Previous research has not correlated parent-child interaction patterns with different forms of child psychopathology. This study examined whether parent-child interaction corresponded with childhood depression/anxiety and childhood aggression. Forty-two clinically-referred children and adolescents, 8 to 16 years old, were classified into four groups based on parental responses on the Child Behavior Checklist (Achenbach, 1991): Aggressive (n=9); Depressed/Anxious (n=11); Mixed Aggressive and Depressed/Anxious (n=12); and Children whose parents report few clinical symptoms (n=10). Parents and children participated in a 6-minute videotaped conflict discussion task, and the observed behaviors (verbal and nonverbal) were coded using the Structural Analysis of Social Behavior (Benjamin, 1974). Results suggest that parents of aggressive children were less affirming, understanding, and expressive toward their children and more critical and blaming than nonaggressive children's parents. Aggressive/Depressed children's parents were less critical toward their children than parents of aggressive-only children. Parents of depressed/anxious children were less disclosing and expressive, but no more critical or hostile than parents of nondepressed children. Aggressive children were cooler toward their parents than nonaggressive children, and depressed/anxious children tended to be less controlling and domineering toward their parents than nondepressed children. The results provide insight into the family behaviors of troubled children. (RJM)