Oppositional Defiant Disorder (ODD) affects and is affected by the families, school systems, social services systems, medical systems, lawenforcement, communities, and those individuals exhibiting and classified as having this problem. The treatments of ODD are many and varied, leaving one wondering at the cause and treatment options. The prevalence of ODD is examined in this article, the various models of treatment are reviewed, and an integrated family systems strength-based model is presented. In keeping with suggestions for family systems meta research, the model’s parts have proven track records of producing positive outcomes with ODD children and their families. It is postulated that the effect of placing these parts together will have a synergistic and cumulative effect of treatment, increasing positive outcome with this population.
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References
1.
American Psychiatric Association
. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
Anderson, H.
, & Goolishian, H. (1992). The client is the expert: A not-knowing approach to therapy. In McNamee, S., & Gergen, K. (Eds.), Therapy as social construction (pp. 25-39). London: Sage.
Atkinson, B. J.
, & Heath, A. W. (1990). Further thoughts on second-order family therapy: This time it’s personal. Family Process, 29, 145-156.
5.
Barkley, R.
, Anastopoulos, A., Guevremont, D., & Fletcher, K. (1992). Adolescents with attention deficit hyperactivity disorder: Mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology. Journal of Abnormal Child Psychology, 20(3), 263-289.
6.
Barkley, R.
, Fischer, M., Edelbrock, C. & Smallish, L. (1991). The adolescent outcome of hyperactive children diagnosed by research criteria—III. Mother-child interactions, family conflicts and maternal psychopathology. Journal of Child Psychology & Psychiatry & Allied Disciplines, 32(2), 233-255.
7.
Bateson, G.
(1967). Cybernetic explanation. American Behavioral Scientist, 10, 29-32.
8.
Bateson, G.
, Jackson, D., Haley, J., & Weakland, J. (1957). Towards a theory of schizophrenia. Behavioral Science, 1, 251-254.
9.
Baumrind, D.
(1989). Rearing competent children. In W. Damon (Ed.), Child development today and tomorrow (pp. 349-378). San Francisco: Jossey-Bass.
10.
Berg, I. K.
, & DeJong, P. (1996, June). Solution-building conversations: Co-constructing a sense of competence with clients. Families in Society: The Journal of Contemporary Human Services, 376-391.
11.
Biederman, J.
, Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. American Journal of Psychiatry, 148(5), 564-577.
12.
Braman, O. R.
(1982). The oppositional child. Asheville, NC: Groves.
13.
Bridges, W.
(1991). Managing transitions: Making the most of change. Reading, MA: Addison-Wesley.
14.
Bronfenbrenner, U.
(1979). The ecology of human development. Boston: Harvard Press.
15.
Clarke, J.
, & Dawson, C. (1989). Growing up again: Parenting ourselves, parenting our children. New York: Harper & Row.
16.
Crittenden, P. M.
(1990). Internal representational models of attachment relationships. Infant Mental Health Journal, 11, 259-277.
17.
Crittenden, P. M.
(1992). Quality of attachment in preschool years. Developmental Psychopathology, 4, 209-241.
18.
de Shazer, S.
(1991). Putting difference to work. New York: Norton.
19.
de Shazer, S.
, & Berg, I. K. (1993). Constructing solutions. Family Therapy Networker, 12, 42-43.
20.
Edwards, J. K.
, & Chen, M. W. (1999). Strength-based supervision: Frameworks, current practice and future directions: A Wu-wei method. Family Journal, 7, 349-357.
21.
Erikson, E. H.
(1964). Childhood and society. New York: Norton.
22.
Ferguson, D.
, Horwood, L., & Lynskey, M. (1994). Structure of DSM-III-R criteria for disruptive childhood behaviors: Confirmatory factor models. Journal of the American Academy of Child & Adolescent Psychiatry, 33, 1145-1155.
23.
Freedman, J.
, & Combs, G. (1996). Narrative therapy. New York: Norton.
24.
Frick, P.
, Lahey, B., Applegate, B., Kerdyck, L., Ollendick, T., Hynd, G., Garfinkel, B., Greenhill, L., Biederman, J., Barkley, R., McBurnett, K.Newcorn, J., & Waldman, I. (1994). DSM-IV field trials for the disruptive behavior disorders: Symptom utility estimates. Journal of the American Academy of Child & Adolescent Psychiatry, 33, 529-539.
25.
Friedman, S.
(1994). Staying simple, staying focused: Time-effective consultations with children and families. In M. Hoyt (Ed.), Constructive therapies (pp. 217-250). New York: Guilford.
