Introduction
My rationale for writing this paper is to know what oppositional defiant disorder (ODD) is and its effect on age, gender, and concurring behaviors (comorbidity) like attention deficit hyperactivity disorder (ADHD) and conduct disorder (CD). How these conditions are affected in getting the proper diagnosis and treatment for ODD. Loeber, Burke, and Pardini reported in clinical groups among children, ODD is listed as one of the most commonly known behavioral disorders (as cited in Kazdin, 1995). Stringaris and Goodman (2009) found ODD is apparently very important among adolescents because of its strong connection with a large assortment of fully developed mental health disorders such as (as cited by Kim-Cohen et all., 2003,
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Boylan, Vaillancourt, Boyle, and Szatmari (2007) said of the generally widespread disorders, oppositional defiant disorder (ODD) is among the most common in childhood. Oppositional behaviors have a tendency to weaken as children grow-up, these behaviors are demonstrated by the majority of children at an early age sometimes progressing into the predictable fits of temper and violent behaviors (Mireault, Rooney, Kouwenhoven, and Hannan, 2008). The Diagnostic and Statistical Manuel of Mental Disorders (DSM) defines ODD as a model of childhood manners that are harsh, critical, hurtful and uncooperative for at least six months and these manners are serious enough that the conduct messes up the child’s performance on a regular basis. The DSM-III launched ODD as an isolated analysis (as cited in APA, 1980).
The (Pardini, Frick, and Moffitt, 2010) diagnosis of ODD corresponds to a continual pattern of antisocial, hostile, defiant, and disobedient behaviors toward others (as cited in APA, 2000). As a (Joyce and Oakland, 2005) collective group between 2% and 16% of children have a diagnosis of ODD (APA, 2000). While this proportionate number of students is minute, this particular group’s behavior can have an immense bearing on their friends and their individual success in school (Joyce and Goodman, 2005). The (Pardini et al., 2010) original diagnosis of ODD requires individuals exhibit as a minimum two
Jayden King Jr. is a seven-year-old boy who was diagnosed as emotionally disturbed in 2014. Jayden requires a 1:1 crisis paraprofessional because he exhibits an inappropriate and disruptive behavior on a daily basis. Based on the Antecedent-Behavioral-Consequence Chart, there were several noted incidences where Jayden has had tantrums, was non-compliant, wandering and physically abusive. When redirected, Jayden will make loud vocalizations, kicking, screaming and throwing himself on the floor. The behavior that will be targeted for remediation is his defiant behavior. Defiance is defined as the refusal to obey and follow a directive of someone of authority or opposing force. The apparent triggers that affect Jayden’s
Case 15.1 discusses Bobby Jones, a nine-year-old African American boy. He is in the fourth grade at Lewiston Elementary School. He is being raised by his mother Susan and has five siblings. Recently, Bobby’s teacher, Ms. Matthews has had some concerns regarding his behavior. She stated that he is disruptive, never completes his work and that he is very negative when it comes to school (Pomeroy, 2015). Based off of the information provide in case 15.1, Bobby presents with many of the symptoms and behaviors that are consistent with Oppositional Defiant Disorder (F91.3), and the severity is moderate. According to the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, ODD involves a frequent pattern of angry/irritable moods, vindictiveness,
A rating scale was completed by a Parker Elementary school teacher, Mrs. Smith for 8 year old Andrea. The Disruptive Behavior Rating Scale (DBRS) consisted of 50 questions with responses with zero representing rarely/hardly ever, one representing occasionally, two representing frequently, and three representing most of the time. The scale utilized is used by clinical professionals for diagnostic purposes of four different areas for behavior concerns these include: distractible, oppositional, impulsive-hyperactivity, and antisocial conduct. The rating scale was completed on 1/31/1992.
Opposition Defiant disorder, also known as (ODD), can be classified as disruptive behavior disorder (DBD). This type of disorder represents a persons inability to control their emotions or behaviors. Individuals diagnosed with ODD tend to be hostile, vindictive, and may display irritability. Adolescents with Odd tend to display a pattern of angry outburst, arguments, disobedience, etc. toward other individuals such as parents, teachers, classmates, friends, or other authority figures. Symptoms of ODD tend to decrease as adolescent’s age, and problems generally are not long lasting.
The article starts with the vignette, describing a behavior of a boy, who rejects teacher’s invitation to listen to a story on a rug with his classmates. Obviously, the boy described is not the only one to resist the authority of a teacher, because student defiance is a commonplace. Authors distinguish widespread milder forms of SD and Oppositional defiant disorder,
Oppositional defiant disorder (ODD) is one of a group of behavioral disorders in the disruptive behavior disorders category. Children who have these disorders tend to be disruptive with a pattern of disobedient, hostile, and defiant behavior toward authority figures. These children often rebel, are stubborn, argue with adults, and refuse to obey. They have angry outbursts, have a hard time controlling their temper, and display a constant pattern of aggressive behaviors. ODD is one of the more common mental health disorders found in children and adolescents (AACAP, 2009). It is also associated with an increased risk for other forms of psychopathology, including other disruptive behavior disorders as well as mood or anxiety problems (Martel,
For one to understand Oppositional Defiant Disorder (ODD) it is important to examine the criterion that place this disorder within the realm of Disruptive, Impulse-Control, and Conduct Disorders. The American Psychiatric Association note in the Diagnostic and Statistical Manual of Mental Disorders (2013) that, “[these] disorders include conditions involving problems in the self-control of emotions and behaviors. [They] are unique in that these problems are manifested in behaviors that violate the rights of others and/or bring the individual into significant conflict with social norms and authority figures (p. 461).”
