- Oxford Library of Psychology
- The Oxford Handbook of Clinical Psychology
- Oxford Library of Psychology
- About the Editor
- A Prolegomenon to Clinical Psychology: Two 40-year Odysseys
- A History of Clinical Psychology
- Emerging Policy Issues for Psychology: A Key to the Future of the Profession
- Research Methods in Clinical Psychology
- Evidence-based Assessment
- Schools of Psychotherapy and the Beginnings of a Scientific Approach
- Evidence-based Practice in Clinical Psychology
- Training, Credentialing, and New Roles in Clinical Psychology: Emerging Trends
- The Role of Psychology in Emerging Federal Health-care Plans
- Ethical Issues in Clinical Psychology
- Creating Public Health Policy: The Dissemination of Evidenced-based Psychological Interventions
- Interviewing and Case Formulation
- Diagnoses, Dimensions, and DSM-5
- The Anxiety-Depression Spectrum
- The Nature and Treatment of Bipolar Disorder and the Bipolar Spectrum
- Obsessive-Compulsive and Related Disorders
- Somatoform and Physical Disorders
- Trauma, Dissociation, and Post-traumatic Stress Disorder
- Eating Disorders
- Alcohol Use and Alcohol Use Disorders
- Sex and Gender Disorders
- Disorders of Impulse Control and Self-Harm
- The Spectrum of Personality Disorders
- Disorders of Development
- Cognitive Disorders in Adults
- Clinical Psychology Interventions in Primary Care
- Shifting Paradigms in Clinical Psychology: How Innovative Technologies Are Shaping Treatment Delivery
- Interventions in Forensic Settings: Juveniles in Residential Placement, Defendants in Drug Courts or Mental Health Courts, and Defendants in Forensic Hospitals as Incompetent to Stand Trial
- Clinical Neuropsychology
- Psychological Interventions in Health-care Settings
- Behavioral Interventions in Public Health Settings: Physical Activity, Weight Loss, and Smoking
- Behavioral Emergencies and Crises
- Clinical Interventions with Children and Adolescents: Current Status, Future Directions
- Couple Therapy: Theoretical Perspectives and Empirical Findings
- Interventions for Mental Health Problems in Later Life
- Working with Sexual-Minority Individuals
- Interventions with Culturally Diverse Populations
- The Future of Clinical Psychology: Promises, Perspectives, and Predictions
Abstract and Keywords
Disorders of impulse-control and self-harm are dangerous clinical problems that often present significant challenges for scientists and clinicians. In this chapter, we provide a comprehensive review of each disorder on the impulse-control spectrum. We begin by describing the clinical presentation and epidemiology of each disorder. Next, we discuss what is currently known about the etiology of these disorders, summarizing recent research on genetic/neurobiological factors, environmental factors, and psychological factors that appear to influence these disorders. The assessment and treatment of disorders of impulse-control and self-harm is complicated by the relatively low base-rate of these disorders, as well as by their dangerous and sensitive nature. Nevertheless, several evidence-based approaches to assessment and treatment have been developed and also are reviewed here. We conclude with recommendations for future scientific and clinical efforts aimed at better understanding, predicting, and preventing disorders of impulse-control and self-harm.
Matthew K. Nock, Ph.D., is a Professor of Psychology and Director of the Laboratory for Clinical and Developmental Research in the Department of Psychology at Harvard University.
Christine B. Cha, Department of Psychology, Harvard University.
Halina J. Dour, Department of Psychology, Harvard University.
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