Title

Child and Adolescent Behaviorally Based Disorders: A Critical Review of Reliability and Validity

Document Type

Article

Publication Date

1-2014

Publication Title

Research on Social Work Practice

Keywords

DSM, psychiatry, conduct disorder, oppositional defiant disorder, history, validity, mental health, adolescent

Abstract

Objectives: The purpose of this study was to investigate the historical construction and empirical support of two child and adolescent behaviorally based mental health disorders: oppositional defiant and conduct disorders.

Method: The study utilized a historiography methodology to review, from 1880 to 2012, these disorders’ inclusion in psychiatric nosology systems, related historical and medical system material, and published empirical literature.

Results: Analysis found limited reliability support and almost no construct or criterion validity support for either early dynamic classification diagnoses or today’s Diagnostic and Statistical Manual of Mental Disorder’s (DSM’s) descriptive symptomology categories.

Conclusion: This is cause for concern because of the high diagnostic prevalence rates for these child and adolescent disorders, diagnostic-driven practice within the field, and the inordinate influence of the DSM on the clinical social work profession.

Publication Status

1

DOI

10.1177/1049731512464275

Embargo Period

5-19-2015

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