Oppositional Defiant Disorder is fairly prevalent, affecting 2-16% of children, with more boys affected than girls (WebMD, 2015). The disorder can occur in the teen years, with typical onset after the age of 8, but when age 18 is reached, other disorders such as Antisocial Personality Disorder are explored as a possibility
Oppositional defiant disorder involves consistently negativistic, hostile, and defiant behavior that is very disruptive with behavior.
There are two common type of disruptive behavior disorders that affects children lives in a negative fashion when not treated properly. According to the American Academy of Pediatrics (2004) “Behaviors typical of disruptive behavior disorders can closely resemble ADHD particularly where impulsivity and hyperactivity are involved but ADHD, ODD, and CD are considered separate conditions that can occur independently. About one third of all children with ADHD have coexisting ODD, and up to one quarter have coexisting CD” .The two types of disruptive behavior disorders are oppositional defiant disorder and conduct disorder. Some symptoms of disruptive behavior disorder is breaking rules, defiant, argumentative, disobedient behaviors towards authority
Oppositional Defiant Disorder (ODD) is one of the most prevailing and expensive mental health problems for children and teen agers. Approximately 5% to 10% of 8 to 16 year-olds present with ODD behavior problems ( Erford,et al. 2013). Oppositional Defiant Disorder is part of the disruptive behavior disorders (DBD) group, given this name because those who are diagnosed disrupt people in their environment. According to the American Academy of Child & Adolescent Psychiatry from 2013, physicians define ODD as “ a pattern of disobedient, hostile, and defiant behavior directed toward authority figures. Children and adolescents with ODD often rebel, are stubborn, argue with adults, and refuse to obey. They have angry outbursts and have a hard
The Attachment, Self-Regulation, and Competency (ARC) Framework is a theoretically grounded, evidence-informed, promising practice used to treat complex trauma in children and adolescents (Arvidson, 2011). This research shows how the application of the ARC model benefits inner city youth who have been diagnosed with Oppositional Defiant Disorder. The goal of this research is to demonstrate that symptoms of ODD can be decreased by exposing inner city youth to ARC therapy over a period of time. The target population is inner city youth in Chattanooga, TN who are diagnosed with Oppositional Defiant Disorder. 50 students were chosen at random at inner city schools in the area. 25 of the youth will be exposed to the therapy, while 25 will not be exposed and serve as the control group. The 25 students will be exposed to ARC therapy over a span of 6 months. After the 6 month period, the behaviors will be rated again and compared to the control group that received no treatment. Complex trauma results from exposure to severe stressors that occur within the caregiver system or with another presumably responsible adult, are repetitive, and begin in childhood or adolescence. As a result, many of these children and adolescents experience lifelong difficulties related to self-regulation, relationships, psychological symptoms, alterations in attention and consciousness, self-injury, identity, and cognitive distortions (Lawson, 2013). Exposure to ARC therapy over a given time will lead to
All children are oppositional from time to time when they hungry ,tired upset and stressed .They may talk back argue and defy parents or other adults and teachers. For early years and early adolescents, when behaviour is oppositional is a normal part of development However, when the behaviour becomes a serious concert when is consistent and frequent and the parents compared with other children of the same age and when is affect the child's family social and preschool or school life.
Disruptive Behavior Disorders. Oppositional defiant disorder (ODD), conduct disorder (CD), and attention deficit hyperactivity disorder (ADHD) form a cluster of childhood disorders considered to be “disruptive behavior disorders” (American Psychiatric Association, 2004). Although most violent adolescents have more than one mental disorder and they may have internalizing disorders, for example depression or substance abuse, there appear to be increasingly higher rates of physical aggression found in these adolescents who experience disruptive behavior disorders than for those with other mental disorders. The fact that violent juvenile offenders are more likely to have these diagnoses is not surprising, because impulsive and/or aggressive behaviors are part of their diagnostic criteria. Additionally, there is relatively high co-morbidity with substance abuse disorders, which are also associated with juvenile violence (Moeller, 2001). Individuals with conduct disorder have the following features but this list is not inclusive for example they may have little empathy and little concern for the feelings, wishes, and wellbeing of others, respond with aggression, may be callous and lack appropriate feelings of guilt re remorse, self-esteem may be low despite a projected
Antisocial personality disorder (ASPD), opposition defiant disorder (ODD), and conduct disorder (CD) are three distinct disorders based upon their respective diagnostic criteria in the DSM-5. If ODD and CD were mild forms of ASPD, then there would need to be causal relationship between the childhood manifestations of ODD and CD and the adult manifestation of ASPD. There is evidence of comorbidity between ODD and CD, and also evidence to suggest that children diagnosed with these disorders may go on to develop ASPD later in life; however, correlation does not equal causation. The three disorders have subtle but important differences in their associated behaviors, underlying causes, treatment outcomes, and neurological signs.