Clinical Perspective

The challenge of treating conduct disorder in low-resourced settings: rap music to the rescue

  • Dylan J Evans


Conduct disorder is one of the most frequent serious childhood problems that present for treatment in community clinic settings. Evidence-based treatments for conduct disorder are intensive and require considerable resources to implement. In low-resourced contexts it is often not feasible to implement evidence-based treatments in their current form, which poses significant challenges for clinicians attempting to treat children in these settings. This article explores these challenges using a case study of the treatment of a young adolescent boy with a short-term multisystem intervention where rap music was employed as a powerful tool to facilitate an  empathic connection in therapy and as a projective technique to explore underlying emotional difficulties.

Journal of Child and Adolescent Mental Health 2010, 22(2): 145–152

Author Biography

Dylan J Evans
Department of Behavioural Medicine, Nelson R Mandela School of Medicine, University of KwaZulu-Natal; and Town Hill Hospital, PO Box 400, Pietermaritzburg 3200, South Africa