ISBN# 1-57230-440-5
Defiant Teens- A Clinician's Manual

Publication Date: 1999
by Russell A. Barkley,
Gwenyth H. Edwards,
Arthur L. Robin

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sku# 0739

Paperback, 250pp

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About the Author

Russell A. Barkley, PhD, is Research Professor of Psychiatry at the State University of New York (SUNY) Upstate Medical University at Syracuse. He is also Professor of Psychiatry at the Medical University of South Carolina. Dr. Barkley has published 15 books, more than 200 scientific articles and book chapters, and 7 videos on Attention-Deficit/Hyperactivity Disorder (ADHD) and related disorders, including childhood defiance. He is also the editor of the newsletter The ADHD Report . A frequent conference presenter and speaker who is widely cited in the national media, he is past president of the Section on Clinical Child Psychology, Division 12 of the American Psychological Association, and of the International Society for Research in Child and Adolescent Psychopathology.

Gwenyth H. Edwards, PhD, is chief of the ADHD Child and Adolescent Clinic at the University of Massachusetts Medical Center. Dr. Edwards is an assistant professor of psychiatry and pediatrics and a licensed psychologist. She has provided the clinical leadership on two treatment outcome studies for children and adolescents diagnosed with both ADHD and disruptive behavior disorders; has provided diagnostic evaluations for over 2,000 children and teens; and has provided training for educators, mental health professionals, psychology graduate students, psychiatry and pediatric residents, and a variety of other professionals.

Arthur L. Robin, PhD, is Professor of Psychiatry and Behavioral Neurosciences and Pediatrics at Wayne State University School of Medicine, and Chief of Psychology at Children's Hospital of Michigan. A practicing clinical psychologist, he is widely published in the areas of ADHD, parent-teen relations, and eating disorders.


This authoritative manual presents an 18-step program designed both to teach parents the skills they need to manage difficult adolescent behavior and to improve family relationships overall. The first nine steps of the program modify the approach presented in Russell A. Barkley's Defiant Children, Second Edition, to focus on developmental concerns of adolescence. The authors delineate clear procedures for assessing defiance in teens and working with parents, alone or in groups, to reverse problem behavior. Steps 10 through 18 are conducted with parents and teenagers together, utilizing a proven family therapy model developed by Arthur L. Robin and Sharon Foster. Clinicians are shown how to help all family members learn to negotiate, communicate, and problem-solve more effectively, while facilitating adolescents' individuation and autonomy. The manual's utility is greatly enhanced by ready-to-photocopy forms that enable clinicians to gauge the nature, diversity, and severity of parent adolescent conflicts; assess for oppositional defiant disorder (ODD); and evaluate parental psychological adjustment. Also included are reproducible handouts for families that reinforce crucial ideas and skills imparted in-session.


"Barkley, Edwards, and Robin provide an extremely practical and practitioner-friendly guide for working with teens who are noncompliant and defiant toward their parents. Importantly, the intervention manual synthesizes best practices that are developmentally sound and empirically based. Though not intended for 'deep-end' clinical cases and families, the guidelines presented in this manual are highly applicable for clinicians working with families in private, public, and managed care settings."
-Scott W. Henggeler, PhD



  1. 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
  2. Session Instructions
  3. 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: Use of Response Cost
    Step 7: Completion of Contracts/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
  4. Assessment Materials
  5. General Instruction Sheet (Form 1)
    Child and Family Information Form (Form 2)
    Developmental and Medical History Form (Form 3)
    Disruptive Behavior Disorders Rating Scale--Parent Form (Form 4)
    Disruptive Behavior Disorders Rating Scale--Teacher Form (Form 5)
    Clinical Interview--Parent Report Form (Form 6)
    Adult Behavior Rating Scale--Self-Report of Current Behavior (Form 7)
    Adult Behavior Rating Scale--Self-Report of Childhood Behavior (Form 8)
    Issues Checklist (Form 9)
  6. Family Handouts for Steps 1-18