TY - JOUR
T1 - Bridging the Divide Between Psychodynamic and Behavioral Approaches for Children with Oppositional Defiant Disorder
AU - Prout, Tracy A.
AU - Chacko, Anil
AU - Spigelman, Anna
AU - Aizin, Sophia
AU - Burger, Mirjam
AU - Chowdhury, Tania
AU - Ramakrishnan, Amrita
AU - Peralta, Sarah
AU - Vardanian, Maria Michelle
AU - Rice, Timothy R.
AU - Hoffman, Leon
N1 - Publisher Copyright:
© 2018, © 2018 JICAP Foundation, Inc.
PY - 2018/10/2
Y1 - 2018/10/2
N2 - Oppositional defiant disorder (ODD) is one of the primary reasons youth are referred to mental health services. Disruptive behavior disorders such as ODD are heterogeneous in their presentation, developmental trajectories, and treatment needs. Given the high attrition rates in child psychotherapy in general, there is a need for a range of interventions tailored to meet the unique needs of each family to help increase familial engagement and positive outcomes for children with ODD. This article outlines composite clinical case material of a child with ODD who was treated with Regulation Focused Psychotherapy for Children (RFP-C), a manualized, psychodynamic intervention for ODD. The case presented is then reconceptualized from a behavioral parent training perspective. This approach uses parent training to encourage positive parenting practices and reduce coercive reinforcement cycles. The case material and its reconceptualization are followed by a discussion of the distinctions between psychodynamic and behavioral approaches to children with ODD. An integrated psychotherapy approach is proposed, and the benefits and challenges of psychotherapy integration are discussed.
AB - Oppositional defiant disorder (ODD) is one of the primary reasons youth are referred to mental health services. Disruptive behavior disorders such as ODD are heterogeneous in their presentation, developmental trajectories, and treatment needs. Given the high attrition rates in child psychotherapy in general, there is a need for a range of interventions tailored to meet the unique needs of each family to help increase familial engagement and positive outcomes for children with ODD. This article outlines composite clinical case material of a child with ODD who was treated with Regulation Focused Psychotherapy for Children (RFP-C), a manualized, psychodynamic intervention for ODD. The case presented is then reconceptualized from a behavioral parent training perspective. This approach uses parent training to encourage positive parenting practices and reduce coercive reinforcement cycles. The case material and its reconceptualization are followed by a discussion of the distinctions between psychodynamic and behavioral approaches to children with ODD. An integrated psychotherapy approach is proposed, and the benefits and challenges of psychotherapy integration are discussed.
UR - http://www.scopus.com/inward/record.url?scp=85058628184&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85058628184&partnerID=8YFLogxK
U2 - 10.1080/15289168.2018.1519755
DO - 10.1080/15289168.2018.1519755
M3 - Article
AN - SCOPUS:85058628184
SN - 1528-9168
VL - 17
SP - 364
EP - 377
JO - Journal of Infant, Child, and Adolescent Psychotherapy
JF - Journal of Infant, Child, and Adolescent Psychotherapy
IS - 4
ER -