Children with conduct problems and high callous-unemotional (CP+CU) traits are characterized by dampened emotional responding, limiting their ability for affective empathy and impacting the development of prosocial behaviors. However, research documenting this dampening in young children is sparse and findings vary, with attachment-related stimuli hypothesized to ameliorate deficits in emotional responding. Here we test emotional responsiveness across various emotion-eliciting stimuli using multiple measures of emotional responsiveness (behavioral, physiological, self-reported) and attention, in young children aged 2–8 years (M age = 5.37), with CP+CU traits (CP+CU; n = 36), CPs and low CU traits (CP−CU; n = 82) and a community control sample (CC; n = 27). We found no evidence that attachment-related stimulus ameliorated deficits in emotional responding. Rather, at a group level we found a consistent pattern of reduced responding across all independent measures of responsiveness for children with CP+CU compared to the CC group. Few differences were found between CP+CU and CP−CU groups. When independent measures were standardized and included in a regression model predicting to CU trait score, higher CU traits were associated with reduced emotional responding, demonstrating the importance of multimodal measurement of emotional responsiveness when investigating the impact of CU traits in young children.

Contemporary theories of early development and emerging child psychopathology all posit a major, if not central role for physiological responsiveness. To understand infants’ potential risk for emergent psychopathology, consideration is needed to both autonomic reactivity and environmental contexts (e.g., parent–child interactions). The current study maps infants’ arousal during the face-to-face still-face paradigm using skin conductance (n = 255 ethnically-diverse mother–infant dyads; 52.5% girls, mean infant age = 7.4 months; SD = 0.9 months). A novel statistical approach was designed to model the potential build-up of nonlinear counter electromotive force over the course of the task. Results showed a significant increase in infants’ skin conductance between the Baseline Free-play and the Still-Face phase, and a significant decrease in skin conductance during the Reunion Play when compared to the Still-Face phase. Skin conductance during the Reunion Play phase remained significantly higher than during the Baseline Play phase; indicating that infants had not fully recovered from the mild social stressor. These results further our understanding of infant arousal during dyadic interactions, and the role of caregivers in the development of emotion regulation during infancy.

Improving knowledge about childhood mental health issues, reducing stigma, and encouraging appropriate treatment-seeking are important goals for public health. This study examined the effect of treatment and malleability information on stigmatisation towards children with Oppositional Defiant Disorder (ODD) and their parents, and on endorsements of causal beliefs. In an experimental study, university students (N = 234) were randomly allocated to receive/not receive treatment information (information on the existence and effectiveness of treatment for ODD) and to receive/not receive malleability information (information emphasising brain malleability and the potential to change). Participants then rated four measures of stigma towards a fictitious child with ODD and mother (blame, incompetence, dangerousness, and social distance), and rated their endorsements of causal explanations for ODD. Neither treatment nor malleability information had significant effects on stigmatisation towards either the child or mother. However, this information did impact upon causal beliefs about ODD as stemming from biological or mixed biological/environmental causes. Implications for the future development of public health initiatives and stigma research on childhood mental health are discussed.

The role of environmental adversity in the development of high callous–unemotional (CU) traits in children is controversial. Evidence speaks to the traits being largely independent of adversity; however, recent data shows that those with high CU traits and high adversity and/or high anxiety might differ in important ways from those with no such history. We tested this using emotion recognition (ER) skills. We tested whether maltreatment history and anxiety levels moderated the relationship between level of CU traits and ER skills in N = 364 children with behavioral problems who were 3 to 16 years old. As hypothesised, in the full sample, the relationship between CU traits and ER differed according to maltreatment history, such that CU traits were associated with poorer recognition for those with zero or negligible history of maltreatment. This moderation of the CU-ER relationship by maltreatment was inconsistent across subgroups, however, and for the cohort utilizing youth self-report of maltreatment, high CU traits were associated with poor ER in those with lower anxiety levels. Maltreatment history and/or anxiety levels can identify different emotional impairments associated with high CU traits, and the impairments might be characteristic of “primary” high CU traits defined as occurring independently of maltreatment and/or high anxiety.

