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12 and HoldingA Guide to Asperger SyndromeA Lethal InheritanceA Mother's Courage: Talking Back to AutismA Parent's Guide to Asperger Syndrome and High-Functioning AutismA Special EducationA Toss Of The DiceA Tribe ApartA User Guide to the GF/CF Diet for Autism, Asperger Syndrome and AD/HDA Walk in the Rain With a BrainABC of Eating DisordersADD-Friendly Ways to Organize Your LifeADHD Grown UpADHD in the Schools: Assessment and Intervention StrategiesAdolescence and Body ImageAdolescent DepressionAggression and Antisocial Behavior in Children and AdolescentsAll Alone in the UniverseAlpha GirlsAmericaAnother PlanetAntisocial Behavior in Children and AdolescentsAsperger Syndrome and Your ChildAsperger Syndrome, Adolescence, and IdentityAsperger's and GirlsAssessment of Childhood DisordersAttention Deficit DisorderAttention-Deficit Hyperactivity DisorderAttention-Deficit/Hyperactivity DisorderAutism - The Eighth Colour of the RainbowAutism and MeAutism's False ProphetsAutistic Spectrum DisordersBad GirlBeen There, Done That? DO THIS!Before I DieBetween Two WorldsBeyond AppearanceBig Mouth & Ugly GirlBipolar ChildrenBipolar Disorder in Childhood and Early AdolescenceBipolar DisordersBipolar KidsBlackwell Handbook of Childhood Cognitive DevelopmentBody Image, Eating Disorders, and ObesityBody Image, Eating Disorders, and Obesity in YouthBoy AloneBrain-Based Therapy with Children and AdolescentsBreaking PointBreathing UnderwaterBringing Up ParentsBullying and TeasingBullying PreventionBut I Love HimCan't Eat, Won't EatCaring for a Child with AutismCatalystChild and Adolescent PsychiatryChild and Adolescent Psychological DisordersChild and Adolescent PsychopathologyChild NeuropsychologyChild Well-BeingChildren and SexualityChildren Changed by TraumaChildren with Emerald EyesChildren with Sexual Behavior ProblemsChildren, Sexuality and SexualizationChildren’s Dreaming and the Development of Consciousness City of OneCommunication Issues In Autism And Asperger SyndromeConcepts of NormalityConcise Guide to Child and Adolescent PsychiatryConquering the Beast WithinConsuming KidsContesting ChildhoodCount Us InCrackedCrossesCutCyber-Safe Kids, Cyber-Savvy TeensDamageDemystifying the Autistic ExperienceDescartes' BabyDilemmas of DesireDirtyDisconnected KidsDoing SchoolDon't Bother Me Mom--I'm Learning!Don't Pick On MeDying to Be ThinEarly Intervention Programs and PoliciesEating an ArtichokeEducating Children With AutismEight Stories UpElijah's CupEmerald City BluesEmotional and Behavioral Problems of Young ChildrenEpilepticEthical Dilemmas in PediatricsEvery Girl Tells a StoryExiting NirvanaExploiting ChildhoodEye ContactFacing BipolarFamily HistoryFast GirlsForever YoungFreaks, Geeks and Asperger SyndromeFreewillFrictionGirl CultureGirl in the MirrorGirlfightingGirlhoodGirlWiseHandbook of Evidence-Based Therapies for Children and AdolescentsHandbook of Preschool Mental HealthHealing ADDHelping Children Cope With Disasters and TerrorismHelping Hyperactive KidsHelping Parents, Youth, and Teachers Understand Medications for Behavioral and Emotional ProblemsHelping Students Overcome Depression and AnxietyHelping Teens Who CutHollow KidsHope's BoyHow Infants Know MindsHow to Keep Your Teenager Out of Trouble and What to Do If You Can'tHurry Down SunshineI Am Not Joey PigzaIdentifying Hyperactive ChildrenIf Your Adolescent Has an Eating DisorderIn the Company of CraziesIncorporating Social Goals in the ClassroomIntegrated YogaIntrusive ParentingIssues for Families, Schools and CommunitiesJake RileyJoey Pigza Loses ControlJoey Pigza Swallowed the KeyJuvenile-Onset SchizophreniaKim: Empty InsideLearning and Behavior Problems in Asperger SyndromeLearning Disorders and Disorders of the Self in Children and AdolescentsLearning Outside the Lines Let Kids Be KidsLiberation's ChildrenLife As We Know ItLisa, Bright and DarkLook Me in the EyeLoserLove and SexLove That DogMad at SchoolMaking ADD WorkMaking American BoysManicMastering Anger and AggressionMaverick MindMedicating