2nd Edition

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

By Russell A. Barkley, Arthur L. Robin Copyright 2014

    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. In a convenient large-size format, the book includes practical reproducible handouts and forms. 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).

    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


    Russell A. Barkley, PhD, ABPP, ABCN, before retiring in 2021, served on the faculties of the University of Massachusetts Medical Center, the Medical University of South Carolina, and Virginia Commonwealth University. 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 300 scientific articles and book chapters on attention-deficit/hyperactivity disorder, executive functioning, and childhood defiance. 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.

    "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
    -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, 12/1/2003ƒƒThis 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