Treatment FAQ

what treatment is available for relational aggression in adolescents?

by Vivien Ferry Published 2 years ago Updated 2 years ago
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Objective: Anger, irritability, and aggression are among the most common reasons for child mental health referrals. This review is focused on two forms of behavioral interventions for these behavioral problems: Parent management training (PMT) and cognitive-behavioral therapy (CBT).

CBT is another well-studied psychosocial treatment for anger and aggression in children and adolescents. During CBT, children learn how to regulate their frustration, improve their social problem-solving skills, and role-play assertive behaviors that can be used during conflicts instead of aggression.

Full Answer

How can behavioral counseling help a child with aggressive behavior?

A child will receive a reward for positive behavior choices, and a consequence for negative, aggressive behaviors. Behavioral counseling will also address social skills, environmental triggers, and how to manage them with children who struggle with aggression.

How can we treat relational aggression in children with externalizing disorders?

First, studies of existing behavioral treatments for children with externalizing disorders should include measures of relational aggression. Second, targeted interventions for this form of aggression in children with clinically significant levels of relational aggression should be tested in randomized controlled trials.

Why do girls use relational aggression?

For instance, girls will use relational aggression to socially isolate someone while increasing their own social status. Any number of factors drive this behavior including everything from envy and a need for attention to a fear of competition. Here’s an overview of the motivating factors for relational aggression.

What is the best psychosocial treatment for anger and aggression?

CBT is another well-studied psychosocial treatment for anger and aggression in children and adolescents. During CBT, children learn how to regulate their frustration, improve their social problem-solving skills, and role-play assertive behaviors that can be used during conflicts instead of aggression.

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How do you manage relational aggression?

8 ways to stop relational aggressionMake friendship cool. ... Explicitly teach kindness, compassion and empathy. ... Explicitly teach emotional intelligence. ... Teach kids to be: ... Carefully manage online activity. ... Create opportunities for children to meet lots of new people outside of school and get to know them well.More items...•

What therapy can be given for aggressive Behaviour?

The most common way to treat and reduce aggressive behavior in an adult is some form of psychotherapy, such as cognitive behavioral therapy (CBT).

How do you stop adolescent aggression?

How to defuse arguments with your teentry to maintain a calm and peaceful presence – you need to be strong without being threatening.make sure your body language reflects your willingness to listen.avoid staring them in the eye and give them personal space.More items...

How do you treat aggression in children?

Mudd recommends these strategies for helping your child tame their aggression.Stay calm. ... Don't give in to tantrums or aggressive behavior. ... Catch your child being good. ... Help your child learn to express themself by naming emotions. ... Know your child's patterns and identify triggers. ... Find appropriate rewards.

How do you manage teenage behavior?

What you can doBuild a positive relationship. It can feel like all your interactions with your child turn into arguments. ... Listen to your child. ... Stay calm. ... Set clear boundaries. ... Establish clear consequences and follow through with them. ... Look after yourself. ... Ask for help.

What causes adolescent aggression?

Factors Which Increase Risk of Violent Behavior Being the victim of physical abuse and/or sexual abuse. Exposure to violence in the home and/or community. Being the victim of bullying. Genetic (family heredity) factors.

Why do teens use relational aggression?

3 They may use relational aggression to isolate someone with the intent of increasing their own social status.

What are some common behaviors that are related to relational aggression?

While the tactics used in relational aggression vary from one person to another, there are some common specific behaviors to look out for: 2. Backstabbing one another. Cyberbullying or shaming others online. Establishing rules for anyone who wants to be part of the social group. Excluding and ostracizing others.

What is the difference between emotional bullying and physical bullying?

The difference is that unlike physical violence, relational aggression does not leave wounds and scars behind, making it potentially more insidious. In some cases, victims of emotional bullying show more signs of distress than those bullied physically.

Why do teens bully others?

Other times, tweens and teens bully others because they mistakenly believe that doing so will make them feel better about themselves.

What grades do girls become more aggressive?

Studies of North American pre-adolescents and adolescents show girls tend to be more relationally aggressive than boys, especially during fifth through eighth grades . 1 However, while relational aggression or emotional bullying is sometimes referred to as the " mean girl " phenomenon, these damaging behaviors are not limited to one particular gender.

Why do kids target people?

Whatever the reason, kids will often target someone to make them seem less desirable to others. Often, they will use tactics like rumors, slut shaming, and name-calling to make another person look bad.

What are some examples of bullying?

Leaving hurtful or mean messages on cell phones, social media, desks, and lockers. Making fun of others for who they are, the way they dress, or how they look. Spreading rumors or engaging in gossip. Talking badly about others. Using peer pressure to get others to take part in bullying.

