Clarke University Psychology Department PSYC 221 Abnormal Psychology Spring 2013 Assessment Three Learning Objectives Chapter 13 Personality Disorders 22. Define and give examples of impulse control disorders. Impulse Control Disorders Psychological disorders characterized by failure to control impulses, temptations, or drives, resulting in harm to oneself or others Impulse Control Disorder 86C34007 Intermittent Explosive Disorder A. Several discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property. B. The degree of aggressiveness expressed during the episodes is grossly out of proportion to any precipitating psychosocial stressors. Intermittent Explosive Disorder CC476243 Intermittent Explosive Disorder C4892EAD Kleptomania A. Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value. B. Increasing sense of tension immediately before committing the theft. C. Pleasure, gratification, or relief at the time of committing the theft. D. Stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination. Pyromania A. Deliberate and purposeful fire setting on more than one occasion. B. Tension or affective arousal before the act. C. Fascination with, interest in, curiosity about, or attraction to fire, and it’s situational contexts (e.g., paraphernalia, uses, consequences). D. Pleasure, gratification, or relief when setting fires, or when witnessing or participating in their aftermath. Pyromania E. The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one’s living circumstances, in response to a delusion or hallucination, or as a result of impaired judgment (e.g., in dementia, Mental Retardation, Substance Intoxication). Pathological Gambling A. Persistent and recurrent maladaptive gambling behavior as indicated by five (or more) of the following: 1. is preoccupied with gambling (e.g., preoccupied with reliving past gambling experiences, handicapping or planning the next venture, or thinking of ways to get money with which to gamble) 2. needs to gamble with increasing amounts of money in order to achieve the desired excitement Pathological Gambling 3. has repeated unsuccessful efforts to control, cut back, or stop gambling 4. is restless or irritable when attempting to cut down or stop gambling 5. gambles as a way of escaping from problems or of relieving a dysphoric mood (e.g. feelings of helplessness, guilt, anxiety, depression) 6. after losing money gambling, often returns another day to get even (“chasing” one’s losses) 7. lies to family members, therapist, or others to conceal the extent of involvement with gambling Pathological Gambling 8. has committed a legal acts such as forgery, fraud, theft, or embezzlement to finance gambling 9. has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling 10. relies on others to provide money to relieve a desperate financial situation caused by gambling B. The gambling behavior is not better accounted for by a Manic Episode. Pathological Gambling B15EEA3F Trichotillomania A. Recurrent pulling out of one’s hair resulting in noticeable hair loss. B. An increasing sense of tension immediately before pulling out the hair or when attempting to resist the behavior. C. Pleasure, gratification, or relief when pulling out the hair. Trichotillomania http://www.pg.com/science/haircare/hair_twh_122/hair_122._02.jp g pe03513_