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Defiant Teens, First Edition: A Clinician's Manual for Assessment and Family Intervention

Overview

This authoritative manual presents an 18-step program designed both to teach parents the skills they need to manage difficult adolescent behavior and to improve family relationships overall. The first nine steps of the program modify the approach presented in Russell A. Barkley's DEFIANT CHILDREN, SECOND EDITION, to focus on developmental concerns of adolescence. The authors delineate clear procedures for assessing defiance in teens and working with parents, alone or in groups, to reverse problem behavior. Steps ...
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Overview

This authoritative manual presents an 18-step program designed both to teach parents the skills they need to manage difficult adolescent behavior and to improve family relationships overall. The first nine steps of the program modify the approach presented in Russell A. Barkley's DEFIANT CHILDREN, SECOND EDITION, to focus on developmental concerns of adolescence. The authors delineate clear procedures for assessing defiance in teens and working with parents, alone or in groups, to reverse problem behavior. Steps 10 through 18 are conducted with parents and teenagers together, utilizing a proven family therapy model developed by Arthur L. Robin and Sharon Foster. Clinicians are shown how to help all family members learn to negotiate, communicate, and problem-solve more effectively, while facilitating adolescents' individuation and autonomy. Featuring a lay-flat binding for ease of photocopying, the book includes reproducible forms that enable clinicians to gauge the nature, diversity, and severity of parent-adolescent conflicts; assess for oppositional defiant disorder (ODD); and evaluate parental psychological adjustment. Reproducible handouts for families reinforce crucial ideas and skills imparted in-session.

The book contains black-and-white illustrations.

This authoritative manual presents an 18-step program designed both to teach parents the skills they need to manage difficult adolescent behavior and to improve family relationships overall. The first nine steps of the program modify the approach presented in Russell A. Barkley's Defiant Children, 2nd Edition, to focus on developmental concerns of adolescence. The authors delineate clear procedures for assessing defiance in teens and working with parents, alone or in groups, to reverse problem behavior. Steps 10 through 18 are conducted with parents and teenagers together, utilizing a proven family therapy model developed by Arthur L. Robin and Sharon Foster. Clinicians are shown how to help all family members learn to negotiate, communicate, and problem-solve more effectively, while facilitating adolescents' individuation and autonomy. The manual's utility is greatly enhanced by ready-to-photocopy forms that enable clinicians to gauge the nature, diversity, and severity of parent adolescent conflicts; assess for oppositional defiant disorder (ODD); and evaluate parental psychological adjustment. Also included are reproducible handouts for families that reinforce crucial ideas and skills imparted in-session.

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Editorial Reviews

Doody's Review Service
Reviewer: Earlene E. Strayhorn, MD (Rush University Medical Center)
Description: This clinical manual is an updated, expanded version of Barkley's two previous works, Defiant Children: A Clinician's Manual for Assessment and Parent Training, 2nd Edition (Guilford Publications, Inc, 1997) and Defiant Children: Clinician Manual and Parent's Workbook, 2 Book Pack (Guilford Publications, Inc, 1987) on parental training of defiant adolescents. Recent clinical research on the development of oppositional teenagers and the intimate relationship with the most frequent comorbid diagnosis, attention deficit hyperactivity disorder, is provided. This newest addition presents previously well-known parental intervention training combined with Problem Solving Communication Training (PSCT), developed in 1989 by Arthur Robin and Sharon Foster.
Purpose: The purpose of the authors' program is to "concentrate on giving parents sufficient skills to manage disruptive, defiant, and noncompliant child behavior through controlling the antecedents and consequences of those forms of child misconduct ..." In a "need for interactional management" to both engage "the adolescent as an active participant in [the] family change program, and to increase effectiveness of parental intervention, the PSCT program ... concentrates on training [both parent and adolescent] in more effective ways of negotiating conflicts, resolving problems or disputes, developing more effective communication styles, and changing unreasonable beliefs about other family members that may adversely influence specific interactions." This much needed book meets the authors' worthy objectives.
Audience: In accordance with the authors, I believe child therapists and mental health professionals are the appropriate targeted audience. The principal author is a world renowned researcher and clinician in this area.
Features: This manual covers a systematic 18-step program. Steps one through nine develop parental training to cope with adolescent defiant behavior in the home and school settings. Steps nine through eighteen provide instruction with the parent and teenager in PSCT designed to improve intrafamilial communication skills via conflict resolution techniques and therapeutic discussion of divergent belief systems. The last section provides the therapist with numerous assessment instruments and tools, including reproducible handouts, scales, and questionnaires to gain specific information regarding general background, developmental, psychiatric, medical, and academic history, disruptive behavior scales, parental behavioral scales, and handouts to enhance and reinforce the parental/PSCT training session.
Assessment: This publication should be required reading for all mental health professionals involved with the adolescent or adult population. Though the various tenets of discipline are taught during training, this manual shows the therapist how to train parents and adolescents and, if successful, effect change in the deviant behavior. The seriousness of the adolescent's psychopathology, parental beliefs and styles, and the therapist relationship with the family, among others, are discussed. Most parents want what is best for their children and when problems occur, and they reach our offices, their main need is to know how to proceed. This manual demonstrates exactly what to do.
From the Publisher
"Barkley, Edwards, and Robin provide an extremely practical and practitioner-friendly guide for working with teens who are noncompliant and defiant toward their parents. Importantly, the intervention manual synthesizes best practices that are developmentally sound and empirically based. Though not intended for 'deep-end' clinical cases and families, the guidelines presented in this manual are highly applicable for clinicians working with families in private, public, and managed care settings." —Scott W. Henggeler, PhD, Professor and Director, Family Services Research Center, Medical University of South Carolina, Charleston

