The Oxford Handbook of Impulse Control Disorders

2012 ◽  
Keyword(s):  
Decision Making ◽  
Impulse Control ◽  
Treatment Options ◽  
Impulse Control Disorders ◽  
Clear Understanding ◽  
Intermittent Explosive Disorder ◽  
Normal Behavior ◽  
Assessment And Treatment ◽  
Decision Making Processes ◽  
Psychopathological Disorders

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.

Impulse Control Disorders and Older Adults

2012 ◽  
Author(s):  
Rani A. Desai
Keyword(s):  
Older Adults ◽  
Mental Health Treatment ◽  
Impulse Control ◽  
Treatment Options ◽  
The Elderly ◽  
Impulse Control Disorders ◽  
Future Directions ◽  
Social Community ◽  
Excessive Gambling ◽  
Assessment And Treatment

Impulse control disorders (ICDs) are not well studied in the elderly, as the development of ICDs tend to decrease with age. Although less prevalent than younger patients, older adults with ICDs—psychological gambling in particular—may have unique assessment and treatment challenges as a result of their age, elaborate social community, comorbid medical conditions, and attitudes about mental health treatment. This chapter discusses the phenomenology of excessive gambling and other ICDs in elders, unique risk factors for this older population, and some potential treatment options. The chapter concludes with some thoughts on the future directions for research in this field.

scholarly journals Risky decision-making and affective features of impulse control disorders in Parkinson’s disease

2017 ◽  
Vol 125 (2) ◽  
pp. 131-143 ◽  
Author(s):  
Alice Martini ◽  
Simon J. Ellis ◽  
James A. Grange ◽  
Stefano Tamburin ◽  
Denise Dal Lago ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Decision Making ◽  
Parkinson's Disease ◽  
Impulse Control ◽  
Impulse Control Disorders ◽  
Risky Decision Making ◽  
Risky Decision

Eating and impulse-control disorders

2019 ◽  
pp. 409-430
Author(s):  
David Semple ◽  
Roger Smyth
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Impulse Control ◽  
Impulse Control Disorders ◽  
Gaming Disorder ◽  
Outpatient Management ◽  
Addictive Disorders ◽  
Intermittent Explosive Disorder ◽  
Physical Consequences

This chapter covers eating disorders. For anorexia nervosa, an overview, the physical consequences, methods of assessment, and in- and outpatient management are discussed. Similarly, the definitions and management for bulimia are also described, with a brief overview of binge eating disorder. Impulse-control disorders are subsequently defined, from pyromania, kleptomania, and intermittent explosive disorder to gambling and trichotillomania. Newer addictive disorders, such as gaming disorder, are also covered.

Impulse Control Disorders

2017 ◽  
Author(s):  
Isabella Michna
Keyword(s):  
Conduct Disorder ◽  
Oppositional Defiant Disorder ◽  
Impulse Control ◽  
Impulse Control Disorders ◽  
Intermittent Explosive Disorder ◽  
Oppositional Defiant

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

Impulse Control Disorders in Neurological Settings

2012 ◽  
Author(s):  
Antoine Bechara
Keyword(s):  
Decision Making ◽  
Prefrontal Cortex ◽  
Impulse Control ◽  
Impulsive System ◽  
Neural System ◽  
Impulse Control Disorders ◽  
Normal Operation ◽  
Cognitive Resources ◽  
Future Consequences ◽  
Reflective System

This chapter will argue that impulse control disorders, including addiction, are the product of an imbalance between two separate but interacting neural systems: (1) an impulsive amygdala-striatum–dependent neural system that promotes automatic and habitual behaviors and (2) a reflective prefrontal cortex–dependent neural system for decision making, forecasting the future consequences of a behavior, and inhibitory control. The reflective system controls the impulsive system via several mechanisms. However, this control is not absolute; hyperactivity within the impulsive system can override the reflective system. While most prior research has focused on the impulsive system (especially the ventral striatum and its mesolimbic dopamine projection) in promoting the motivation and drive to seek drugs, or on the reflective system (prefrontal cortex) and its mechanisms for decision making and impulse control, more recent evidence suggests that a largely overlooked structure, namely the insula, plays a key role in maintaining poor impulse control, including addiction. This review highlights the potential functional role the insula plays in addiction. We propose that the insula translates bottom-up, interoceptive signals into what subjectively may be experienced as an urge or craving, which in turn potentiates the activity of the impulsive system and/or weakens or hijacks the goal-driven cognitive resources that are needed for the normal operation of the reflective system.

scholarly journals “Along for the Ride”: A Qualitative Study Exploring Patient and Caregiver Perceptions of Decision Making in Cancer Care

2020 ◽  
Vol 5 (1) ◽  
pp. 238146832093357
Author(s):  
Laura M. Holdsworth ◽  
Dani Zionts ◽  
Steven M. Asch ◽  
Marcy Winget
Keyword(s):  
Decision Making ◽  
Cancer Treatment ◽  
Cancer Care ◽  
Treatment Options ◽  
Treatment Decision ◽  
Informed Choice ◽  
Disease Assessment ◽  
Cancer Center ◽  
Additional Information ◽  
Assessment And Treatment

Background. Shared decision making is a cornerstone of an informed consent process for cancer treatment, yet there are often many physician and patient-related barriers to participation in the process. Decisions in cancer care are often perceived as relating to a discrete, treatment decision event, yet there is evidence that decisions are longitudinal in nature and reflect a multifactorial experience. Objective. To explore patient and caregiver perceptions of the choices and decision-making opportunities within cancer care. Design. Qualitative in-depth interviews with 37 cancer patients and 7 caregivers carried out as part of an evaluation of a cancer center’s effort to improve patient experience. Results. Participants described decision making related to four distinct phases in complex cancer care, with physicians leading, and often limiting, decisions related to disease assessment and treatment options and access, and patients leading decisions related to physician selection. Though physicians led many decisions, patients had a moderating influence on treatment, such that if patients did not like options presented, they would reconsider their options and sometimes switch physicians. Patients had various strategies for dealing with uncertainty when faced with decisions, such as seeking additional information to make an informed choice or making a conscious choice to defer decision making to the physician. Limitations. Patients were sampled from one academic cancer center that serves a predominantly Caucasian, Asian, and Hispanic/Latino population and received complex treatment. Conclusion. Because of the complexity of cancer treatment, many patients felt as though they were a “passenger” in decision making about care and did not lead many of the decisions, though many patients trusted their doctors to make the best decisions and were comforted by their expertise.

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