The first phase is a comprehensive literature review, an essential first step in developing a research program. On this basis a trauma-informed developmental model of CD will be proposed, with suggested avenues of research to test the model. The Principal Investigator will train several therapists to conduct the treatment with juvenile delinquents in a residential program, with control group comparisons. Although many risk factors for CD have been identified, there is a clear need for further insight. Prevention efforts are in their infancy, and even the preferred treatments for adolescents with this condition are generally ineffective.
Prognosis remains poor.
Trauma is proposed as a key to understanding the development and persistence of CD, in conjunction with other contributing factors. Trauma history is virtually universal in this population, and trauma effects can help to account for many features of CD, including lack of empathy, impulsivity, anger, acting out, and resistance to treatment. By exploring the role of trauma in CD, this research program may significantly advance our understanding of CD, which should lead to more effective prevention and treatment, as well as reduced societal violence and crime. Here are some publications related to trauma and conduct disorder. EMDR in Child and Adolescent Psychotherapy.