Assessment of Childhood Disorders / Edition 4

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This leading text and clinical guide offers best-practice recommendations for assessing a comprehensive array of child and adolescent mental health problems and health risks. Prominent authorities present evidence-based approaches that can be used in planning, implementing, and evaluating real-world clinical services. Coverage encompasses behavior disorders, mood disorders, anxiety disorders, developmental disorders, maltreatment, and adolescent problems. The volume emphasizes the need to evaluate clients' strengths as well as their deficits, and to take into account the developmental, biological, familial, and cultural contexts of problem behavior.

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Editorial Reviews

From the Publisher
"In the truly remarkable introductory chapter, the book describes a uniquely comprehensive and well-thought-through model for integrating evidence-based assessment with knowledge on the multiple contexts and domains of child and family functioning. Subsequent chapters, organized by this overarching model, present diverse measures across common developmental themes. The book will guide researchers and clinicians in comprehensive case formulation and evaluation of clinical and adaptive functioning. It would also be an excellent core text for graduate-level courses in psychopathology or clinical assessment."—Alan E. Kazdin, PhD, Department of Psychology, Yale University

"Mash and Barkley offer the field an incredible resource with this fourth edition. Leading experts provide the latest information on assessing a broad range of disorders, covering diagnostic criteria and processes; parent, teacher, and self-report instruments; reliability and validity of measures; and strategies for working with individuals, families, and other practitioners. The developmental systems approach taken throughout the text represents a cutting-edge perspective on child and adolescent assessment. Professionals and graduate students will find this an up-to-date, forward-thinking work that will have a strong impact on both research and practice."—Karen R. Harris, EdD, Peabody College of Education, Vanderbilt University
"Synthesizing a wealth of theoretical, empirical, and practical information, this fourth edition is a tour de force. Despite the title’s emphasis on assessment, the volume moves beyond diagnosis per se to address the many biological and contextual influences on children’s functioning. Its recommendations are informed by current perspectives on converging etiological factors, developmental and situational variations in the manifestations of problems, and the importance of considering both dimensional and categorical models of problem behavior. All serious scholars of child and adolescent psychopathology will want to have this classic work in their library."—Susan B. Campbell, PhD, Department of Psychology, University of Pittsburgh
"Emphasizing a developmental systems approach, and written by experts in the field, this fourth edition is a 'must read' for experienced professionals and students alike. Comprehensive in scope and highly readable, the text is well suited for use in the upper-level undergraduate or graduate classroom. Within its pages, professionals will find a wealth of practical information to guide their work with children, adolescents, and families suffering from early-onset behavioral health disorders. I highly recommend this book."—Daniel F. Connor, MD, Department of Psychiatry, University of Connecticut Medical School

Metapsychology Online Reviews
"For almost 30 years, Assessment of Childhood Disorders has served as a guide to the tools used in clinical assessments as well as the issues....Perfect for graduate students and practicing clinicians, as well as behavioral science researchers interested in getting up to date on conditions that may relate to their own work....Much has changed since the last time the text was published (in 1997), and so those who benefited from the earlier edition would do well to update their libraries with this one."—Metapsychology Online Reviews
Metapsychology Online Reviews

"For almost 30 years, Assessment of Childhood Disorders has served as a guide to the tools used in clinical assessments as well as the issues....Perfect for graduate students and practicing clinicians, as well as behavioral science researchers interested in getting up to date on conditions that may relate to their own work....Much has changed since the last time the text was published (in 1997), and so those who benefited from the earlier edition would do well to update their libraries with this one."--Metapsychology Online Reviews
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Product Details

  • ISBN-13: 9781606236154
  • Publisher: Guilford Publications, Inc.
  • Publication date: 1/5/2010
  • Edition description: Fourth Edition
  • Edition number: 4
  • Pages: 866
  • Sales rank: 423,655
  • Product dimensions: 6.80 (w) x 9.90 (h) x 1.80 (d)

Meet the Author

Eric J. Mash, PhD, is Professor of Psychology in the Department of Psychology and Program in Clinical Psychology at the University of Calgary. He has served as an editor, editorial board member, and editorial consultant for many scientific and professional journals; and has published numerous books and journal articles.

