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I began this book with two purposes. One goal was to present clinical information to support the belief that many of society's allegedly unh'eatable people could be helped to change their de structive patterns of living. A second purpose was to present a clear and simple primer for two groups of workers in the field. Most treatment institutions depend upon the services of nurses, aides, guards, and corrections officers. These people, who are the least prepared, do the hulk of the treatment. Because impulsive people learn much from their daily interactions out side of formal therapy, the understanding and the training of this "front-line" working staff are crucial. These staff members may find the second part of the book more helpful because of its use of clinical examples and techniques. The other group for whom this book is written includes those who are beginning in the mental health or corrections field. The concept of useful treatment of impulse-ridden people has only begun to be introduced into professional training pro grams. The assumption that these individuals were untreatable has kept many professionals at the fringes of this field. For this reason, I hope that the book will find its way into the hands of psychiatric residents, psychologists, social workers, nurses, pro bation officers, prison guards, youth workers, policemen, judges, etc.
In this compilation, the authors begin by describing the main impulsive behavior assessment instruments in animals and humans. The following databases were searched from 2005 to 2017: MEDLINE, PsycINFO and BVS/Bireme. The search retrieved four questionnaires and eight tasks for humans, as well as six tasks for animals. This discussion, together with the analysis of instruments applied in human and non-human animals, is the greatest contribution to the field, since there is a lack of literature about the subject. In addition, this chapter discusses the importance of validating such instruments for each population. In the following chapter, the authors propose a developmental theory of persistence in problematic alcohol consumption that emanates from impulsigenic personality traits that differentially predispose individuals to drink when highly emotional. These patterns of behavior are reinforced over time and gradually shift from impulsive to compulsive, first to escape negative emotions, then to avoid them completely. For some, more adaptive methods of coping are not adequately developed. These individuals may transition into early adulthood far less equipped to cope with the stress related to this developmental period, and thus continue to drink in ways that are problematic and potentially harmful. The following chapter focuses on adolescence, a period of life wherein individuals pass through several changes, including experiencing new situations and new relationships with peers, parents and superiors. This phase of life is also marked by physical and brain maturation. The last area to develop in the central nervous system is the prefrontal cortex (PFC), the area also linked to the ability to control impulses. This suggests that adolescents tend to have more impulsive behaviors that can result in risky behaviors such as alcohol and drugs. So, the purpose of this chapter is to discuss impulsivity in adolescence, and clarify issues that may help us to understand topics related to this, such as the difference in impulsive behaviors between genders at this stage of life and what influence socioeconomic status may have on such behaviors. Afterwards, findings relating to emotional impulsiveness (EI) from the authors work and that of others are reviewed. Early work is first described that identified a neural (brain-wave) signature of EI in personality disordered offenders detained in high security. It was shown that, by categorizing offenders on the basis of this brain-wave measure as a priori high vs. low risk and following them up following their release into the community, it was possible to predict both general and violent re-offending with a modest degree of accuracy. Continuing, a review is included which summarizes the existing literature on the influence of the dimensions of impulsivity and alcohol use problems among racial/ethnic groups. In particular, the authors focus on how chronic stress may influence the relationship between specific dimensions of impulsivity (e.g., negative and positive urgency) and alcohol use. While much of the existing literature has been conducted in white samples, individuals from minority backgrounds often deal with greater stress and stress specifically related to their identity as minority. The authors go on to investigate the association between impulsive behaviors at age 7 and the development of problem gambling by adulthood. To determine the specificity of any observed association between impulsive behaviors and problem gambling, the chapter also examines the link between respondents shy/depressed behaviors in childhood and later problem gambling. The longitudinal investigation found prospective evidence that impulsive behaviors at age 7 are a specific and significant risk factor for later problem gambling. In the concluding study, a total of 318 psychiatric patients from the outpatient services of two institutions and 184 healthy subjects were recruited. Patients were included if they were > 18 years of age, met DSM-IV criteria for a psychotic, mood- or stress-related disorder and were clinically stable enough according to the treating physician to complete the study assessments. Healthy subjects were screened using the Structured Clinical Interview for DSM-IV (SCID-I) and were excluded if any diagnostic criteria was met or if they verbally reported a history of psychiatric disorders. The goal was to determine the impact of demographic variables and substance use in the overt expression of impulsivity in men and women with and without mental disorders.
Borderline Personality Disorder (BPD) is a diagnosis given to a significant number of people in the Western world. Yet many of the core concepts & symptoms that go with this diagnosis are questionable. This book presents a compelling analysis of BPD, arguing that it needs to be approached in a new light- one that will benefit patients.
Impulsivity is a multidimensional personality trait, which encompasses such tendencies as inability to complete tasks, lack of planning before acting, seeking out new and thrilling sensations and experiences, and risk-taking in response to extreme emotional states. These traits have been theorised to be important in many research domains, and years of research have further validated the importance of this constellation of traits. This book addresses some of the most up-to-date approaches to research with impulsivity and reviews the current state of the research concerning the role of impulsivity-related constructs for a wide range of psychological outcomes, including brain waves, addictive behaviours, neurobiological underpinnings and sleep disturbances.
