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1. CONDUCT DISORDER
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2. Conduct Disorder
 Objectives
Know what Conduct Disorder is
Why it’s important
Significant facts regarding this disorder

3. Conduct Disorder
 Children and adolescents with this disorder
have great difficulty following rules and
behaving in a socially acceptable way. They
are often viewed by other children, adults and
social agencies as "bad" or delinquent, rather
than mentally ill.

4. DSM IV Categories
 Within the DSM IV, Conduct Disorder is placed in the category of
Attention-Deficit and Disruptive Behavior Disorders.
 This category is defined in the DSM IV as a set of externalizing negative
behaviors that co-occur during childhood
 Oppositional Defiant Disorder (ODD), is defined as "a recurrent pattern
of negativistic, defiant, disobedient, and hostile behavior toward authority
figures".
 Attention-Deficit/Hyperactivity Disorder (ADHD), is defined as a
“Persistent pattern of inattention and/or hyperactivity-impulsivity that is
more frequently displayed and is more severe than is typically observed in
individuals at comparable level of development.”

5. Conduct Disorder
 Definition:
 The essential features of Conduct Disorder (CD) involve “a
repetitive and persistent pattern of behavior in which the basic
rights of others or major age-appropriate societal norms or
rules are violated”, resulting in a clinically significant
impairment in functioning.
 This includes
 aggressive behaviors,
 behaviors that result in property loss or damage,
 deceitfulness or theft,
 other serious rule violations (e.g., running away from
home, truancy).

6. DSM IV Conduct Disorder Criteria
 For 12 months or more has repeatedly violated rules,
age-appropriate societal norms or the rights of
others.
 Shown by 3 or more of the following, with at least
one of the following occurring in the past 6 months:
 Aggression against people or animals
 Frequent bullying or threatening
 Often starts fights
 Used a weapon that could cause serious injury
 Physical cruelty to people
 Physical cruelty to animals
 Theft with confrontation
 Forced sex upon someone

7. DSM IV Conduct Disorder Criteria
 Property destruction
 Deliberately set fires to cause serious damage
 Deliberately destroyed the property of others (except fire-setting)
 Lying or theft
 Broke into building, car or house belonging to someone else
 Frequently lied or broke promises for gain or to avoid obligations
("conning")
 Stole valuables without confrontation (burglary, forgery, shoplifting)

8. DSM IV Conduct Disorder Criteria
 Serious rule violation
 Beginning by age twelve, frequently stayed out at night against parents'
wishes
 Runaway from parents overnight twice or more (once if for an extended
period)
 Frequent truancy before age 13
 These symptoms cause clinically important job,
school or social impairment.
 If older than age 18, the patient does not meet
criteria for Antisocial Personality Disorder.

9. DSM IV Conduct Disorder Criteria
 Childhood-Onset Type: at least one problem with
conduct before age 10
 Adolescent-Onset Type: no problems with
conduct before age 10
 Note. Age of onset subtypes have been supported using trajectory analyses
in longitudinal cohorts by finding that those with childhood-onset type
typically continue to meet criteria up to their late 20’s (Mofitt, 2007)
 Severity:
 Mild (both are required):
There are few problems with conduct more than are
needed to make the diagnosis, and Problems cause
little harm to others.

10. DSM IV Conduct Disorder Criteria
 Severity: (cont.)
 Moderate. Number and effect of conduct problems
is between Mild and Severe
 Severe. Many more conduct symptoms than are
needed to make the diagnosis, or
Symptoms cause other people considerable harm.

11. Distinctions between Disorders
 Diagnosis of ODD and CD have tested and proven
differences
 Subjecting gathered data to multidimensional scaling techniques
resulted in some significant findings which has helped narrow the
focus of study regarding behaviors associated with CD
 oppositional defiant and aggressive characteristics were located on one
end of the dimension (overt symptoms).
 Substance use and other non-aggressive conduct disorder symptoms were
located on the other (covert symptoms).
 Behavior directed towards property or persons in a destructive way was
located on one of the dimension (destructive behavior).
 Behavior on the opposite end were non-destructive such as substance
abuse, status offenses (non-destructive behavior).

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13. Distinctions between Disorders
 These findings provide general support for the
distinction between oppositional defiant and conduct
disorder.
 They also suggest that conduct problems may be
more meaningfully grouped into four, rather than two,
general categories.
 These include
 overt & nondestructive behaviors reflecting symptoms of ODD
 overt & destructive symptoms of aggression
 covert & destructive behaviors, such as lying and stealing
 covert & nondestructive behaviors such as truancy and running away from
home (status offenses)

14. Four Dimensions of Conduct Disordered
Behavior
 OVERT/DESTRUCTIVE
 (Aggressive Behaviors)
 Fights
 Bullies
 Assault
 Spiteful

15. Four Dimensions of Conduct Disordered
Behavior
 OVERT/NONDESTRUCTIVE
 (Oppositional Features)
 Annoys
 Defies
 Stubborn
 Angry
 COVERT/DESTRUCTIVE COVERT/NONDESTRUCTIVE
 (Property Violations) (Status Offenses)
 Cruel to Animals Runaway
 Vandalism Truancy
 Steals Substance Use
 Fire setting Breaks Rules