Russell A. Barkley, PhD, ABPP, ABCN, is Clinical Professor of Psychiatry and Pediatrics at the Medical University of South Carolina. Dr. Barkley has published numerous books and five assessment scales, plus more than 260 scientific articles and book chapters on ADHD, executive functioning, and childhood defiance. He is also the editor of the newsletter The ADHD Report. A frequent conference presenter and speaker who is widely cited in the national media, he is past president of the Section on Clinical Child Psychology (the former Division 12) of the American Psychological Association, and of the International Society for Research in Child and Adolescent Psychopathology. His website is

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Read an Excerpt

Assessment of Childhood Disorders

The Guilford Press

Copyright © 2001 The Guilford Press
All right reserved.

ISBN: 1-57230-587-8

Chapter One


Eric J. Mash Leif G. Terdal

Almost from the time of their conception, children in North American society are assessed, evaluated, and labeled with respect to their physical condition, behavior, cognitive status, educational achievement, social competence, mood, and personality. These assessments are guided by the implicit assumptions about child development and behavior held by significant others and by society. Parents, teachers, physicians, siblings, peers, and community members all participate in this ongoing process, as do the children themselves. For most children, these evaluations occur during everyday social transactions and, to a lesser degree, during periodic formal evaluations best characterized as "routine" (e.g., regular medical checkups). As a result of these assessments, some children are identified as deviating from a normal course of development with regard to their behavior, physical condition, or violation of social norms and expectations (Kagan, 1983; Mash & Dozois, 1996). When a negative valence is assigned to these deviations, a child is likely to be informally labeled as belonging to a group of children who display similar characteristics (e.g., "difficult," "shy," "overactive"). Such childrenand their families then come to the attention of society's professional assessors, who utilize special strategies to build upon the informal assessments that led to the referrals (Kamphaus, 1993; Kamphaus & Frick, 1996; Mash & Terdal, 1988a; Messick, 1983; Ollendick & Hersen, 1993b; Reynolds & Kamphaus, 1990a, 1990b; Sattler, 1992, 1997).

Although there is much agreement concerning the need for systematic assessments of children-particularly children exhibiting problems, or at risk for later problems-there has been and continues to be considerable disagreement regarding how childhood disorders should be defined; what child characteristics, adaptations, and contexts should be assessed; by whom and in what situations children should be assessed; what methods should be employed; and how the outcomes of assessments should be integrated, interpreted, and utilized. Despite such disagreement, there exists a general consensus on the need for the development of assessment strategies not as an endpoint, but rather as a prerequisite for designing and evaluating effective and efficient services for children (Mash & Terdal, 1988b). Such a functional/utilitarian approach to the assessment of children and families is a major theme underlying this volume-one that transcends many of the conceptual and methodological differences and preferences that emerge in the current discussion.

This volume describes current approaches to the behavioral-systems assessment (BSA) of child and family disorders. BSA evolved from the concepts and methods of child behavioral assessment (Bornstein, Bornstein, & Dawson, 1984; Cone, 1987; Cone & Hoier, 1986; Evans & Nelson, 1977; Nay, 1979; Nelson & Hayes, 1979; Ollendick & Hersen, 1984), and continues to embrace many of its fundamental ideas, principles, and methods (Cone, 1993; Hayes & Follette, 1993; Mash & Hunsley, 1990; Mash & Terdal, 1988b; Ollendick & Hersen, 1993a). Among these are the importance of context in assessment; the view of assessment as an ongoing process; the use of multimethod strategies, including direct observations of behavior; the use of multiple informants; an emphasis on assessment information that will lead to the design of effective interventions; the use of empirically justifiable assessment methods; and the ongoing evaluation of treatment outcomes as an integral part of the assessment process. The purpose of this introductory chapter is to present the current concepts and practices of BSA with disturbed children and families, and to discuss some of the broader issues and implications surrounding their development and use.


In the introductory chapter to the first edition of Behavioral Assessment of Childhood Disorders, we stated (Mash & Terdal, 1981b): "Recognizing the likelihood of ongoing and future changes in assessment strategies related to new empirical findings, emergent ideas, practical concerns, and shifts in the broader sociocultural milieu in which assessments are carried out, this chapter-indeed, this book-should be viewed as a working framework for understanding current behavioral approaches to the assessment of children" (p. 4).

