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OPPOSITIONAL DEFIANT DISORDER (ODD) is defined as a recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures that persists for at least 6 months. OPPOSITIONAL DEFIANT DISORDER is usually diagnosed when a youngster has a persistent or consistent pattern of disobedience and hostility toward moms and dads, educators, or other grown-ups. The criteria for OPPOSITIONAL DEFIANT DISORDER are met only when the problem behaviors occur more frequently in the youngster than in other kids of the same age and developmental level. The base prevalence rates for OPPOSITIONAL DEFIANT DISORDER range from 1-16%, but most surveys estimate it to be 6-10% in surveys of nonclinical, non-referred samples of parents' reports.
Diagnosis is complicated by relatively high rates of comorbid, disruptive, behavior disorders.
In some kids, OPPOSITIONAL DEFIANT DISORDER commonly occurs in conjunction with anxiety disorders and depressive disorders. The best available data indicate that no single cause or main effect results in OPPOSITIONAL DEFIANT DISORDER.
In toddlers, temperamental factors, such as irritability, impulsivity, and intensity of reactions to negative stimuli, may contribute to the development of a pattern of oppositional and defiant behaviors in later childhood. The interactions of a youngster who has a difficult temperament and irritable behavior with moms and dads who are harsh, punitive, and inconsistent usually lead to a coercive, negative cycle of behavior in the family.
By the time they are school aged, kids with patterns of oppositional behavior tend to express their defiance with educators and other grown-ups and exhibit aggression toward their peers. When behavioral difficulties are present beginning in the preschool period, educators and families may overlook significant deficiencies in the youngster's learning and academic performance. Given the high probability that OPPOSITIONAL DEFIANT DISORDER occurs alongside attention disorders, learning disorders, and conduct disturbances, an evaluation for these disorders is indicated for comprehensive treatment. PARENT MANAGEMENT TRAINING is recommended for families of kids with OPPOSITIONAL DEFIANT DISORDER because it has been demonstrated to affect negative interactions that repeatedly occur between the kids and their moms and dads.
These patterns develop when moms and dads inadvertently reinforce disruptive and deviant behaviors in a youngster by giving those behaviors a significant amount of negative attention. PARENT MANAGEMENT TRAINING alters the pattern by encouraging the mother or father to pay attention to prosocial behavior and to use effective, brief, non-aversive punishments.
Follow-up studies of operational PARENT MANAGEMENT TRAINING techniques in which moms and dads successfully modified their behavior showed continued improvements for years after the treatment was finished. Regardless of the youngster's age, intervention early in the developing pattern of oppositional behavior is likely to be more effective than waiting for the youngster to grow out of it.
In situations in which the moms and dads lack the resources to effectively manage their youngster, services can be obtained through schools or county mental health agencies. I live in Chester, Virginia and have been dealing with my son since he was diagnosed at age 5.
Your programme is great and it's been a real relief to find something that helps me to put into practice what I know I want to do, but more importantly in the correct order, rather than jumping in with both feet and going from 0 to 60 in too short a time. I am now a single mum with four children and they have had to move from a farming situation to the city and my 12 year old son who is a very capable young man, is frustrated. As your online business grows in both size and scope, so does the volume of the underlying code to make your website functional, to serve your customers, and to track your performance.
To provide additional functionality to your website, JavaScript tags have become de rigueur. A Tag Management System, such as Ensighten Manage, frees you up from having to code individual tags embedded on each page of your site by streamlining the deployment through a singular application to manage all of these tags. Every modern marketer is looking for their company’s version of the ideal “online marketing suite” – the custom combination of marketing applications needed to run their business, including analytics, testing, voice of customer solutions, ad tracking, social media, and much more. By testing in the live environment, you’ll be able to ensure that differences between the test and live environment don’t cause problems while keeping the site smoothly running at the same time. Nestle Purina PetCare, the world's largest pet food producer, manages dozens of web sites, has specific requirements across each of the sites, and works with over a dozen agencies using a multitude of interactive marketing technologies that required constant deployment and customization of their tagging. Deploying a Tag Management System allowed Purina and its agencies to have complete control over how page tags are added, customized and removed from the site independent of the technology that a site has been built in. Submitted by Auria Moore on October 2011 - Opinions expressed in the article are those of the author and not necessarily those of Online Behavior or its Owners. Auria Moore is the Marketing Manager for Ensighten - a global leader in interactive marketing technologies. Online Behavior discusses online marketing measurement & marketing optimization techniques, tactics, and strategies to help website managers and analysts to understand and optimize websites.
