Toward a transactional conceptualization of oppositional defiant disorder: implications for assessment and treatment.
Toward a transactional conceptualization of oppositional defiant disorder: implications for assessment and treatment.
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DOI：
10.1023/a:1021850921476
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发表时间：
1999-09-01
影响因子：
6.9
通讯作者：
Doyle, A E
中科院分区：
文献类型：
--
作者：
Greene, R W;Doyle, A E
对立违抗性障碍（ODD）的概念化和治疗具有惊人的同质性。在本文中的证据是强调的异质性内ODD，包括研究表明（a）反应和主动形式的侵略之间的区别;（B）的重要性，情感调节和自我调节，以及相关的认知技能，在发展的技能的遵守;和（c）高水平的共病ODD和其他疾病之间。不同的路径导致对立行为，这表明不同的ODD儿童可能需要不同形式的干预。交易概念化的必要性，实现全面了解的因素，个别儿童的困难与ODD，匹配的干预成分，不同的儿童和家庭的具体需求进行了讨论。
The conceptualization and treatment of oppositional defiant disorder (ODD) has been characterized by surprising homogeneity. In this paper evidence is presented to underscore the heterogeneity within ODD, including research demonstrating (a) the distinction between reactive and proactive forms of aggression; (b) the importance of affective modulation and self-regulation, and associated cognitive skills, in the development of the skill of compliance; and (c) high levels of comorbidity between ODD and other disorders. The disparate pathways that give rise to oppositional behavior suggest that different children with ODD may require different forms of intervention. The necessity of a transactional conceptualization, of achieving a comprehensive understanding of the factors underlying the difficulties of individual children with ODD, and of matching intervention ingredients to the specific needs of different children and families is discussed.