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“The handouts, which can be photocopied for individual families, are excellent....This book is well written and a worthy text for one of the 'bread and butter' disorders of our work.”

—Canadian Child Psychiatry Review (on the first edition)


“This is a very practical and concise manual….Research supporting the concepts the authors provide is well documented, making this an evidence-supported guidebook....This text belongs in a family practice office....Most family physicians are comfortable assessing and managing patients with ADHD, and this is a logical extension of that care.”

—Journal of Family Practice (on the first edition)


“The second edition of Defiant Teens does an outstanding job of bringing together parent management training and parent-adolescent problem-solving communication training. The skills taught in this program have a long history of empirical support and are presented in a straightforward and systematic manner that facilitates effective implementation. Clinicians can use this book to help families with adolescents live more harmoniously. Instructors should consider adding it to the reading lists of child and adolescent behavior therapy courses.”

—Rex L. Forehand, PhD, University Distinguished Professor of Psychology, University of Vermont


“The talents and clinical insights of two preeminent scholars in child and adolescent mental health are united in this practical and well-conceived treatment manual. Defiant Teens, Second Edition, provides well-validated, family-based intervention protocols to help adolescents get back on track in their family relations, friendships, and school functioning. A valuable resource for any mental health professional working with adolescents.”

—Scott W. Henggeler, PhD, Department of Psychiatry and Behavioral Sciences (retired), Medical University of South Carolina


“Defiant Teens continues to be the authoritative clinical guide for those helping families cope with challenging teens. Clinicians may rest assured that this updated second edition is even better, enhanced by inclusion of the latest research and honed by many years of clinical work with families. Since school issues are a major source of family conflict, I find the section on school interventions to be invaluable.”

—Chris A. Zeigler Dendy, MS, author of Teaching Teens with ADD, ADHD and Executive Function Deficits, Second Edition

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Table of Contents

Introduction

I. Prerequisite Information for Using the Program

1. The Rationale for the Program

2. Clinical Assessment of Defiant Adolescents

3. An Overview of the Family Training Program

II. Session Instructions

Step 1. Discussion of ADHD and ODD

Step 2. Principles of Behavior Management

Step 3. Developing Positive Attention

Step 4. Developing Parental Attending Skills

Step 5. Establishing a Behavioral Contract

Step 6. Using Response Cost

Step 7. Completing the Contract/Point System

Step 8. Grounding

Step 9. School Advocacy

Step 10. Introduction to Problem-Solving Communication Training

Step 11. Practicing Problem Solving

Step 12. Practicing Problem Solving, Continued

Step 13. Introduction to Communication Skills

Step 14. Practicing Communication Skills

Step 15. Dealing with Unreasonable Beliefs and Expectations

Step 16. Practicing Problem-Solving and Communication Skills: Catching Unreasonable Beliefs

Step 17. More Family Practice

Step 18. Concluding Treatment

III. Assessment Materials

General Instructions for Completing the Questionnaires (Form 1)

Child and Family Information (Form 2)

Developmental and Medical History (Form 3)

Issues Checklist for Parents and Teenagers (Form 4)

IV. Parent Handouts for Steps 1-18

Parent Handout for Step 2. Principles of Behavior Management: Four-Factor Model of Teen Misbehavior

Parent Handout for Step 2. Coercive Behavior Cycle

Parent Handout for Step 3. Paying Attention to Your Teen's Good Behavior

Parent Handout for Step 4. How to Give Effective Commands

Parent Handout for Step 5. Sample Behavioral Contract

Parent Handout for Step 5. The Home Point System

Parent Handout for Step 8. Grounding

Parent Handout for Step 9. Accommodations for Improving Teen School Performance

Parent Handout for Step 9. Educational Rights for Children with ADHD in Public Schools

Parent Handout for Step 10. Steps to Better Problem Solving

Parent Handout for Step 10. Problem-Solving Worksheet

Parent Handout for Step 10. Problem-Solving Exercise

Parent Handout for Step 13. Communication Habits

Parent Handout for Step 15. Unreasonable and Reasonable Beliefs

Adolescent Handout for Step 15. Unreasonable and Reasonable Beliefs

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About the Authors

Russell A. Barkley, PhD, ABPP, ABCN, before retiring in 2021, served on the faculties of the University of Massachusetts Medical Center, the Medical University of South Carolina, and Virginia Commonwealth University. Dr. Barkley has worked with children, adolescents, and families since the 1970s and is the author of numerous bestselling books for both professionals and the public, including Taking Charge of ADHD and Your Defiant Child. He has also published six assessment scales and more than 300 scientific articles and book chapters on attention-deficit/hyperactivity disorder, executive functioning, and childhood defiance. A frequent conference presenter and speaker who is widely cited in the national media, Dr. Barkley is past president of the Section on Clinical Child Psychology (the former Division 12) of the American Psychological Association (APA), and of the International Society for Research in Child and Adolescent Psychopathology. He is a recipient of awards from the American Academy of Pediatrics and the APA, among other honors. His website is www.russellbarkley.org.

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Arthur L. Robin, PhD, is Director of Psychology Training at Children's Hospital of Michigan and Professor of Psychiatry and Behavioral Neurosciences at Wayne State University. Dr. Robin is a practicing psychologist with more than 40 years of clinical experience.

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Audience

Child/adolescent clinical and school psychologists, social workers, psychiatrists, and neuropsychologists.

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Previous editions published by Guilford:

First Edition, © 1999
ISBN: 9781572304406

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New to this edition:

• Incorporates 15 years of research advances and the authors' ongoing clinical experience.
• Fully updated model of the nature and causes of ODD.
• Revised assessment tools and recommendations.
• Reflects cultural changes, such as teens' growing technology use.