Te x t R e v i s i o n ( D S M - I V-T R )pleasurable. 2. The individual experiences an increasing sense of tension or Impulse Control Disorders● 1. The individual is unable to resist an impulse, drive, or Impulse control disorders are characterized by a need or desire that must be satisfiimpulse control disorders as follows:sequences. Many of the behaviors have adverse or even destruc-tive consequences for the individuals affected, and seldom do these individuals know why they do what they do or why it is Cnostic and Statistical Manual of Mental Disorders, Fourth Edition, BACKGROUND ASSESSMENT DATAtemptation to act in a way that is harmful to the person or others.arousal before committing the act and pleasure, gratifiThe American Psychiatric Association (APA, 2000) HAPTER^14 ed immediately, regardless of the con- describes the essential features of cation, Diag-
2 2506_Ch14_256-263.indd Sec1:256 506 Ch 14 256 - 263 .indd 256 sion control resulting in serious assaultive acts or destruc-This disorder is characterized by episodes of loss of aggres-Intermittent Explosive Disordercategories of impulse control disorders:behavior.Sby feelings of genuine remorse and self-reproach about the 3. Afterward, he or she may experience regret, remorse, or minate abruptly, lasting only minutes to a few hours, followed ally appear suddenly without apparent provocation and ter-for events that occurred during an episode. Symptoms usu-sensorium, such as confusion during an episode or amnesia tion of property (APA, 2000). Some clients report changes in ec 1 or relief at the time of committing the act. The embarrassment.: 256 DSM-IV-TR (APA, 2000) describes the following 1 10/1/10 9:36:28 AM 0 / 1 / 10 9 : 36 : 28 AM
