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54 - Oppositional defiant disorder and conduct disorder

from Part III - Specific treatments

Published online by Cambridge University Press:  12 May 2010

By
Brent Collett ,
Stephen Scott ,
Carol Rockhill ,
Matthew Speltz  and
Jon McClellan
Edited by
Peter Tyrer  and
Kenneth R. Silk
Brent Collett
Affiliation:
Department of Child and Adult Psychiatry University of Washington Seattle, WA USA
Stephen Scott
Affiliation:
Institute of Psychiatry King's College London UK
Carol Rockhill
Affiliation:
Department of Child and Adolescent Psychiatry University of Washington School of Medicine Seattle, WA USA
Matthew Speltz
Affiliation:
Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA
Jon McClellan
Affiliation:
Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA
Peter Tyrer
Affiliation:
Imperial College of Science, Technology and Medicine, London
Kenneth R. Silk
Affiliation:
University of Michigan, Ann Arbor
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Summary

Editor's note

This chapter refers to both oppositional defiant disorder and conduct disorder under the broader term of Conduct Problems. The chapter reveals that many interventions have been shown to be effective in this group of patients, and even in some instances for the effectiveness to last long after the intervention has ended. Interventions that focus on parent training or on family interventions have been shown to have positive impact. These interventions are effective if delivered to the individual parents or families or to groups of parents or families. Psychopharmacology for this group of patients is used much more readily in the USA than in the UK, and effectiveness has been shown for the psychostimulants, clonidine and risperidone. As always, the care needs to be individualized. The authors lament the fact that, while there is a very great need for interventions among this diagnostic population, the availability of the psychosocial interventions is quite limited in both the UK and USA.

Introduction

Conduct disorder (CD) is characterized by persisting, inappropriate and severe antisocial behaviour. In ICD 10, CD is an overarching term that includes oppositional defiant disorder (ODD) as a milder subtype typically found in younger children and CD as more severe form found in older youths. In DSM IV, they are classified as separate disorders. ODD and CD are the most common reasons for referral for psychiatric care for boys (Meltzer et al., 2003).

Type
Chapter
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Cambridge Textbook of Effective Treatments in Psychiatry , pp. 796 - 807
Publisher: Cambridge University Press
Print publication year: 2008

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  • Oppositional defiant disorder and conduct disorder
    • By Brent Collett, Department of Child and Adult Psychiatry University of Washington Seattle, WA USA, Stephen Scott, Institute of Psychiatry King's College London UK, Carol Rockhill, Department of Child and Adolescent Psychiatry University of Washington School of Medicine Seattle, WA USA, Matthew Speltz, Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA, Jon McClellan, Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA
  • Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
  • Book: Cambridge Textbook of Effective Treatments in Psychiatry
  • Online publication: 12 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544392.056
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  • Oppositional defiant disorder and conduct disorder
    • By Brent Collett, Department of Child and Adult Psychiatry University of Washington Seattle, WA USA, Stephen Scott, Institute of Psychiatry King's College London UK, Carol Rockhill, Department of Child and Adolescent Psychiatry University of Washington School of Medicine Seattle, WA USA, Matthew Speltz, Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA, Jon McClellan, Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA
  • Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
  • Book: Cambridge Textbook of Effective Treatments in Psychiatry
  • Online publication: 12 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544392.056
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  • Oppositional defiant disorder and conduct disorder
    • By Brent Collett, Department of Child and Adult Psychiatry University of Washington Seattle, WA USA, Stephen Scott, Institute of Psychiatry King's College London UK, Carol Rockhill, Department of Child and Adolescent Psychiatry University of Washington School of Medicine Seattle, WA USA, Matthew Speltz, Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA, Jon McClellan, Department of Child and Adolescent Psychiatry University of Washington Seattle, WA USA
  • Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
  • Book: Cambridge Textbook of Effective Treatments in Psychiatry
  • Online publication: 12 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544392.056
Available formats
×