Conduct Disorder (CD)

Disruptive Behavior Disorders. Oppositional defiant disorder (ODD), conduct disorder (CD), and attention deficit hyperactivity disorder (ADHD) form a cluster of childhood disorders considered to be “disruptive behavior disorders” (American Psychiatric Association, 2004). Although most violent adolescents have more than one mental disorder and they may have internalizing disorders, for example depression or substance abuse, there appear to be increasingly higher rates of physical aggression found in these adolescents who experience disruptive behavior disorders than for those with other mental disorders. The fact that violent juvenile offenders are more likely to have these diagnoses is not surprising, because impulsive and/or aggressive behaviors are part of their diagnostic criteria. Additionally, there is relatively high co-morbidity with substance abuse disorders, which are also associated with juvenile violence (Moeller, 2001). Individuals with conduct disorder have the following features but this list is not inclusive for example they may have little empathy and little concern for the feelings, wishes, and wellbeing of others, respond with aggression, may be callous and lack appropriate feelings of guilt re remorse, self-esteem may be low despite a projected

A rating scale was completed by a Parker Elementary school teacher, Mrs. Smith for 8 year old Andrea. The Disruptive Behavior Rating Scale (DBRS) consisted of 50 questions with responses with zero representing rarely/hardly ever, one representing occasionally, two representing frequently, and three representing most of the time. The scale utilized is used by clinical professionals for diagnostic purposes of four different areas for behavior concerns these include: distractible, oppositional, impulsive-hyperactivity, and antisocial conduct. The rating scale was completed on 1/31/1992.

TED Talk stated that the greatest risk factors for children who are identified as having conduct problems are that they will end up in prison. 1 in 5 children that are diagnosed with conduct disorder from ages 5 to 6 years of age will cost over $1 million dollars. The book stated that they are often aggressive and psychological cruel to people. They will destroy people’s property, steal, skip school, and many more bad things if you treat it later it will be more difficult. Schools does use some of the strategies and resources that are recommended by The Virtues Project, because it helps to understand the how they should talk to children. I think that families and teachers do not integrate some strategies because sometimes it does not work,

Today, as many as 3.5% of children in the United States are being diagnosed with Conduct Disorders some as early as age three (Perou, et al., 2013). Research has shown that CD is a behavior that predicts Oppositional Defiant Disorder and Attention Deficit Hyperactivity Disorder symptoms at age six (Harvey and Metcalfe, 2013).

Antisocial Personality Disorder is a very rare disorder. The criteria to be diagnosed with Antisocial Personality Disorder has been changed in the Diagnostic and Statistical Manual of Mental Disorders throughout many years. The rareness of this disorder can be considered beneficial in the world because of the way people diagnosed with it become and what they do to others. Many people diagnosed with antisocial personality disorder find their self in prison. A variety of causes pertain to this disorder. Very few treatments of this disorder seem to work of this that has been tested. Researchers are still working on a better way to treat this disorder. The defense mechanisms associated with antisocial personality disorder are quite common and the same during the course of diagnosis.

Evidence indicates that genetic factors may play a role in development of disruptive behavior disorders (Hansell & Damour, 2005). A biological structure of an infant’s brain has preposition genes and chemical responses to develop into an adult (Perry, 2002). Disorders in lifespan development are not biologically set to occur (Dombeck, 2010). Issues’ dealing with environment, education, and way of life has made changes in developments, childhood behavior keeps a child on a continuum between normal and abnormal behavior (Hansell & Damour, 2005). Several disorders currently exist in the Diagnostic and Statistical Manual (DSM-IV-TR) because studies on children, adolescent, and young adult disorders evolved from DSM-II (Hansell & Damour, 2005).

Oppositional defiant disorder (ODD) is one of a group of behavioral disorders in the disruptive behavior disorders category. Children who have these disorders tend to be disruptive with a pattern of disobedient, hostile, and defiant behavior toward authority figures. These children often rebel, are stubborn, argue with adults, and refuse to obey. They have angry outbursts, have a hard time controlling their temper, and display a constant pattern of aggressive behaviors. ODD is one of the more common mental health disorders found in children and adolescents (AACAP, 2009). It is also associated with an increased risk for other forms of psychopathology, including other disruptive behavior disorders as well as mood or anxiety problems (Martel,

"Attention deficit and disruptive behavior disorders include three diagnoses: attention deficit/hyperactivity disorder, oppositional defiant disorder, and conduct disorder. All three of these disorders are characterized by externalizing behaviors in which children "act out" and fail to conform to the behavioral standards of their homes, school, and communities" (Hansell & Damour, 2005, p.454).

