Aggression: Clinical Features and Treatment Across the Diagnostic
Spectrum addresses the role aggression plays in intermittent
explosive disorder (IED), referred to as "primary aggression," and
in a host of other psychiatric disorders-from autism to
posttraumatic stress. Aggression is a well-studied,
multidimensional phenomenon that may be parsed by cognition,
affect, and behavior. Occurring as primary aggression and as a
symptom of other psychiatric disorders, aggression is both common
and destructive-of property, relationships, and the social order.
The editors were instrumental in the development of the DSM
classification for IED, and the book discusses the evolution of the
diagnostic criteria from the 1950s to the current DSM-5. This
long-range perspective informs the volume and provides a firm
foundation for the clinical content, which is case-based and
accessible. Moreover, each chapter is consistent in structure,
moving from phenomenology to psychobiology to clinical approach and
treatment. The book emphasizes that although abnormal
psychobiological systems, including neurochemistry and neural
circuits, may increase the risk of behavioral aggression,
influences associated with genetics, epigenetics, and environmental
forces are also extremely important, and these are discussed
in-depth in each chapter. Chapter topics were selected for their
clinical relevance: * Two chapters are devoted to primary
aggression, first distinguishing form (verbal and physical) and
type (direct or indirect); next, delineating the phenomenology,
psychobiology, and comorbidities; and then exploring current
treatment options, both psychopharmacological and
psychotherapeutic.* Because aggression represents the most common
reason for referral to psychiatric care in youth, most frequently
in the context of disruptive behavioral disorders, including
attention-deficit/hyperactivity disorder, the book devotes a
chapter to these disorders, emphasizing prevention, assessment, and
treatment (e.g., self-regulation, skill-building, improved support
systems, and medication).* Aggression and anger may play a role in
the onset and maintenance of eating disorders, complicating
clinical presentation and influencing prognosis and treatment. The
chapter on eating disorders addresses aggression, both self- and
other-directed, and provides measures with sound psychometric
properties for assessing eating disorder psychopathology and
aggression.* The chapter on anxiety disorders highlights the
prevalence of aggression, hostility, irritability, and anger in
patients with these disorders, noting that these individuals may be
at increased risk due to genetic sensitivity to stress. The role of
aggression in social anxiety disorder, panic disorder, and
generalized anxiety disorder is explored in-depth, and current
treatment recommendations are discussed.* In addition to carefully
chosen clinical vignettes, the book employs chapter-ending
summaries and key clinical points and is replete with tables
presenting information such as rating scales and summaries of
pharmacological management. Cogent, compelling, and clinically
rich, Aggression: Clinical Features and Treatment Across the
Diagnostic Spectrum examines aggression in its myriad forms and
manifestations while offering cutting-edge guidance on assessment
and treatment.
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