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Chapter 10 - Case Complexity and Resistance to Change in the Treatment of Child Conduct Problems

from Part III - Family Intervention for Specific Child and Adolescent Mental Health Problems

Published online by Cambridge University Press:  18 February 2021

By
David J. Hawes  and
Mark R. Dadds
Edited by
Jennifer L. Allen ,
David J. Hawes  and
Cecilia A. Essau
Jennifer L. Allen
Affiliation:
University of Bath
David J. Hawes
Affiliation:
University of Sydney
Cecilia A. Essau
Affiliation:
Roehampton University, London
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Summary

Case complexity and resistance to change have the potential to derail the successful treatment of child conduct problems in part through the effects they have on therapists. This chapter examines therapist competencies for responding to complexity and resistance to change in the evidence-based treatment of such problems. Key dimensions of case complexity among families of children referred for conduct problems are outlined, along with principles for adapting treatment plans based on these dimensions. A reflective practice model for overcoming resistance to change is then detailed. This process model, which draws heavily on principles from family therapy and research into parental resistance during the treatment of conduct problems, is designed to promote a shared therapeutic agenda and empower parents in the change process. Case examples and practical illustrations are presented throughout

Keywords

conduct problemstreatmentparentsresistancecomplex casesconduct disorderoppositional defiant disorder
Type
Chapter
Information
Family-Based Intervention for Child and Adolescent Mental Health
A Core Competencies Approach
 , pp. 119 - 135
Publisher: Cambridge University Press
Print publication year: 2021

