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The sample was composed of twenty adolescents who participated in the experiment. Each participant was admitted into the same therapy center for the treatment of conduct disorder. Participants were randomly allotted (Bordens & Abbott, 2014) one of the therapeutic methods when they were admitted according to the availability of facilities and the participating healthcare officials. In order to guarantee reliability in the provision of the two different treatment methods, clinicians were precisely trained in one of the two therapeutic approaches (Murphy & Alexander 2011). Treatment spanned an average of one year.
Cognitive Behavioral Therapy (CBT)
Ten male young adults were exposed to CBT. The sample was made of four European Americans, four African Americans, and two Hispanics averaging 15.8 years. The primary Axis 1 diagnoses for the sample was comprised of Conduct Disorder (four), ODD (four), and PTSD (seven). Axis 2 diagnoses for the sample comprised MPD (four), BPD (two), NPD (one), and DPD (one). CBT comprised a daily psychodynamic therapy group, weekly individual psychodynamic therapy, and psycho-educational based treatment. Some modules of this psycho-educational therapy course comprised daily recordings instructing social abilities on cards (Murphy & Alexander 2011). The therapists were each exposed to adolescent psychodynamics, and the CBT group held regular meetings to analyze therapeutic issues.
Mode Deactivation Therapy (MDT)
Ten young adults were exposed to the MDT treatment method. The sample comprised was of three European Americans, five African Americans, and Two Hispanics. Their mean age was 15.9 years. The primary Axis 1 diagnoses for the sample was Conduct Disorder (five), OPD (three), PTSD (seven), and MDD (two). The sample’s Axis 2 diagnoses comprised MPD (six), BPT (three), and NPT (two). The same methodology applied for the CBT sample was applied for the MDT sample (Murphy & Alexander 2011).
Post-treatment and Pre-treatment evaluation was comprised of a battery of self-assessment measures aiming at the multiple risk variables. The pre-therapeutic measure of physical aggression was comprised of the mean score of occurrences in the first sixty days after the patients were admitted. The post-therapeutic measure was comprised of the incidence rate sixty days before the discharge date. Additionally, significant measures of physical aggression were used during the research. These measures were based on the daily behavior journal and incident occurrence documentations. The daily behavior journal and the incident occurrence documentation were recorded by the various staff (Murphy & Alexander 2011).
The self-journal measures were comprised of different measures used to assess the participants’ pre-and post-treatment. The measures were the CBLC measure, the BDI measure, and the SIQ measure. The CBCL is a multi-axial measurement tool developed to collect information about young people’s activities and abilities (Achenbach, 1991).
The mean scores and standards are categorized into internalization (the measure of withdrawn attitudes, somatic symptoms, sadness, and anxiety), externalization (the measure of aggression and delinquency), and general issues (the combination of both internal and external problems) (Murphy & Alexander, 2011). The BDI measure is developed to quantify depression, and SIQ is designed to quantify changes in suicidal tendencies, prior to, and after the treatment. All participants accomplished were exposed to each measure before admission, and after they were discharged. After the therapeutic period elapsed, all incidents were reported for both CBT and MDT sample members.
Achenbach, T.M. (1991). Manual for the Child Behavior Checklist and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry.
Bordens, K. S., & Abbott, B. B. (2014). Research design and methods: A process approach. New York, NY: McGraw-Hill.
Murphy, C. J., & Alexander, M. S. (2011). A one year study of Mode Deactivation Therapy: Adolescent Residential Patients with Conduct and Personality Disorders. The International Journal of Behavioral Consultation and Therapy, 7(1), 33–40.