Oppositional defiant disorder : using family therapy and parent training techniques for effective treatment outcomes

Oppositional Defiant Disorder (ODD) clinically affects children and adolescents through the display of unwanted disruptive, hostile, defiant, and oppositional behaviors. Development of these can be linked to parental psychopathology, family and marital dysfunction, poor parent-child interaction, atypical parenting, maternal age, substance abuse, poor supervision, and inconsistent or harsh discipline. The effects of ODD lead to impaired social functioning, depression, low self-esteem, academic failure, substance abuse, delinquency, and family discord. Compared to other treatments ( e.g., medication, behavior modification, punishment, or removal from the home) the most effective course of treatment for ODD is the use of family therapy and parent training techniques. Examples of effective programs and interventions are described, and recommendations for future research are discussed