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References

Comer, JS, Chow, C, Chan, PT, et al. Psychosocial treatment efficacy for disruptive behavior problems in very young children: A meta-analytic examination. Journal of the American Academy of Child and Adolescent Psychiatry 2013; 52(1):26–36.CrossRefGoogle ScholarPubMed
Kaminski, JW, Claussen, AH. Evidence base update for psychosocial treatments for disruptive behaviors in children. Journal of Clinical Child and Adolescent Psychology 2017; 46(4):477–99.Google Scholar
Pilling, S, Gould, N, Wittington, C, et al. Recognition, intervention, and management of antisocial behaviour and conduct disorders in children and young people: Summary of NICE-SCIE guidance. British Medical Journal 2013; 346:f1298.Google Scholar
Lindsay, G, Strand, S, Davis, H. A comparison of the effectiveness of three parenting programmes in improving parenting skills, parent mental-well being and children’s behaviour when implemented on a large scale in community settings in 18 English local authorities: The parenting early intervention pathfinder (PEIP). BMC Public Health 2011; 11:962.Google Scholar
Kaehler, LA, Jacobs, M, Jones, DJ. Distilling common history and practice elements to inform dissemination: Hanf-model BPT programs as an example. Clinical Child and Family Psychology Review 2016; 19(3):236–58.Google Scholar
Kaminski, JW, Anne Valle, L, Filene, JH, Boyle, C. A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology 2008; 36(4):567–89.Google Scholar
Garland, AF, Hawley, CM, Brookman-Frazee, L, Hurlburt, M. Identifying common elements of evidence-based psychosocial treatments for children’s disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry 2008; 47(5):505–14.Google Scholar
Dadds, M, Hawes, D. Integrated Family Intervention for Child Conduct Problems: A Behaviour-Attachment-Systems Intervention for Parents. Bowen Hills, QLD, Australia: Australian Academic Press, 2006, pp. viii, 136.Google Scholar
Dadds, MR, Cauchi, AJ, Wimalaweera, S, et al. Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood. Psychiatry Research 2012; 199(3):201–7.Google Scholar
Dadds, MR, English, T, Wimalaweera, S, et al. Can reciprocated parent-child eye gaze and emotional engagement enhance treatment for children with conduct problems and callous-unemotional traits: A proof-of-concept trial. Journal of Child Psychology and Psychiatry 2019; 60(6):676–85.Google Scholar
Kirkman, JJ, Hawes, DJ, Dadds, MR. An open trial for an e-health treatment for child behavior disorders II: outcomes and clinical implications. Evidence-Based Practice in Child and Adolescent Mental Health 2016; 1(4):213–29.Google Scholar
Dadds, MR, Thai, C, Mendoza Diaz, A, et al. Therapist-assisted online treatment for child conduct problems in rural families: Two randomized controlled trials. Journal of Consulting and Clinical Psychology 2019; 87(8):706–19.CrossRefGoogle ScholarPubMed
Piotrowska, PJ, Tully, LA, Collins, DAJ, et al. ParentWorks: Evaluation of an online, father-inclusive, universal parenting intervention to reduce child conduct problems. Child Psychiatry and Human Development 2020; 51:503–13.Google Scholar
Delgadillo, J, Huey, D, Bennett, H, McMillan, D. Case complexity as a guide for psychological treatment selection. Journal of Consulting and Clinical Psychology 2017; 85(9):835–53.Google Scholar
Ruscio, AM. Holohan, DR. Applying empirically supported treatments to complex cases: Ethical, empirical, and practical considerations. Clinical Psychology: Science and Practice 2006; 13(2):146–62.Google Scholar
Tarrier, N, Johnson, J. Case Formulation in Cognitive Behaviour Therapy: The Treatment of Challenging and Complex Cases. London: Routledge, 2015.CrossRefGoogle Scholar
Tung, I, Lee, SS. Context-specific associations between harsh parenting and peer rejection on child conduct problems at home and school. Journal of Clinical Child and Adolescent Psychology 2018; 47(4):642–54.Google Scholar
Fonagy, P, Luyten, P. Conduct problems in youth and the RDoC approach: A developmental, evolutionary-based view. Clinical Psychology Review 2018; 64:57–76.Google Scholar
Levy, F, Hawes, DJ, Johns, A. Externalizing and internalizing comorbidity. In: The Oxford Handbook of Externalizing Spectrum Disorders. New York: Oxford University Press, 2016, pp. 443–60.Google Scholar
Taraban, L, Shaw, DS. Parenting in context: Revisiting Belsky’s classic process of parenting model in early childhood. Developmental Review 2018; 48:55–81.CrossRefGoogle Scholar
Miller, GE, Prinz, RJ. Enhancement of social learning family interventions for childhood conduct disorder. Psychology Bulletin 1990; 108(2):291–307.CrossRefGoogle ScholarPubMed
Patterson, GR, Chamberlain, P. A functional analysis of resistance during parent training therapy. Clinical Psychology: Science and Practice 1994; 1(1):53–70.Google Scholar
Patterson, GR. Coercion theory. In: Dishion, T, Snyder, J (eds.), The Study of Change. Oxford, UK: Oxford University Press, 2015.Google Scholar
Snyder, J, Stoolmiller, M. Reinforcement and coercion mechanisms in the development of antisocial behavior: The family. In: Antisocial Behavior in Children and Adolescents: A Developmental Analysis and Model for Intervention. Washington, DC: American Psychological Association, 2002, pp. 65–100.Google Scholar
Minuchin, S. Families and Family Therapy. Cambridge, MA: Harvard University Press, 1974, pp. viii, 268.Google Scholar
Green, SM, Loeber, R, Lahey, BB. Child psychopathology and deviant family hierarchies. Journal of Child and Family Studies 1992; 1(4):341–9.CrossRefGoogle Scholar
Shaw, DS, Criss, M, Schonberg, M, Beck, J. The development of family hierarchies and their relation to children’s conduct problems. Development and Psychopathology 2004; 16(3):483–500.Google Scholar
Burn, M, Tully, LA, Jiang, Y, et al. Evaluating practitioner training to improve competencies and organizational practices for engaging fathers in parenting interventions; Child Psychiatry and Human Development 2019; 50(2):230–44.Google Scholar