This study examined the impact and side effects of a cognitive behavioural program for the treatment of recurrent abdominal pain (R.A.P.) on children's behavioural adjustment and family functioning. It assessed the extent to which changes in children's pain symptoms covaried with family processes thought to be etiologically significant in cases of R.A.P. Results showed that pain symptoms of both experimental and control children improved significantly six months after initial assessment. Treatment achieved its objectives more quickly with a higher proportion of completely pain-free children. None of the measures of child adjustment or family conflict, expressiveness, independence or achievement orientation were associated with changes in pain intensity ratings or parent observational measures of pain behaviour. There was no evidence that treatment was associated with any negative side effects.

Behaviour therapy is now beginning to assess the social validity, along with efficacy, of its treatments. Literature dealing with the social validity of parent-training programs is reviewed. The aim of this investigation was to obtain acceptability ratings of the “time out” procedure from the perspective of behaviour problem and non-problem children. The study looked at acceptability ratings of five maternal behaviours/disciplinary techniques (permissiveness, physical punishment, directed discussion, quiet time, time out) across four different situations (non-compliance with an initiating instruction, aggression toward others, non-compliance with a terminating instruction, non-compliance with known rule) by samples of clinical (problem behaviour) children and control children. Both groups were alike in rating permissiveness as less acceptable than any of the other behaviours across most situations and rating it as unacceptable in absolute terms. Time out was rated equally acceptable with physical punishment, directed discussion and quiet time. The results support previous findings that young children prefer interventionist to permissive parents, including the use of exclusionary time out. In a second study, ratings were taken from two clinical groups, treatment and waitlist, both at pre- and post-treatment. Despite large individual differences in the treatment group, no change in acceptability ratings was found at post-treatment. Thus, experiencing time out did not change the children's evaluation of this procedure. Possible reasons for these findings and their practical implications are discussed.

This study evaluated a behavioural treatment package for simple phobias in children using a multiple baseline design across subjects. The participants were three adolescents presenting with a principal DSM-III-R diagnosis of Simple Phobia. One participant also met the criteria for Separation Anxiety Disorder. Results showed marked improvement (at posttreatment and 3 months follow-up) of the anxiety for all three adolescents, both at overt-behavioural and cognitive levels with no negative effects on family and dyadic adjustment. Theoretical considerations and prognoses are discussed.

Anxiety and depression tend to run in families. This paper reviews some of the family processes that are implicated in the development, maintenance, and treatment of these problems in children and adolescents. Empirical studies and our theoretical review show that social learning processes within the context of intimate relationships are important in the development of anxiety and depression. Family processes have been shown to be important in the treatment of anxiety disorders but parallel evidence is lacking with regard to depression in adolescents. Two models are shown to have demonstrated explanatory power and empirical support: social learning theory and attachment theory. Examples are given of how these models can be contrasted and integrated at both clinical and theoretical levels.

Much research has demonstrated that marital discord and divorce are risk factors for the development of childhood behavioural and emotional disorders. Although theoretical models and research programs that focus attention on possible mechanisms of influence are scarce, it is clear that marital discord can powerfully influence children via its effect on spouse's parenting behaviour. Thus, marital discord can represent a significant impediment for intervention programs that aim to help children by providing parent training. It is argued that marital and child focused interventions can be successfully integrated in behavioural family therapy. A description of the process and content elements of such an integration is presented, and future directions for research and practice are discussed.

Although much has been written about the need for prevention of anxiety disorders in children, there has been a marked absence of empirical research to evaluate the effectiveness of such programs. This paper suggests that there is now sufficient evidence to identify risk and protective factors for the development of childhood anxiety disorders. Early childhood temperament, negative life events, and children's coping styles are suggested to play a significant role. Acting in association with these variables are parental behaviours that serve to model, prompt, and reinforce anxious behaviour and emphasise the threatening nature of events. Our knowledge of these causal variables enables us to identify children at risk for the development of anxiety problems and highlights variables that should be targets of change in prevention programs. Indicated prevention is designed to disrupt the trajectory towards the development of clinical levels of psychological disorder. This paper describes an “indicated” preventive program for children identified as being at risk for the development of anxiety disorders given evidence of mild anxious symptomatology.

