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Published online by Cambridge University Press: 11 August 2009
This chapter concerns continuities and discontinuities in disruptive behaviour disorder, including oppositional defiant disorder (ODD) and conduct disorder (CD). It takes as its starting point a series of reviews on the stability of disruptive behaviour (Caspi & Moffitt, 1995; Coie & Dodge, 1998; J.D. Hawkins et al., 1998; Lahey et al., 1992, 1997; Lipsey & Derzon, 1998; Loeber, 1982, 1991; Loeber & Dishion, 1983; Loeber & Stouthamer-Loeber, 1987; Maughan & Rutter, 1998) showing quite high continuities between childhood, adolescent and adult manifestations of disruptive behaviours, including delinquency and antisocial personality disorder. This chapter expands the prior reviews by addressing the following questions:
What are some of the main findings on the prediction of disruptive behaviour, and what are the caveats to be kept in mind when interpreting figures on the continuity of disruptive behaviour?
Why is it important to understand heterotypic continuity of disruptive behaviour?
What are psychiatric models of continuity and escalation in disruptive behaviour?
Are there multiple pathways to serious symptoms of disruptive behaviour?
What are the emotional and cognitive factors that are thought to influence the stability of disruptive behaviour?
It should be understood that there are many different factors that influence the continuity of disruptive behaviour. In this volume, neurochemistry and brain factors are reviewed by Herbert & Martinez (chapter 4), genetic factors by Simonoff (chapter 8), environmental influences by Maughan (chapter 7) and neuropsychological aspects are reviewed by Lynam & Henry (chapter 9).
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