Piotrowska, PJ, Tully, LA, Lenroot, R, et al. Mothers, fathers, and parental systems: A conceptual model of parental engagement in programmes for child mental health – connect, attend, participate, enact (CAPE). Clinical Child and Family Psychology Review 2017; 20(2):146–61.CrossRefGoogle ScholarPubMed
Hawes, DJ, Dadds, MR. Parent and family assessment strategies. In: McLeod, BD, Jensen-Doss, A, Ollendick, T (eds.), Diagnostic and Behavioral Assessment in Children and Adolescents: A Clinical Guide. New York: Guilford Press, 2013, pp. 316–47.Google Scholar
Dadds, MR. Concurrent treatment of marital and child behaviour problems in behavioural family therapy. Behaviour Change 1992; 9(3):139–48.Google Scholar
Sawrikar, V, Dadds, M. What role for parental attributions in parenting interventions for child conduct problems? Advances from research into practice. Clinical Child and Family Psychology Review 2018; 21(1):41–56.Google Scholar
Mence, M, Hawes, DJ, Wedgwood, L, Morgan, S, Barnett, B, Kohlhoff, J, Hunt, C. Emotional flooding and hostile discipline in the families of toddlers with disruptive behavior problems. Journal of Family Psychology 2014; 28(1):12–21.Google Scholar
Snyder, J, Edwards, P, McGraw, K, Kilgore, K, Holton, A. Escalation and reinforcement in mother-child conflict: Social processes associated with the development of physical aggression. Development and Psychopathology 1994; 6(2):305–21.Google Scholar
Fearon, RP, Bakermans-Kranenburg, MJ, van Ijzendoorn, MH, Lapsley, AM, Roisman, GI. The significance of insecure attachment and disorganization in the development of children’s externalizing behavior: A meta‐analytic study. Child Development 2010; 81(2):435–56.Google Scholar
Kochanska, G, Barry, RA, Stellern, SA, O’Bleness, JJ. Early attachment organization moderates the parent–child mutually coercive pathway to children’s antisocial conduct. Child Development 2009; 80(4):1288–300.Google Scholar
Greenberg, MT, Speltz, ML, Deklyen, M. The role of attachment in the early development of disruptive behavior problems. Development and Psychopathology 1993; 5(1–2):191–213.Google Scholar
Harlow, HF, Harlow, MK. Psychopathology in monkeys. In: Kimmel, HD (ed.), Experimental Psychopathology: Recent Research and Theory. New York: Academic Press, 1972, pp. 203–29.Google Scholar
Dadds, MR, Tully, LA. What is it to discipline a child: What should it be? A reanalysis of time-out from the perspective of child mental health, attachment, and trauma. American Psychologist 2019; 74(7):794–808.Google Scholar
Beutler, LE, Moleiro, C, Talebi, H. Resistance in psychotherapy: What conclusions are supported by research? Journal of Clinical Psychology 2002; 58(2):207–17.CrossRefGoogle ScholarPubMed
Patterson, GR, Chamberlain, P. A functional analysis of resistance during parent training therapy. Clinical Psychology: Science and Practice 1994; 1(1):53–70.Google Scholar
Patterson, GR, Forgatch, MS. Therapist behavior as a determinant for client noncompliance: A paradox for the behavior modifier. Journal of Consulting and Clinical Psychology 1985; 53(6):846–51.Google Scholar
Scott, S, Dadds, MR. Practitioner review: When parent training doesn’t work: Theory-driven clinical strategies. Journal of Child Psychology and Psychiatry 2009; 50(12):1441–50.Google Scholar
Cavell, TA. Working with Parents of Aggressive Children: A Practitioner’s Guide. Washington, DC: American Psychological Association, 2000.Google Scholar
Webster-Stratton, C, Herbert, M, Ollendick, TH. Troubled Families Problem Children: Working with Parents. A Collaborative Process. New York: Wiley, 1994.Google Scholar
Gottman, JM, Leiblum, SR. How to Do Psychotherapy and How to Evaluate It: A Manual for Beginners. New York: Holt, Rinehart & Winston, 1974.Google Scholar
Miller, WR, Rollnick, S. Motivational Interviewing: Helping People Change. New York: Guilford Press 2012.Google Scholar
N’zi, AM, Lucash, RE, Clionsky, LN, Eyberg, SM. Enhancing parent–child interaction therapy with motivational interviewing techniques. Cognitive and Behavioral Practice 2017; 24(2):131–41.Google Scholar
Tully, LA, Piotrowska, PJ, Collins, D, et al. Study protocol: Evaluation of an online, father-inclusive, universal parenting intervention to reduce child externalising behaviours and improve parenting practices. BMC Psychology 2017; 5(21):11.Google Scholar
Webb, HJ, Thomas, R, McGregor, L, et al. An evaluation of parent–child interaction therapy with and without motivational enhancement to reduce attrition. Journal of Clinical Child and Adolescent Psychology 2017; 46(4):537–50.Google Scholar
Stoolmiller, M, Duncan, T, Bank, L, Patterson, G. Some problems and solutions in the study of change: Significant patterns in client resistance. Journal of Consulting and Clinical Psychology 1993; 61(6):920.Google Scholar
Sawrikar, V, Hawes, DJ, Moul, C, Dadds, MR. How do mothers’ parental attributions affect child outcomes from a positive parenting intervention? A mediation study. In: Child Psychiatry and Human Development. 2019, pp. 1–12.CrossRefGoogle Scholar
Sawrikar, V, Mendoza Diaz, A, Moul, C, et al. Why is this happening? A brief measure of parental attributions assessing parents’ intentionality, permanence, and dispositional attributions of their child with conduct problems. Child Psychiatry and Human Development 2019; 50(3):362–73.Google Scholar
Chamberlain, P, Patterson, G, Reid, J, et al. Observation of client resistance. Behavior Therapy 1984; 15(2):144–55.Google Scholar
White, LJ, Rosenthal, D. Reframing in family therapy: Past, present, and future perspectives. Family Science Review 1989; 2(3):237–48.Google Scholar
Robbins, MS, Alexander, JF, Newell, RM, Turner, CW. The immediate effect of reframing on client attitude in family therapy. Journal of Family Psychology 1996; 10(1):28–34.CrossRefGoogle Scholar
Tomm, K. Interventive interviewing: II. Reflexive questioning as a means to enable self‐healing. Family Process 1987; 26(2):167–83.Google Scholar

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