Anxiety and fear are among the most common and distressing problems reported by children and adolescents. However, these problems have received little attention from behavioural family theorists and therapists. In this paper, we argue that more attention needs to be paid to evaluating the role of family interaction processes in the development and treatment of child anxiety disorders. A program of research is described including a treatment outcome study in which family processes and behavioural family intervention are evaluated with 7- to 14-year-old children with overanxious, separation anxiety, and avoidant disorders. The family treatment focuses on how parents interact with their child during displays of anxiety, their management of emotional upsets, and family communication and problem-solving skills. Preliminary results of the family treatment are presented.

A case study is presented of a 20-year-old male who experienced marked increases in body temperature and profuse sweating of the forehead and trunk when in formal social situations. No other physiological nor psychological manifestations of anxiety were admitted to and no situational avoidance was reported. Pretreatment, posttreatment, and follow-up self-report measures and daily self-monitoring of intensity and frequency of sweating were collected to evaluate treatment effects. Treatment was conducted over a period of 20 weeks. Cued conditioning and desensitisation were initially employed, however treatment effect was difficult to determine. The effects of an inadvertent in vivo exposure in week 6 of treatment and the subsequent change in treatment to exposure and cognitive therapy are discussed. The positive effects of treatment, which led to a decrease in the frequency and intensity of the sweating response, were evident at the completion of treatment and well maintained at 60 weeks follow-up. The use of exposure and cognitive therapy as a suitable treatment for this disorder are discussed in light of other anxiety disorders.

This paper presents a quantitative description of the activity of the Australian Behaviour Modification Association, as reflected in conference presentations from 1978 to 1987 and publications in Behaviour Change from its inception to 1988. The results reveal a number of pleasing and displeasing aspects of behavioural research and other activities over the past ten years. These findings are discussed with reference to the next decade, with specific suggestions for directions and priorities.

The co-occurrence of child conduct problems (CPs) and callous–unemotional (CU) traits confers risk for psychopathy. The oxytocin (OXT) system is a likely candidate for involvement in the development of psychopathy. We tested variations in the OXT receptor gene (OXTR) in CP children and adolescents with varying levels of CU traits. Two samples of Caucasian children, aged 4–16 years, who met DSM criteria for disruptive behavior problems and had no features of autism spectrum disorder, were stratified into low versus high CU traits. Measures were the frequencies of nine candidate OXTR polymorphisms (single nucleotide polymorphisms). In Sample 1, high CU traits were associated with single nucleotide polymorphism rs1042778 in the 3′ untranslated region of OXTR and the CGCT haplotype of rs2268490, rs2254298, rs237889, and rs13316193. The association of rs1042778 was replicated in the second rural sample and held across gender and child versus adolescent age groups. We conclude that polymorphic variation of the OXTR characterizes children with high levels of CU traits and CPs. The results are consistent with a hypothesized role of OXT in the developmental antecedents of psychopathy, particularly the differential amygdala activation model of psychopathic traits, and add genetic evidence that high CU traits specify a distinct subgroup within CP children.

Child conduct problems (CPs) are a robust predictor of adult mental health; the concurrence of callous–unemotional (CU) traits confers specific risk for psychopathy. Psychopathy may be related to disturbances in the oxytocin (OXT) system. Evidence suggests that epigenetic changes in the OXT receptor gene (OXTR) are associated with lower circulating OXT and social–cognitive difficulties. We tested methylation levels of OXTR in 4- to 16-year-old males who met DSM criteria for a diagnosis of oppositional–defiant or conduct disorder and were stratified by CU traits and age. Measures were DNA methylation levels of six CpG sites in the promoter region of the OXTR gene (where a CpG site is a cytosine nucleotide occurs next to a guanine nucleotide in the linear sequence of bases along its lenth, linked together by phosphate binding), and OXT blood levels. High CU traits were associated with greater methylation of the OXTR gene for two cytosine nucleotide and guanine nucleotide phosphate linked sites and lower circulating OXT in older males. Higher methylation correlated with lower OXT levels. We conclude that greater methylation of OXTR characterizes adolescent males with high levels of CU and CPs, and this methylation is associated with lower circulating OXT and functional impairment in interpersonal empathy. The results add genetic evidence that high CU traits specify a distinct subgroup within CP children, and they suggest models of psychopathy may be informed by further identification of these epigenetic processes and their functional significance.