11.07.2015 Views

Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

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CHAPTER 13Pathological Gamblingand Other “Behavioral” AddictionsJON E. GRANTMARC N. POTENZASeveral disorders, particularly those formally categoriz<strong>ed</strong> in the fourth <strong>ed</strong>ition <strong>of</strong>the Diagnostic and Statistical Manual <strong>of</strong> Mental <strong>Disorders</strong> (DSM-IV-TR) asimpulse control disorders (ICDs) not elsewhere classifi<strong>ed</strong>, have been describ<strong>ed</strong>as “behavioral” addictions (American Psychiatric Association, 2000). TheICDs include pathological gambling (PG), kleptomania, intermittent explosiv<strong>ed</strong>isorder, trichotillomania, and pyromania, and diagnostic criteria for compulsivecomputer use, compulsive sexual behavior, and compulsive buying (CB)have been propos<strong>ed</strong>. Although there exists some controversy regarding themost precise categorization <strong>of</strong> these disorders, mounting evidence supports phenomenological,clinical, epidemiological, and biological links between behavioraland drug addictions. As such, it seems increasingly important that individualsinvolv<strong>ed</strong> in the prevention and treatment <strong>of</strong> substance use disorders(SUDs) have a current understanding <strong>of</strong> ICDs and the potential for futureresearch findings to guide prevention and treatment efforts for addictions ingeneral.PG represents the most thoroughly investigat<strong>ed</strong> ICD; consequently, thischapter largely focuses on PG, the relationship <strong>of</strong> PG to SUDs, and currenttreatment options for PG. We will also review two other ICDs (kleptomaniaand CB) that, despite having been less studi<strong>ed</strong> than other psychiatric disorders,have been receiving increasing attention from clinicians and researchers.303

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