As reflected throughout the present volume, behavioral approaches to the assessment of child and family disorders have changed dramatically over the last two decades. Some of the more notable developments are as follows:

1. An increased emphasis on incorporating developmental considerations into the design, conduct, and interpretation of assessments (Peterson, Burbach, & Chaney, 1989; Yule, 1993); into the implementation of treatments (Kendall, Lerner, & Craighead, 1984; McMahon & Peters, 1985); and into the study of child and family psychopathology more generally (e.g., Cicchetti & Cohen, 1995a, 1995b; Hersen & Ammerman, 1995; Lewis & Miller, 1990; Mash & Barkley, 1996).

2. A heightened interest in issues related to diagnosis and classification, with concomitant efforts to integrate extant diagnostic practices with BSA strategies (Barlow, 1986; Harris & Powers, 1984; Kazdin, 1983; Last & Hersen, 1989; Mash & Terdal, 1988a).

3. An elaborated view of BSA as an ongoing decision-making process (Adelman & Taylor, 1988; Evans & Meyer, 1985; Kanfer & Schefft, 1988; La Greca & Lemanek, 1996). This view has generated interest in the judgmental heuristics that influence this complex information-processing task (Evans, 1985; Kanfer, 1985: Kanfer & Busemeyer, 1982; Tabachnik & Alloy, 1988), and has spawned efforts to develop both clinically and empirically derived decision-making models for specific clinical problems and populations (Herbert, 1981; Loeber, Dishion, & Patterson, 1984; Nezu & Nezu, 1993; Sanders & Lawton, 1993).

4. A growing attention to prevention-oriented and socially relevant assessments for high-risk populations. Such attention has emanated from current social issues and concerns, such as divorce (Emery, 1982; Hetherington, Law, & O'Connor, 1993), single-parent families and stepfamilies (Santrock & Sitterle, 1987; Santrock, Sitterle, & Warshak, 1988; Stevenson, Colbert, & Roach, 1986), working mothers (Cotterell, 1986), unemployment (Kates, 1986), children in day care (Molnar, 1985), poverty (Duncan, Brooks-Gunn, & Klebanov, 1994), accidental injuries (Peterson & Brown, 1994), child abductions (Flanagan, 1986), sexual abuse (Finkelhor & Associates, 1986; Wolfe & Birt, Chapter 12, this volume), family violence (Azar, 1986; Goldstein, Keller, & Erne, 1985; Kelly, 1983; Neidig & Friedman, 1984), teen delinquency and violence (Hinshaw & Anderson, 1996), substance use problems (Vik, Brown, & Myers, Chapter 15, this volume), and adolescent suicide (Petersen & Compas, 1993).

5. An increasing emphasis on understanding the interrelated influences of child and family cognitions (Crick & Dodge, 1994), affects (Dix, 1991; Gottman & Levenson, 1986), and behavior, as assessed within the context of ongoing social interactions (e.g., Bradbury & Fincham, 1987; Gottman, Katz, & Hooven, 1996; Gottman & Levenson, 1985; Hops et al., 1987).

6. The extension and assimilation of BSA concepts and practices into health care settings (Karoly, 1985; Strosahl, 1996) within the general frameworks of behavioral-developmental pediatrics (Gross & Drabman, 1990), pediatric behavioral medicine (Hobbs, Beck, & Wansley, 1984), and pediatric psychology (La Greca, 1994; Roberts, 1995).

7. A growing recognition of the need for empirically driven theoretical models as the basis for organizing and implementing assessment strategies with children and families (Mash & Barkley, 1996; McFall, 1986; Patterson, 1986; Patterson & Bank, 1986).

8. The introduction of technological advances, including the use of computers, the Internet, and the World Wide Web (WWW) during both the data-gathering and decision-making phases of assessment (Ager, 1991; Ancill, Carr, & Rogers, 1985; Carr & Ghosh, 1983; Farrell, 1991; Romanczyk, 1986). Suggested computer and WWW applications have included collecting interview, self-monitoring, and observational data; psychophysiological recording; training; organizing, synthesizing, and analyzing behavioral assessment data; utilization review; monitoring treatment appropriateness; and supporting decision making (Dow, Kearns, & Thornton, 1996; Farrell, 1991). Technological advances have led to a heightened interest in the utility and feasibility of using actuarial models in clinical decision making (Achenbach, 1985; Dow et al., 1996; Mash, 1985; Rachman, 1983; Wiggins, 1981).

