TREATMENT AND PREVENTION OF CHILD ANTISOCIAL BEHAVIOR

研究和职业目标包括确定 对儿童反社会行为的有效干预。 的 意义的重点源于患病率相对较高， 长期预后，以及不良的社会和个人后果， 反社会行为以及缺乏经验性治疗 证明了功效。 确定有效的治疗方法将需要 深入持久研究努力和专门知识的发展 诊断、评估和治疗领域，特别是与 反社会行为 具体研究项目，专业成长 经验和协作工作都是为了实现这些目标。 划定了三个具体项目，每个项目目前都得到了资助 （NIMH）。 第一个项目（行为的社会和认知治疗 问题）检查行为问题儿童的替代治疗。 调查将评估两种治疗方法（父母管理培训和 解决问题技能培训） (ages 7-13）提到了对他们严重攻击行为的治疗。 这两种治疗方法侧重于家庭互动模式和认知 在行为中被确定为有问题的调解缺陷 问题儿童 第二个项目（预防儿童反社会行为） 评估认知行为社会技能培训的影响 针对被确定为有反社会风险的儿童（9-10岁）的方案 行为 高危儿童（n=450）将被分配到干预组 治疗或不治疗。 干预方案在 学校为期两年。 短期和长期影响 将检查精神功能障碍和多种措施， 在家里，在学校，在社区的表现。 第三个项目（儿童火灾：临床和经验评估） 旨在通过评估， 孩子、父母和家庭功能的多个领域。 诊所 儿童（6-12岁）的（患者）和社区（非患者）样本 将对涉及火灾管理者和非火灾管理者（n=440）的情况进行比较。 的 目标是建立一个概念模型， 以便早期识别和治疗。

The research and career objectives consist of the identification of effective interventions for antisocial behavior in children. The significance of the focus stems from the relatively high prevalence, poor long-term prognosis, and untoward social and personal consequences of antisocial behavior as well as the absence of treatments with empirically demonstrated efficacy. Identifying effective treatments will require an intensive and protracted research effort and development of expertise in the areas of diagnosis, assessment and treatment as related specifically to antisocial behavior. Specific research projects, professional growth experience, and collaborative work are directed toward these objectives. Three specific projects are delineated, each of which is currently funded (NIMH). The first project (Social and Cognitive Treatments for Conduct Problems) examines alternative treatments for conduct problem children. Investigations will evaluate two treatments (parent management training and problem-solving skills training) for inpatinet and outpatient children (ages 7-13) referred to treatment for their severely aggressive behavior. The two treatments focus on family interaction patterns and cognitive mediation deficits which have been identified as problematic among conduct problem children. The second project (Prevention of Antisocial Behavior in Children) evaluates the impact of a cognitive-behavioral social skills training program for children (ages 9-10) identified as at risk for antisocial behavior. High-risk children (n=450) will be assigned to the intervention program or no treatment. The intervention program is conducted in the schools for a period spanning two years. The short- and long-term impact will be examined on psychiatric dysfunction and multiple measures of performance at home, at school, and in the community. The third project (Child Firesetting: A Clinical and Empirical Evaluation) is designed to develop a profile of childhood firesetting by evaluating multiple domains of child, parent, and family functioning. Clinic (patient) and community (nonpatient) samples of children (ages 6-12) involving firesetters and nonfiresetters (n=440) will be compared. The objectives are to develop a conceptual model that can be used as the basis for early identification and treatment..