What are the treatment targets of behavioral interventions?

Anger, Irritability, and Aggression as Treatment Targets of Behavioral Interventions

How does PMT help with aggression?

The broad goals of PMT are to reduce the child's aggression and noncompliance by improving parental competence in dealing with these maladaptive behaviors. During PMT, parents are taught to identify the function of maladaptive behavior, to give praise for appropriate behavior, to communicate directions effectively, to ignore maladaptive attention-seeking behavior, and to use consistent consequences for disruptive behaviors. PMT is conducted with parents, although for some approaches, children are invited to facilitate the practice of new parenting skills (Eyberg et al. 2008). The efficacy and effectiveness of PMT have been evaluated in >100 randomized controlled studies (Dretzke et al. 2009; Michelson et al. 2013) and excellent treatment manuals are available for clinicians (Kazdin 2005; Barkley 2013). There is evidence that the improvements in child behavior are stable over time and can prevent antisocial behavior in adulthood (Scott et al. 2014).

How does PMT affect behavior?

The causal pathways to childhood anger/irritability and aggressive behavior involve multiple interacting biological, environmental, and psychosocial risk factors (Loeber et al. 2009). PMT aims to ameliorate patterns of family interactions that produce antecedents and consequences of maintaining tantrums, aggression, and noncompliance. PMT techniques stem from the fundamental principle of operant conditioning, which states that the likelihood of behavior to recur is increased or weakened based on the events that follow the behavior (Skinner 1938). For example, a child is more likely to have another tantrum if previous anger outbursts have resulted in an escape from parental demands or the continuation of a preferred activity. Behaviors such as noncompliance, whining, or bickering may also be reinforced if the same benefits are afforded to the child (Patterson et al. 1989).

What is CBT in therapy?

Common cognitive-behavioral techniques include identifying the antecedents and consequences of aggressive behavior, learning strategies for recognizing and regulating anger expression, problem-solving and cognitive restructuring techniques, and modeling and rehearsing socially appropriate behaviors that can replace angry and aggressive reactions. Although CBT is conducted with the child, parents have multiple roles in treatment, including bringing their child to therapy, providing information about their child's behavioral problems, and creating an environment between sessions that is conducive to their child practicing CBT skills. Importantly, parents are asked to recognize their child's effort when applying emotion regulation and problem-solving skills learned in CBT to anger-provoking situations and to provide praise and rewards for behavioral improvements.

How does emotion coaching help parents?

Improving parent–child communication about emotions has become a focus of emotion coaching interventions, which teach parents the importance of acknowledging and accepting their children's emotional experiences as well as modeling for their children how to identify, label, and cope with strong emotions (Ramsden and Hubbard 2002). A recent study of emotion coaching for parents of preschool children found improvements in children's emotional knowledge and reductions in behavior problems (Havighurst et al. 2010). However, adding an emotion coaching component to the already established Positive Parenting Program (Triple-P) did not show additive effects in reducing disruptive behavior (Salmon et al. 2014).

What is an overt aggression?

Aggression can be defined as an overt behavior that can result in harm to self or others (Connor 2002). Several subtypes of aggression (e.g., impulsive, reactive, hostile, affective) have been described based on the presence of an angry affect and contrasted with instrumental, proactive, or planned types of aggression that are not “fueled” by anger (Vitiello and Stoff 1997). Another well-known classification distinguishes between overtly confrontational antisocial behaviors, such as arguing and fighting, and covert antisocial behaviors, such as lying, stealing, and breaking rules (Frick et al. 1993). Physical aggression was found to be a significant risk factor for conduct disorder at an early age of onset, later violence, and other mental health problems such as ADHD and anxiety (Loeber et al. 2000). Compared with physical aggression, nonaggressive antisocial behavior was shown to follow a different developmental trajectory (Nagin and Tremblay 1999) and predict later nonviolent criminal offenses (Kjelsberg 2002).

How often do children have temper tantrums?

Temper tantrums that include crying, stomping, pushing, hitting, and kicking are common in 1–4-year-old children and range in frequency from 5 to 9 times per week with an average duration of 5–10 minutes (Potegal et al. 2003). The intensity and number of tantrums tend to decrease with age, although typically developing children continue to outwardly display anger and frustration, behaviors that parents often label as tantrums. This decrease in the frequency of temper tantrums as children age is paralleled by the development of emotion regulation skills and the acquisition of socially appropriate ways to express anger (Blanchard-Fields and Coats 2008). Intense and out-of-control anger outbursts may be of clinical concern in young children (Wakschlag et al. 2010). Intense anger outbursts in response to trivial provocations may also persist across development and manifest across various psychiatric disorders. Because of an apparent lack of control, these behaviors have been referred to as “rage attacks” in severe mood dysregulation (Carlson 2007) and Tourette Syndrome (TS) (Budman et al. 2003) as well as “meltdowns” in children on the autism spectrum (Samson et al. 2015).