In order for someone to be diagnosed with Conduct Disorder, they must meet all the criteria A through C, and Criteria A clearly states that a client must have experience 3 of the 15 statements listed in the DSM-V, within the last 12 months. The behaviors include aggression toward people and animals, destruction of property, deceitfulness and stealing, and other serious violations of rules. Eddies actions do not fit into this criteria since he is not aggressive or bullying classmates or friends, and although his parents have stated that he “demolished” the kitchen or living room, it is clear he is not violent or prone to lying and stealing. The only blatant disregard for rules that could be considered dangerous was when Eddie ran out of the house and wandered into the street until someone returned him home. However, that occurred when he was four years old, not in the last 12 months. Eddie does not fit into Criteria A due to a lack of violent nature. Criteria B states that the individuals behaviors cause a significant impairment in social, academic or occupational functioning, however, since Eddies behaviors do not fit into Criteria A, this does not apply. Lastly, Criteria C states that if the client is 18 years or older, they do not meet the criteria for antisocial personality disorder, which also doesn’t apply to Eddie. It is clear after looking through all Criteria A-C, Eddie does not have conduct disorder.

There are two common type of disruptive behavior disorders that affects children lives in a negative fashion when not treated properly. According to the American Academy of Pediatrics (2004) “Behaviors typical of disruptive behavior disorders can closely resemble ADHD particularly where impulsivity and hyperactivity are involved but ADHD, ODD, and CD are considered separate conditions that can occur independently. About one third of all children with ADHD have coexisting ODD, and up to one quarter have coexisting CD” .The two types of disruptive behavior disorders are oppositional defiant disorder and conduct disorder. Some symptoms of disruptive behavior disorder is breaking rules, defiant, argumentative, disobedient behaviors towards authority

Symptoms of adhd are not paying attention to detail, making careless mistakes, failing to pay attention and keep on task, not listening, being unable to follow or understand instructions, being distracted, fidgeting, squirming, getting up often when seated, running, talking excessively, having trouble playing quietly, and interrupting

Antisocial personality disorder (ASPD), opposition defiant disorder (ODD), and conduct disorder (CD) are three distinct disorders based upon their respective diagnostic criteria in the DSM-5. If ODD and CD were mild forms of ASPD, then there would need to be causal relationship between the childhood manifestations of ODD and CD and the adult manifestation of ASPD. There is evidence of comorbidity between ODD and CD, and also evidence to suggest that children diagnosed with these disorders may go on to develop ASPD later in life; however, correlation does not equal causation. The three disorders have subtle but important differences in their associated behaviors, underlying causes, treatment outcomes, and neurological signs.

My hypothesis on conduct disorder in children can lead to criminal activity in adulthood. The research that was conducted from this question was that of Memorial University of Newfoundland, the Department of Psychology. Sampson and Laub (1997) discussed conduct disorder as not being a single cause of adult criminal behavior, but instead the start to what they termed as a life of “cumulative disadvantage”. The conduct disorder might indeed be the initial cause of problems, but may be replaced by the effects of disapproving, negative reactions from others.

Everyday we are hearing more and more about a child or teen that has committed some horrible act. On Tuesday April 27, 2004 a twelve-year-old Georgia boy was arrested for allegedly using “his hands to strangle a third grader who disappeared while riding her bicycle”(McLaughlin, 2004). In February, a twelve-year-old girl was beaten to unconsciousness by a group of adolescents and young adults while at a birthday party in Baltimore. The question we must ask ourselves is where are the parents? Sadly, in the case of the Baltimore girl, one of the young adults was the parent of one of the children. How do children learn that violent and socially deviant behavior is acceptable? Both of these scenarios

Overt conduct disorder violate social rules and includes a wide variety of antisocial behaviors such as aggression, theft, vandalism, firesetting, lying, truancy, and running away. It interferes with everyday functioning at home and school. Students with overt conduct disorder “perform harmful behaviors at a much higher rate and at a much later age than normally developing student” (Kauffman 2005).