:00

explains so much more

0:02

than the current view of a dat explains

0:05

as i will show you a_t_t_ children are eleven times more likely to develop

0:10

oppositional defiant disorder within two years of the onset of their a_t_t_ wine

0:15

one of those disorders have to do with each other and now they’re treated as

0:18

simply

0:19

cohort benefit

0:20

all well they go together but we’re not sure

0:23

but if you put a motion back into a d_h_ do you see the connection right into odp

0:28

because that regarding within the city is auto

0:31

matically sub clinically odp

0:33

at the get go

0:35

it’s only going to take one more symptom to cross the diagnostic threshold

0:40

in other words a_t_t_ causes

0:43

odp

0:45

that is an important thing to understand because the odp

0:48

while it does have some social influences over it

0:52

half of all the d_d_c_ inability

0:54

to manage frustration

0:57

impatience and anger

0:58

and that will set you up

1:00

for the second component of o_j_ d

1:03

which is interaction conflict

1:05

defiance

1:07

arguing

1:08

but the first four symptoms of the eight in over didi

1:12

our mood

1:15

hostility

1:16

easily annoyed irritability

1:19

and that is part of a dat

1:21

so we need to yes m five and we need families

1:25

to both understand

1:26

that emotion goes with this disorder it is not a separate co morbidity in some

1:32

cases

1:34

and now we know why when we treat a_d_ h_d_

1:37

particularly with the medications that we use

1:40

we get nearly as much production and over didi as we get an a_t_t_ and when

1:44

we don’t

1:45

it is because of the social conflict component

1:49

which is learned

1:51

and we will have to unlearned that little piece but the mood component is

1:55

the a_t_t_ component

1:57

now by returning emotion into a dhtml also helps families to understand some

2:02

of the other life course risks

2:04

fifty to seventy percent of a_t_t_ children are vitally rejected by close

2:09

friendships by second grade

2:11

it is in fact one of the more devastating consequences of this

2:15

disorder

2:16

is this inability to make and keep

2:19

close sustained it

2:21

friendships with other children

2:22

that it is part three

2:24

for parents to see this happening

2:27

that their child is not best liked as other children let the sleepovers the

2:32

going to the movies and the other social events in which other children celebrate

2:37

their peer relationships

2:38

are shut off for this trial

2:41

why is it fair the single best predictor of peer rejection

2:46

youth that symptom

2:48

beyond most real impulses

2:51

friends for gives you your distract ability your forgetfulness you’re

2:55

working memory problems and even your restlessness

2:58

they will not forgive your anger

3:01

your hostility the quickness with which you emote to other people

3:05

because it is offensive

3:07

it is socially costly

3:10

so now we can begin to understand the new

3:13

immersed social problems

3:14

that a_t_t_ children are prone to

3:17

because it arises from this aspect

3:19

of the inhibitory deficit

3:22

there are other things that it explains i could do a whole hour and a half as i

3:25

did a month ago in toronto

3:26

on the importance of emotion in a dat i won’t go there

3:30

but suffice to say that it explains the road rage during driving

3:34

the job dismissals

3:36

which are not the result of in attentiveness

3:39

but at the end too quick to anger

3:41

too quick to express raw emotion in the workplace of which employers

3:46

are not tolerant

3:48

especially if it occurs with a customer

3:51

and it also explains to us the marital difficulties and the parenting

3:55

difficulties these children may be prone to

3:59

because the single best predictor of marital problems can be dealt with the

4:02

dat

4:03

is not distracted the party

4:05

it is emotion

4:08

so we can begin to paint a better picture of understanding a_t_t_ in its

4:13

life course risk by understanding the nature of the inhibitory problem

4:17

and that it includes

4:20

emotion

4:20

as part of it

4:22

and that’s just slide one i’ve got eighty-five slight

4:28

the c_-one and concern that the