Classification of Pathological Gambling as an Impulse Control Disorder

2001 ◽  
Author(s):  
Mark W. Langewisch ◽  
G. Ron Frisch
Keyword(s):  
Substance Abuse ◽  
Treatment Outcome ◽  
Pathological Gambling ◽  
Classification System ◽  
Impulse Control ◽  
Impulse Control Disorder ◽  
Psychiatric Classification ◽  
Current Classification

The purpose of this paper is to examine the appropriateness of the current classification of pathological gambling as an Impulse Control Disorder. Controversy over the current categorization is as heated as it has ever been with more research suggesting that gambling is in fact not strictly an impulse-driven behaviour. Research also shows that pathological gambling is similar in presentation and treatment outcome to other addictive behaviours such as alcohol and substance abuse. Given such findings, it is arguable that pathological gambling needs to be re-examined in terms of where it fits into a psychiatric classification system.

Introduction of a new AAC symbol classification system: the multidimensional quaternary symbol continuum (MQSC)

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eliada Pampoulou ◽  
Donald R. Fuller
Keyword(s):  
Peer Review ◽  
Classification System ◽  
Augmentative And Alternative Communication ◽  
Social Issues ◽  
Content Type ◽  
Design Attributes ◽  
Wide Range ◽  
Current Classification ◽  
Symbol Classification

PurposeWhen the augmentative and alternative communication (ACC) model (Lloyd et al., 1990) was proposed, these components of symbols were not considered, nor were they contemplated when superordinate (Lloyd and Fuller, 1986) and subordinate levels (Fuller et al., 1992) of AAC symbol taxonomy were developed. The purpose of this paper is to revisit the ACC model and propose a new symbol classification system called multidimensional quaternary symbol continuum (MQSC)Design/methodology/approachThe field of AAC is evolving at a rapid rate in terms of its clinical, social, research and theoretical underpinnings. Advances in assessment and intervention methods, technology and social issues are all responsible to some degree for the significant changes that have occurred in the field of AAC over the last 30 years. For example, the number of aided symbol collections has increased almost exponentially over the past couple of decades. The proliferation of such a large variety of symbol collections represents a wide range of design attributes, physical attributes and linguistic characteristics for aided symbols and design attributes and linguistic characteristics for unaided symbols.FindingsTherefore, it may be time to revisit the AAC model and more specifically, one of its transmission processes referred to as the means to represent.Originality/valueThe focus of this theoretical paper then, is on the current classification of symbols, issues with respect to the current classification of symbols in terms of ambiguity of terminology and the evolution of symbols, and a proposal for a new means of classifying the means to represent.Peer reviewThe peer review history for this article is available at: https://publons.com/publon10.1108/JET-04-2021-0024

Development of diagnostic criteria for headache syndromes: Lessons from psychiatry

Cephalalgia ◽  
1993 ◽  
Vol 13 (12_suppl) ◽  
pp. 34-38 ◽  
Author(s):  
Kathleen Ries Merikangas ◽  
Allen Frances
Keyword(s):  
Psychiatric Disorders ◽  
Diagnostic Criteria ◽  
Classification System ◽  
Psychiatric Classification ◽  
Headache Classification ◽  
Future Developments

This paper reviews the development of diagnostic criteria for the psychiatric disorders in order to provide a model for the development of classification of headache. The strengths and weaknesses of the current psychiatric classification system, and procedures that have been instituted to strengthen the next version of the classification are described. The problems that characterized the successive versions of the criteria are highlighted in order to stimulate future developments of diagnostic criteria for headache syndromes. Recommendations for application of these principles to headache classification are presented.

