Treatments for aggressive and antisocial children.

摘要: Many different types of treatment have been applied to conduct-disordered youths. Unfortunately, little outcome evidence exists for most the techniques. Three treatments with strongest date were highlighted in this article: PMT, PSST, and MST. Parent management training is directed at altering parent-child interactions home, particularly those related child-rearing practices coercive interchanges. Cognitive problem-solving skills focuses on cognitive processes that underlie social behavior. Multisystemic therapy individual, family, extrafamilial systems their interrelations as a way reduce symptoms promote prosocial Each these has multiple controlled studies its behalf, some techniques (e.g., PMT) extraordinarily well evaluated. Significant issues remain be addressed accelerate advances. We cannot yet say one intervention can ameliorate conduct disorder overcome poor long-term prognosis. On other hand, much said. Much what practiced clinical settings based psychodynamically oriented treatment, general relationship counseling, generic family therapy, group (with antisocial youths members). These procedures, alone various combinations which they are often used, not evaluated carefully trials. Of course, absence tantamount ineffectiveness. At same time, promising advanced considerably, very special argument might needed administer neither basic research conceptual underpinnings relation nor from trials behalf. Promising treatments, best, leave important questions unanswered. Further development clearly needed. Apart studies, further progress understanding nature likely implications improving outcome. Improved triage patients work will require characteristics children, parents, families make them more or less amenable current treatments.