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Conduct Disorders
- Deliquency
- Defined in terms of law breaking
- Repeated and persistent violations of age-appropriate social expectations
- By actions which give rise to social disapproval
- which are clearly excessive
- associated with significant suffering or impaired personal functioning
- Characterised by persistent forms of anti-social behaviours
- stealing
- lying
- fighting
- bullying
- truancy
- wandering
- disobedience
- destructiveness
- vandalism
- exceptional defiance
- tantrums
- provocative behaviour
- cruelty
- fire-setting
- sexual promiscuity
Risk factors for conduct disorders
- Boy 4 :1 girl
- Associated with
- family discord
- parental criminality
- inconsistent, erratic parental discipline
- cold or rejecting family relationships
- large family size
- social disadvantage
- specific reading disability
- hyperactivity
- Parents tend to be
- less likely to perceive anti-social behaviour in the child
- attend to it more by nagging
- less effective at terminating deviant behaviour
- vague in instructions to the child
- issue large numbers of commands, usually poorly followed through
- use more punishment and less praise
- engage in mutually coercive reactions with the child
- set few rules
Classification
- Unsocialised
- Socialised
- Mixed disorder of conduct and emotions
- Untidy overlap with depression, hyperactivity, attachment disorder
- Oppositional defiant disorder
Management
- ?Medical condition or social problem?
- Treat co-morbid depression, hyperactivity
- Parent training
- Family therapy
- Individual or group work
- In-patient / secure units
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