Video image analysis for on-line classification of lamb carcasses

1998 ◽  
Vol 67 (2) ◽  
pp. 311-316 ◽  
Author(s):  
K. Stanford ◽  
R. J. Richmond ◽  
S. D. M. Jones ◽  
W. M. Robertson ◽  
M. A. Price ◽  
...  
Keyword(s):  
Image Analysis ◽  
Classification System ◽  
Video Image ◽  
Meat Yield ◽  
Video Image Analysis ◽  
Current Classification ◽  
On Line ◽  
Waste Fat ◽  
Current Classification System

AbstractVideo image analysis (VIA), carcass shape and colour data were collected for 1211 lambs of known gender, breed type and carcass weight over a 1-week period using the VIAscan® system developed by the Australian Meat Research Corporation. Classification data (thickness of soft tissue over the 12th rib (GR measurement) and subjective conformation scores on a five-point scale of the leg, loin and shoulder) were assessed by an Agriculture and Agri-Food Canada grader after carcasses had chilled at 5°C for 3 to 6 h. Dissections into saleable meat yield (no. = 58) were performed after carcasses had chilled an additional 24 h. The timing of this study, which was dependent on availability of the VIA equipment, influenced the age and type of lambs available for analysis. The majority of lambs evaluated were wool-breed wethers, age > 10 months, of average GR (15·7 (s.d. 0·2) mm) and muscle conformation (3·0, s.d. 0·1). VIA improved the prediction of saleable meat yield (R2 = 0·71, residual s.d. = 14g/kg) compared with the current classification system (R2 = 0·52, residual s.d. = 18 g/kg). Although prediction ofGR measurement by VIA resulted in a large residual error (residual s.d. = 2·4 mm), the proportion of waste fat (perirenal and subcutaneous) and bone dissected from the carcass was accurately predicted (R2 = 0·62, residual s.d. = 11 g/kg). Proportions of leg (R2 = 0·71, residual s.d. = 7 g/kg) and shoulder (R2 = 0·62, residual s.d. = 9 g/kg) primals were also accurately predicted by VIA, although there were no significant predictors for the proportion of the loin (P > 0·15). VIA improved the prediction of saleable meat yield compared with the current classification system. However collection of additional data including some from extremely lean or well muscled animals would be required before VIA could be recommended to classify lamb carcasses

Pathological Gamblers are Neither Impulsive Nor Sensation—Seekers

1988 ◽  
Vol 22 (3) ◽  
pp. 307-311 ◽  
Author(s):  
Clive C. Allcock ◽  
David M. Grace
Keyword(s):  
Pathological Gambling ◽  
Patient Group ◽  
Impulse Control ◽  
Sensation Seeking ◽  
The Other ◽  
Drug Addicts ◽  
Heroin Addicts ◽  
Pathological Gamblers ◽  
Sensation Seeking Scale

Ten pathological gamblers, ten alcoholics, ten heroin addicts and twenty five non-patients were compared using Zuckerman's Sensation Seeking Scale (SSS) and Barratt's Impulsivity Scale (BIS). The pathological gamblers did not differ from the non-patient group on either measure. Drug addicts scored significantly higher and alcoholics significantly lower than the pathological gamblers and the non-patient group on the SSS, while drug addicts scored significantly higher than the other groups on the BIS. The difficulties in defining impulsivity are discussed. It is suggested that the classification of pathological gambling as a disorder of impulse control should be reconsidered.

Adipose lesions of nerve: the need for a modified classification

2012 ◽  
Vol 116 (2) ◽  
pp. 418-431 ◽  
Author(s):  
Robert J. Spinner ◽  
Bernd W. Scheithauer ◽  
Kimberly K. Amrami ◽  
Doris E. Wenger ◽  
Marie-Noëlle Hébert-Blouin
Keyword(s):  
Literature Review ◽  
Classification System ◽  
Optimal Treatment ◽  
Conceptual Approach ◽  
Lipomatosis Of Nerve ◽  
Current Classification

Object Adipose lesions of nerve are rare and poorly understood. Their current classification, although not universally accepted, generally includes lipomatosis of nerve with or without localized macrodactyly, and intra- as well as extraneural lipoma. The authors believe that the spectrum of these lesions and their interrelationships are not currently appreciated. They propose an adaptation to the existing framework to illustrate the expanding spectrum of adipose lesions of nerve by considering lipomatosis and lipoma singly or in combination. Methods Fourteen representative cases are presented to demonstrate not only the intraneural and extraneural examples of lipomatosis and lipoma, but also their anatomical combinations. Results Based on the cases presented and a careful literature review, a conceptual approach to the classification of adipose lesions of nerve is generated. This approach incorporates the 2 essential lesions, lipomatosis of nerve and lipoma, in both their intra- and extraneural forms. This permits expansion to encompass combinations. Conclusions To press the concept that adipose tumors of nerve are a broad but interrelated spectrum of lesions, the authors propose modification of the present classification system. This approach provides an orderly platform for progress, reflects understanding of these interrelated lesions, and facilitates optimal treatment by distinguishing resectable from nonresectable components.

