Defiant Teens: A Clinician’s Manual for Assessment and Family Intervention

226 Pages·2014·4.531 MB·English

by  Russell A. Barkley, Arthur L. Robin

ebook
THE GUILFORD PRESS
Defiant t eens
Selected Works from Russell A. Barkley and Arthur L. Robin
For Professionals
ADHD in Adolescents: Diagnosis and Treatment
Arthur L. Robin
Barkley Adult ADHD Rating Scale–IV (BAARS-IV)
Russell A. Barkley
Barkley Deficits in Executive Functioning Scale (BDEFS for Adults)
Russell A. Barkley
Barkley Deficits in Executive Functioning Scale— Children and Adolescents (BDEFS-CA)
Russell A. Barkley
Barkley Functional Impairment Scale (BFIS for Adults)
Russell A. Barkley
Barkley Functional Impairment Scale— Children and Adolescents (BFIS-CA)
Russell A. Barkley
Defiant Children, Third Edition: A Clinician’s Manual for Assessment and Parent Training
Russell A. Barkley
Negotiating Parent– Adolescent Conflict: A Behavioral– Family Systems Approach
Arthur L. Robin and Sharon L. Foster
For General Readers
Taking Charge of ADHD, Third Edition: The Complete, Authoritative Guide for Parents
Russell A. Barkley
Taking Charge of Adult ADHD
Russell A. Barkley with Christine M. Benton
Your Defiant Child, Second Edition: Eight Steps to Better Behavior
Russell A. Barkley and Christine M. Benton
Your Defiant Teen, Second Edition: 10 Steps to Resolve Conflict and Rebuild Your Relationship
Russell A. Barkley, Arthur L. Robin, and Christine M. Benton
For more information, visit Dr. Barkley’s website: www.russellbarkley.org
Defiant t eens
A Clinician’s Manual
for Assessment and
Family Intervention
S e c o n d e d i t i o n
Russell A. Barkley
Arthur L. Robin
THE GUILFORD PRESS
New York London
© 2014 The Guilford Press
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These materials are intended for use only by qualified mental health professionals.

The publisher grants to individual purchasers of this book nonassignable permission
to reproduce the handouts and forms in this book. This license is limited to you, the
individual purchaser, only for personal use or use with individual clients. This license
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The authors have checked with sources believed to be reliable in their efforts to provide
information that is complete and generally in accord with the standards of practice that
are accepted at the time of publication. However, in view of the possibility of human error
or changes in behavioral, mental health, or medical sciences, neither the authors, nor
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or publication of this work warrants that the information contained herein is in every
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Library of Congress Cataloging-in-Publication Data
Barkley, Russell A., 1949–
Defiant teens : a clinician’s manual for assessment and family intervention. — Second
edition / by Russell A. Barkley and Arthur L. Robin.
pages cm
Includes bibliographical references and index.
ISBN 978-1-4625-1441-0 (pbk. : alk. paper)
1. Oppositional defiant disorder in adolescence. 2. Family psychotherapy.
I. Robin, Arthur L. II. Title.
RJ506.O66B37 2014
616.89′00835—dc23
2013048059
About the Authors
Russell A. Barkley, PhD, ABPP, ABCN, is Clinical Professor of Psychiatry and Pediat-
rics at the Medical University of South Carolina in Charleston. Dr. Barkley is the author
of numerous bestselling books for professionals and the public, including Taking Charge
of ADHD, Third Edition, and Your Defiant Child, Second Edition. He has worked with
children, adolescents, and families for over 35 years. His website is www.russellbarkley.
org.
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 Uni-
versity. Dr. Robin is a practicing psychologist with more than 40 years of clinical experi-
ence.
Drs. Barkley and Robin are also the authors of the related parent guide, Your Defiant
Teen, Second Edition.
v

