Highlights:
- reorganization of externalizing problems
- ODD criteria refined
- new specifier for CD
- problems in self control of emotions and behaviors
- problems are manifested in behaviors that violates the rights of others, significant conflicts with societal norms
- link to externalizing spectrum
- labeled as disinhibition and inversely constraint
1) Oppositional Defiant Disorder
- at least 6 months
- at least 4 symptoms
- interaction with someone who is not a sibling
a. Angry irritable mood
b. Argumentative defiant behavior
c. Vindictiveness
2) Intermittent Explosive Disorder
- impulsive, aggressive outbursts to a minor provocation
- verbal or physical (nondamaging) aggression, 2x a week for 6 months
- 3 physically damaging outburst in 12 months
- at least 6 years old
3) Conduct Disorder
- persistent pattern of behavior by a child or teenager in w/c basic rights of others or rules are violated
- difficulty following rules and behaving in socially acceptable way
- 3 of the ff criteria in 12 months or any four categories with 1 criterion in 6 months
- childhood onset type; prior age 10
- adolescent onset type
- unspecified onset
a. Aggression to People and Animals
- bullies, threatens, or intimidates others
- initiates physical fights
- uses weapon that harms others
- physically cruel to people
- physically cruel to animals
- stolen while confronting the victim
- forced someone into sexual activity
b. Destruction of Property
- engaged in fire setting with intention of causing serious damage
- destroyed thers' property
c. Deceitfulness or Theft
- broken into someone else's house, building, or car
- lie to obtain goods or favors or to avoid obligation
- stolen items of nontrivial value without confronting the victim
d. Serious Violation of Rules
4) Antisocial Personality Disorder
- long standing pattern of disregard for other people's rights and violating those rights
- emerged before the age of 15 in the form of conduct disorder
- limited to people 18 years of age or older
- psychopathy, sociopathy, or dyssocial personality disorder
- lack of remorse or guilt about their actions
a. Psychopath - pathological in an individual psychological functioning
b. Psychopathy - severe form of antisocial personality disorder
5) Pyromania
- multiple episode of purposeful fire setting
- tension of affective arousal before setting fire
- pleasure or gratification when setting fires
- interest and attractiont to fires
- not done for any motive or gain
6) Kleptomania
- failure to resist impulse to steal items
- motive is not for personal use
- tension and gratification when stealing
- stealing not due to anger and vengeance
7) Other Specified and Unspecified Disruptive, Impulse-Control, and Conduct Disorder
