Disorder attribution and clinical judgment in the assessment of adolescent antisocial behavior

Jerome C. Wakefield, Stuart A. Kirk, Kathleen J. Pottick, Derek Hsieh

    Research output: Contribution to journalArticle

    Abstract

    When social workers judge that an antisocially behaving adolescent has a mental disorder, what are the implications of that attribution for other clinical judgments about the youth? Clinical case vignettes that satisfied DSM-IV diagnostic criteria for conduct disorder were presented to 250 MSW students. Based on DSM-IV guidelines and on the "harmful dysfunction" analysis of the concept of mental disorder, the context of the symptoms presented in the vignettes was manipulated experimentally to suggest either internal dysfunction or a normal response to a difficult environment as the cause of the youth's antisocial behavior. Students were asked to judge whether the youth had a psychiatric disorder and to assess prognosis, need for professional help, and appropriateness of medication.

    Original languageEnglish (US)
    Pages (from-to)227-238
    Number of pages12
    JournalSocial Work Research
    Volume23
    Issue number4
    DOIs
    StatePublished - Jan 1 1999

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    attribution
    mental disorder
    adolescent
    social worker
    diagnostic
    medication
    student
    cause

    Keywords

    • Adolescence
    • Antisocial behavior
    • Assessment
    • Conduct disorder
    • Diagnosis
    • Mental disorder

    ASJC Scopus subject areas

    • Sociology and Political Science

    Cite this

    Disorder attribution and clinical judgment in the assessment of adolescent antisocial behavior. / Wakefield, Jerome C.; Kirk, Stuart A.; Pottick, Kathleen J.; Hsieh, Derek.

    In: Social Work Research, Vol. 23, No. 4, 01.01.1999, p. 227-238.

    Research output: Contribution to journalArticle

    Wakefield, Jerome C. ; Kirk, Stuart A. ; Pottick, Kathleen J. ; Hsieh, Derek. / Disorder attribution and clinical judgment in the assessment of adolescent antisocial behavior. In: Social Work Research. 1999 ; Vol. 23, No. 4. pp. 227-238.
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