Case Study

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Southern New Hampshire University *

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636

Subject

Psychology

Date

Apr 3, 2024

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docx

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2

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Hello everyone, For my case study, I chose to focus on a student exhibiting extreme behavioral issues. The individual in question is a male eleventh-grader who has participated in several disruptive events and is currently enrolled in a program that provides both residential and day treatment for youths with significant emotional disorders, with some staff members occasionally referring to him as psychotic. During the initial period of observation, his performance on assignments was notably poor. Situations in which he was distracted or left his seat, leading to the termination of the assignment, were frequently ignored, permitting him to regularly avoid academic responsibilities. The Functional Behavior Assessment (FBA) concluded that the observed behaviors were strategies employed to evade and circumvent academic duties. Based on the observed behavior, the student may be diagnosed with Oppositional Defiant Disorder (ODD). According to Fucà et al. (2023), ODD is characterized by a persistent pattern of argumentative or defiant behavior, an angry or irritable mood, and vindictiveness lasting at least six months. This includes frequent temper loss, deliberate annoyance of others, and spiteful or vindictive actions. For a diagnosis of Oppositional Defiant Disorder (ODD), children under five years old should display the specified behaviors on most days for a period of at least six months. Individuals aged five and older should exhibit these behaviors at least once a week for a minimum of six months. In severe cases, symptoms may be present in multiple settings, though they can be confined to a single environment, typically the home. The severity of ODD is gauged by the frequency of symptoms, making it crucial for clinical assessments to consider various relationships and contexts. (Fucà et al., 2023).These behaviors significantly impair functioning in areas such as work, school, social activities, and family relationships. According to Lin et al. (2022), a multitude of factors across various domains have been identified in past research as potential contributors to the emergence of ODD symptoms. These include individual, biological, environmental, and demographic factors, along with their interplay. A broad spectrum of individual child characteristics associated with ODD symptoms has been explored due to the disorder's strong biological underpinnings (Lin et al., 2022). For example, empirical studies have begun delving into its epigenetic aspects and the gene- environment nexus. Neuroimaging findings suggest involvement of several regions within the amygdala and prefrontal cortex. Additionally, there is consistent evidence indicating fluctuations in cortisol levels. Moreover, a significant association exists between ODD symptoms in children and psychosocial attributes such as temperament, social cognition, and emotion regulation. It is well recognized that family variables, including maltreatment, neglect, inadequate discipline methods, and familial psychopathology, have a substantial impact on children's disruptive behaviors. ODD is more likely in homes where there is a frequent change in the caregivers who oversee the children or in families where there is a history of harsh, inconsistent, or negligent child-rearing methods (Lin et al., 2022). Fucà, E., Cirillo, F., Celestini, L., Alfieri, P., Valentini, D., Costanzo, F., & Vicari, S. (2023). Assessment of oppositional defiant disorder and oppositional behavior in children and adolescents with Down syndrome.  Frontiers in psychiatry 13 , 1062201. https://doi.org/10.3389/fpsyt.2022.1062201
Lin, X., He, T., Heath, M. A., Chi, P., & Hinshaw, S. P. (2022). A Systematic Review of Multiple Family Factors Associated with Oppositional Defiant Disorder. International Journal of Environmental Research and Public Health , 19 (17), 10866. https://doi.org/10.3390/ijerph191710866
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