The primary behavioral difficulty is the consistent pattern of refusing to follow commands or requests by grown-ups. These behaviors cause significant difficulties with family and friends, and the oppositional behaviors are the same both at home and in school.
In more stringent population samples, rates are lower when impairment criteria are stricter and when the information is obtained from both parents and educators, rather than from parents only. Some symptoms of Attention Deficit Hyperactivity Disorder (ADHD) and Conduct Disorder overlap.
Cross-sectional surveys have revealed the comorbidity of OPPOSITIONAL DEFIANT DISORDER with an affective disorder in about 35% of cases, with rates of comorbidity increasing with patient age.

Most experts believe that biological factors are important in OPPOSITIONAL DEFIANT DISORDER and that familial clustering of certain disruptive disorders, including OPPOSITIONAL DEFIANT DISORDER and ADHD, substance abuse, and mood disorders, occurs. Under-arousal to stimulation has been consistently found in persistently aggressive and delinquent youth and in those with OPPOSITIONAL DEFIANT DISORDER. Family instability, including economic stress, parental mental illness, harshly punitive behaviors, inconsistent parenting practices, multiple moves, and divorce, may also contribute to the development of oppositional and defiant behaviors. In this pattern, the youngster's defiant behavior tends to intensify the parents' harsh reactions. For example, younger kids are more likely to engage in oppositional and defiant behavior, whereas older kids are more likely to engage in more covert behavior such as stealing.
As kids with OPPOSITIONAL DEFIANT DISORDER progress in school, they experience increasing peer rejection due to their poor social skills and aggression. When many kids with behavioral problems and academic problems are placed in the same classroom, the risk for continued behavioral and academic problems increases.
PARENT MANAGEMENT TRAINING consists of procedures in which parents are trained to change their own behaviors and thereby alter their youngster's problem behavior in the home. At the same time, the parents, who are often exhausted by the struggle to obtain compliance with simple requests, usually fail to provide positive attention; often, the moms and dads have infrequent positive interactions with their kids. Treatment is conducted primarily with the moms and dads; the therapist demonstrates specific procedures to modify parental interactions with their youngster.
Treatment effects have been stronger with younger kids, especially in those with less severe problems.
Many states have effective "wrap around" services, which include a full-day school program and home-based therapy services to maintain progress in the home setting.
The fair fighting is amazing and has already made a real difference - they really find it so frustrating and confusing not to be able to push my buttons!I have been stuck to the website, reading the text and listening to the videos.
Managing both the functionality and performance of your site is a major headache for your marketing team and diverts your IT resources from the higher-level tasks they should be focused on, as they are continuously delegated the tedious tasks of manually retagging each page of their organization’s multiple sites.
You want, need, and must have these tags to support almost all of the solutions marketers use on a day-to-day basis. In addition, with a TMS, code loads asynchronously in the page header, deploying only the applications relevant to that page and user, therefore significantly decreasing the load time of any page. Therefore, it is essential to your organization to have a smooth quality assurance and rollout process to add (and test) these applications and functionality to your online marketing mix.
This can all be done on the marketer’s time, eliminating the bottleneck of waiting for IT, agency or vendor resources.
With such complexity, even making simple changes on its sites could take several months and it was difficult to measure campaign effectiveness on a global level for its multi-million dollar marketing campaigns. In this role, she leads strategy and execution for all aspects of branding, direct marketing, social media and support for the company.
Kids with OPPOSITIONAL DEFIANT DISORDER are often easily annoyed; they repeatedly lose their temper, argue with grown-ups, refuse to comply with rules and directions, and blame others for their mistakes.
Before puberty, the condition is more common in boys; after puberty, it is almost exclusively identified in boys, and whether the criteria are applicable to girls has been discussed. Researchers have postulated that, in some kids, OPPOSITIONAL DEFIANT DISORDER may be the developmental precursor of conduct disorder. High rates of comorbidity are also found among OPPOSITIONAL DEFIANT DISORDERs, learning disorders, and academic difficulties. Exogenous factors such as prenatal exposure to toxins, alcohol, and poor nutrition all seem to have effects, but findings are inconsistent.
The moms and dads respond to misbehavior with threats of punishment that are inconsistently applied. These kids may be more likely to misinterpret their peers' behavior as hostile, and they lack the skills to solve social conflicts. OPPOSITIONAL DEFIANT DISORDER behavior may escalate and result in serious antisocial actions that, when sufficiently frequent and severe, become criteria to change the diagnosis to conduct disorder. Kids with oppositional behavior in the school setting should undergo necessary screening testing in school to evaluate for possible learning disabilities. PARENT MANAGEMENT TRAINING is based on 35 years of well-developed research showing that oppositional and defiant patterns arise from maladaptive parent-child interactions that start in early childhood.
