Commentary on A Strengths-Based, Skill-Building, Integrative Approach to Treating Conduct Problems in a 12-Year-Old Boy: Rafael’s Story Developmental Perspectives on the Treatment of Childhood Conduct Problems

Clement's (2011) case Rafael was a 12-year-old boy referred for reactive aggression in the school setting, whose developmental history was characterized by a serious birth defect and significant disruption early in life. He received individual cognitive-behavioral therapy, the aim of which was to enhance his capacity to self-regulate his behavior and emotions in social contexts using skills-training components that capitalized on his existing strengths. This case demonstrates the potential for older children and adolescents with conduct problems to actively participate in the change process. It also raises a number of important issues related to the planning and delivery of conduct problem interventions, which are explored in this commentary. Particular attention is given to the assessment and conceptualization of developmental trajectories of antisocial behavior, and the role of the family in the treatment of childhood conduct problems.