ChildrenMind FieldsMind to MindMommy I'm Still in HereMore Than a LabelMy Flesh and BloodMyths of ChildhoodNew Hope for Children and Teens with Bipolar DisorderNew Look at ADHD: Inhibition, Time, and Self-ControlNo Child Left DifferentNo Two AlikeNon-Drug Treatments for ADHDNot Much Just Chillin'NurtureShockOdd Girl OutOdd Girl Speaks OutOne Hot SecondOne in ThirteenOphelia SpeaksOphelia's MomOur Journey Through High Functioning Autism and Asperger SyndromeOut of the WoodsOvercoming ADHDOvercoming School AnxietyParenting a Child Who Has Intense EmotionsParenting Children With ADHDParenting Your Out-Of-Control TeenagerPediatric PsychopharmacologyPediatric PsychopharmacologyPediatric PsychopharmacologyPeople with HyperactivityPhobic and Anxiety Disorders in Children and AdolescentsPINSPlease Don't Label My ChildPraising Boys WellPraising Girls WellProblem Child or Quirky Kid?Problem GirlsPsychotherapy for Children and AdolescentsPsychotherapy with Children and AdolescentsPurgeRaising a Moody ChildRaising BlazeRaising Generation RxRaising Resilient ChildrenReady or Not, Here Life ComesReclaiming Our ChildrenRedressing the EmperorReducing Adolescent RiskRemembering Our ChildhoodResilience in ChildrenRethinking ADHDReweaving the Autistic TapestryRitalin is Not the Answer Action GuideRitalin NationRunning on RitalinRunning with ScissorsRutter's Child and Adolescent PsychiatrySeeing EzraSex and the American TeenagerSex, Therapy, and KidsSexting and Young PeopleSexual Teens, Sexual MediaShort Term 12Should I Medicate My Child?SmashedSnapshots of AutismSongs Without WordsSophie Spikey Has a Very Big ProblemSpeakStaying Connected to Your TeenagerStick FigureStraight Talk about Psychiatric Medications for KidsStraight Talk about Psychological Testing for KidsStraight Talk about Your Child's Mental HealthStrange SonStudent DepressionSuicidal Behavior in Children and AdolescentsSurvival Strategies for Parenting Children with Bipolar DisorderSurviving OpheliaTaking Charge of ADHD, Revised EditionTaming the Troublesome ChildTemple GrandinThe American Psychiatric Publishing Textbook Of Child And Adolescent PsychiatryThe Anti-Romantic ChildThe Bipolar ChildThe Boy Who Loved WindowsThe Boy Who Was Raised as a DogThe Buffalo TreeThe Bully Action GuideThe Bully, the Bullied, and the BystanderThe Burn JournalsThe Color of AbsenceThe Curious Incident of the Dog in the Night-TimeThe Depressed ChildThe Developing MindThe Dragons of AutismThe Einstein SyndromeThe EpidemicThe Evolution of ChildhoodThe Explosive ChildThe Eyes of van GoghThe Fasting GirlThe Field of the DogsThe Flight of a DoveThe Hidden Gifts of the Introverted ChildThe Horse BoyThe Identity TrapThe Inner World of a Suicidal YouthThe Inside Story on Teen GirlsThe Kindness of StrangersThe Last Normal ChildThe Little MonsterThe Medicated ChildThe Myth of LazinessThe New Gay TeenagerThe Nurture AssumptionThe OASIS Guide to Asperger SyndromeThe Other ParentThe Perversion of YouthThe Philosophy of AutismThe Psychoanalytic Study of the ChildThe Real Truth About Teens and SexThe Ride TogetherThe Rise and Fall of the American TeenagerThe Science of ADHDThe Sex Lives of TeenagersThe Survival Guide for Kids With LD*The Unhappy ChildThen Again, Maybe I Won'tTherapy with ChildrenThings I Have to Tell YouThings Tom LikesThrough the Glass WallThumbsuckerTotally WiredTouching Spirit BearTrauma in the Lives of ChildrenTreating ADHD and Comorbid DisordersTreatment of Childhood DisordersTwistedUnder the Wolf, Under the DogUnhappy TeenagersUnstrange MindsWastedWe've Got IssuesWeather Reports from the Autism FrontWhat about the KidsWhat in the World Are Your Kids Doing Online?What Works for Whom?What Would Joey Do?What's Happening to My Body? Book for BoysWhat's Happening to My Body? Book for GirlsWhat's Happening to Tom?When Nothing Matters AnymoreWhen Your Child Has an Eating DisorderWhose America?Why Don't Students Like SchoolWill's ChoiceWinnicott On the ChildWorried All the TimeYou Hear MeYoung Minds in Social WorldsYoung People and Mental HealthYour Child, Bully or Victim?
