Impulse Control Disorders: A Clinician's Guide to Understanding and Treating Behavioral Addictions

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Several disorders have been classified in the DSM-IV as impulse control disorders, including: pathological gambling, kleptomania, intermittent explosive disorder, trichotillomania (compulsive hair-pulling), and pyromania. In addition, several other disorders have been proposed as belonging to this category, such as: compulsive Internet use, compulsive sexual behavior, pathologic skin picking, and compulsive buying. Impulse control disorders are extreme versions of behaviors that people have suffered from for centuries. In their pathological versions, these disorders are experienced by approximately 5-15% of the U.S. population. This means that between 14 and 42 million Americans have struggled with these behaviors. The impulse control disorders have generated a remarkable amount of data supporting the claims that these are truly common and disabling behaviors. Clinicians need to understand these behaviors and how to address them. Impulse Control Disorders is the first comprehensive book on this topic for clinicians, providing clear clinical guidance on assessment, diagnosis, and treatment in a variety of modes, and follow-up. Because many clinicians are unfamiliar with impulse control disorders, this book provides a detailed method for assessing and treating them. A screening instrument is provided, and the book provides evidence-based approaches to both pharmacological and psychosocial treatment interventions. Problems with keeping people in treatment and the role of the family are also examined. Many impulse control disorders raise legal issues that often make clinicians uncomfortable. Impulse Control Disorders examines some common legal problems associated with certain impulse control disorders. Designed as a wide-ranging and up-to-date guide for both new and experienced clinicians, Impulse Control Disorders provides a detailed understanding of impulse control disorders and treatment options.

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Editorial Reviews

John Zeller
“This book provides a detailed understanding of impulse control disorders….[E]xcellent.”
“[A] complete yet concise guide to impulse control disorders….highly recommended.”
Metapsychology Online Reviews
“Presents a complex topic with precision and insight.....will improve practice and...benefit people who have impulse control disorders.”
Journal of Clinical Psychiatry
“Dr. Grant achieves the aims that are suggested in the book’s subtitle. He offers a clinician’s guide that helps to explain these puzzling behaviors and provides up-to-date information on their treatment….If readers approach patients with this broader perspective and care for patients with greater diligence, many are likely to benefit.”
Doug Greenlee - MN Division of MAMFT Newsletter
“Clearly written prose reflects Grant's scientific-practitioner's he reviews diagnostic, clinical, familial, legal and 'yet-to-be-understood' aspects of each impulse disorder.”
The British Journal of Psychiatry
“[A]n excellent overview…and is a user-friendly guide for the clinician.”
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Product Details

  • ISBN-13: 9780393705218
  • Publisher: Norton, W. W. & Company, Inc.
  • Publication date: 1/28/2008
  • Edition description: New Edition
  • Pages: 288
  • Sales rank: 1,010,919
  • Product dimensions: 6.50 (w) x 9.60 (h) x 0.90 (d)

Meet the Author

Jon E. Grant, J.D, Ph.D., MPH, is Associate Professor of Psychiatry at the University of Minnesota. Dr. Grant runs an outpatient clinic for impulse control disorders at the University of Minnesota in Minneapolis, MN. An author of over 100 peer-reviewed articles, Dr. Grant is also the editor-in-chief of the Journal of Gambling Studies. He lives in Minneapolis, Minnesota.

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Table of Contents

Preface     vii
Introduction     ix
Clinical Characteristics of Impulse Control Disorders     1
Models for Understanding Impulse Control Disorders     17
The Compulsive-Impulsive Spectrum: The Compulsive Aspects of Impulse Control Disorders     29
The Relationship of Impulse Control Disorders to Drug and Alcohol Addiction     45
Intermittent Explosive Disorder: Relationship to Impulse Control Disorders     59
Etiology of Impulse Control Disorders     69
Assessment of Impulse Control Disorders     89
How to Treat Impulse Control Disorders     105
The Role of the Family     131
Legal Issues with Impulse Control Disorders     147
References     161
The Minnesota Impulse Disorders Interview     187
Referral Sources for the Treatment of Impulse Control Disorders     195
Index     199
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