Enhancement of social learning family interventions for childhood conduct disorder.
Psychol Bull
; 108(2): 291-307, 1990 Sep.
Article
en En
| MEDLINE
| ID: mdl-2236385
Social learning family intervention (SLFI) is the treatment of choice for young children exhibiting severe conduct disorder and antisocial behavior. Despite the reported success of this intervention, high levels of resistance, poor engagement, and inadequate maintenance of improvements are observed for a substantial proportion of distressed families. These obstacles have inspired enhancement efforts to improve basic social learning family-intervention models. The present review identifies promising approaches for maximizing treatment gains for the conduct-disordered child. Relevant studies were organized into 3 approaches: enhancements and expansions (a) within a dyadic (parent-child) interaction model, (b) within a broad-based model that acknowledges a wider range of family influences, and (c) through a multisystems model. SLFI enhancements within the dyadic model have centered on either the strengthening of parental skills already included in the SLFI regimen or the adding of new interactional strategies. Some gains, but only partial success, have been achieved with the dyadic model supplements. SLFI expansions from a broad-based model have focused on parental adjustment, parental expectations during treatment, and social-environmental stressors. The multisystems adjuncts to SLFI include cognitive-behavioral interventions to affect peer relations and ecological approaches to sweep across domains. The broad-based and multisystems expansions have produced promising but undertested treatment regimens. Related areas of investigation included therapy process research, medication combined with SLFI, and the involvement of fathers in treatment. Recommendations are offered for improvement of SLFI research. The apparent theoretical crossroads for SLFI treatment of childhood conduct disorder are discussed.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Socialización
/
Trastornos de la Conducta Infantil
/
Terapia Familiar
/
Trastorno de Personalidad Antisocial
Tipo de estudio:
Guideline
Límite:
Child
/
Humans
Idioma:
En
Revista:
Psychol Bull
Año:
1990
Tipo del documento:
Article
Pais de publicación:
Estados Unidos