It may be accepted that at some point in a child’s life, they will display oppositional and defiant behaviour (Riley, 1997). When do the occasional rule-breaking, the sulking and whining, and the fits and tantrums become a cause for concern?
In the course of this paper I will seek to clearly define the characteristics of oppositional defiant disorder and its more severe cousin, conduct disorder. I will expound on the areas of symptoms, causes and co-morbidity, and delve into the appropriate treatment and potential for rehabilitation of a child or teenager who may be suffering with either of these disorders.
2. Definitions
Oppositional defiant disorder (ODD) can be characterized by a hostile, negative and argumentative behaviour pattern (Sue, Sue & Sue, 1997). It is common place for these children to lose their temper and argue with adults, refusing their requests. A child who is suffering with ODD will refuse to take responsibility for his actions and his behaviour is an “exaggerated attempt” to show the parent or authority figure that they have no control over him (Riley, 1997). Rutherford and Nickerson (2010) believe that defiant behaviour among children and teenagers is becoming more prevalent.
Conduct disorder (CD) can be characterized by repetitive and persistent social behaviour that violates the rights of others, or violates norms and rules that are appropriate for their age (McIntosh & Livingston, 2008). Conduct disorder includes behaviour such as bullying, lying, cheating, fighting, destruction of property, arson, assault, rape, truancy and cruelty to animals and people (Sue et al., 1997). It is quite evident that conduct disorder is a more severe behavioural condition than oppositional defiant disorder.
If the characteristics of both disorders mentioned here seem rather similar, they should. Is it reasonably to assume that there is some kind of connection between them?
2.1 Interrelatedness
According to the American Psychiatric Association (1993), the behaviour associated with oppositional defiant disorder does not involve the more serious violations of the rights of others in the manner in which it is displayed in conduct disorder. The characteristics do seem to overlap, and for this reason it is noted that it is difficult to separate oppositional defiant disorder from milder forms of conduct disorder and the normal developmental difficulties that can occur in...
TABLE OF CONTENTS
1.Introduction
2.Definitions
2.1.Interrelatedness
2.2.Causes
3.Medical and Mental Health Issues
3.1.Possible Medical Issues
3.2.Possible Mental and Emotional Issues
3.3.Possible Cognitive Issues
4.Oppositional Defiance Disorder (ODD)
4.1.Prevalence and Demographics
4.2.Co-morbidity
4.2.1.Attention Deficit/Hyperactivity Disorder (ADHD)
4.2.2.Mood Disorders
4.2.3.Learning Disabilities
4.2.4.Conduct Disorder
4.3.Symptoms of Oppositional Defiant Disorder
4.4.Treatment for Oppositional Defiant Disorder
5.Conduct Disorder
5.1.Prevalence and Demographics
5.2.Co-morbidity
5.3.Symptoms of Conduct Disorder
5.3.1.Criteria for a diagnosis of Conduct Disorder
5.3.2.Treatment for Conduct Disorder
6.Treatment for Conduct Disorder
6.1.Therapy
6.2.Medication
6.3.Camp “Rehab”
6.4.Parental Ideology
7.Traumatic Experiences as precipitating factors
7.1.Post-Traumatic Stress Disorder (PTSD)
7.2.Abuse
7.3.Treating a traumatized child
8.Conclusion
9.Appendices
9.1.Appendix A – Symptoms of Conduct Disorder
9.2.Appendix B – Diagnostic Criteria for Conduct Disorder (DSM-IV-TR)
10.References
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