(DSM) Module 15- Disruptive, Impulse-Control and Conduct Disorders Flashcards
include conditions involving problems in the self-control of emotions and behaviors. While other disorders in DSM-5 may also involve problems in emotional and/or behavioral regulation, the disorders in
this umbrella are unique in that these problems are manifested in behaviors that violate the rights of others
Disruptive, Impulse-Control and Conduct Disorders
These disorders(disruptive, impulse-control and conduct) all tend to be more common in what gender
in males than in females.
These disorders tend to have first onset in
childhood or adolescence
A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four (4) symptoms from any of the following categories, and exhibited during interaction with at least one individual who is not a sibling.
Angry/Irritable Mood
1. Often losses temper.
2. Is often touchy or easily annoyed.
3. Is often angry and resentful.
Argumentative/Defiant Behavior
4. Often argues with authority figures or, for children and adolescents, with adults.
5. Often actively defies or refuses to comply with requests from authority figures or with rules.
6. Often deliberately annoys others.
7. Often blames others for his or her mistakes or misbehavior.
Vindictiveness
8. Has been spiteful or vindictive at least twice within the past 6 months.
B. The disturbance in behavior is associated with distress in the individual or others in his or her immediate social context, or it impacts negatively on social, educational, occupational, or other important areas of functioning.
C. The behaviors do not occur exclusively during the course of psychotic, substance use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood dysregulation disorder.
Oppositional Defiant Disorder
A. Recurrent behavioral outbursts representing a failure to control aggressive impulses as manifested by either of the following:
1. Verbal aggression or physical aggression toward property, animals, or other individuals, occurring twice weekly, on
average, for a period of 3 months. The physical aggression does not result in damage or destruction of property and does
not result in physical injury to animals or other individuals.
2. Three behavioral outbursts involving damage or destruction of property and/or physical assault involving physical injury
against animals or other individuals occurring within a 12-month period.
B. The magnitude of aggressiveness expressed during the recurrent outbursts is grossly out of proportion to the provocation or to any precipitating psychosocial stressors.
C. The recurrent aggressive outbursts are not premeditated and are not committed to achieve sometangible objective.
D. The recurrent aggressive outbursts cause either marked stress in the individual or impairment in occupational or interpersonal functioning, or are associated with financial or legal consequences.
E. Chronological age is at least 6 years.
F. The recurrent aggressive outbursts are not better explained by another mental disorder and are not attributable to another medical condition or to the physiological effects of a substance. For children ages 6-18 years, aggressive behavior that occurs as part of an adjustment disorder should not be considered for this diagnosis.
Intermittent Explosive Disorder
A. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least three of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion
present in the past 6 months:
Aggression to People and Animals
1. Often bullies, threatens, or intimidates others.
2. Often initiates physical fights.
3. Has used a weapon that can cause serious physical harm to others.
4. Has been physically cruel to people.
5. Has been physically cruel to animals.
6. Has stolen while confronting a victim.
7. Has forced someone into sexual activity.
Destruction to Property
8. Has deliberately engaged in fire setting with the intention of causing serious damage.
9. Has deliberately destroyed others’ property.
Deceitfulness or Theft
10. Has broken into someone else’s house, building, or car. 11. Often lies to obtain goods or favors or to avoid obligations.
12. Has stolen items of nontrivial value without confronting a victim.
Serious Violation of Rules
13. Often stays out at night despite parental prohibitions, beginning before age 13 years.
14. Has run away from home overnight at least twice while living in the parental or parental surrogate home, or once
without returning for a lengthy period.
15. Is often truant from school, beginning before age 13 years.
B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
C. If individual is age 18 years or older, criteria are not met for antisocial personality disorder.
Conduct Disorder
Does not feel bad or guilty when he or she does something wrong (exclude remorse
when expressed only when caught and/or facing punishment). The individual shows a general lack of concern about the negative consequences of his or her actions. For example, the individual is not remorseful after hurting someone or does not care about the consequences of breaking rules.
Lack of remorse or guilt:
: Disregards and is unconcerned about the feeling of others. The individual is described
as cold and uncaring. The persona appears more concerned about the effects of his or her actions on himself or herself, rather than their effects on others, even when they result in substantial harm to others
Callous–Lack of empathy
: Does not show concern about poor /problematic performance at school, at
work, or in other important activities. The individual does not put forth the effort necessary to perform well, even when expectations are clear, and typically blames other for his or her poor performance.
Unconcerned about performance
: Does not express feelings or show emotions to others except in ways that seem shallow, insincere, or superficial (e.g. actions contradict the emotion displayed; can turn emotions “on” or “off” quickly) or when emotional expressions are used for gain (e.g. emotions displayed to manipulate or intimidate
others).
Shallow or deficient affect
A. Deliberate and purposeful fire setting on more than one occasion.
B. Tension or affective arousal before the act.
C. Fascination with, interest in, curiosity about, or attraction to fire and its situational contexts.
D. Pleasure, gratification, or relief when setting fires or when witnessing or participation in their aftermath.
E. The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to
express anger or vengeance, to improve one’s living circumstances, in response to a delusion or hallucination, or as a result
of impaired judgment.
F. The fire setting is not better explained by conduct disorder, a manic episode, or antisocial personality disorder.
Pyromania
A. A recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value.
B. Increasing sense of tension immediately before committing the theft.
C. Pleasure, gratification, or relief at the time of committing the theft.
D. The stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination.
E. The stealing is not better explained by conduct disorder, a manic episode, or antisocial personality disorder.
Kleptomania
