Overview

Disruptive behavior disorders (DBD) are a group of behavioral disorders defined by ongoing patterns of hostile and defiant behaviors that children and adolescents direct towards any type of authority figure. While all children go through periods of testing limits by acting out in negative behaviors, children with DBD participate in these behaviors to such an extreme that it affects their everyday lives, as well as the lives of those around them. The two most common forms of disruptive behavior disorders are oppositional defiant disorder (ODD) and conduct disorder. Conduct disorder is characterized by persistent and repetitive behaviors that involve violating the basic rights of other human beings and severely breaking rules set to enforce age-appropriate societal norms. Oppositional defiant disorder is similar to conduct disorder but usually presents itself earlier in a child's life. ODD is characterized by patterns of hostile, defiant, and disobedient behaviors directed at parents, teachers, and any other type of authority figure. Studies have shown that conduct disorder affects 1-4% of adolescents in the United States and oppositional defiant disorder is estimated to develop in approximately 10.2% of children. The presence of DBD is also known to be more prevalent in boys than it is in girls. There is a growing need to understand why children and adolescent exhibit signs of hostility, defiance, and isolation. Not Just Bad Kids: The Adversity and Disruptive Behavior Link explores the theory that all behavior makes sense in context. If you understand a person's frame of reference - their background, history, and experience - you can imagine what might be driving their behavior. The authors set the stage by describing the social, cultural, and environmental factors that shape the lives of many of these youth, including early childhood attachment which sets the foundation of how they interact with authority figures. This book also explores the devastating consequences that chronic, repeated trauma can have on a child at every level, from the biological to their internal experience to the way they interact with the world. By examining these factors the reader can see the interrelationship of attachment problems, chronic trauma, and disruptive behavior have with one another. Not Just Bad Kids: The Adversity and Disruptive Behavior Link provide the readers with current best practices for intervention and treatment in youth with disruptive behaviors, ultimately leading to resilience in our youth, their families, and our communities.

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9780128189542

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Dr. Akeem Marsh currently has an appointment as a Clinical Assistant Professor of Child and Adolescent Psychiatry at the New York University School of Medicine and is a member of the Bellevue Juvenile Justice Mental Health Service. In this capacity, he works as an Attending Psychiatrist on the team that collaborates with the Administration for Children's Services (ACS) to provide direct clinical care to youth in New York City's juvenile justice system. Dr. Marsh is board-certified in both general and child & adolescent psychiatry. His particular research interests include juvenile justice reform, disruptive behavior disorders in children and adolescents, and psychological trauma and resilience. He has presented nationally and internationally on the importance of acknowledging attachment and trauma as major contributors to the development of disruptive behaviors, as well as on practical methods of appropriately managing these disorders. Dr. Marsh is a Fellow of the American Psychiatric Association and a general member of the American Academy of Child and Adolescent Psychiatry (AACAP). Further, he is a member of AACAP's national Children and the Law Committee. In addition, he serves as a member of the Board of Directors of the New York Council on Child and Adolescent Psychiatry and on the editorial board of the organization's newsletter. Dr. Lara Cox recently graduated from forensic psychiatry fellowship and is now beginning a dual appointment as a Clinical Assistant Professor in the Department of Child and Adolescent Psychiatry and the Division of Forensic Psychiatry at the New York University School of Medicine. She completed her adult psychiatry residency, in addition to her child and adolescent psychiatry and forensic psychiatry fellowships, at NYU. Dr. Cox will initially be working as a clinical psychiatrist in the New York City jail system, then moving on to join Dr. Marsh in the Bellevue Juvenile Justice Mental Health Service, where she will be taking on a permanent role as of October 2018. She also sees child, adolescent, and adult patients through the group private practice at Brooklyn Minds. Dr. Cox is interested in the overlap between trauma-related symptoms and disruptive behaviors, both clinically and in terms of research, as well as in racism and implicit bias in forensic psychiatry and trauma-informed mental healthcare delivery in juvenile justice and correctional settings. She has given multiple presentations on trauma and disruptive behaviors over the course of the last several years, for local, national, and international audiences. She has also published a paper on the neurobiology of conduct disorder. Before residency, she completed the five-year Clinical Scientist Training Program at the University of Pittsburgh, earning a master's degree in clinical research in addition to her medical degree. Dr. Cox maintains membership with the American Psychiatric Association, the American Academy of Child and Adolescent Psychiatry, and the American Academy of Psychiatry and the Law.

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