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1、ConductDisordersConductproblems—age-inappropriateactionsandattitudesofachildthatviolatefamilyexpectations,societalnorms,andthepersonalorpropertyrightsofothersContext—mostkidsdothisstuff(someofit)sometimes80%ofteenshavetriedalcohol60%havetriedcigarettes5
2、0%havetriedmarijuanaMostofthesebehappearandthendecline50%ofparentsofpreschoolersreportthattheylie,steal,disobey,destroyproperty—but10%ofparentsofyoungadolescentsAggressionisprettystableovertime---.7–sameasIQSocialandeconomiccostsAbout5%ofkids,buttheseki
3、dsareresponsibleforabout50%ofallcrimeand30-50%ofclinicreferralsMoreteensdiefromfirearmsthanalldiseasescombinedFigure6.2—costofonelostyouth—dropoutduetolifeofcrime—about$2MillionOppositionalDefiantDisorderDefiant,oppositional,hostile,negativebehforatleas
4、t6mosMustbebeyondwhatisexpectedforageandgenderAtleast4ofLosestemperArgueswithadultsBlamesothersAngryorresentfulActivelydefiesreasonablerequestsDeliberatelyannoysTouchyorirritableSpitefulorvindictiveCan’tbecomorbidwithCDPrevalence2-16%ofkidsHigherratesin
5、adoptedkids(20%),especiallythosewithpreadoptionabuseorneglectMorecommoninboysbeforepuberty,=after,probablybecauseboysmovetoCDLowSESmoreatrisk,75%ofclinicreferredpreschoolersarelowincomeConductDisorderAtleast3of15InitiatesphysicalfightsBullies,threatens,
6、intimidatesStealingFiresettingB&ERunsawayovernightPhysicallycrueltoanimalsPhysicallycrueltopeopleSexualcoercionDestructionofpropertyLiesfrequentlyTruantTwoTypesofCDChildhoodonset(lifecoursepersistent)Moresevere,morelikelytopersistintoadulthood,morelikel
7、ytobeginwithearlyproblemsininfanttemperamentandwithearlytroublesinparent-childrelationshipsAdolescentonsetorlimitedMorelikelytobeassociatedwithtroubledpeers;maygountil20sOtherimportantdistinctions:Socialized/unsocializedDegreeofcallous-unemotionaltraits
8、—lackofguiltorremorse—lowempathyLackofbehavioralinhibition—thissubtypehasmorefreqcontactwithpolice,strongerparentalhxofADHDAssociatedCharacteristicsOppositionalattitudestowardparents,teachers,authorityfiguresAcademicproblems—earl