Preface
T
his clinician’s manual for assessment and family intervention builds on two earlier
programs of research and clinical work. First, it represents an extension of Russell Bark-
ley’s previous long-term, programmatic work developing an effective program for train-
ing parents of defiant children (Barkley, 1987, 1997, 2013a). And, second, it represents our
efforts to enhance the efficacy of that program when extended to working with families
of adolescents having oppositional defiant disorder (ODD) by modifying those earlier
procedures and, more important, combining them with a family therapy program devel-
oped by Arthur L. Robin and Sharon Foster (Robin & Foster, 1989). That family therapy
program is known as problem- solving communication training (PSCT), and has been
shown previously to help in clinical work with families experiencing significant parent–
adolescent conflicts.
The combination of these programs into a single family training manual is a natural
one, given that each targets somewhat different aspects of family functioning in their
common goal of improving parent– teen relationships and teen adjustment. Barkley’s pro-
gram for defiant children concentrates on giving parents sufficient skills to manage dis-
ruptive, defiant, and noncompliant child behavior through controlling the antecedents
and consequences of those forms of child misconduct. This exclusive focus on parents’
competence at child management is sensible for families with young children because
parents have greater control and influence over young children’s behavior and well-being.
In addition, young children are not yet psychologically, socially, or legally autonomous
of their parents’ guidance and influence. As children enter adolescence, however, they
are increasingly less influenced by their parents’ guidance and their family environment
in general. Adolescents are rapidly developing a psychological sense of autonomy and
individuation from their parents and families. Thus, to be effective, interventions must
focus on the adolescent’s, as well as his or her parents’, need for interactive management,
and so must make the adolescent an active participant in any family change program.
The PSCT program originally developed by Robin and Foster (1984) does just that: It
concentrates on training both the parents and the adolescent in more effective ways of
vii
viii Preface
negotiating conflicts, resolving problems or disputes, developing more effective commu-
nication styles, and changing unreasonable beliefs about other family members that may
adversely influence specific interactions.
Like Barkley’s earlier clinical manual (2013a), this book sets forth a sequence of
procedures for training parents in adolescent behavior management skills that Barkley
has employed over the past 30 years of clinical research and practice with a variety
of behavior- disordered children and adolescents. These procedures have been modified
somewhat for the developmental characteristics of adolescence and constitute the first
half of the training program (Steps 1–9). Only the parents attend these training sessions,
which focus on providing parents with more effective tools for interacting with their
teenager and specifically for managing the adolescent’s noncompliant or defiant behav-
ior. The family training program of Robin and Foster (1984) comprises the second half of
this family treatment program (Steps 10–18); both the parents and the adolescent attend
these sessions. The focus shifts toward helping each of the family members develop more
effective problem- solving, negotiation, and communication skills with each other, while
helping each one to reframe and correct any unreasonable beliefs that may be unearthed
in the therapeutic process.
The chapters in Part I are adapted from Barkley’s Defiant Children (1997, 2013a)
manual for child behavior management training. Additional information on the nature
of oppositional and conduct problems in adolescents has also been inserted into this part
of the manual. Included in the manual are not only the step-by-step instructions for con-
ducting each session of this family training program, but also specific methods for the
clinical assessment of adolescents exhibiting defiant behavior or ODD, a condition that is
associated in the majority of cases with attention- deficit/hyperactivity disorder (ADHD)
and sometimes conduct disorder (CD). Tools for evaluating the nature, diversity, and
severity of parent– adolescent conflicts are also provided, as are some tools for evaluating
parental psychological adjustment in view of the hereditary nature of ADHD and famil-
ial commonality of oppositional behavior.
Parts of this program owe much to the stimulating, heuristic, and collaborative dis-
cussions we have had over the years with others trained in the original programs, includ-
ing Sharon Foster, Charles Cunningham, and Eric Mash. They have been most instru-
mental in modifying the program and formulating new components based on current
research and clinical practice. We also wish to express our sincere appreciation to Kitty
Moore, Seymour Weingarten, and Bob Matloff of The Guilford Press for their receptive-
ness to the original idea of this clinical manual and their willingness to undertake this
second edition. We are both grateful to Jennifer DePrima for copyediting the book and
Louise Farkas for overseeing its production. Russell Barkley continues to express his
gratitude to his wife, Pat, for her support of all of his writing endeavors. Arthur Robin
wishes to express his appreciation to his wife, Susan, for her loving support of his scholarly
pursuits. The wisdom we have all gained from the many and unique experiences each of
us has had with our own teenagers is undoubtedly contained in the ideas expressed here.