Child psychopathology and deviant family hierarchies

The association between child psychopathology and reversals in family hierarchies (where the child is seen as equal or higher in the hierarchy than the parental figures) were examined with the Madanes Family Hierarchy Test on a sample of 177 clinic-referred boys. Madanes' original findings of the association of substance use and deviant family hierarchy were replicated in this younger sample, (age 7 to 12). Boys diagnosed with Conduct Disorder reported significantly more deviant hierarchies while boys diagnosed with Overanxious Disorder reported significantly fewer deviant hierarchies. Follow-up results revealed some instability and lack of informant agreement, but the hierarchy measure was not confounded by age, race, SES, IQ, or parents' marital status.