"At last—a clinically sophisticated, empirically validated model for working with defiant adolescents and their families. Defiant Teens offers a state-of-the-art model for understanding, assessing and treating this difficult clinical population. Clear, step-by-step treatment procedures are supplemented by invaluable handouts to help parents and teens learn to communicate and live together more harmoniously." —William M. Bumberry, PhD, Clinical Psychologist, St. Johns Mercy Medical Center, St. Louis, Missouri

From the Publisher

"Barkley, Edwards, and Robin provide an extremely practical and practitioner-friendly guide for working with teens who are noncompliant and defiant toward their parents. Importantly, the intervention manual synthesizes best practices that are developmentally sound and empirically based. Though not intended for 'deep-end' clinical cases and families, the guidelines presented in this manual are highly applicable for clinicians working with families in private, public, and managed care settings." --Scott W. Henggeler, PhD, Professor and Director, Family Services Research Center, Medical University of South Carolina, Charleston

"At last--a clinically sophisticated, empirically validated model for working with defiant adolescents and their families. Defiant Teens offers a state-of-the-art model for understanding, assessing and treating this difficult clinical population. Clear, step-by-step treatment procedures are supplemented by invaluable handouts to help parents and teens learn to communicate and live together more harmoniously." --William M. Bumberry, PhD, Clinical Psychologist, St. Johns Mercy Medical Center, St. Louis, Missouri

From The Critics
Reviewer: Earlene E. Strayhorn, MD (Rush University Medical Center)
Description: This clinical manual is an updated, expanded version of Barkley's two previous works, Defiant Children: A Clinician's Manual for Assessment and Parent Training, 2nd Edition (Guilford Publications, Inc, 1997) and Defiant Children: Clinician Manual and Parent's Workbook, 2 Book Pack (Guilford Publications, Inc, 1987) on parental training of defiant adolescents. Recent clinical research on the development of oppositional teenagers and the intimate relationship with the most frequent comorbid diagnosis, attention deficit hyperactivity disorder, is provided. This newest addition presents previously well-known parental intervention training combined with Problem Solving Communication Training (PSCT), developed in 1989 by Arthur Robin and Sharon Foster.
Purpose: The purpose of the authors' program is to "concentrate on giving parents sufficient skills to manage disruptive, defiant, and noncompliant child behavior through controlling the antecedents and consequences of those forms of child misconduct ... " In a "need for interactional management" to both engage "the adolescent as an active participant in [the] family change program, and to increase effectiveness of parental intervention, the PSCT program ... concentrates on training [both parent and adolescent] in more effective ways of negotiating conflicts, resolving problems or disputes, developing more effective communication styles, and changing unreasonable beliefs about other family members that may adversely influence specific interactions." This much needed book meets the authors' worthy objectives.
Audience: In accordance with the authors, I believe child therapists and mental health professionals are the appropriate targeted audience. The principal author is a world renowned researcher and clinician in this area.
Features: This manual covers a systematic 18-step program. Steps one through nine develop parental training to cope with adolescent defiant behavior in the home and school settings. Steps nine through eighteen provide instruction with the parent and teenager in PSCT designed to improve intrafamilial communication skills via conflict resolution techniques and therapeutic discussion of divergent belief systems. The last section provides the therapist with numerous assessment instruments and tools, including reproducible handouts, scales, and questionnaires to gain specific information regarding general background, developmental, psychiatric, medical, and academic history, disruptive behavior scales, parental behavioral scales, and handouts to enhance and reinforce the parental/PSCT training session.
Assessment: This publication should be required reading for all mental health professionals involved with the adolescent or adult population. Though the various tenets of discipline are taught during training, this manual shows the therapist how to train parents and adolescents and, if successful, effect change in the deviant behavior. The seriousness of the adolescent's psychopathology, parental beliefs and styles, and the therapist relationship with the family, among others, are discussed. Most parents want what is best for their children and when problems occur, and they reach our offices, their main need is to know how to proceed. This manual demonstrates exactly what to do.
Earlene E. Strayhorn
This clinical manual is an updated, expanded version of Barkley's two previous works, Defiant Children: A Clinician's Manual for Assessment and Parent Training, 2nd Edition (Guilford Publications, Inc, 1997) and Defiant Children: Clinician Manual and Parent's Workbook, 2 Book Pack (Guilford Publications, Inc, 1987) on parental training of defiant adolescents. Recent clinical research on the development of oppositional teenagers and the intimate relationship with the most frequent comorbid diagnosis, attention deficit hyperactivity disorder, is provided. This newest addition presents previously well-known parental intervention training combined with Problem Solving Communication Training (PSCT), developed in 1989 by Arthur Robin and Sharon Foster. The purpose of the authors' program is to "concentrate on giving parents sufficient skills to manage disruptive, defiant, and noncompliant child behavior through controlling the antecedents and consequences of those forms of child misconduct ... " In a "need for interactional management" to both engage "the adolescent as an active participant in [the] family change program, and to increase effectiveness of parental intervention, the PSCT program ... concentrates on training [both parent and adolescent] in more effective ways of negotiating conflicts, resolving problems or disputes, developing more effective communication styles, and changing unreasonable beliefs about other family members that may adversely influence specific interactions." This much needed book meets the authors' worthy objectives. In accordance with the authors, I believe child therapists and mental health professionals are the appropriatetargeted audience. The principal author is a world renowned researcher and clinician in this area. This manual covers a systematic 18-step program. Steps one through nine develop parental training to cope with adolescent defiant behavior in the home and school settings. Steps nine through eighteen provide instruction with the parent and teenager in PSCT designed to improve intrafamilial communication skills via conflict resolution techniques and therapeutic discussion of divergent belief systems. The last section provides the therapist with numerous assessment instruments and tools, including reproducible handouts, scales, and questionnaires to gain specific information regarding general background, developmental, psychiatric, medical, and academic history, disruptive behavior scales, parental behavioral scales, and handouts to enhance and reinforce the parental/PSCT training session. This publication should be required reading for all mental health professionals involved with the adolescent or adult population. Though the various tenets of discipline are taught during training, this manual shows the therapist how to train parents and adolescents and, if successful, effect change in the deviant behavior. The seriousness of the adolescent's psychopathology, parental beliefs and styles, and the therapist relationship with the family, among others, are discussed. Most parents want what is best for their children and when problems occur, and they reach our offices, their main need is to know how to proceed. This manual demonstrates exactly what to do.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781572304406
  • Publisher: Guilford Publications, Inc.
  • Publication date: 3/28/1999
  • Edition description: First Edition, (Lay-Flat Paperback)
  • Edition number: 1
  • Pages: 250
  • Sales rank: 1,361,582
  • Product dimensions: 8.44 (w) x 10.80 (h) x 0.41 (d)

