Clinicians’ Perspectives on the Diagnosis of Antisocial Disorders in Adolescence

The intent of the study was to explore how professionals view the assessment and diagnosis of antisocial disorders such as oppositional defiant disorder (ODD) and conduct disorder (CD). Six professionals from varying theoretical orientations were interviewed in order to gain insight into how theoretical and clinical perspectives influence the diagnostic process of antisocial disorders. Data was analyzed using a qualitative, constructivist grounded theory research methodology. The findings from the research interviews suggest that clinicians perceive a multifaceted approach to diagnosis. Participants emphasized the importance of individualized assessment, differential diagnosis, the role of context and impairment, and the functional and stigmatizing effects of diagnostic labels. The results illustrate relative consistency among practitioners in the assessment and diagnostic process. Further, it appears that clinicians incorporate a biopsychosocial approach to conceptualizing ODD and CD. This type of qualitative research serves to develop a conceptual understanding of the diagnostic process related to antisocial disorders.