This book is the result of an effort of more than
forty years, at the University of Oregon, to identify causes and treatments of
antisocial behavior in children and adolescents. It is a rather dry book, and will receive little acknowledgment
apart from professionals in the field who read it, but it is, in fact, a
fantastic accomplishment. For one
thing, few research projects continue over this sort of time span, and the data
are voluminous and very helpful. For another,
the findings in this book, if applied at all rigorously, could significantly
decrease antisocial behavior in young people.
It is sad that the data probably will not be systematically applied
across the country.
The studies reported in this book began in the
1960s, with the aim of developing approaches to help antisocial children and
adolescents. Most of the studies
reported have been prospective, and some have gone on for many years. The authors and contributors take the view
that antisocial actions are shaped largely by social phenomena especially
within the family and they have excellent data to back up this approach. They propose a developmental model of
conduct that is very useful and interesting, albeit incomplete.
The book begins with a history of the Oregon model
of the development of antisocial behavior in children and adolescents, going
back to the 1960s. In contrast to
several modern views that look for the origins of this behavior within the
child herself or himself, this model examines the environment of the child
especially the family, and the way that the environment reinforces maladaptive,
antisocial behavior. Although the
theory may be old-fashioned, the authors argue successfully that theirs is a
theory of aggression that works. There
is, indeed, abundant evidence in support of it that is presented in the rest of
the multi-authored book.
next section of the book examines coercion theory, the way that antisocial
behavior develops in the context of the type of coercive environment that the
child grows up in. I would argue
against the use of the term coercive
because of its connotations. The
authors would maintain, I believe, that all childhood environments are
inherently coercive, and that it is the style of coercion that is problematic. The authors have good data for dispositions
by caregivers and styles of coercive environments during the first year of life
as being linked to antisocial behavior.
Different authors next address the concept of competence (and mastery)
in early development. This is highly
linked, in a robust research study, with the quality of attachment, which is a
predictor of future positive peer interactions. In addition, children with early, positive peer interactions are
unlikely to become antisocial later.
The next chapter in this section examines the familys role in
reinforcing the development of antisocial behavior. Lack of familial problem-solving and inconsistent or mean
discipline are associated with an increased risk of antisocial behavior, in
long-term, well-designed studies, although much remains to be learned about
this phenomenon. A subsequent chapter
examines the role of the peer group which is very powerful in reinforcing
antisocial behavior. Contextual factors
such as parental unemployemnt, family income, parental depression, and lower
academic achievement by parents also play a role, and this situation carries
into the next generation and beyond, unfortunately. In another chapter, Patterson and others present data suggesting
that early-onset antisocial behavior is of much more significance than
late-onset (adolescent) antisocial behavior and should be prioritized in the
social/criminal justice systems.
After an interesting chapter on depression and its
role, Reid and Eddy write an overview of interventions, which is very
good. They view microsocial processes
as the target of interventiion and have an admirable rationale for doing
this. They argue strongly for a
family-based treatment model. This is
followed by an excellent chapter on treatment interventions in foster care
situations, with a major research agenda over the next two decades, a chapter
on prevention during the elementary school years (the well known LIFT project),
shown to at least delay onset of serious antisocial behavior, a chapter on
social interventions with families of divorce, also quite promising, and,
finally, an excellent chapter on a family-centered prevention strategy based in
Patterson then adds a final chapter speculating
about extension of the models depicted in the book, with excellent graphics.
The book concludes with a very lengthy and useful
list of references and a fine index.
This book has many positives. It presents lengthy research by a committed
group over many years, with interesting and heuristic results and ideas for
further research. The findings are
incomplete but compelling, as far as they go.
There are negatives. The social view presented is too restrictive. There are many biological correlates and
perhaps precipitants of antisocial behavior, well researched but largely
ignored in the book. The psychological
vantage point is also very limited. The
writing style is, for the most part, decent, but no more than that, and some of
the chapters require rather careful reading because of intricate research
For philosophers and philosophically inclined
psychiatrists, psychologists and social workers, there are unstated but
should we take a social phenomenon (coercive parenting) and insist that it is
an individual syndrome (conduct disorder, oppositional-defiant disorder)?
the data on adolescent antisocial behavior as a multigenerational and largely
social phenomenon, what is the individual responsibility of the individual
recommend the book!
© 2002 Lloyd A. Wells
A. Wells, Ph.D., M.D., is a child and adolescent psychiatrist at the Mayo Clinic in Minnesota. He has a
particular interest in philosophical issues related to psychiatry and in the
logic used in psychiatric discourse.