Table Of ContentConduct Disorders:
A Practitioner’s Guide to
Comparative Treatments
W. M. Nelson III, PhD, ABPP
A. J. Finch, Jr., PhD, ABPP
K. J. Hart, PhD, ABPP
Editors
New York
W. Michael Nelson III, PhD, ABPP, is professor and former Chair of the Department
of Psychology at Xavier University in Cincinnati, Ohio. He is a Diplomate in Clinical Psy-
chology and in Clinical-Child and Adolescent Psychology from the American Board of
Professional Psychology, a Fellow in the Academy of Clinical Psychology, and a Fellow
in the American Psychological Association Divisions of Clinical-Child Psychology and
Clinical Psychology. After earning his degree in clinical psychology from the Virginia
Commonwealth University, Dr Nelson began his work with children and adolescents
in low-income families at the University of Texas Health Science Center in Dallas. He
also worked with inpatient children at the Millcreek Psychiatric Center for Children
for 5 years where he was also the Director of Psychology. He has always attempted
to integrate research with practice, as evidenced in a book coauthored with Dr Finch
entitled “Cognitive-Behavioral Procedures with Children and Adolescents: A Practical Guide”
and in their psychoeducational workbook series entitled “Keeping Your Cool: The Anger
Management Workbook.” His efforts to make empirically supported therapies more “user
friendly” are also reflected in the several videos he produced, including the “Keeping
Your Cool:” The Anger Management Video, which serves as an accompaniment to the
workbook. Dr Nelson has taught for 27 years at Xavier University, including courses in
the areas of childhood psychopathology, cognitive-behavior therapy, and family. Widely
published, Nr. Nelson’s research interests are primarily on assessment and cognitive-
behavioral interventions with children and adolescents.
Alfred J. Finch, Jr., PhD, ABPP, is professor and Dean of Humanities and Social
Science at The Citadel in Charleston, SC. He is board-certified in both Clinical Psy-
chology and Clinical-Child and Adolescent Psychology through the American Board
of Professional Psychology. Following the completion of his doctorate in clinical
psychology from the University of Alabama and his internship in the Department
of Psychiatry at the University of Alabama in Birmingham, Dr Finch completed a
postdoctoral fellowship in Clinical-Child Psychology at The Devereux Foundation.
Dr Finch has been involved in teaching psychology from the undergraduate level to
the supervision of postdoctoral fellows. His specialty is in the area of clinical-child
psychology and he has published extensively in the area.
Kathleen J. Hart, PhD, ABPP, is a professor in the Department of Psychology at Xavier
University and is board-certified in Clinical-Child and Adolescent Psychology through
the American Board of Professional Psychology. She received her PhD in clinical psy-
chology from Virginia Polytechnic Institute and State University, and completed an
internship through the Brown University Internship Consortium in Providence, Rhode
Island. Dr Hart also completed a 2-year postdoctoral fellowship in Clinical-Child
Neuropsychology at the Rhode Island Hospital, where she was also a research fellow in
the Department of Psychiatry and Human Behavior in the Brown University Program in
Medicine. In addition to her teaching, research, and clinical-supervision duties, Dr Hart
serves as a consulting psychologist to the Hamilton County Juvenile Court providing
psychological, neuropsychological, and forensic evaluations of youths whose behavior
brings them in contact with the Juvenile Court. She has published in the areas of child
and adolescent psychology, neuropsychology, and forensic psychology.
Conduct Disorders:
A Practitioner’s Guide to
Comparative Treatments
Copyright © 2006 by Springer Publishing Company, Inc.
All rights reserved
No part of this publication may be reproduced, stored in a retrieval system,
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Springer Publishing Company, Inc.
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Acquisitions Editor: Sheri W. Sussman
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Compositor: CompSet
Cover design by Joanne E. Honigman
06 07 08 09 10/ 54321
Library of Congress Cataloging-in-Publication Data
Conduct disorders: a practitioner’s guide to comparative treatments/[edited by]
W. Michael Nelson III, Alfred J. Finch Jr., Kathleen J. Hart.
p.; cm. — (Springer series on comparative treatments for psychological disorders)
Includes bibliographical references and index.
