conduct disorder and under-achievement
The young people who are the subject of this book are
responsible for a disproportionate amount of difficulty for
society. They are the chronic rule-breakers and bullies. They may
threaten, intimidate, manipulate, steal, and use violence to get
what they want. Many are drug abusers and drug dealers.
Most have problems with self-control and self-discipline. Nearly
all of them are academic underachievers. Unfortunately, they are
also incredibly resistant to psychological intervention. Exhibiting
a range of behaviors grouped under the DSM rubric "Conduct
Disorder," these children and adolescents are legion and their
numbers continue to grow at an alarming rate.
In Conduct Disorder and Underachievement, a leading authority on
CD underachievers explores the causes, assessment, treatment, and
prevention of disruptive behavioral problems in underachieving
children and adolescents. He summarizes many of the assessment
tools developed for CD underachievers and provides a unique,
comprehensive risk-factor model which can be used to help identify
disorder problems before they occur. And, perhaps most importantly,
he describes a dynamic cognitive/developmental treatment model
which has proven to be extraordinarily successful with certain
types of CD underachievers.
Conduct Disorder and Underachievement offers new hope for
finding psychological solutions to one of today's most pressing
social problems.
Much has been unearthed in recent years about the origins and
development of conduct disorder (CD) in children and adolescents.
Yet there is still considerable disagreement about the role
academic underachievement plays in CD. Is underachievement
acontributing factor to or a result of CD? While the jury is still
out on this issue, one thing is certain: eventually, the
relationship between them becomes a dialectical one--bad grades and
antisocial behavior usually go hand in hand. Can this seemingly
facile observation provide the basis for interventions with certain
types of conduct disorders? In Conduct Disorder and
Underachieve-ment, a leading authority on underachievement answers
that question with a resounding "Yes" and demonstrates how.
Dr. Mandel begins with a thorough review of the latest research
findings on the etiology, assessment, and treatment of conduct
disorder in children and adolescents. From there, the focus narrows
to issues of CD underachievement. While most forms of conduct
disorder and underachievement are discussed, the clinical emphasis
is on less severely disturbed children for whom underachievement is
still manageable but, if left unchecked, can lead to more severe
conduct problems. Through the window of two case histories complete
with test results and diagnostic interviews, Dr. Mandel explores
the full range of assessment issues, critically examines
predominant treatment strategies, and provides helpful prevention
guidelines.
In the prescriptive portion of the book, the author delineates a
cognitively oriented approach to treating CD underachievers. He
espouses a treatment strategy based on the assumption that, from
one case to the next, underachievement may either contribute to or
result from conduct disorder. The most constructive approach,
therefore, is to reconstruct the unfolding of individual scenarios
and then determine what can be done to mend fractured developmental
pathways. Through aseries of therapy excerpts which take the reader
inside a treatment session, Dr. Mandel brings to vivid life the
issues that must be dealt with, the struggles that must be
overcome, and the complex interactions that develop between child
and therapist during therapeutic intervention.
Combining a comprehensive review of the latest findings with a
dynamic new approach to intervention, Conduct Disorder and
Underachievement is a valuable resource for mental health
professionals, guidance counselors, and educators who deal with
this increasingly common problem.
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