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Treating the Disruptive Adolescent : Finding the Real Self Behind Oppositional Defiant Disorders - Eduardo M. Bustamante

Treating the Disruptive Adolescent

Finding the Real Self Behind Oppositional Defiant Disorders

Hardcover

Published: 1st February 2000
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This book offers clinicians an effective method of diagnosing, managing, and treating oppositional, resistant, and disruptive older children and adolescents. Dr. Bustamante understands oppositional states as an expression of the teenager's uncertainty about his own identity and alienation from his true self. Attempts to curb rebellion that rely solely on firm behavioral limits will fail, because they thwart rather than promote development and disregard the real meaning of the disruptive behavior. The author's approach is a sensitive and creative alternative to treating this difficult population, one that offers hope and attainable goals.

This is a much-needed book on a topic of critical importance: treating the destructive and oppositional child and adolescent. If the events of the past few years have taught us anything at all, it is that we need to revisit our conceptions of childhood and adolescence. We need to understand what it is that goes wrong with such children and how we can help them. Dr. Bustamante offers a fresh and comprehensive view of assessment and intervention with this population. His clinical examples are both helpful and enlightening. I strongly recommend this wonderful book. -- Robert Mendelsohn, Adelphi University This book about ODD adolescents provides valuable and original insights into the world of the oppositional teenager. The creative interventions will be extremely useful to seasoned clinicians as well as to newer members of the mental health field. -- Edward M. Hallowell, M.D., author of Driven to Distraction

Prefacep. ix
Acknowledgmentsp. xv
Introductionp. xvii
Understanding Oppositional Defiant Disorder (ODD)
Thinking Developmentallyp. 3
Understanding Oppositional Statesp. 7
Resolving Oppositional Statesp. 8
The Needs of the Oppositional Phasep. 11
The Need for a Paradigm Shiftp. 13
The Shift to a Paradigm of Natural Developmentp. 15
The Needs of the Mastery Phasep. 16
Encouraging Mastery Statesp. 17
Entering Mastery Statesp. 18
Education and Mastery Statesp. 19
Sustaining the Gainsp. 20
The Key to Healthy Developmentp. 20
The Goodness-of-Fit Hypothesisp. 21
Goodness and Poorness of Fitp. 22
ODD as Two Minds at Oddsp. 27
Our Two Mindsp. 32
The Wisdom of the Emotional Mindp. 33
Two Minds at Oddsp. 35
The Impact of Distress or Trauma on the Mindp. 38
The Decline of Moralityp. 40
The Importance of Integrationp. 42
Treatment to Integrate the Two Mindsp. 43
Assessment
Evaluation: A Strategic Approachp. 53
Getting Past the ODD to Assess Comorbidityp. 55
Reframing ODD as Two Minds at Oddsp. 56
A Novel Approach to Interviewing ODD Adolescentsp. 67
A Preevaluation Trial Interventionp. 75
Working with the Absent Adolescentp. 82
The Assessment Properp. 85
Comorbid Conditionsp. 85
Case Conceptualizationp. 96
Types of Symptomsp. 102
Key Diagnostic Questionsp. 103
Diagnosing ODDp. 108
Treatment
Step 1: Taking Failure to the Limitp. 117
The Therapeutic Side of Failurep. 119
Nature's Remedy for ODDp. 122
When to Prescribe Failurep. 123
How to Prescribe Failurep. 126
Recovering from Larger Failuresp. 130
Step 2: Turning Failure into Growthp. 133
The Difference between Change and Growthp. 135
Encouragement and Detachmentp. 139
Arranging Consequences to Promote Growthp. 140
Three Sources of Consequencesp. 142
Parents as Allies and Protectorsp. 145
Parents as Enforcers of Consequencesp. 164
Enforcer vs. Ally: Which Hat to Wearp. 166
Managing the Teenager's "In Your Face" Tacticsp. 169
Empowering Parents to Face Personal Attacksp. 169
Blueprint for a Successful Escapep. 171
How Youths Can Handle Unreasonable Authorityp. 181
Step 3: Addressing the Two-Mind Splitp. 185
One Year Later: A Case Studyp. 185
The Timing of the Interpretation: A Case Studyp. 198
The Path of Wants: Knowing, Voicing, Doing, Masteringp. 201
Catching and Exposing the Weaknesses of the Symptomsp. 203
Getting Around the Resistancep. 210
Cognitive Therapy: Problems as Opportunitiesp. 220
Special Problems
Special Problem 1: School Failurep. 227
The Trauma Hypothesisp. 232
The Problem of Automaticityp. 232
Lack of a Developmental Perspectivep. 234
The Consequences of Scholastic Traumap. 236
Addressing Developmental Needs to Counter Scholastic Traumap. 240
Special Problem 2: Parental Neurosisp. 275
The Make-Sure Brainp. 280
The Hidden Cause of Most Child-Rearing Problemsp. 280
Dynamicsp. 290
The Cause of Parental Neurosisp. 291
Recognizing Parental Neurosisp. 294
Resolving Parental Neurosisp. 299
Therapy with the Neurotic Parentp. 302
The Failure Phasep. 303
Turning Failure into Growthp. 305
Addressing the Resistancep. 308
Providing Opportunitiesp. 309
Special Problem 3: Excessive Aggressionp. 313
Characteristics of the Excessively Aggressive Teenagerp. 313
Reframing Ronnie's Conditionp. 316
The Intervention Strategyp. 318
Understanding Narcissistic Ragep. 321
Countering Narcissistic Ragep. 327
The Initial Ticket: Five Steps to Narcissistic Deflationp. 328
Reversing the Negative Cyclep. 333
Establishing Family Fairnessp. 337
Case Illustration: A Clinician Turned Police Officerp. 337
Special Problem 4: Negative Peer Influencesp. 353
The Value of Peer Attachmentsp. 357
The Positive Side of Poor Peer Selectionp. 358
The Consequences of Sustaining a Deviant Attachmentp. 359
Addiction: A Misguided Quest for Freedomp. 361
Addiction to Peersp. 361
The Addictive Cyclep. 362
Talking to Teenagers about Their Addictionsp. 364
Identifying Unmet Needsp. 366
Escape versus Freedomp. 368
Reversing the Addictive Cyclep. 369
Other Special Problems and Contraindicationsp. 395
Lack of Parental Supportp. 397
Increased Acting Out at the Start of Treatmentp. 399
Misquoting Session Material to Challenge Authorityp. 401
Incompetent Custodial Parentsp. 404
Medical Complicationsp. 412
Serious Traumap. 421
Epiloguep. 427
The Prevalence and Prognosis of Disruptive Behavior Disorders in Childrenp. 429
Distinguishing Featuresp. 430
Associated Features and Outcomesp. 431
Peer and School Difficultyp. 431
Mother--Child Dysfunctional Relatingp. 432
The Coercive Cyclep. 434
Substance Abuse and Parenting Stylep. 435
Hyperactivity and Adolescent Outcomep. 436
Research Summaryp. 437
Existing Treatmentsp. 438
Conclusions and Recommendationsp. 443
Family Ticketp. 445
Violated Privilege(s)p. 445
Reparationp. 446
Privilege Lossp. 446
Referencesp. 447
Supplementary Readingsp. 455
Indexp. 459
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780765702357
ISBN-10: 0765702355
Audience: General
Format: Hardcover
Language: English
Number Of Pages: 496
Published: 1st February 2000
Publisher: JASON ARONSON INC
Country of Publication: US
Dimensions (cm): 24.13 x 16.51  x 3.81
Weight (kg): 0.84