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Persistently defiant, aggressive children are extremely disruptive at
home and at school. The long term prognosis is poor; over a third
become recurrent juvenile offenders, living on the margins of society.
Despite the existence of promising treatments, evaluations of everyday
clinical practice are disappointing. Scott et al (p 194) report on a
multicentre trial of parenting groups in regular NHS clinics run by
existing staff. They found a large reduction in antisocial behaviour in
the children.