Disruptive, Impulse-Control, and Conduct Disorders: Prognosis, Assessment, and Treatment of Youth “Grown-Up”

Author(s):  
Shelley Co ◽  
Margaret Wohlleber ◽  
Cathryn A. Galanter
Author(s):  
Matthew K. Nock ◽  
Christine B. Cha ◽  
Halina J. Dour

Disorders of impulse-control and self-harm are dangerous clinical problems that often present significant challenges for scientists and clinicians. In this chapter, we provide a comprehensive review of each disorder on the impulse-control spectrum. We begin by describing the clinical presentation and epidemiology of each disorder. Next, we discuss what is currently known about the etiology of these disorders, summarizing recent research on genetic/neurobiological factors, environmental factors, and psychological factors that appear to influence these disorders. The assessment and treatment of disorders of impulse-control and self-harm is complicated by the relatively low base-rate of these disorders, as well as by their dangerous and sensitive nature. Nevertheless, several evidence-based approaches to assessment and treatment have been developed and also are reviewed here. We conclude with recommendations for future scientific and clinical efforts aimed at better understanding, predicting, and preventing disorders of impulse-control and self-harm.


Impulsivity, to varying degrees, is what underlies human behavior and decision-making processes. As such, a thorough examination of impulsivity allows us to better understand modes of normal behavior and action as well as a range of related psychopathological disorders, including kleptomania, pyromania, trichotillomania, intermittent explosive disorder, and pathological gambling—disorders grouped under the term "impulse control disorders" (ISDs). Recent efforts in the areas of cognitive psychology, neurobiology, and genetics have provided a greater understanding of these behaviors and given way to improved treatment options. The Oxford Handbook of Impulse Control Disorders provides a clear understanding of the developmental, biological, and phenomenological features of a range of ICDs, as well as detailed approaches to their assessment and treatment. Bringing together founding ICD researchers and leading experts from psychology and psychiatry, this volume reviews the biological underpinnings of impulsivity and the conceptual challenges facing clinicians as they treat individuals with ICDs.


Author(s):  
Bonnie Taylor ◽  
Meredith Weiss ◽  
Casara Ferretti ◽  
Gregory Berlin ◽  
Eric Hollander

2017 ◽  
Author(s):  
Saeideh Mohseni Nezhad

The objective of this study is to present a Quantum Model for designing and predicting suitable treatment plans for different psychological disorders. The theory has been extracted from Quantum Field Theories and is modeled on a Conceptual Isolated Human (CIH), which is a totally abstract idea. The Quantum limit of the model explains the way disorders are formed, and its classical limit forecasts the observable CIH behavior. Then, a pattern has been presented for treatment plans based on the CIH Quantum Model, which is named ‘Systematic Balancing’. Finally, Systematic Balancing is presented in this article in order to explain and predict the treatment plan for the category of 'Disruptive, Impulse-Control, and Conduct Disorders in DSM-5'.


Author(s):  
Matthew K. Nock ◽  
Christine B. Cha ◽  
Halina J. Dour

Disorders of impulse-control and self-harm are dangerous clinical problems that often present significant challenges for scientists and clinicians. In this chapter, we provide a comprehensive review of each disorder on the impulse-control spectrum. We begin by describing the clinical presentation and epidemiology of each disorder. Next, we discuss what is currently known about the etiology of these disorders, summarizing recent research on genetic/neurobiological factors, environmental factors, and psychological factors that appear to influence these disorders. The assessment and treatment of disorders of impulse-control and self-harm is complicated by the relatively low base-rate of these disorders, as well as by their dangerous and sensitive nature. Nevertheless, several evidence-based approaches to assessment and treatment have been developed and also are reviewed here. We conclude with recommendations for future scientific and clinical efforts aimed at better understanding, predicting, and preventing disorders of impulse-control and self-harm.


Author(s):  
V. Mark Durand

Disorders of development include a range of disorders first evidenced in childhood. Although most disorders have their origins in childhood, a few fully express themselves before early adulthood. This chapter describes the nature, assessment, and treatment of the more common disorders that are revealed in a clinically significant way during a child’s developing years. The disorders of development affect a range of functioning from single skills deficits to more pervasive problems that negatively impact a child’s ability to function. Included is coverage of several disorders usually diagnosed first in infancy, childhood, or adolescence, including the neurodevelopmental disorders (e.g., attention-deficit/ hyperactivity disorder, autism spectrum disorder, communication disorders, intellectual disability, and specific learning disorder) and the disruptive, impulse control, and conduct disorders (e.g., oppositional defiant disorder, conduct disorder). Recommendations for future research on the potential for advancing knowledge regarding spectrums within some of these disorders as well as recommendations for treatment are outlined.


Author(s):  
Shantel D. Crosby ◽  
Andy J. Frey ◽  
Gary Zornes ◽  
Kristian Jones

Students who meet criteria for disruptive, impulse control, and conduct disorders generally present with a wide range of challenging behaviors that impede their ability to function appropriately at school and at home. Understanding the differential diagnosis and comorbid manifestations of these disorders—particularly the two most common disruptive disorders (i.e., oppositional defiant disorder and conduct disorder)—can assist school practitioners in addressing students’ behavior and socioemotional well-being in school. It is also important that school practitioners are knowledgeable about Individuals with Disabilities Education Act (IDEA) categories for which students exhibiting the symptoms of these disorders are most likely to qualify for school-based services. This chapter provides resources to assist schools and school-based practitioners in implementing universal screening, progress monitoring, and rapid assessment of students, as well as evidence-based psychosocial interventions to meet the needs of students with disruptive, impulse control, and conduct disorders.


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