26.
Gurman, A. S.
, & Kniskern, D. P. (1981). Family therapy outcome research: Knowns and unknowns. In A. Gurman & D. Kniskern (Eds.), Handbook of family therapy (Vol. 1, pp. 742-775). New York: Brunner/Mazel.
27.
Gurman, A. S.
, & Knudson, R. (1978). Behavioral marriage therapy: A psychodynamic-systems analysis and critique. Family Process, 17, 121-138.
28.
Guterman, J.
(1996). A social constructionist position for mental health counseling. Journal of Mental Health Counseling, 16, 226-244.
29.
Hoffman, L.
(1993). Exchanging voices. London: Karnac.
30.
Keim, J.
(1998). Strategic family therapy. In F. Dattilio (Ed.), M. Goldfried(Introduction), Case studies in couple and family therapy: Systemic and cognitive perspectives (pp. 132-157). New York: Guilford.
31.
Kerr, M.
, & Bowen, M. (1988). Family evaluation. New York: Norton.
32.
Lahey, B.
, Applegate, B., Barkley, R., Garfinkel, B., McBurnett, K., Kerdick, L., Greenhill, L., Hynd, G.Frick, P., Newcorn, J., Ollendick, T., Biederman, J., & Waldman, I. (1994). DSM-IV field trials for oppositional defiant disorder and conduct disorder in children and adolescents. American Journal of Psychiatry, 151, 1163-1171.
33.
Long, P.
(1996). Oppositional defiant disorder: Treatment [Online]. Available: www.mentalhealth.com
34.
Madanes, C.
(1981). Strategic family therapy. San Francisco: Jossey-Bass.
35.
McNamee, S.
, & Gergen, K. (Eds.). (1992). Therapy as social construction. London: Sage.
36.
Mediascope
. (1997, October 23). Youth violence in America [Online]. Available: mediascope.org/mediascope/fyouthvi.htm
37.
Metcalf, L.
(1995). Counseling toward solutions: A practical solution-focused program for working with students, teachers, and parents. West Nyack, NY: Center for Applied Research in Education.
38.
New York Hospital-Cornell Medical Center
. (1997, March 4). Fact sheet: Oppositional Defiant Disorder [Online]. Available: noah.cuny.edu/illness/mentalhealth/cornell/conditions/odd.html
39.
Nichols, M.
, & Schwartz, R. (1995). Family therapy. Needham Heights, MA: Allyn & Bacon.
40.
Patterson, G.
, & Reid, J. (1970). Reciprocity and coercion: Two facets of socialsystems. In C. Neuringer & J. Michael (Eds.), Behavior modification in clinical psychology (pp. 133-177). New York: Appleton-Century-Crofts.
41.
Penn, P.
(1982). Circular questioning. Family Process, 21, 267-280.
42.
Pinsof, W.
, & Wynne, L. (1995). The efficacy of marital and family therapy: An empirical overview, conclusions, and recommendations [Special issue]. Journal of Marital and Family Therapy, 21, 341-343.
43.
Pipher, M.
(1996). The shelter of each other—rebuilding our families. New York: Ballantine.
44.
Reich, W.
, Earls, F., Frankel, O., & Shayka, J. (1993). Psychopathology in children of alcoholics. Journal of the American Academy of Child & Adolescent Psychiatry, 32(5), 995-1002.
45.
Selekman, M. D.
(1993). Pathways to change. New York: Guilford.
46.
Smith, C.
, & Nylund, D. (1997). Narrative therapies with children and adolescents. New York: Guilford.
47.
Snyder, H.
, Sickmund, M., & Poe-Yamagata, E. (1996). Juvenile offenders and victims: 1996 update on violence. Washington, DC: Office of Juvenile Justice and Delinquency Prevention.
48.
Tomm, K.
(1988). Interventive interviewing: III. Intending to ask lineal, circular, strategic, or reflexive questions?Family Process, 27, 1-15.
49.
Weakland, J.
(1976). Communication theory and clinical change. In P. Guerin, Jr. (Ed.), Family therapy (pp. 111-128). New York: Gardner.
50.
Weakland, J.
, Fish, R., Watzlawick, P., & Bodin, A. (1974). Brief therapy: Focused problem resolution. Family Process, 13, 141-168.
51.
Webster’s new world dictionary. (1968). New York: World.
52.
White, M.
, & Epston, D. (1990). Narrative means to therapeutic ends. New York: Norton.
