Externalizing Disorders

Question 1

Define ODD (Oppositional Defiant Disorder)

Answer 1

pattern of negativistic, angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least 4 symptoms of the following categories, and exhibited during interaction with at least one individual who isn’t a sibling

Question 2

Description of Angry/Irritable mood

Answer 2

1. often loses temper
2. often touchy or easily annoyed
3. angry or resentful

Question 3

Description of Argumentative/Defiant Behavior

Answer 3

1. Argues with authority figures
2. often actively defies or refuses to comply with rules
3. deliberately annoys other

Question 4

Description of vindictiveness

Answer 4

often spiteful or vindictive (unreasoning desire for revenge)

Question 5

Define CD (Conduct Disorder)

Answer 5

repetitive and persistent pattern of behavior in which the basic rights of others or major age appropriate societal norms or rules are violated, as manifested by the presence of 3 or more of the following criteria in the past 12 months, with at least one criterion present in the past 6 months.

• aggression to people and r animals
• destruction of property
• deceitfulness or theft
• serious rule violations

Question 6

Description of aggression to people or animals

Answer 6

1. often bullies,threatens, or intimidates others
2. initiates physical fights
3. physically cruel to people, animals

Question 7

Description of destruction of property

Answer 7

deliberately engaged in fire setting with intention of causing serious damage

Question 8

Description of deceitfulness or theft

Answer 8

1. broken into someone’s house, building or car
2. lies to obtain something or to avoid obligations
3. stolen things without confronting a victim

Question 9

Description of serious rule violations

Answer 9

1. stays out at night against parents’ wishes, beginning before age 13
2. run away overnight at least twice
3. been truant from school, beginning before age 13

Question 10

CD developmental progression mode

Answer 10

1. early childhood (poor parental monitoring and discipline)
2. child conduct problems
3. middle childhood (rejection by normal peers and academic difficulties)
   4, commitment to deviant peer groups
4. late childhood and adolescence (delinquency)

Question 11

Risk Factors:

Answer 11

Major risk factors:

• parental neglect
• history of physical or sexual abuse
• difficulty early temperament
• harsh parental discipline practices
• inconsistence in primary caregivers
• large family
• association with deviant peer group
• low verbal intelligence
• parent history of CD and/or Antisocial Personality Disorder
• low socioeconomic status
• neighborhood disorganization and violence

Question 12

Protective Factors

Answer 12

• good relations with at least one parent
• god peer relations
• good parental monitoring