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.
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