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Oppositionality - Prevention

family development children disorder psychiatry childhood

Oppositionality can be minimized and oppositional defiant disorder can be prevented. The optimal approach would identify and lessen risk factors—such as coercive parenting, marital conflict, and parental depression—prior to the development of disruptive behaviors and clinical disorder. At present, however, most interventions target families where children already exhibit problem behaviors and aim to prevent further deterioration. In this type of intervention children are selected because of the severity of their disturbance at day care center or preschool, or by measures of family adversity or dysfunction.

Preventative programs basically involve modifications of parent management training programs and are delivered to groups of children at risk for these problems (e.g., children with difficult temperament or those who display marked oppositionality by the age of four or five years). There are other types of preventive interventions that also seem promising, for example classroom programs such as the "Good Behavior Game" (Kellam et al. 1994).


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Crijnen, A.; Achenbach, T. M.; and Verhulst, F. C. (1999). "Problems Reported by Parents of Children in Multiple Cultures: The Child Behavior Checklist Syndrome Constructs." American Journal of Psychiatry 156:569–574.

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Kellam, S. G.; Rebok, G. W.; Ialongo, N.; and Mayer, L. S. (1994). "The Course and Malleability of Aggressive Behavior from Early First Grade into Middle School: Results of a Developmental Epidemiologically-Based Preventive Trial." Journal of Child Psychology and Psychiatry 35:259–289.

Rey, J. M., and Walter, G. (1999). "Oppositional Defiant Disorder." In Disruptive Behavior Disorders in Children and Adolescents: Review of Psychiatry, Vol. 18, ed. R. L. Hendren. Washington DC: American Psychiatric Press.

Sanders, M. R., and Markie-Dadds, C. (1996). "Triple P: A Multilevel Family Intervention Program for Children with Disruptive Behaviour Disorders." In Early Intervention and Prevention in Mental Health, ed. P. Cotton and P. H. Jackson. Melbourne: Australian Psychological Society.

Sanson, A., and Prior, M. (1999). "Temperamental and Behavioral Precursors to Oppositional Defiant Disorder and Conduct Disorder." In Handbook of Disruptive Behavior Disorders, ed. H. C. Quay and A. E Hogan. New York: Plenum Press.

Scott, S.; Spender, Q.; Doolan, M.; Jacobs, B.; and Aspland, H. (2001). "Multicentre Controlled Trial of Parenting Groups for Childhood Antisocial Behavior in Clinical Practice." British Medical Journal 323:1–7.

Shen, Y., and Wang, Y. (1995). "Behaviour Problems of Schoolchildren in Beijing: A Study of Prevalence and Risk Factors." In Chinese Societies and Mental Health, ed. T. Lin, W. Tseng, and E. Yeh. Hong Kong: Oxford University Press.



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over 10 years ago

I am experiencing a business partner who exhibits this problem. I am trying to work around it, as on one hand she is the bomb in the partnership, but this is getting to me in that anything i say, is contrasted. are there any protocols i can follow to assit me in not going nuts and continuing a lucrative business where i dont feel trampled upon. trust this: i am not easy to steam roller, but she has me stumped! I dont want to react innapprpriately and blow our partnership. Patience is keeping me semi sane. help