Pathological Gambling: An Impulse-Control Disorder or Addiction

1997 ◽  
Vol 12 (S2) ◽  
pp. 187s-187s
Author(s):  
L. Nábelek ◽  
J. Vongrej ◽  
R. Lósková
Keyword(s):  
Pathological Gambling ◽  
Impulse Control ◽  
Impulse Control Disorder

Current Classification of Impulse Control Disorders: Neurocognitive and Behavioral Models of Impulsivity and the Role of Personality

2012 ◽  
Author(s):  
Ashwini K. Padhi ◽  
Ali M. Mehdi ◽  
Kevin J. Craig ◽  
Naomi A. Fineberg
Keyword(s):  
Impulse Control ◽  
Impulse Control Disorders ◽  
Reward Processing ◽  
Impulsive Behavior ◽  
Behavioral Models ◽  
Current Classification ◽  
Motor Impulsivity ◽  
Compulsive Disorders

Impulse control disorders (ICDs) are common disabling disorders that have impulsive behavior as a core feature. They emerge early in life and run a chronic lifelong course. They are assumed to lie at the severest end of a continuum of impulsivity that connects normal with pathological states. People with ICDs experience a drive to undertake repetitive acts. Although the consequences are damaging, performance of the impulsive act may be experienced as rewarding, or alternatively may relieve distress, implicating dysfunction of the neural circuitry involved in reward processing and/or behavioral inhibition. Clinical data are increasingly pointing toward an etiological association between some ICDs, such as pathological gambling and addiction, and others, such as trichotillomania and compulsive disorders. Comorbidity with other psychiatric disorders is also common, and hints at overlapping psychobiological processes across several diagnostic groups. The results of neurocognitive studies suggest that impulsivity is multidimensional and comprises dissociable cognitive and behavioral indices governed by separate underlying neural mechanisms. For example, trichotillomania may primarily involve motor impulsivity, whereas problem gambling may involve reward impulsivity and reflection impulsivity. Exploring neurocognitive changes in individuals with ICDs and other mental disorders characterized by poor impulse control, and among their family members, may help to elucidate the underpinning neurocircuitry and clarify their nosological status.

Pathological Gambling, Impulse Control Disorder or Behavioural Addiction: What do the Data Indicate?

2017 ◽  
Vol 41 (S1) ◽  
pp. S25-S26
Author(s):  
K. Mann ◽  
T. Leménager ◽  
F. Kiefer ◽  
M. Fauth-Bühler
Keyword(s):  
Alcohol Dependence ◽  
Impulse Control ◽  
Substance Dependence ◽  
Suicide Attempts ◽  
Impulse Control Disorder ◽  
Pathological Gamblers ◽  
Clinical Diagnoses ◽  
Behavioural Addiction ◽  
Competing Interest

ObjectiveThe reclassification of PG as an addictive disorder is under debate for ICD-11. Data on psychiatric comorbidity and family history might provide the basis for a well-informed decision.MethodsWe compared 515 male pathological gamblers from inpatient treatment units with 269 matched controls. Patients were diagnosed by experienced clinicians. In a random sample of 58 patients clinical diagnoses were validated through SKID 1 interviews [1].Results88% had a comorbid diagnosis of substance dependence (nicotine dependence 80%, alcohol dependence 28%). Only 1% of the gamblers had an impulse control disorder diagnosis. Compared with controls first degree relatives were more likely to suffer from alcohol dependence (27.0% vs. 7.4%), PG (8.3% vs. 0.7%) and suicide attempts (2.7% vs. 0.4%).ConclusionsIn addition to recent papers on the neurobiology (Fauth-Bühler et al., 2016) and genetics of gambling [2,3], our findings support the classification of PG as behavioural addiction in the ICD-11 [4].Disclosure of interestThe authors have not supplied their declaration of competing interest.

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