Impulse Control Disorders

Author(s):  
Isabella Michna

This chapter briefly reviews the topic of impulse control disorders including oppositional defiant disorder, intermittent explosive disorder, conduct disorder, pyromania, kleptomania

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.


1991 ◽  
Vol 100 (3) ◽  
pp. 379-390 ◽  
Author(s):  
Rolf Loeber ◽  
Benjamin B. Lahey ◽  
Christopher Thomas

2013 ◽  
Vol 44 (5) ◽  
pp. 1053-1064 ◽  
Author(s):  
V. S. Knopik ◽  
L. C. Bidwell ◽  
C. Flessner ◽  
N. Nugent ◽  
L. Swenson ◽  
...  

BackgroundDSM-IV specifies a hierarchal diagnostic structure such that an oppositional defiant disorder (ODD) diagnosis is applied only if criteria are not met for conduct disorder (CD). Genetic studies of ODD and CD support a combination of shared genetic and environmental influences but largely ignore the imposed diagnostic structure.MethodWe examined whether ODD and CD share an underlying etiology while accounting for DSM-IV diagnostic specifications. Data from 1446 female twin pairs, aged 11–19 years, were fitted to two-stage models adhering to the DSM-IV diagnostic hierarchy.ResultsThe models suggested that DSM-IV ODD–CD covariation is attributed largely to shared genetic influences.ConclusionsThis is the first study, to our knowledge, to examine genetic and environmental overlap among these disorders while maintaining a DSM-IV hierarchical structure. The findings reflect primarily shared genetic influences and specific (i.e. uncorrelated) shared/familial environmental effects on these DSM-IV-defined behaviors. These results have implications for how best to define CD and ODD for future genetically informed analyses.


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