9. Conceptual and methodological convergence on an ecologically oriented systems model (Belsky, Lerner, & Spanier, 1984; Bronfenbrenner, 1986; Hartup, 1986) as the appropriate framework for organizing and understanding assessment information derived from children and families (Evans, 1985; Wasik, 1984). This has led to a heightened interest in the assessment of whole-family variables (Forman & Hagan, 1984; Holman, 1983; Mash & Johnston, 1996a; Rodick, Henggeler, & Hanson, 1986) and the relationships between family systems and the broader sociocultural milieu (Barling, 1986; Dunst & Trivette, 1985, 1986; Parke, MacDonald, Beital, & Bhavnagri, 1988).

10. Increased recognition of the growing cultural diversity in North America and the need to consider culture, ethnicity, and religious beliefs in the assessment and treatment of children and families (Forehand & Kotchick, 1996; Foster & Martinez, 1995; Rowan, 1996; Tharp, 1991).

11. Further attention to accountability in assessment and to the development of cost-effective assessment strategies (Hayes, 1996; Hayes, Follette, Dawes, & Grady, 1995). Such attention has been fueled by the growing concern for reducing costs within changing health care systems (Mash & Hunsley, 1993a; Strosahl, 1994).

12. Increased emphasis on the evaluation functions of behavioral assessment in light of a growing concern for empirically validated treatments (Hibbs & Jensen, 1996). This concern has focused attention on the need to develop meaningful and practical outcome measures for use in clinical practice (Clement, 1996; Mash & Hunsley, 1993b; Nelson-Gray, 1996; Ogles, Lambert, & Masters, 1996), and to develop methods for the analysis of change (Gottman, 1995; Gottman & Rush, 1993).

It is apparent from this brief and selective overview of recent developments that current behavioral-systems approaches to child and family assessment are complex and varied. These approaches are best conceptualized within a broad assessment framework that examines a child's functioning in the context of the social systems and decisional processes in which the child and family are typically embedded. The current view of BSA extends well beyond earlier views of child behavior assessment as being synonymous with the direct observation of target behaviors.


Excerpted from Assessment of Childhood Disorders Copyright © 2001 by The Guilford Press. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

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Table of Contents

I. Introduction

1. Assessment of Child and Family Disturbance: A Developmental–Systems Approach, Eric J. Mash and John Hunsley

II. Behavior Disorders

2. Attention-Deficit/Hyperactivity Disorder, Bradley H. Smith, Russell A. Barkley, and Cheri J. Shapiro

3. Conduct and Oppositional Disorders, Robert J. McMahon and Paul J. Frick

4. Adolescent Substance Use and Abuse, Ken C. Winters, Tamara Fahnhorst, and Andria Botzet

III. Mood Disorders and Suicide Risk

5. Child and Adolescent Depression, Karen D. Rudolph and Sharon F. Lambert

6. Pediatric Bipolar Disorder, Eric Youngstrom

7. Adolescent Suicidal and Nonsuicidal Self-Harm Behaviors and Risk, David B. Goldston and Jill S. Compton

IV. Anxiety Disorders

8. Anxiety in Children and Adolescents, Michael A. Southam-Gerow and Bruce F. Chorpita

9. Posttraumatic Stress Disorder, Kenneth E. Fletcher

V. Developmental Disorders

10. Autism Spectrum Disorders, Sally Ozonoff, Beth L. Goodlin-Jones, and Marjorie Solomon

11. Early-Onset Schizophrenia, Michael G. McDonell and Jon M. McClellan

12. Intellectual Disability (Mental Retardation), Benjamin L. Handen

13. Learning Disabilities, Deborah L. Speece and Sara J. Hines

VI. Children at Risk

14. Child Abuse and Neglect, Claire V. Crooks and David A. Wolfe

15. Child Sexual Abuse, Vicky Veitch Wolfe

VII. Problems of Adolescence

16. Eating Disorders, Eric Stice and Carol B. Peterson

17. Personality Disorders, Rebecca L. Shiner

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