashcards
What are the neurobiological characteristics of ODD and CD?
*Weak biological responses to the prospect of punishment and of punishment itself *Reduced cortisol reactivity
*Reduced amygdala response
*Difficulty learning associations
What are the neurobiological characteristics of ADHD?
*Under-aroused, under-reactive, underresponsive
*Reward pathway and prefrontal cortex
*Need dopamine!
*Hyperactivity = attempts to stimulate
*Amphetamine medications increase baseline arousal so that ordinary stimulation brings the person up to a comfortable level
What are the cognitive characteristics of disruptive behavior?
*Distortions vs. Deficiencies: Flawed reasoning and misunderstandings (depression & anxiety); Insufficient quantity of cognition (disruptive)
*Executive cognitive functioning: Emotional self-regulation; Anticipating consequences (poor impulse control);Problem solving
*Consequential thinking–“If ____, then ____.”; Limited in social skills so when presented with interpersonal problems, may only think of 1-2 actions to take
What are the behavioral-systemic characteristics of disruptive behavior?
*Research has shown strong associations between disruptive behavior disorders in children and maladaptive child management practices in parents.
*Many of these parents vacillate between inadequate supervision and counterproductive overreactions to misbehavior.
*The parent-child interaction patterns seem aversive to both parties; Mutual conditioning that maintains both sides of the aversive interactions. The reinforcements are hidden, but they are there
What are the psychodynamic characteristics of disruptive behavior?
-Oppositional behavior may be defensive: (“Tough guy,” Provoking punishment to relieve guilt
*Impaired object relations: Misperceive directives as taking control, would lose autonomy
When should you use behavioral-systemic parent training?
If the child seems capable of compliance but insufficiently motivated to cooperate
When should you use collaborative problem solving?
If as a result of emotion dysregulation, the child often seems incapable of compliance
When should you use social problem solving?
If the child’s misbehavior seems driven primarily by impulsivity and poor judgment
What is behavioral-systemic parent training?
BST changes interactions around discipline by replacing yelling and emotion with calm implementation of procedures.
What is collaborative problem solving?
In CPS, when the child’s noncompliance is associated with distress, parents: Express empathy by reflecting the child’s feelings. Soothe the child with gentle words and touch.–Coach the child in emotion regulation (e.g., deep breaths). Problem-solve to find mutually acceptable solutions by stating nonnegotiable priorities and modifying negotiable aspects of the directive.
What is social problem solving?
*This type of cognitive therapy consists of structured procedures for slowing down impulsive reactions, anticipating consequences, and planning reasonable responses. *The 5-step technique consists mostly of questions the client asks himself and then answers.
1.What is the problem?This first step asks for a concise verbal definition of the problem. 2.What are possible solutions?The child brainstorms at least two.
3.What are the probable consequences of the options?This step involves realistic, critical thinking. 4.Choose the best option and do it.The best option is the one with the best probable consequences, as assessed in Step #3.
5.Did it work? If Step #4 solves the problem, the procedure is over. If not, the child goes back to her remaining options from Step #2
