2nd Edition

Defiant Teens
A Clinician's Manual for Assessment and Family Intervention

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ISBN 9781462514410
Published May 20, 2014 by Guilford Press
214 Pages

USD $39.00

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Book Description

This authoritative manual presents an accessible 18-step program widely used by clinicians working with challenging teens. Steps 1-9 comprise parent training strategies for managing a broad range of problem behaviors, including those linked to oppositional defiant disorder (ODD) and attention-deficit/hyperactivity disorder (ADHD). Steps 10-18 focus on teaching all family members to negotiate, communicate, and problem-solve more effectively, while facilitating adolescents' individuation and autonomy. Practical reproducible handouts and forms are included; the print book has a large-size format and lay-flat binding to facilitate photocopying. Purchasers also get access to a Web page where they can download and print the reproducible materials.

New to This Edition
*Incorporates 15 years of research advances and the authors' ongoing clinical experience.
*Fully updated model of the nature and causes of ODD.
*Revised assessment tools and recommendations.
*Reflects cultural changes, such as teens' growing technology use.

See also the authors' related parent guide, Your Defiant Teen, Second Edition: 10 Steps to Resolve Conflict and Rebuild Your Relationship, an ideal client recommendation. For a focus on younger children, see also Dr. Barkley's Defiant Children, Third Edition (for professionals) and Your Defiant Child, Second Edition (for parents).

Table of Contents

I. Prerequisite Information for Using the Program
1. The Rationale for the Program
2. Clinical Assessment of Defiant Adolescents
3. An Overview of the Family Training Program
II. Session Instructions
Step 1. Discussion of ADHD and ODD
Step 2. Principles of Behavior Management
Step 3. Developing Positive Attention
Step 4. Developing Parental Attending Skills
Step 5. Establishing a Behavioral Contract
Step 6. Using Response Cost
Step 7. Completing the Contract/Point System
Step 8. Grounding
Step 9. School Advocacy
Step 10. Introduction to Problem-Solving Communication Training
Step 11. Practicing Problem Solving
Step 12. Practicing Problem Solving, Continued
Step 13. Introduction to Communication Skills
Step 14. Practicing Communication Skills
Step 15. Dealing with Unreasonable Beliefs and Expectations
Step 16. Practicing Problem-Solving and Communication Skills: Catching Unreasonable Beliefs
Step 17. More Family Practice
Step 18. Concluding Treatment
III. Assessment Materials
General Instructions for Completing the Questionnaires (Form 1)
Child and Family Information (Form 2)
Developmental and Medical History (Form 3)
Issues Checklist for Parents and Teenagers (Form 4)
IV. Parent Handouts for Steps 1-18
Parent Handout for Step 2. Principles of Behavior Management: Four-Factor Model of Teen Misbehavior
Parent Handout for Step 2. Coercive Behavior Cycle
Parent Handout for Step 3. Paying Attention to Your Teen's Good Behavior
Parent Handout for Step 4. How to Give Effective Commands
Parent Handout for Step 5. Sample Behavioral Contract
Parent Handout for Step 5. The Home Point System
Parent Handout for Step 8. Grounding
Parent Handout for Step 9. Accommodations for Improving Teen School Performance
Parent Handout for Step 9. Educational Rights for Children with ADHD in Public Schools
Parent Handout for Step 10. Steps to Better Problem Solving
Parent Handout for Step 10. Problem-Solving Worksheet
Parent Handout for Step 10. Problem-Solving Exercise
Parent Handout for Step 13. Communication Habits
Parent Handout for Step 15. Unreasonable and Reasonable Beliefs
Adolescent Handout for Step 15. Unreasonable and Reasonable Beliefs

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Russell A. Barkley, PhD, ABPP, ABCN, is Clinical Professor of Psychiatry at the Virginia Commonwealth University School of Medicine. Dr. Barkley has worked with children, adolescents, and families since the 1970s and is the author of numerous bestselling books for both professionals and the public, including Taking Charge of ADHD and Your Defiant Child. He has also published six assessment scales and more than 280 scientific articles and book chapters on attention-deficit/hyperactivity disorder, executive functioning, and childhood defiance, and is editor of the newsletter The ADHD Report. A frequent conference presenter and speaker who is widely cited in the national media, Dr. Barkley is past president of the Section on Clinical Child Psychology (the former Division 12) of the American Psychological Association (APA), and of the International Society for Research in Child and Adolescent Psychopathology. He is a recipient of awards from the American Academy of Pediatrics and the APA, among other honors. 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 University. Dr. Robin is a practicing psychologist with more than 40 years of clinical experience.

Drs. Barkley and Robin are also the authors of the related parent guide, Your Defiant Teen, Second Edition.


"The second edition of Defiant Teens does an outstanding job of bringing together parent management training and parent-adolescent problem-solving communication training. The skills taught in this program have a long history of empirical support and are presented in a straightforward and systematic manner that facilitates effective implementation. Clinicians can use this book to help families with adolescents live more harmoniously. Instructors should consider adding it to the reading lists of child and adolescent behavior therapy courses."--Rex L. Forehand, PhD, University Distinguished Professor of Psychology, University of Vermont

"The talents and clinical insights of two preeminent scholars in child and adolescent mental health are united in this practical and well-conceived treatment manual. Defiant Teens, Second Edition, provides well-validated, family-based intervention protocols to help adolescents get back on track in their family relations, friendships, and school functioning. A valuable resource for any mental health professional working with adolescents."--Scott W. Henggeler, PhD, Department of Psychiatry and Behavioral Sciences (retired), Medical University of South Carolina

"Defiant Teens continues to be the authoritative clinical guide for those helping families cope with challenging teens. Clinicians may rest assured that this updated second edition is even better, enhanced by inclusion of the latest research and honed by many years of clinical work with families. Since school issues are a major source of family conflict, I find the section on school interventions to be invaluable."--Chris A. Zeigler Dendy, MS, author of Teaching Teens with ADD, ADHD and Executive Function Deficits, Second Edition
-_x000D_The handouts, which can be photocopied for individual families, are excellent....This book is well written and a worthy text for one of the 'bread and butter' disorders of our work. (on the first edition)--Canadian Child Psychiatry Review, 12/1/2003ƒƒ_x000D_This is a very practical and concise manual….Research supporting the concepts the authors provide is well documented, making this an evidence-supported guidebook....This text belongs in a family practice office....Most family physicians are comfortable assessing and managing patients with ADHD, and this is a logical extension of that care. (on the first edition)--Journal of Family Practice, 11/1/2000