Conduct Disorder Power Point 2007 Fall Pba
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- 1. Bad Boys? Bad Girls?
Conduct disorder refers to a group of behavioral and emotional
problems in youngsters. Children and adolescents with this disorder
have great difficulty following the rules and behaving in a
socially acceptable way. They have and are often viewed by other
children, adults and social agencies as bad or delinquent, rather
than mentally ill. Many factors may contribute to a child
developing conduct disorder, including brain damage, child abuse,
genetic vulnerability, school failure and traumatic life
experiences. (Psychiatry, 2004)
- 2. What is it?
The diagnosis criteria for conduct disorder (codes 312. Xx
representing digits which vary upon severity, onset, etc of the
disorder? As listed in the DSM IV-TR are as follows:
A repetitive and persistent pattern of behavior in which the basic
rights of others or major age-appropriate societal norms or rules
are violated, as manifested by the presence of three (or more) of
the following criteria in the past 12 months, with at least one
criterion present in the past 6 months:
- 3. What is it?
Aggression to people and animals often bullies people, threatens,
or intimidates others.
Often initiates fights
Has used a weapon that can cause serious injury and or psychical
harm to others a bat, brick broken bottle, knife and or
gun
- 4. What is it?
Has been psychically cruel to people
Has been psychically cruel to animals
Has stolen while confronting a victim(e.g. extortion mugging a
purse or armed robbery
Destruction of property has engaged in setting fires with intent of
causing serious harm and damage and has deliberately destroyed
others property
- 5. What is it?
Deceitfulness of theft and has broken into someone elses property
house, building, car often lies about it to obtain goods or favors
or to avoid obligations
Serious violation of rules by staying out all night despite
parental prohibitions beginning before the age of 13 and has run
away from home at least twice and of course truant from
school
The disturbance in behavior causes clinically, significant
impairment in social academic or occupational
functioning.
- 6. What can school counselors do?
In the classroom the child will be labeled as a bad child. This
will impede the child getting the proper help that the child needs.
Many times teachers will pass on not only good information but
unfortunately bad information as well. You have (Johnny)? Boy, are
you ever in for a bad year! Teachers need to look at the child from
a school counselors point of view and see that child as someone in
need rather than someone that will live to make the teacher
miserable for the next ten months. There will be challenges with
the child such as those stated above.
- 7. What can school counselors do?
Non-anti-social behavior in the classroom will benefit learning not
only for the child involved but for the rest of the children in the
classroom. This will enhance the learning environment and increase
standardized test scores. Increased test scores will benefit the
community of teachers that will look at the students in a different
light. Instead of the bad seed you have a student with special
needs. This is the same child and the same diagnosis in the DSM-IV
however, the perception is different you see.
- 8. What does society think?
Despite all barriers of whether the child is black or white or
Hispanic or Jew living in the country or cities this can be
treated. These children need to be pulled from the glue of the
label of bad seed and embraced with the help afforded a special
needs child. Without doing this we are doing the very premise of
public education a disservice and wasting tax dollars on programs
that simply do not work.
- 9. Conduct disorder at home
At home the child or teen with CD will test the waters with
frequency and fervor. Although it is normal for a teenager to test
his or her boundaries, a child with CD goes beyond the boundaries
with no regrets to his or her actions. These homes are in chaos.
The relationships are strained or broken to the point that the
parents no longer can or will help the child.
- 10. Misbehaving or conduct disorder?
Often times these children become teens that are left alone enough
to their own demise and destruction for lack of wanting to
challenge them with anything. There are teenagers whose behavior is
consistently troubling to others. In these cases the teens behavior
is clearly outside the range of what is considered normal or
acceptable. Perhaps most alarming is that many of these teenagers
show little of no remorse, guilt, or understanding of the damage
and the pain inflicted by their behavior. (Pruitt & AACAP,
1999)
- 11. What else happens?
Children with CD will often times become depressed which occurs in
tandem with other conditions like Attention Deficit Disorder and
Oppositional Defiance Disorder. This will exacerbate all symptoms.
However, at home the child will become more and more difficult to
handle
- 12. spiritually
Spiritually the family will either develop resilience or drop into
the mire of depression themselves. Does the church reach out?
Children who exhibit elevated levels of conduct problems are at
increased risk for developing co-occurring (Cutuli JJ, 2006)
depression symptoms, especially during adolescence.
- 13. society
Society beckons parents with responsibility toward their children.
However, this very structure limits the parents authority. A child
that is knowledgeable in the system will know how to manipulate it
to his or her advantage. For example: Do not hit me or you will get
into trouble if I tell! Parents are either allowed to have
authority over the child or the judicial authority will rule over
them later in life. Society has to either take responsibility for
the mentally ill up front or pay for them later on in life. Sooner
or later the children that are suffering from conduct disorder will
end up in our penal system.
- 14. retirement
Information on childhood conditions may increase our understanding
of the determinants of early retirement, especially due to mental
disorders. Childhood adversities should be taken into account when
considering determinants of disability retirement and identifying
groups at risk. (Harkonmaki K, 2007)
- 15. resilience
What makes one child successful and another one not? What makes one
child more resilient than another? Is it genetics? Nature? Nurture?
The environment? Resilience in children as the ability to continue
to progress in tier positive development despite being bent,
compressed, or stretched by factors in a risky environment. Bernard
summarizes this concept as the capacity al young people have for
healthy development and successful living. (Thompson &
Henderson, 2007)
- 16. What can school counselors do?
Children with Conduct disorder and young adults have usually
exhausted all ties with those that love them by their destructive
and often violent behavior. The resiliency approach to
understanding children provides one example of looking at the
positive attributes of human beings. Identifying coping mechanisms
that lead to buffers for stress helps counselors promote healthy
lifestyles. (Thompson & Henderson, 2007)
- 17. Faith is
Faith comes from the soul and interacts with and encompasses all
facets of the stages of development. Faith is not achieving
greatness but, the will to get up and try again and again. You can
have faith that the child will not go into the penal system and be
productive. You will have faith that the child will develop a
positive self-image. You will have faith that all this will happen.
If there are no counselors that embrace this belief then no one
will love the unlovable as they are constantly told.
- 18. Now what?
If we allow boys to be boys then we will miss one of the major
sweeps of society. The outcome can be a favorable one or
unfavorable. Will we as school counselors advocate for our
profession for these children or have others dictate what we can
do?
- 19. Think about it!
Conduct Disorder intervention early can prevent a sociopath later
in life!
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