Parents are first trained to simply have periods of positive play interaction with their youngster. Recent research suggests that less severe problems, rather than a younger patient age, is predictive of treatment success. The process of modeling behaviors and reactions within group settings creates a real-life adaptation process.
Thus, effective treatment can include resources from several agencies, and coordination is critical.
Also, the more tags are added to a page, the more performance is degraded—dragging down your site load times.
Lastly, a TMS will also prevent bad code and 3rd party code from slowing down your site and give the marketer amplified data and tracking clarity.

This should also allow tag deployments and modifications to be tested in a cookie-controlled live production environment. Spurred on by a desire to migrate its web analytics technology, Purina decided it should be able to centrally manage the tagging and code customizations for all sites and maintain standards company-wide. Purina also plans to use its TMS system for implementing Voice of Customer (VOC) and testing and optimization. OPPOSITIONAL DEFIANT DISORDER is not diagnosed if the problematic behaviors occur exclusively with a mood or psychotic disorder. Comorbidity of OPPOSITIONAL DEFIANT DISORDER with ADHD has been reported to occur in 50-65% of affected kids.
Given these findings, kids with significant oppositional and defiant behaviors often require multidisciplinary assessment and may need components of mental health care, case management, and educational intervention to improve. In problem situations, kids with OPPOSITIONAL DEFIANT DISORDER are more likely to resort to aggressive physical actions rather than verbal responses. With the multifaceted nature of associated problems in OPPOSITIONAL DEFIANT DISORDER, comprehensive treatment may include medication, parenting and family therapy, and consultation with the school staff. They then receive further training to identify the youngster's positive behaviors and to reinforce these behaviors. Approximately 65% of families show significant clinical benefit from well-designed parent management programs. In younger kids, combined treatment in which moms and dads attend a PARENT MANAGEMENT TRAINING group while the kids go to a social skills group has consistently resulted in the best outcome.
Existing psychiatric conditions in the parents can be a major obstacle to effective treatment.
If county mental health or school special education services are involved, one person is usually designated to coordinate services in those systems. So, the irony is that the more useful and relevant your site becomes, the worse it may actually perform. In addition, there is versioning rollback to provide a safeguard against unintentional errors.
In addition, due to some of the complexity of flash-based applications, Purina needed a solution robust enough to handle the intricacies of tagging compiled code.
Guy Fish, Assistant Interactive Brand Manager at Purina, remarked “I am in complete control of my tagging; adding tags, customizing tags, changing tags anywhere on my site at any time. OPPOSITIONAL DEFIANT DISORDER and other conduct problems are the single greatest reasons for referrals to outpatient and inpatient mental health settings for kids, accounting for at least half of all referrals. When the mother or father fails to punish the youngster, the youngster learns that he or she does not have to comply.
More severe forms of OPPOSITIONAL DEFIANT DISORDER, in which many symptoms are present in the toddler years and continually worsen after the youngster is aged 5 years, may evolve into conduct disorder in older kids and teens. If kids with OPPOSITIONAL DEFIANT DISORDER are found to have ADHD as well, appropriate treatment of ADHD may help them to restore their focus and attention and decrease their impulsivity; such treatment may enable their social and behavioral interventions to be more effective.
At that point, moms and dads are trained in the use of brief negative consequences for misbehavior. Depression in a mother or father (particularly the mother) can prevent successful intervention with the youngster and become worse if the youngster's behavior is out of control. Your customers have high expectations regarding performance; if a page does not load quick enough, frustrated visitors will click their way around in hopes to refresh the page, or just abandon your site for another. Testing, search marketing, and social media are just a few additional platforms this functionality supports. So in a nutshell, if a change made by the marketing department or an outside vendor is unwanted or unnecessary, the site can be reverted to the previous version with a few clicks. Research indicates that these patterns are established early, in the youngster's preschool years; left untreated, pattern development accelerates, and patterns worsen. Treatment sessions provide the parents with opportunities to practice and refine the techniques.
Group therapy for teens with OPPOSITIONAL DEFIANT DISORDER is most beneficial when it is structured and focused on developing the skills of listening, empathy, and effective problem solving. Substance abuse and other more severe psychiatric conditions can adversely affect parenting skills, and these conditions are particularly problematic for the moms and dads of a youngster with OPPOSITIONAL DEFIANT DISORDER.
Since many websites require using multiple page tags, and in most companies IT is needed for adding or changing tags on the website, marketers grow increasingly frustrated with delays in implementation and their lack of control. CAST - children and adolescent services team, through which we have had 3 different psychiatrists over the years.

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