Impulsivity features prominently in contemporary descriptions of many psychiatric disorders, and is also a key element in the clinical risk assessment of violence. Thoroughly examining the nature, assessment, and treatment of impulsive conduct, this up-to-date volume brings together contributions from prominent researchers and clinicians in both mental health and correctional settings. Chapters illuminate our current understanding of impulsive behavior from conceptual, legal, and biological perspectives, and address the challenges of describing and measuring it. With special emphasis on how the likelihood of future violent or destructive behavior can best be gauged in specific cases, the volume includes several newly developed risk assessment tools. Impulsivity also provides an invaluable overview of the current state of the research and delineates a broad, clinically pertinent agenda for future study. Impulsivity is an invaluable resource for clinicians working in private practice, correctional facilities, health care settings, and community-based programs. It also serves as a primary or supplementary text for advanced undergraduate and graduate-level courses.
Traditionally, impulsive and compulsive behaviors have been categorized as fundamentally distinct. However, patients often exhibit both of these behaviors. This common comorbidity has sparked renewed interest in the factors contributing to the disorders in which these behaviors are prominent. Impulsivity and Compulsivity applies a provocative spectrum model to this psychopathology. The spectrum model is consistent with a dimensional model for psychopathology and considers the dynamic interaction of biopsychosocial forces in the development of impulsive and compulsive disorders. In this important work on impulsive/compulsive psychopathology, leading researchers and clinicians share their expertise on the phenomenological, biological, psychodynamic, and treatment aspects of these disorders. Differential diagnosis, comorbidity of the impulsive-compulsive spectrum of disorders, and assessment by the seven-factor model of temperament and character are discussed. Chapters are also dedicated to the antianxiety function of impulsivity and compulsivity, defense mechanisms in impulsive disorders versus obsessive-compulsive disorders, and the unique aspects of psychotherapy with impulsive and compulsive patients. Clinical researchers and clinicians will be enlightened by this exceptional work. The information provided is supplemented with clinical vignettes, and the final chapter provides a synthetic summary that offers a unified, dynamic approach to impulsive and compulsive behavior.
Most of us have urges to engage in behaviors we know are not good for us, from splurging on gifts we can't afford to gambling. But when these urges become too much to handle, we can suffer intense emotional distress, putting our friendships, relationships, and jobs in jeopardy. Impulse control disorders are often difficult to recognize, even for those who struggle with them, but they are not uncommon. Now, the nation's leading specialists in the field offer a powerful self-help guide for the estimated 35 million sufferers and their loved ones. Stop Me Because I Can't Stop Myself tackles the essential questions on the road to healing. Also included in this hopeful and encouraging book are compelling first-hand stories of the authors' patients and invaluable analyses of groundbreaking new treatments.
"Impulsive Ninja learns how to use an underused superpower to respond to frustration, anger, and criticism. Children without impulse control act or talk before they think, often unable to control their initial response to a situation. The ability to self-regulate is absent and they don't pause to think about future consequences. Impulsivity is related to acting without thought. As a result, children do things like take unnecessary risks, blurt things out, don't wait their turn, or interrupt conversations. This book is a perfect resource for children with autism, ADD, ADHD, or SPD. " --Amazon.com
The development of the material in this volume began with a realization by the staff at The Cambridge-Somerville Mental Health and Retardation Center (in the Massachusetts cities of Cambridge and Somerville) that an increasing num ber of people were entering the mental health system with problems related to the very nature of their personalities. A significant number of these people presented issues that had not been identified previously within the spectrum of psychiatric treatment. Such issues as marital discord in volving impulsive and violent behavior toward spouses or children, drug abuse, alcoholism, brawling, and so forth were increasingly being viewed as symptomatic of disruptions in an individual's emotional makeup. These people usually did not seek treatment; their problems were most often managed by courts and social welfare agencies. In fact, we were not clear as to what constituted the best treatment. The conference on which this book is based was conceived of as an attempt to bring together people of varying back grounds to discuss in a general, nontechnical fashion the approaches they have tried in working with such people. We attempted to bridge the gap between the many sophisticated theorists who work in this area and the front-line personnel who daily confront these problems. Because of the general scope of the conference, the papers covered a wide range of issues and experiences.
The primary purpose of this edited volume is to present various theories regarding the etiology and clinical implications of impulsive behaviors. Although this is not a comprehensive anthology, we hope to depict enough diverse theories within one volume to enable readers from dissimilar theoretical perspectives to obtain otherwise inaccessible information. We believe a cross-fertilization of disparate facets of psychology to be critical in maintaining the vibrancy of our discipline through our next centennial. We hope that this volume can provide at least a small dose of "cross-specialization exposure" for a variety of psychologists and other mental health professionals.