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Conduct disorder, as defined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, Text Revision (DSM-IV-TR), includes evidence of a chronic and persistent pattern of rule-violating behavior on the part of an individual, typically a child between the ages of 10 and 18 years. The behavior is of a significant nature and typically involves the violation of the rights of others or violation of age-appropriate societal norms. Children with giftedness, creativity, or talent are not protected from the possibility of experiencing conduct disorder or some associated disorder. Past and current literature suggests that children who are gifted, creative, or talented suffer from mental illness or disorders in numbers similar to the general population. In addition, children who may be gifted, creative, or talented may go unidentified due to presentation of conduct disorder behaviors that mask their unique abilities. Furthermore, gifted, creative, or talented children who have been identified as such may experience an interruption of valuable school-based services due to excessive office discipline referrals, school suspensions, or school expulsion that may be associated with conduct disorder behaviors that cause subsequent significant problems in the school setting. Consequently, in both cases these children fail to meet their life potential due to lack of social/emotional/behavioral adjustment. It should also be noted that high intelligence may make the behaviors of the conduct disordered child more planful, dangerous, and complex. Whereas the average conduct disordered child might simply aggress against people in the nearby environment, the gifted conduct-disordered child might engage in such aggressive activities as hacking into computers, engaging in cyber-bullying, and planning elaborate ways of breaking rules or laws. It is therefore critical that conduct disorders of gifted students be identified early so that interventions can be developed to protect both the student from his or her risk taking as well as to protect family, school, and community from the student's potential aggression.

Diagnostic Criteria

There are four different groupings of diagnostic criteria of conduct disorder in the DSM-IV-TR. The diagnostic groupings and examples of respective behaviors within each grouping include aggression to people or animals (e.g., bullying or threat ening behavior, physical cruelty to people or animals, initiating physical fights, forcing someone into sexual activity, stealing while confronting a victim), destruction of property (e.g., deliberate fire setting, willful destruction of others' property), deceitfulness or theft (e.g., breaking into someone's home, building, or car; lying, shoplifting), and serious violations of rules (e.g., violating curfew rules before age 13, running away from home, school truancy before age 13). There are 15 total behaviors in the four groupings, of which 3 or more behaviors must have been present for at least 12 months and at least one behavior during the past 6 months. There must be significant social or academic impairment as a result of the presenting behaviors, onset can occur either in childhood (i.e., before age 10) or during adolescence or at some unspecified or unknown age, and typically, it is not diagnosed in children over 18 years of age. When a diagnosis of conduct disorder is warranted, severity (i.e., mild, moderate, or severe) is specified as well, depending on the number of presenting behaviors and the significance of the effects of those presenting behaviors. Conduct disorder is not to be confused with oppositional defiant disorder, which is marked by less severe forms of inappropriate behaviors including negative defiant behavior, hostility toward authority figures, significant limit testing, frequent and intense temper tantrums, and spitefulness, to name a few.

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