Abstract
The historical use of categorical diagnoses of disruptive behavior syndromes and disorders has been integral to clinical identification, treatment, and service utilization. The major nosological frameworks for classification have been the Diagnostic and Statistical Manual (DSM) (American Psychiatric Association, 2000) and International Classification of Diseases (World Health Organization, 2000). Increasingly, however, there is consensus that categorical approaches, which rely on an array of symptom criteria to classify an individual as having or not having a single disorder, may not fully capture clinical and developmental patterns of disruptive behaviors across the life cycle (Baillargeon, Zoccolillo, et al., 2007; Frick & White, 2008; Maughan, 2005; Rutter, 2003; Wakschlag et al., 2011). In contrast, multidimensional conceptualizations of psychopathology, which incorporate more than one domain or dimension of behavior and assess each domain/dimension along a continuum, offer many unique advantages to clinical characterization of disruptive behavior, including (1) improved characterization of heterogeneity, (2) provision of alternative strategies for understanding developmental course, (3) parsing the manner in which different components or dimensions of disruptive behavior may have varying associations with co-occurring symptoms, and (4) linkage of specific dimensions relevant to disruptive behavior to neurobiologic mechanisms as well as family and ecological contextual factors.
Keywords
- Conduct Disorder
- Oppositional Defiant Disorder
- Disruptive Behavior
- Proactive Aggression
- Temper Loss
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References
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Carter, A.S., Gray, S.A.O., Baillargeon, R.H., Wakschlag, L.S. (2013). A Multidimensional Approach to Disruptive Behaviors: Informing Life Span Research from an Early Childhood Perspective. 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_5
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