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Clinical Manual of Impulse-Control Disorders

Edited by Eric Hollander, M.D., and Dan J. Stein, M.D., Ph.D.

  • ISBN 978-1-58562-664-9
  • Item #62664

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Visibility of impulse-control disorders (ICDs) has never been greater than it is today, both in the field of psychiatry and in popular culture. Changes in both society and technology have contributed to the importance of conceptualizing, assessing, and treating impulse-control disorders (ICDs). The ground-breaking Clinical Manual of Impulse-Control Disorders focuses on all of the different ICDs as a group.

Here, 25 recognized experts provide cutting-edge, concise, and practical information about ICDs, beginning with the phenomenology, assessment, and classification of impulsivity as a core symptom domain that cuts across and drives the expression of these complex disorders. Subsequent chapters discuss

  • Intermittent explosive disorder, an often overlooked ICD characterized by impulsive aggression.
  • Childhood conduct disorder and the antisocial spectrum.
  • Self-injurious behavior and its relationship to impulsive aggression and childhood trauma.
  • Sexual compulsions and their serious public health implications.
  • Binge eating, a highly familial disorder associated with serious medical complications and psychopathology.
  • Trichotillomania, which may be related to obsessive-compulsive disorder, skin picking, and nail biting.
  • Kleptomania, a heterogeneous disorder that shares features with ICDs as well as with mood, anxiety, and addictive disorders.
  • Compulsive shopping, more common in women, with treatments ranging from self-help and financial counseling to trials with selective serotonin reuptake inhibitors.
  • Pyromania and how it differs from arson.
  • Pathological gambling, a maladaptive behavioral addiction that is increasing in step with legalized and Internet gambling.
  • Internet addiction, ranging from excessive seeking of medical information to dangerous sexual behaviors.

The remarkable Clinical Manual of Impulse-Control Disorders sheds light on the complex world of ICDs. As such, it will be welcomed not only by clinicians and researchers but also by individuals and family members coping with these disorders.


  • Contributors
  • Preface
  • Chapter 1. Conceptualizing and Assessing Impulse-Control Disorders
  • Chapter 2. Intermittent Explosive Disorder
  • Chapter 3. Childhood Conduct Disorder and the Antisocial Spectrum
  • Chapter 4. Self-Injurious Behaviors
  • Chapter 5. Sexual Compulsions
  • Chapter 6. Binge Eating
  • Chapter 7. Trichotillomania
  • Chapter 8. Kleptomania
  • Chapter 9. Compulsive Shopping
  • Chapter 10. Pyromania
  • Chapter 11. Pathological Gambling
  • Chapter 12. Problematic Internet Use
  • Chapter 13. Treatment of Impulse-Control Disorders
  • Index


    Jean Ades, M.D.
    Andrea Allen, Ph.D.
    Bryann R. Baker, B.A.
    Donald W. Black, M.D.
    Emil F. Coccaro, M.D.
    Melany Danehy, M.D.
    Gretchen J. Diefenbach, Ph.D.
    Stephen J. Donovan, M.D.
    Martin E. Franklin, Ph.D.
    Toby D. Goldsmith, M.D.
    Jon E. Grant, J.D., M.D.
    Brian Harvey, Ph.D.
    Eric Hollander, M.D.
    Jessica Kahn
    Renu Kotwal, M.D.
    Michel Lejoyeux, M.D., Ph.D.
    Susan L. McElroy, M.D.
    Mary McLoughlin, Ph.D.
    Stefano Pallanti, M.D., Ph.D.
    Nicolo Baldini Rossi, M.D., Ph.D.
    Soraya Seedat, M.B., Ch.B., F.R.C.Psych.
    Nathan A. Shapira, M.D., Ph.D.
    Daphne Simeon, M.D.
    Dan J. Stein, M.D., Ph.D.
    David F. Tolin, Ph.D.

About the Authors

Eric Hollander, M.D., is Professor of Psychiatry and Director of the Compulsive, Impulsive, and Anxiety Disorders Program in the Department of Psychiatry at the Mt. Sinai School of Medicine in New York, New York.

Dan J. Stein, M.D., Ph.D., is Professor of Psychiatry in the Department of Psychiatry at the University of Cape Town, South Africa.

This may be the most definitive reference to date on the impulse control disorders, a set of disorders attracting increasing investigative and clinical attention stimulated in part by growing awareness of their high prevalence through recent epidemiologic surveys. This is a comprehensive compendium including intermittent explosive disorder, conduct disorder, trichotillomania, pathologic gambling, pyromania, as well as a number of other impulse disorders. Chapters for each disorder have wide-ranging coverage including historical aspects, epidemiology, neurobiology, pharmacotherapy, and psychotherapeutic treatment.—Larry J. Siever, M.D., Professor of Psychiatry, Mount Sinai School of Med; Executive Director, Mental Illness Research, Education & Clinical Center, MIRECC, Bronx Veterans Affairs Med Center

This book will be an asset to any mental health professional. Well organized and well written with contributions by 25 different experts in the field of impulse-control disorders, the Clinical Manual of Impulse-Control Disorders is a wonderful collection and synopsis of the current state-of-the-art conceptualization, diagnosis, and treatment of the broad range of all impulse-control disorders. The editors have done an excellent job in not only recruiting superb contributors, but also giving the manual a coherent and consistent feel. This is a book that clinicians will find especially useful because some of the disorders described are so new that they are not yet included in the DSM or in most current residency curricula.—Journal of Clinical Psychiatry, 1/1/2006

This is an excellent examination of impulse control disorders. It reviews each disorder thoroughly and presents clear assessment and treatment methods. The treatments are the most up-to-date available and are especially useful with such problems as Internet usage and compulsive shopping. The sections on impulsive aggression and self-injurious behaviors are both excellent. I would highly recommend this book for any clinician who treats patients with impulse control disorders.—Doody's Book Review Service, 1/1/2006

The manual is certainly a welcome addition to the growing body of literature on the topic of impulse-control disorders and is a valuable reference, especially for clinicians who may deal with the various manifestations of this problem on a regular basis.—PsycCRITIQUES, 1/1/2006

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