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Disorders of Childhood
Development and Psychopathology
Fourth Edition
Robin Hornik Parritz
Hamline University
Michael F. Troy
Children’s Hospitals and Clinics of Minnesota
Australia • Brazil • Canada • Mexico • Singapore • United Kingdom • United States
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Disorders of Childhood: Development and Psychopathology, Fourth Edition
Robin Hornik Parritz and Michael F. Troy
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Dedication
Robin dedicates this book to her students, whose passion for
psychology is matched by their commitment to the well-being of
children, adolescents, and adults.
Robin also dedicates this book to her grandchildren.
Their presence in the world brings love, delight, and hope for
a better tomorrow.
Mike dedicates this book to Brian Gormley, who welcomed him
to the Ardoyne Youth Club in Belfast many years ago—a leap of
faith that launched a rewarding career and a lifelong friendship.
Mike also dedicates this book to Betty Koehler, beloved mother,
grandmother, and great-grandmother, and Rev. Douglas Koehler,
who lives on across all three generations.
Copyright 2024 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
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Brief Contents

About the Authors x Preface xi Acknowledgments xiii
1 Introduction 1
2 Models of Child Development, Psychopathology, and Treatment 13
3 Principles and Practices of Developmental Psychopathology 34
4 Classification, Assessment and Diagnosis, and Intervention 50
5 Disorders of Early Childhood 67
6 Intellectual Developmental Disorder and Learning Disorders 87
7 Autism Spectrum Disorder 108
8 Maltreatment and Trauma- and Stressor-Related Disorders 133
9 Attention-Deficit/Hyperactivity Disorder 155
10 Oppositional Defiant Disorder and Conduct Disorder 171
11 Anxiety Disorders, Obsessive-Compulsive Disorder, and Somatic Symptom
Disorders 192
12 Depressive Disorders, Bipolar Disorders, and Suicidality 214
13 Eating Disorders 238
14 Substance-Related Disorders, Personality Disorders, and Psychotic Disorders 254
Glossary 276 References 283 Name Index 314 Subject Index 339
iv
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Contents

About the Authors x Preface xi Acknowledgments xiii
Chapter 1
Introduction 1
Defining Disorders of Infancy, Childhood, andAdolescence
What Is Normal? 2
Statistical Deviance 3 Sociocultural Norms 3 Mental Health Definitions 3
The Role of Values 4
Poor Adaptation 4
Box 1.1 The Child in Context: The Irreducible Needs
of Children 4
Adequate Adaptation 5 Optimal Adaptation 5 The Impact of Values on Definitions of Disorder 6
Definitions of Psychopathology and Developmental Psychopathology
Rates of Disorders in Infancy, Childhood, and Adolescence
Allocation of Resources, Availability, and Accessibility ofCare
Box 1.2 The Child in Context: Recommended Responses
to a National Emergency in Child and Adolescent Mental Health 7
The Globalization of Childrens Mental Health 11
7
2
6
6
Chapter 2
Models of Child Development, Psychopathology, and Treatment 13
The Role of Theory in Developmental Psychopathology
Dimensional and Categorical Models 14
Physiological Models 15
Historical and Current Conceptualizations 15
Box 2.1 Emerging Science: Behavior Genetics,
Epigenetics, and Developmental Psychopathology 22
14
Thinking about Max 23 Thinking about Aisha 23
Psychodynamic Models 24
Historical and Current Conceptualizations 24 Thinking about Max 24 Thinking about Aisha 24
Behavioral and Cognitive Models 25
Historical and Current Conceptualizations 25 Thinking about Max 25 Thinking about Aisha 25
Humanistic and Positive Psychology Models 26
Historical and Current Conceptualizations 26 Thinking about Max 26 Thinking about Aisha 26
Family Models 27
Historical and Current Conceptualizations 27 Beyond Family Relationships: The Role of Peers 28 Thinking about Max 29 Thinking about Aisha 29
Sociocultural Models 29
Historical and Current Conceptualizations 29 Thinking about Max 31 Thinking about Aisha 31
Box 2.2 Risk and Resilience: COVID-19: Bio-Psycho-
Social Perspectives on a Pandemic 32
Chapter 3
Principles and Practices of Developmental Psychopathology 34
The Framework of Developmental Psychopathology 35 Developmental Pathways, Stability, and Change 36 Competence and Incompetence 38 Risk and Resilience 40
Risk and Risk Factors 40 Types of Risk Factors 40 Numbers and Timing of Risk Factors 41 Resilience and Protective Factors 42 Types of Protective Factors 43 Patterns and Pathways of Protective Factors 44
Research Strategies in Developmental Psychopathology
46
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
v
vi Contents
Cross-Sectional and Longitudinal Approaches 46 Complex Hypotheses and Complex Models 46 Research in Real-World Settings
with Practical Applications 47
Box 3.1 Risk and Resilience: The Pediatric Innovation
Initiative: Research, Policy, and Practice 47
Chapter 4
Classification, Assessment and Diagnosis, and Intervention 50
Classification 51
Categorical Classification 51 Dimensional Classification 52 Developmental Contributions
to Classification Systems 53
Heterogeneity, Comorbidity, and Transdiagnostic
Symptoms 54
Alternative Approaches to Classification 55
Assessment and Diagnosis 55
Definitions of Assessment and Diagnosis 55
Box 4.1 Emerging Science: A Comparison of the
