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Neurodevelopmental Pathways to Aggression: A Model to Understand and Target Treatment in Youth

Received October 8, 2004; revised November 6, 2005; accepted November 7, 2005. Dr. Sugden was affiliated with the Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, California at the time this article was written. Dr. Kile is affiliated with the Department of Neurology, University of California, Davis, Sacramento, California. Dr. Hendren is affiliated with the Department of Psychiatry and Behavioral Sciences, University of California, Davis, and the M.I.N.D. Institute, University of California, Davis, Sacramento, California. Address correspondence to Dr. Hendren, M.I.N.D. Institute, 2825 50th St., Sacramento, CA 95817; rlhendren{at}ucdavis.edu (E-mail).

The authors describe a neurodevelopmentally relevant, clinically derived model for understanding and treating aggressive behavior in youth. Based on case experience and literature review, the authors divide aggressive behavior into five symptomatic domains with respective neurobiological/neurodevelopmental underpinnings. These five symptom domains (impulsivity, affective instability, anxious/hyperarousal, cognitive disorganization, and predatory aggression) emerge as logical and clinically useful targets for treatment. The authors aim to establish a relationship between these symptom domains and brain structure and function that offers a clinically relevant approach to the complexities of understanding aggression and its treatment.

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