One work specifically isolates a type of treatment that is helpful for ODD or milder CD:
In this book our focus is on supportive-expressive play psychotherapy for a particular kind of patient: the school-aged child who meets the criteria for oppositional defiant disorders and mild or moderately severe conduct disorders (DSM-III-R). There are, however, important qualifications. First, the child must demonstrate some capacity for genuine guilt, remorse, or shame about his stealing, lying, or hurting others. Further, he must manifest during the diagnostic evaluation some potential for engaging in a therapeutic alliance; the therapist can best make this judgment by reflecting on the child's willingness to come and interact with her at some level, albeit a negative one. Finally, parental and school cooperation with the treatment plan should be available. We have conceptualized SEPP for children in the spectrum of conduct disorders. This specific approach has not been tried systematically with other patient populations. (Kernberg & Chazan, 1991, p. 24)
Under the ise of qualifications one can see that children must be a of a particular character to seriously gain from the type of treatment suggested (supportive-expressive play psychotherapy) and that in many ways these are the "best case scenario" children, i.e. those who make emotive connections to the people in their environment and feel remorse with regard to their disruptive actions.
Treatment options for children lacking these characteristics seem to be exceedingly difficult, and those who mask these feelings could be hard to spot and easily given up on in treatment. This is especially true of adolescent onset ODD/CD as the nature of the adolescent mind, even with "abnormal" is often associated with limiting culpability, as one does when they are a child by refusing to take accountability for actions, even when guilt is felt. In my opinion this characteristic of guilt should be assumed in many cases as children often gain the ability to lie and manipulate as they age, as a normal aspect of growth and development (for real everyday survival) and therefore should still be given opportunities...
Self-Regulation Issues in Children and Adolescence with ADHD, ODD, and OCD Self-regulation in children and adolescence who suffer from ADHD, ODD, and OCD (Attention Deficit Hyperactive Disorder, Obsessive Compulsive Disorder, and Oppositional Defiant Disorder) is often evident due to several things. A lot of the issues in relation to self-regulation stem from additional anxiety the child/teen may feel from the difficulties experienced from these kinds of mental disorders. OCD is known
Swanson, Ph.D., University of California, Irvine, CA 92715 Gender: Age: ____ Grade: Ethnicity (circle one which best applies): African-American Asian Caucasian Hispanic Other Completed by:____ Type of Class: Class size: For each item, check the column which best describes this child: Not at Just a Quite Bit Much 1. Often fails to give close attention to details or makes careless mistakes in schoolwork or tasks 2. Often has difficulty sustaining attention in tasks or play activities 3. Often does not seem to
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