The way professionals conceptualise CD likely impacts the identity of children given the diagnosis, yet how psychiatrists conceptualise CD, and experience making the diagnosis, is under-researched. Interpretative Phenomenological Analysis explored how psychiatrists conceptualise CD and experience making the diagnosis. Semi-structured interviews captured participants’ lived experiences and associated meanings. Four superordinate themes emerged: ‘Parents and professionals are overwhelmed by their struggles with CD’; ‘What is CD? Uncertainty regarding the cause, but clarity that it is a severe problem’; ‘CD as a controversial construct’; and ‘Whose issue is it anyway? Battles with blame and responsibility’. The emerging problem-saturated narrative is discussed. Clinical implications include increased training, reflective practice and using a formulation-based approach.

中文翻译：

---

解释性现象学分析探索精神科医生如何概念化行为障碍和做出诊断的经验

专业人士对 CD 进行概念化的方式可能会影响给定诊断的儿童的身份，但精神科医生如何对 CD 进行概念化以及做出诊断的经验尚待研究。解释性现象学分析探讨了精神病学家如何概念化 CD 和做出诊断的经验。半结构化访谈捕捉了参与者的生活经历和相关意义。出现了四个高级主题：“父母和专业人士被他们与 CD 的斗争所淹没”；'什么是CD？关于原因的不确定性，但明确指出这是一个严重的问题”；'CD 作为一个有争议的结构'；和'反正是谁的问题？与责备和责任作斗争”。讨论了新出现的充满问题的叙述。临床意义包括增加训练、