Clinical Manual of Impulse-Control Disorders

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Visibility of impulse-control disorders (ICDs) has never been greater than it is today, both in the field of psychiatry and in popular culture. Changes in both society and technology have contributed to the importance of conceptualizing, assessing, and treating impulse-control disorders (ICDs). The ground-breaking Clinical Manual of Impulse-Control Disorders focuses on all of the different ICDs as a group. Beginning with the conceptualization and classification of ICDs, including the phenomenology, assessment, and classification of impulsivity as a core symptom domain that cuts across and drives the expression of these disorders, 25 recognized experts provide cutting-edge, concise, and practical information about intermittent explosive disorder, childhood conduct disorder and the antisocial spectrum, self-injurious behavior, sexual compulsions, binge eating, trichotillomania, kleptomania, compulsive shopping, pyromania, pathological gambling, and problematic Internet use. The remarkable Clinical Manual of Impulse-Control Disorders sheds light on the complex world of ICDs. As such, it will be welcomed not only by researchers and clinicians but also by individuals and family members coping with these disorders.

Author(s): Eric Hollander; Dan J. Stein
Edition: 1
Year: 2005

Language: English
Pages: 365

Contents......Page 6
Contributors......Page 12
Preface......Page 16
1 Conceptualizing and Assessing Impulse-Control Disorders......Page 20
Conceptualization and Classification of the Impulse-Control Disorders......Page 21
Assessment of Impulsivity and the Impulse-Control Disorders......Page 32
References......Page 34
2 Intermittent Explosive Disorder......Page 38
Nosology......Page 39
Epidemiology......Page 41
Clinical Features......Page 42
Comorbidity With Axis I and II Disorders......Page 43
Pathogenesis......Page 44
Treatment......Page 47
References......Page 51
3 Childhood Conduct Disorder and the Antisocial Spectrum......Page 58
Clinical Characteristics of Antisocial Behavior......Page 59
A Working Theory of Aggression......Page 63
The Intervening Step: From Impulsive Aggression to an Antisocial Pattern......Page 64
Subdividing Affective (Impulsive) Aggression......Page 66
Clinical Phenomenology of Affective (Impulsive) Aggression......Page 68
Affective Aggression and Substance Use, Abuse, or Dependence......Page 73
Assessment......Page 74
Treatment......Page 75
Conclusion......Page 77
References......Page 78
Phenomenology......Page 82
Neurobiology......Page 87
Treatment......Page 89
Conclusion......Page 99
References......Page 100
5 Sexual Compulsions......Page 106
Phenomenology......Page 108
Pathogenesis......Page 113
Treatment......Page 118
Conclusion......Page 123
References......Page 126
History of Binge Eating As a Symptom......Page 134
Classification: Is Binge Eating an Impulse-Control Disorder?......Page 136
Course......Page 140
Associated Psychopathology......Page 141
Family History......Page 146
Neurobiology......Page 147
Treatment Response......Page 150
References......Page 155
7 Trichotillomania......Page 168
Psychopathology......Page 169
Epidemiology and Comorbidity......Page 171
Functional Impairment and Quality of Life......Page 172
Relationship With Obsessive-Compulsive Disorder, Skin Picking, and Nail Biting......Page 173
Treatment......Page 175
Toward an Empirical Understanding of Trichotillomania......Page 178
Future Directions......Page 185
References......Page 187
History and Classification......Page 194
Epidemiology, Comorbidity, and Relationship to Other Disorders......Page 196
Functional Impairment, Quality of Life, and Legal Difficulties......Page 200
Pathogenesis......Page 201
Treatment......Page 208
References......Page 215
History......Page 222
Definition and Classification......Page 224
Assessment......Page 225
Epidemiology......Page 228
Psychiatric Comorbidity......Page 230
Clinical Symptoms......Page 233
Pathogenesis......Page 236
Treatment......Page 237
Conclusion......Page 242
References......Page 243
10 Pyromania......Page 248
Diagnosis and Differential Diagnosis......Page 249
Epidemiology......Page 252
Etiology......Page 258
Course and Prognosis......Page 264
Treatment Possibilities......Page 265
Conclusion......Page 266
References......Page 267
Definition and Clinical Features......Page 270
Prevalence and Impact of Gambling......Page 271
Similarities to Addictive Disorders......Page 272
Identifying Individuals With Pathological Gambling and Measuring Gambling Problems......Page 274
Morbidity and Course of Illness......Page 276
Epidemiology......Page 277
Comorbidity......Page 278
Neurobiology and Genetics......Page 280
Neuropsychology......Page 287
Treatment......Page 289
References......Page 297
Phenomenology......Page 310
Background......Page 312
Current Conceptual Approaches......Page 314
Distinctness and Comorbidity......Page 317
Pathogenesis......Page 319
Treatment......Page 321
References......Page 322
13 Treatment of Impulse-Control Disorders......Page 328
Diagnosis......Page 329
Assessment......Page 330
Pharmacotherapy......Page 333
Psychotherapy......Page 338
Conclusion......Page 340
References......Page 341
A......Page 346
B......Page 347
C......Page 349
D......Page 351
E......Page 353
G......Page 354
I......Page 355
J......Page 356
M......Page 357
N......Page 358
O......Page 359
P......Page 360
Q......Page 362
S......Page 363
T......Page 365
Z......Page 366