How to address relational aggression?

In order to begin to address relational aggression, one must first recognize what it looks like. This behavior (which may often be used by adolescent girls but is not necessarily specific to girls) can be defined as actions intended to cause harm to another person by damaging their relationships with others. This type of behavior is often covert, unlike outright physical aggression, and has the intent of damaging a girl’s self-esteem and social relationships. Relational aggression can be proactive—used as a means to an end—or reactive—occurring as a retaliatory response.

How can adults help girls?

For adults: Adults can be a great support for girls who are experiencing relational aggression within their friend groups. Parents and other adult role models can also help girls find more effective ways to maintain healthy relationships by: Teaching empathy.

How does gossip affect girls?

Rumors and gossip are destructive and can impact friendships and self-esteem significantly.

Why can't girls go home after school?

Girls can no longer go home after school to seek refuge from drama. Relational aggression is present constantly, and many more people might be included. Girls might post harmful and untrue statements about someone else or send angry, rude, and vulgar messages directed at one person to an entire group.

What is the social world of adolescent girls?

The social world of adolescent girls is often defined by a “survival of the fittest” mindset. In trying to survive, girls often employ strategies that can be harmful to others, even those they consider their closest friends. The use of these strategies is called relational aggression.

How to deal with difficult social situations?

Develop coping skills: Explore healthy coping skills that can help you deal with difficult social situations. Participate in activities outside of school, or find recreational activities you enjoy.

Can a girl be excluded from a friendship group?

Girls within a friendship group can also exclude their own friends. These alliances within a friendship group can change from week to week and sometimes, day to day. In some cases, a girl may never really know where she stands in her group, and this uncertainty can cause stress and anxiety.

What is relational aggression

Relational aggression is behavior that involves deliberately hurting (or threatening to hurt) a person’s relationships or feelings of acceptance, friendship or group inclusion. Physical aggression, such as hitting or kicking, causes bodily harm, whereas relational aggression involves interpersonal manipulation.

Relational aggression examples

Here are some common examples of relational aggression behavior in children.

Who engages in relational aggression

Contrary to previous studies that showed girls to be more likely than boys to exhibit this type of behavior, recent research reports that both boys and girls exhibit similar levels of social aggression ​2,3​. Therefore, it is unclear whether one gender is more likely to engage in it than the other and more research is needed to determine this ​4​.

Relational aggression in child development

The development of relational aggression has been observed in young children as early as 3 years old ​9​, whereas more sophisticated and covert aggression appear in middle childhood, late childhood, and adolescence ​10​. It is also found in romantic relationships in adults ​11​.

Causes

Research has found that there is a strong association between parenting style and children’s aggression ​13​ .

Effects

Studies find that difficulties in psychosocial adjustment caused by relational aggression are as widespread and long-lasting as those caused by physical aggression ​18​.

How to cope with relational attacks

Being relationally bullied can be a traumatic experience. When a girl feels close to her friend, she is more hurt by the aggression.

What Is Relational Aggression?

Relational aggressive behaviors include isolating a target, threatening to stop talking to them, giving silent treatment, and spreading rumors. 2 This can happen in a variety of settings including school, work, and online, and while it affects adolescents predominantly, it can occur at any age. Research remains unsure whether it’s common in youth due to developmental challenges or as an indication of potential future mental health problems. 3

Why is it so hard to identify if someone is a victim of relational aggression?

It can be difficult to notice or identify whether someone is a victim of relational aggression unless they specifically report it because it is not always overt and can even be dismissed as normative among adolescents. Oftentimes, policy lacks the ability to hold aggressors accountable because there is no threat to physical well-being. This results in underreporting by victims.

What is the dominant form of aggression for females?

It is important to note that studies indicate the dominant form of aggression for females is relational aggression (in comparison to physical aggression), which tends to perpetuate the myth that males do not engage in or experience comparable levels of relational aggression.

What type of aggression does a male have?

Males experience and engage in relational aggression, as well as physical aggression.2. Types of Relational Aggression. Just as there are different reasons for why an individual might engage in relational aggression, there are different types of relational aggression that depend upon the relationship and intent.

How to avoid aggression?

Resist engaging in relational aggression on a personal level by avoiding gossip, avoiding spreading rumors, practicing inclusion, seeking help from a therapist for unresolved issues, practicing and modeling kindness and empathy, and building healthy relationships .

What is romantic relationship aggression?

5 Romantic relational aggression can create less trust, jealousy, codependence, and other unhealthy behaviors within a relationship.

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