Defiant behavior in children, or Oppositional Defiant Disorder (ODD), is among the leading reasons for referral of children to child mental health centers and is a major cause of parental distress in raising children. This lecture is based on Dr. Barkley's book, Your Defiant Child. He will discuss the nature of ODD as a twodimensional condition (emotional dysregulation, social conflict) that arises both directly and indirectly out of the interplay of four major factors. The four factors are described in some detail along with the reciprocal nature of parentchild interactions involving noncompliance and defiance and the important role played by negative reinforcement in generating, sustaining, and even escalating the frequency and severity of such interactions through a process of family social coercion. The implications of this model for the management of child defiant behavior and parentchild conflicts will be discussed. Dr. Barkley will use his own parent training program, Defiant Children, to illustrate the methods that need to be conveyed to parents to treat ODD as well as the elements that are common to the effectiveness of all behavioral parent training programs.

This lecture is 1.1 hours in length.

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