Abstract
Research on the development of antisocial and aggressive behavior in children and adolescents has consistently shown that such behaviors are heterogeneous and may result from a number of different causal mechanisms (Dodge & Pettit, 2003; Frick & Viding, 2009; Moffitt, 2006). This research has important implications for both research and practice related to the disruptive behavior disorders. First, the various subgroups of youth within conduct problems often show distinct social, biological, cognitive, and emotional correlates to their problem behavior that need to be integrated into causal models (Blair, 2005; Frick & White, 2008). Second, these subgroups of youths may also differ in the severity of their behavior and their long-term outcomes (Frick & Dickens, 2006; Moffitt, 2006). Third, these subgroups may require different approaches to treatment in order to address their disruptive behaviors (Frick, 2006, 2009). Based on this research, there have been a large number of attempts to define more homogenous subgroups of youths with disruptive behavior disorders who differ on their behavioral manifestations, developmental course and outcome, etiology, and response to treatment. In this chapter, we first provide a summary of some recent attempts to define distinct developmental pathways through which children may develop severe patterns of antisocial and aggressive behavior. After this, we focus on one approach that we feel has particular promise for both integrating past approaches and for guiding future research in this area. This approach focuses on the presence or absence of callous-unemotional (CU) traits (i.e., a lack of guilt and empathy; deficits in emotional responding) in children and adolescents with conduct problems. We summarize some key issues in the research using these traits for understanding distinct developmental pathways to disruptive behavior disorders and we highlight several critical steps that would advance this area of work for both theory and practice.
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Frick, P.J., Blair, R.J., Castellanos, F.X. (2013). Callous-Unemotional Traits and Developmental Pathways to the Disruptive Behavior Disorders. In: Tolan, P., Leventhal, B. (eds) Disruptive Behavior Disorders. Advances in Development and Psychopathology: Brain Research Foundation Symposium Series, vol 1. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7557-6_4
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