9781593850913

This comprehensive volume reviews and synthesizes a vast body of knowledge on maladaptive aggression and antisocial behavior in youth. Written from a clinical-developmental perspective, and integrating theory and research from diverse fields, the book examines the origins, development, outcomes, and treatment of this serious problem in contemporary society. Major topics addressed include the types and prevalence of aggressive and antisocial behavior; the interplay among neuropsychiatric, psychosocial, and neurobiological processes in etiology; known risk and protective factors; gender variables; and why and how some children "grow out of" conduct disturbances. Chapters also discuss current approaches to clinical assessment and diagnosis and review the evidence for widely used psychosocial and pharmacological interventions.

Daniel F. Connor, MD, is currently Professor of Psychiatry and Pediatrics at the University of Massachusetts Medical School in Worcester, Massachusetts. He is also Director of Pediatric Psychopharmacology at the University of Massachusetts Memorial Health Care. A clinician and clinical researcher in child and adolescent psychiatry, Dr. Connor is certified by the American Board of Psychiatry and Neurology in the specialty of Psychiatry and the subspecialty of Child and Adolescent Psychiatry. As a practicing clinician, Dr. Connor evaluates and treats a wide variety of youth with serious emotional and behavioral disturbances, most of whom have troubles with excessive, inappropriate, and maladaptive aggression and related problems. An active clinical investigator, Dr. Connor has authored numerous scientific articles and book chapters on aggression, pediatric psychopharmacology, attention-deficit/hyperactivity disorder (ADHD), and disruptive behavior disorders. As Director of the Pediatric Psychopharmacology Clinical Trials Program at the University of Massachusetts Medical School, he participates in many multisite clinical drug trials developing new therapies for children and adolescents with ADHD and disruptive behavior disorders.

Definitions and Subtyping of Aggressive Behavior	p. 1
Issues Related to Terminology and Definitions	p. 2
A General Definition of Aggression	p. 3
Adaptive and Maladaptive Aggression	p. 4
Definitions of Aggression from Different Professional Perspectives	p. 7
Subtypes of Aggression	p. 9
Limitations of Current Concepts of Aggression	p. 25
Chapter Summary	p. 27
Prevalence of Aggression, Antisocial Behaviors, and Suicide	p. 28
Adaptive Aggression in Normal Childhood Development	p. 29
Prevalence of Maladaptive Aggression in Community Samples	p. 31
Juvenile Justice Studies and Statistics	p. 33
Prevalence of Youth Suicide	p. 40
Prevalence of Maladaptive Aggression in Psychiatrically Referred Samples	p. 42
Chapter Summary	p. 44
Aggression: Stability, Impairment, and Desistance	p. 46
Methodological Issues	p. 47
Stability of Aggression and Related Behaviors in Community Samples	p. 48
Gender and Stability	p. 51
Stability-Based Subtypes of Aggression	p. 52
Impaired Longitudinal Outcomes of Aggressive Children	p. 54
Discontinuation and Desistance from Aggression	p. 58
Chapter Summary	p. 60
The Relationship between Categorical Psychiatric Diagnosis and Aggression	p. 62
Disruptive Behavioral Disorders	p. 64
Mood Disorders	p. 75
Substance Use Disorder	p. 86
Personality Disorders	p. 91
Psychopathy	p. 94
Psychotic Disorders	p. 102
Anxiety Disorders	p. 105
Problems with Understanding Aggressive Behaviors within a Categorical Diagnostic Context	p. 110
Chapter Summary	p. 112
Risk and Protective Factors in Aggression and Related Behaviors	p. 113
Individual Risk Factors	p. 115
Family Risk Factors	p. 134
Extrafamilial Risk Factors	p. 145
General Discussion of Risk Factors	p. 158
Protective Factors	p. 160
Chapter Summary	p. 162
Psychobiology: Neuropsychology, Psychophysiology, Brain Imaging, and Minor Physical Anomalies	p. 163
Neuropsychology	p. 164
Psychophysiology	p. 176
Brain Imaging	p. 192
Minor Physical Anomalies	p. 194
Chapter Summary	p. 195
Neurobiology: Biobehavioral Models and Neurological Disorders	p. 197
Steroid Hormones	p. 198
Monoamines	p. 207
Neurobiological-Behavioral Models	p. 225
Neurological Disorders Thought to Be Related to Aggression	p. 237
Chapter Summary	p. 243
Integrated Models of Aggression and Related Behaviors	p. 245
Developmental Psychology	p. 246
Biosocial Interactions	p. 261
Chapter Summary	p. 268
Issues in Female Aggression and Related Behaviors	p. 270
The Forms of Female Aggression	p. 272
Prevalence and Stability	p. 282
Correlates	p. 283
Developmental Pathways	p. 292
Young Adult Outcomes	p. 295
Chapter Summary	p. 301
Clinical Assessment, Case Formulation, and Treatment Planning	p. 302
A Caveat: Increasing Resource Limitations in Child and Adolescent Mental Health Treatment	p. 303
A General Model of Assessment, Case Formulation, and Treatment Planning	p. 306
Specific Assessment Techniques and Tools	p. 313
Forensic Assessment: Assessing Risk of Harm to Others	p. 324
Chapter Summary	p. 326
Psychosocial Interventions	p. 327
Variables with Important Clinical Implications	p. 329
Family Interventions	p. 330
Cognitive-Behavioral Skills Training	p. 339
Prevention Programs	p. 343
Treatments That Appear Not to Work	p. 355
Chapter Summary	p. 356
Psychopharmacological Treatments	p. 358
Rationale for Psychotropic Treatment of Maladaptive Aggression	p. 359
Pharmacoepidemiology of Aggression in Clinically Referred Youth	p. 360
Principles of Clinical Medication Management	p. 361
Neuroleptics and Antipsychotics	p. 364
Stimulants	p. 370
Antidepressants	p. 374
Mood Stabilizers	p. 378
Adrenergic Agents	p. 383
Other Medications	p. 386
The Use of As-Needed (P.R.N.) Medication	p. 388
Which Medicine to Use?	p. 388
Chapter Summary	p. 389
References	p. 393
Index	p. 472
Table of Contents provided by Ingram. All Rights Reserved.

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Aggression and Antisocial Behavior in Children and Adolescents Research and Treatment

Aggression and Antisocial Behavior in Children and Adolescents Research and Treatment

1593850913

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