Meet the Author

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 www.russellbarkley.org.

Gwenyth H. Edwards, PhD, is chief of the ADHD Child and Adolescent Clinic at the University of Massachusetts Medical Center. Dr. Edwards is an assistant professor of psychiatry and pediatrics and a licensed psychologist. She has provided the clinical leadership on two treatment outcome studies for children and adolescents diagnosed with both ADHD and disruptive behavior disorders; has provided diagnostic evaluations for over 2,000 children and teens; and has provided training for educators, mental health professionals, psychology graduate students, psychiatry and pediatric residents, and a variety of other professionals.

Arthur L. Robin, PhD, is Director of Psychology Training at Children's Hospital of Michigan and Professor of Psychiatry and Behavioral Neurosciences at Wayne State University. Dr. Robin is a practicing psychologist with more than 40 years of clinical experience.

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Table of Contents

I. Prerequisite Information for Using the Program
1. The Rationale for the Program
2. Clinical Assessment of Defiant Adolescents 3. An Overview of the Family Training Program
II. Session Instructions
* Step 1: Discussion of ADHD and ODD
* Step 2: Principles of Behavior Management
* Step 3: Developing Positive Attention
* Step 4: Developing Parental Attending Skills
* Step 5: Establishing a Behavioral Contract
* Step 6: Using Response Cost
* Step 7: Completing the Contract/Point System
* Step 8: Grounding
* Step 9: School Advocacy
* Step 10: Introduction to Problem-Solving Communication Training
* Steps 11 & 12: Practicing Problem Solving
* Steps 13 & 14: Introduction to and Practicing Communication Skills
* Step 15: Dealing with Unreasonable Beliefs and Expectations
* Step 16: Catching Unreasonable Beliefs
* Step 17: More Family Practice
* Step 18: Concluding Treatment
III. Assessment Materials
General Instructions for Completing the Questionnaires
* Child and Family Information Form—Developmental and Medical History Form
* Disruptive Behavior Disorders Rating Scale—Parent and Teacher Reports
* Clinical Interview—Parent Report Form
* Adult Behavior Rating Scale—Self-Reports of Current and Childhood Behavior
* Issues Checklist for Parents and Teenagers
IV. Parent Handouts for Steps 1-18

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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted May 30, 2000

    Pracical, Useful, and Easy to understand-For any school professional

    This book gives practical information on how to work with defiant teens or children. It is very easy to understand so that a parent or a school professional could read it and receive help from it. It includes great lists of interventions that can be given to parents or teachers and explains great behavior management techniques. The book is especially great for school psychologists who work with both groups.It includes DSM-IV criteria of each classification and provides a checklist that can be used when interviewing and even has a score sheet that can be marked to get an idea if the child might qualify under a certain classification.This book is a great resource and can serve as a brief, but useful reference on many areas of working with teens and children.

    1 out of 1 people found this review helpful.

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