Research Domain Criteria (RDoC) and the Hierarchical Taxonomy of Psychopathology (HiTOP) Models 56
Methods and Processes of Assessment 58
Intervention 62
The Efficacy of Psychotherapy
for Children and Adolescents 63 Primary, Secondary, and Tertiary Interventions 63 Working with Parents and Families 64 Working with Schools and Communities 64
Chapter 5
Disorders of Early Childhood 67
Developmental Tasks and Challenges Related to Physiological Functioning, Temperament, and Attachment 68
Physiological Functioning 68 Temperament 68 Attachment 71 Temperament, Attachment,
and Psychopathology 75
Disorders of Early Development 76 Avoidant/Restrictive Food Intake Disorder 76
Developmental Course 77 Etiology 77 Assessment and Diagnosis 77 Intervention 78
Sleep–Wake Disorders 78
Developmental Course 78
Box 5.1 Emerging Science: Early Childhood
Intervention: Reconsidering What “Evidence-Based” Means 79
Etiology 80 Assessment and Diagnosis 80 Intervention 80
Disorders of Attachment 80
Developmental Course 82
Box 5.2 Risk and Resilience: Children in Romanian
Orphanages: Risks, Interventions, and Outcomes 83
Etiology 84 Assessment and Diagnosis 84 Intervention 85
Chapter 6
Intellectual Developmental Disorder andLearning Disorders 87
Developmental Tasks and Challenges Related to Intelligence and Cognition
Components and Mechanisms of Intelligence 88 Cognitive and Intellectual Functioning across
Development 88 Genes, the Brain, and the Environment 89 Measures of Intelligence 90
Intellectual Developmental Disorder 91
Zigler’s Developmental Approach to Intellectual
Developmental Disorder 93 Genotypes and Neurobehavioral Phenotypes 93 Down Syndrome 94 Williams Syndrome 94 Fragile X Syndrome 94 Fetal Alcohol Spectrum Disorder 95
Etiology 95 Developmental Course 96
Language, Communication, Executive Function, and
Learning 97 Socioemotional Functioning, Motivation, and
Personality 97
Box 6.1 The Child in Context: Enhancing Success in
Inclusive Classrooms 98
Maladaptive Behavior and Comorbid Disorders 99 Adult Outcomes 99 The Role of the Family 99 Risk and Resilience 100
Assessment and Diagnosis 100
Assessment of Intellectual Functioning 100 Assessment of Adaptive Functioning 100 Other Assessment Concerns 101
Intervention 101
Genetic Screening and Prevention Strategies 102 Pharmacological Treatment 102 Psychological Treatment 103 Family Education and Support 103
Learning Disorders 103 Developmental Course 105
88
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Contents vii
Etiology 105 Assessment, Diagnosis, and Intervention 106
Chapter 7
Autism Spectrum Disorder 108
Historical and Current Conceptualizations of Autism Spectrum Disorder
Developmental Tasks and Challenges Related to the Coordination of Social, Emotional, and Cognitive Do mai n s 110
Social Cognition 111 Theory of Mind 111 Affective Social Competence 112
Autism Spectrum Disorder 112
Social and Communication Deficits 113
Box 7.1 Emerging Science: Eyes, Faces, and Social
Engagement Processes 114
Restricted, Repetitive Behaviors
and Fixated Interests 115
Associated Difficulties and Comorbid
Conditions 117
Prevalence and Sex/Gender Information 117
Developmental Course 118
Infancy and Childhood 119 Adolescent and Adult Outcomes 119 Family Roles and Culture 121 Resilience Pathways 123
Etiology 123
Early Hypotheses 123 Genes and Heredity 124 Physiological Factors 124 Social and Cognitive Factors 125 Environmental Factors 126
Assessment and Diagnosis 126
Interviews, Questionnaires, and Rating Scales 127 Sociocultural Factors and Adult Diagnoses 127
Intervention 128
Prevention Efforts 128 Pharmacological Treatment 129 Psychological Treatment and Support 129 School-Based Programs 130 Long-Term Treatment and Support 131
Box 7.2 Clinical Perspectives: The TEACCH Model of
Intervention 131
109
Chapter 8
Maltreatment and Trauma- and Stressor-Related Disorders 133
Developmental Tasks and Challenges Related to Stress and Coping
134
Maltreatment 137 Trauma- and Stressor-Related Disorders 139
Box 8.1 Clinical Perspectives: Developmental Trauma
Disorder 143
Developmental Course 143
Maltreatment 144
Box 8.2 Emerging Science: Maltreatment and
Depression 146
Trauma- and Stressor-Related Disorders 147
Etiology 149
Maltreatment 149 Trauma- and Stressor-Related Disorders 150
Assessment and Diagnosis 151 Intervention 152
Treatment 152
Box 8.3 Children in Context: Trauma-Informed
Pedagogies and Classrooms 153
Prevention 154
Chapter 9
Attention-Deficit/Hyperactivity Disorder 155
Developmental Tasks and Challenges Related to Self-Regulation, Effortful Control, and Executive Function 156
Attention-Deficit/Hyperactivity Disorder 158
Core Characteristics 159 Associated Difficulties and Domains
of Impairment 160 Sex/Gender, Race/Ethnicity, and Age 161 Comorbid Disorders 161
Developmental Course 162
Early Childhood Precursors 162 Child, Adolescent, and Family Outcomes 162 Adult Outcomes 163
Etiology 163
Genes and Heredity 163 Physiological Factors 164 Psychological Factors 164 Family and Environmental Factors 164
Assessment and Diagnosis 165
Diagnostic Interviews 165 Rating Scales and Observations 165 Differential Diagnosis 166
Intervention 166
Pharmacological Treatment 166
Box 9.1 Clinical Perspectives: The MTA Cooperative
Group Study 167
Copyright 2024 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
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