Conduct disorder is a mental illness, usually diagnosed during childhood or adolescence, characterized by repetitive and persistent patterns of behavior that violate the will of others, including stealing, lying, physical violence, and inability to follow rules. violations of basic rights or age-appropriate social norms are called "antisocial behavior." This behavior may not only lead adolescents to develop antisocial personality disorder in the future, but is also closely related to many other psychological problems.
The symptoms and developmental processes of behavioral disorders are diverse, with "childhood type" and "adolescent type" being the two main pathways.
Behavioral disorders may be caused by parental rejection and neglect. Treatment in these cases may require family therapy, behavioral modification, and medication. According to 2013 estimates, conduct disorders affect approximately 51.1 million people worldwide.
Symptoms of conduct disorders often include lower fear levels. Research shows that young children who are experiencing fear and stress have negative emotions in their empathy-related responses that predict their subsequent behavior. If caregivers are able to respond to infants' needs in a timely manner, young children will be better able to cope with fear and stress. Conversely, children who do not learn how to cope with these emotions often behave aggressively toward other children.
Children with behavioral disorders often lack empathy, show a lack of self-blame, and are indifferent to the consequences of their behavior, which is quite dangerous and poses a threat to themselves and those around them.
The development process of conduct disorder can be divided into "childhood type" and "adolescent type". The former refers to symptoms that appear before the age of 10, which are usually associated with more persistent behavioral patterns; while the adolescent type appears after the age of 10, the behavioral effects of this group are relatively small and do not share similar Psychopathological features.
However, this type of behavior is not necessarily static, and the behavior patterns of many individuals will vary as the environment changes.
Children with behavioral disorders often have other adjustment problems, the most common comorbidity being attention deficit hyperactivity disorder (ADHD), which has a strong association with behavioral disorders. In addition, studies have also found a close connection between behavioral disorders and substance use disorders. Many children with behavioral disorders are exposed to and use various substances at an early age during adolescence.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM), conduct disorder is diagnosed based on a persistent pattern of antisocial behavior, particularly in young people under the age of 18. These actions demonstrate serious violations of laws and social norms.
TreatmentFirst-line treatment for conduct disorders includes psychotherapy based on behavior change and problem-solving techniques that integrate the individual, school, and family support systems. Parent management training has also been shown to have positive effects on sick children.
Also, although no drug has been approved by the FDA specifically for the treatment of conduct disorders, some drugs (such as risperidone) have some efficacy in controlling aggressive behavior.
When facing the complex psychological challenge of behavioral disorders, in addition to paying attention to the root causes, we also need to pay attention to how to intervene and treat them in an effective way. What role do you think social and environmental factors play in the development of conduct disorders?