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Treating Problem Behaviour in Children

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BEHAVIOUR IN CHILDREN. POSTreports are intended to give Members an overview .... behaviour in young children has increased in recent ...

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Treating Problem Behaviour in ChildrenPage 1T R E A T I N G P R O B L E MBEHAVIOUR IN CHILDRENPOSTreports are intended to give Members an overviewof issues arising from science and technology. Memberscan obtain further details from the PARLIAMENTARYOFFICE OF SCIENCE AND TECHNOLOGY (extension 2840).February199792POSTTECHNICALREPORTsDi sruptive behaviour in homes and schoolssHow far medical treatment is of useC O N T E N T SWhat is problem behavour? . . . . . . . 1Is problem behaviour increasing? . . . . .2Underlying causes . . . . . . . . . . 4Issues. . . .. . . . . . . . 5The role of medication and other treatments5Implications for Health Services. . .7Acronyms . . . . . . . . . . . . 8Various trends (e.g. rising expulsions and reports ofdisruptive pupils in primary schools) have helpedfuel the impression that many young children areout of control. Growing numbers are now beinggiven medication to overcome behavioural problems and there are different views over how far thisis justified or risks becoming a palliative for moredeeprooted causes.This note looks at emotional and behavioural problems in young children and their susceptibility todifferent forms of treatment.WHAT IS PROBLEM BEHAVIOUR?All young children behave badly from time to time andoccasional temper tantrums aggression and defianceof authority are a normal part of growing up. Developing a consistent approach to diagnosis in the area ofproblem behaviour is thus fraught with difficulty andnot without controversy since many problems or disorders are hard to define and assign to a single medicalcondition or syndrome.Some of the approaches to assessment and diagnosisare summarised in Box 1. Most problem behaviours liein the grey area between occasional naughtiness andextreme (e.g. psychotic) conditions and diagnosis thusdepends very much on the judgement of professionals(e.g. psychiatrists psychologists). Such experts areguided by diagnostic bibles in the USA by theAmerican Psychiat ...

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