ISBN 0-8261-5615-0 (sc)
1 . Conduct disorders in children—Treatment. 2. Behavior therapy for children.
I. Nelson, W. Michael. II. Finch, A. J., 1944– III. Hart, Kathleen J. IV. Series.
[ DNLM: 1. Conduct Disorder—therapy. 2. Psychotherapy—methods.
WS 350.6 C7459 2006]
RJ506.C65C665 2006
618.92(cid:2)8906—dc22
2005049531
Printed in the United States of America by Bang Printing.
To my family at home (Sarah, Will, and Mer)—“Be nice”
and
my family at work (the Jesuits)—“Service in the context of
scholarship.”
—WMN
To my family, teachers, and my students from whom I have learned
all I know.
—AJF
To Doug, Sarah, and Leah
—KJH
Contents
Contributors xi
Preface xiii
Acknowledgments xvii
Series Editor’s Note xix
1. Conduct Disorder: Description, Prevalence, and Etiology 1
A. J. Finch, Jr., W. Michael Nelson III, and K. J. Hart
Etiology of Conduct Disorder 5
Familial and Psychological Etiological Factors 5
Biological and Genetic Factors 7
School and Peer Factors 8
Social/Cultural Factors 9
Conclusions 9
2. The Case of “Michael” 15
W. Michael Nelson III, K. J. Hart, and A. J. Finch, Jr.
Clinical Case Presentation: The Case of “Michael” 15
Questions for Contributors 18
County Juvenile Court Clinic Services Psychological Evaluation 20
3. The Psychoanalytic Approach to the Treatment 27
of Conduct Disorder
M. David Liberman
Treatment Model 27
Therapist’s Skill and Attributes 30
The Case of “Mike” 32
4. Family Therapy: Structural and Bowenian Perspectives 49
Virginia DeRoma
Treatment Model 49
Therapist Skills and Attributes 52
The Case of “Mike” 54
Summary 91
vii
viii Contents
5. Cognitive-Developmental Treatment of Conduct Disorder 99
Mark A. Reinecke
Treatment Model 99
The Case of “Mike” 114
Conclusions 129
6. Behavioral Treatment for Youth with Conduct Disorder 137
Janet R. Schultz
The Treatment Model 137
Coercion Theory 143
Therapist Skills and Attributes 155
The Case of “Mike” 157
7. Cognitive-Behavioral Psychotherapy for Conduct Disorder: 177
The Coping Power Program
John E. Lochman, Nicole R. Powell, Melissa F. Jackson,
and Wendy Czopp
The Treatment Model 177
Therapist Skills and Attributes 187
The Case of “Mike” 188
8. Multisystemic Therapy in the Treatment of Adolescent 217
Conduct Disorder
Lisa Saldana and Scott W. Henggeler
Treatment Model 217
Therapist Skills and Attributes 221
The Case of “Mike” 231
9. The Continuum of Residential Treatment Care for 259
Conduct-Disordered Youth
Robert D. Lyman and Christopher T. Barry
Treatment Models 259
Program Attributes 272
The Case of “Mike” 283
10. Psychopharmacologic Considerations in the Treatment 299
of Conduct Disorder
Douglas Mossman and Christina G. Weston
The Treatment Model 299
Clinicians’ Professional Skills and Attributes 304
The Case of “Mike” 306
Contents ix
11. Comparative Treatments of Conduct Disorder: 321
Summary and Conclusions
K. J. Hart, W. Michael Nelson III, and A. J. Finch, Jr.
Treatment Model 323
Therapist Skills and Attributes 327
The Case of “Mike”: Specific Topics 329
Therapeutic Goals 330
Length of Therapy 330
Case Conceptualization 331
Therapeutic Relationship 332
Therapeutic Techniques and Strategies 333
Mechanisms of Change 334
Medical and Nutritional Issues 335
Potential Pitfalls 336
Termination and Relapse Prevention 337
Conclusions 338
Appendix 345
Index 355
