Disruptive, Impulse-Control, and Conduct Disorders

Question 1

The essential feature of _____________________ is a recurrent pattern of an angry/irritable mood, argumentative/defiant behavior, or vindictiveness as evidenced by at least four characteristic symptoms exhibited during interactions with non-siblings:

• Often loses temper
• Often argues with _____________
• Often refuses to comply with requests from authority figures or rules
• Often blames others for his/her own mistakes

Answer 1

• Oppositional Defiant Disorder
• Authority figures
• Bonus: Symptoms have persisted at least 6 months.

Question 2

________________________ is characterized by recurrent behavioral outbursts related to an inability to control aggressive impulses as manifested by:

• Verbal or physical aggression that occurs (on average) twice a week and has persisted for at least 3 months
• ___ behavioral outbursts that cause damage to property or and/or physical assault injuring people or animals in a 12 month period

Answer 2

• Intermittent Explosive Disorder
• 3

Question 3

In ____________________, the severity of the aggressiveness is disproportionate to provocation/stressors, outbursts are not ___________________, and outbursts cause significant distress, impaired functioning, and/or legal consequences.

Answer 3

• Intermittent Explosive Disorder
• Premeditated/instrumental

Question 4

A diagnosis of Intermittent Explosive Disorder can only be assigned if a person is at least ___ years old or the equivalent developmental level.

Answer 4

6.

Question 5

__________________ requires a persistent pattern of behavior that violates the basic rights of others and age-appropriate social norms or rules, as evidenced by the presence of at least ___ characteristic symptoms during the past 12 months and at least ___ symptom in the past 6 months.

Answer 5

• Conduct Disorder
• 3
• 1

Question 6

The four categories of characteristic symptoms for Conduct Disorder are:

• ___________ to people and animals
• Destruction of property
• ____________ or theft
• Serious violation of rules

Answer 6

• Aggression
• Deceitfulness

Question 7

Conduct Disorder is more common in males than females; males are more likely to exhibit ______________ and _____________ aggression, while females exhibit more relational aggression.

Answer 7

• Physical
• Relational

Question 8

Specifiers for age of onset are provided for Conduct Disorder; childhood-onset type is diagnosed when symptoms are present before ___ years of age; adolescent-onset type is diagnosed thereafter.

Answer 8

10.

Question 9

_________________-onset Conduct Disorder is associated with a higher degree of aggressiveness, a greater risk for continued aggressiveness in adulthood, and an eventual diagnosis of ASPD and/or Substance-Related Disorder.

Answer 9

Childhood.

Question 10

Additional specifiers are provided for Conduct Disorder, including those for _______________ and ______________________ (lack of remorse/guilt, callous/lack of empathy, shallow/deficient affect).

Answer 10

• Severity
• Lack of prosocial emotion

Question 11

Moffitt (1993) distinguishes between ___ types of Conduct Disorder differing in age of onset, symptom severity, and etiology.

Answer 11

2.

Question 12

The ______________________________ type of Conduct Disorder begins early (Sx sometimes apparent by age 3), and involves a pattern of increasingly serious transgressions that continue into adulthood. Moffitt attributes this type to a combination of neurological impairments (esp. in verbal skills, executive functioning, memory), difficult temperament, and adverse environment.

Answer 12

Life-Course-Persistent Type.

Question 13

The __________________________ type of Conduct Disorder is a temporary form of antisocial behavior that reflects a “maturity gap” between the adolescent’s biological maturation and lack of opportunities for adult privileges and rewards. Antisocial acts are usually committed with peers and are inconsistent across situations.

Answer 13

Adolescence-Limited Type.

Question 14

Interventions for Conduct Disorder are most effective when they target ___________________ and include _______________________.

Answer 14

• Preadolescents
• Family Intervention

Question 15

Patterson and colleagues (1992) developed ____________________ (PMT) for Conduct Disorder, which teaches parents to reward the positive behaviors of their children and replace physical punishment for undesirable behaviors with time-out, response cost, and similar techniques.

Answer 15

Parent Management Training.

Question 16

_______________________ (MST) is an alternative approach to treating Conduct Disorder, targetting the individual, family, school, and community, and combining behavioral, cognitive, family systems, and case-management strategies.

Answer 16

Multisystemic treatment.