I Need This 10102020 By 5 Pm Please No Plagiarism And Make S ✓ Solved

I Need This 10102020 By 5pmplease No Plagiarism And Make Sure You Ar

Cleaned assignment instructions:

This assignment involves analyzing case conceptualizations of adolescents with conduct disorder, focusing on differential diagnostic considerations and cultural or ethical considerations pertinent to the diagnosis. The task requires reviewing provided case studies of three adolescents—Andrew, a 15-year-old male with severe conduct issues, exhibiting violent, aggressive behaviors, and early onset of symptoms; another Andrew, also 15, with moderate symptoms; and a third Andrew, with severe early-onset symptoms. For each case, identify additional diagnoses that should be considered, discuss relevant cultural or ethical factors impacting diagnosis or treatment, and support your analysis with scholarly references. Responses should be written in professional APA format, complete sentences, well-organized, and substantiated with current peer-reviewed research. Responses must be separate for each case, referencing each student's attached case documentation. All sources must be scholarly, current, and credible—Wikipedia, Ask.com, PsychCentral, or similar sites are unacceptable.

Sample Paper For Above instruction

Introduction

The diagnosis of conduct disorder (CD) in adolescents is complex, demanding careful differential diagnosis and consideration of cultural, ethical, and contextual factors.

Case 1: Andrew – Severe, Early-Onset Conduct Disorder

Andrew’s case illustrates a severe, childhood-onset form of conduct disorder (F91.1) with limited prosocial emotions. His history of persistent aggression, cruelty towards animals, use of weapons, and early behavioral issues suggest a profound behavioral pattern that requires a thorough differential diagnosis. An additional diagnosis to consider is Oppositional Defiant Disorder (ODD) or intermittent explosive disorder, given his impulsive aggressive behaviors. The history of animal cruelty and early behavioral problems also raises concerns about Callous-Unemotional traits, which have been linked to severe conduct problems and poor treatment response (Frick et al., 2014).

Differential Diagnostic Considerations

Given Andrew’s aggressive and violent behaviors, potential comorbidities include Antisocial Personality Disorder (ASPD) as he approaches adulthood, emphasizing the importance of early intervention. Additionally, neurodevelopmental disorders such as Intermittent Explosive Disorder (IED) should be considered, given the impulsivity and aggressive outbursts (American Psychiatric Association, 2013).

Other considerations include trauma-related disorders, especially considering family neglect and abuse history, which could influence his conduct. It would be crucial to examine his trauma history through a comprehensive psychosocial assessment to differentiate conduct disorder from trauma responses (Ford et al., 2019).

Ethical and Cultural Considerations

Culturally, behaviors that are considered aggressive or rule-breaking in one community may be perceived differently in another. Clinicians must understand cultural norms regarding authority, discipline, and child-rearing practices. Ethically, assessment and intervention should avoid pathologizing normative cultural behaviors and ensure culturally sensitive approaches (Bernal & Domínguez, 2012). It is also vital to consider potential biases influencing diagnosis, such as racial or socioeconomic biases, which may affect the assessment and treatment plans (Hwang, 2016).

Case 2: Andrew – Moderate, Childhood-Onset Conduct Disorder

This case involved a 15-year-old male exhibiting oppositional and aggressive behaviors since age 5, with moderate severity. Differential diagnoses could include Disruptive Mood Dysregulation Disorder if irritability is prominent; however, conduct disorder remains primary. Additional considerations include ADHD, particularly if impulsivity and hyperactivity are present, which often co-occur with conduct issues (American Psychiatric Association, 2013).

Given his academic difficulties, it is important to evaluate learning disabilities or neurodevelopmental issues, which might exacerbate behavioral problems and complicate diagnoses (Willcutt, 2012).

Ethical and Cultural Considerations

Respecting family dynamics and cultural attitudes toward authority and discipline is fundamental. In some cultures, strict or aggressive parenting might be normative, thus affecting diagnostic impressions. Ethically, clinicians should ensure that diagnosis does not stigmatize the adolescent or family, especially when cultural norms differ significantly from those assumed in standard diagnostic criteria (Kirmayer et al., 2014).

Case 3: Andrew – Severe, Early-Onset Conduct Disorder (Aggressive, Violent)

This third case presents a severe early-onset conduct disorder with multiple violent behaviors, weapon use, and animal cruelty. Besides diagnosis of F91.1, a differential diagnosis might include Antisocial Personality Disorder (ASPD) as the patient approaches adulthood; however, since he is under 18, CD remains primary.

Additional considerations include psychopathic traits, given the unemotional nature and cruelty, which warrant assessment for psychopathy spectrum features (Hare, 2003). Also, conduct disorder with callous-unemotional traits has significant implications for prognosis and intervention strategies (Frick et al., 2014).

Family and environmental factors such as neglect and parental substance abuse may contribute significantly, necessitating a trauma-informed approach and family-based interventions.

Conclusion

In diagnosing conduct disorder, multiple factors merit consideration, including comorbidities, developmental history, cultural norms, and ethical implications. A comprehensive, culturally sensitive assessment approach enhances diagnosis accuracy and guides effective intervention strategies.

References

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).
  • Bernal, G., & Domínguez, C. (2012). Cultural considerations in assessment and diagnosis. Journal of Counseling Psychology, 59(4), 454–467.
  • Ford, J. D., et al. (2019). Trauma and conduct problems in youth. Psychology of Violence, 9(4), 338–346.
  • Frick, P. J., et al. (2014). Callous-unemotional traits and conduct disorder. Development and Psychopathology, 26(4pt2), 1107–1119.
  • Hare, R. D. (2003). Without Conscience: The Disturbing World of Psychopaths among Us.
  • Hwang, W. C. (2016). Race and cultural factors in mental health diagnosis. Cultural Diversity and Ethnic Minority Psychology, 22(2), 139–146.
  • Kirmayer, L. J., et al. (2014). Cultural consultation: A model of mental health service delivery. Transcultural Psychiatry, 51(4), 491–514.
  • Willcutt, E. G. (2012). Advances in understanding ADHD. Current Psychiatry Reports, 14(5), 336–344.

Related Assignments