?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Mark+Twain+Meets+DSM-III-R%3A+Conduct+Disorder%2C+Development%2C+and+the+Concept+of+Harmful+Dysfunction&rft.creator=Richters%2C+John&rft.creator=Cicchetti%2C+Dante&rft.subject=Clinical+Psychology&rft.subject=Developmental+Psychology&rft.description=The+Diagnostic+and+Statistical+Manual+(3rd+ed.%2C+rev.)+(DSM-III-R)+diagnosis+of+conduct+disorder+assumes+that+all+children+who+engage+in+three+or+more+criterion+antisocial+behaviors+for+6+months+or+more+suffer+from+a+mental+disorder.+It+resists+all+contextual+information+about+a+child's+developmental+history%2C+capacities%2C+strengths+and+circumstances%2C+and+assumes+that+the+antisocial+behavior+necessarily+stems+from+an+underlying+disorder.+In+this+review%2C+we+use+Mark+Twain's+narrative+of+the+lives+of+Tom+Sawyer+and+Huckleberry+Finn+as+a+point+of+departure+for+questioning+the+reasonableness+of+this+assumption%2C+and+for+examining+normal+as+well+as+pathological+pathways+to+antisocial+behavior.+We+begin+by+reviewing+the+status+of+earlier+controversies+about+the+mental+disorder+concept+in+the+service+of+documenting+the+impressive+progress+of+the+field+in+conceptualizing+disorder.+Next%2C+we+examine+Wakefield's+(1992a%2C+1992b)+recently+introduced+'harmful%0Adysfunction'+concept+of+mental+disorder+and+employ+its+criteria+to+evaluate+the+hypothesis+that+chronic%0Aantisocial+behavior+in+childhood+as+defined+by+DSM-III-R+is+caused+by+an+underlying+mental+disorder.+We+also+examine+some+of+the+difficulties+in+discriminating+between+disorder-+and+nondisorder-based+antisocial+behavior%2C+and+consider+issues+that+warrant+attention+in+future+theoretical+and+empirical+work.+Finally%2C+we+explore+the+pragmatic+rather+than+scientific+basis+for+DSM-III-R's+mental+disorder+claim+and+argue+that+regardless+of+its+status+as+a+mental+dsorder%2C+this+most+troubling+and+harmful+behavior+syndrome+of+childhood+deserves+the+intensive+interest%2C+concern%2C+and+resources+of+the+scientific+and+public+health+communities.&rft.publisher=Cambridge+University+Press&rft.contributor=Cicchetti%2C+Dante&rft.date=1993-01&rft.type=Journal+(Paginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F1024%2F3%2FMark_Twain_Meets_DSM-III-R_Conduct_Disorder%252C_Development_and_the_Concept_of_Harmful_Dysfunction.pdf&rft.identifier=++Richters%2C+John+and+Cicchetti%2C+Dante++(1993)+Mark+Twain+Meets+DSM-III-R%3A+Conduct+Disorder%2C+Development%2C+and+the+Concept+of+Harmful+Dysfunction.++%5BJournal+(Paginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F1024%2F