Working with the Impulsive Person

1. Front Matter

   Pages i-viii

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2. Etiological Foundations

   1. Front Matter

      Pages 1-1

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   2. Psychodynamics of Impulsive Behavior

      • Gerald Adler

      Pages 3-17

   3. Determinants of Impulsive Behavior: Toward an Integration of Social and Psychological Factors

      • Norman E. Zinberg

      Pages 19-30

   4. Etiological Issues in the Development of Sociopaths, Criminals, and Impulsive Personalities

      • George E. Vaillant

      Pages 31-44

3. Clinical Approaches

   1. Front Matter

      Pages 45-45

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   2. Panic States and Impulsive Behavior

      • Howard A. Wishnie

      Pages 47-62

   3. Women Therapists and Impulsive Violent Patients

      • Lenore A. Boling

      Pages 63-79

   4. Engaging the Impulsive Patient in Psychotherapy

      • Henry J. Friedman

      Pages 81-95

   5. Impulse Problems and Drug Addiction: Cause and Effect Relationships

      • Edward J. Khantzian

      Pages 97-112

   6. Fitting Different Treatment Modes to Patterns of Drug Use

      • Gerald J. McKenna

      Pages 113-123

4. The Impulsive Patient and the Criminal Justice System

   1. Front Matter

      Pages 125-125

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   2. Law, Mental Health, and Impulsive Patients

      • David Reisen

      Pages 127-143

   3. Problems of Mental Health Counseling in the Criminal Justice System

      • Daniel H. Jacobs

      Pages 145-156

   4. The Homicidal Patient

      • Stanley I. Kruger

      Pages 157-170

5. Historical Overview and Future Issues

   1. Front Matter

      Pages 171-171

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   2. Historical Overview: Fore and Aft

      • John E. Mack

      Pages 173-184

6. Back Matter

   Pages 185-194

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The development of the material in this volume began with a realization by the staff at The Cambridge-Somerville Mental Health and Retardation Center (in the Massachusetts cities of Cambridge and Somerville) that an increasing num­ ber of people were entering the mental health system with problems related to the very nature of their personalities. A significant number of these people presented issues that had not been identified previously within the spectrum of psychiatric treatment. Such issues as marital discord in­ volving impulsive and violent behavior toward spouses or children, drug abuse, alcoholism, brawling, and so forth were increasingly being viewed as symptomatic of disruptions in an individual's emotional makeup. These people usually did not seek treatment; their problems were most often managed by courts and social welfare agencies. In fact, we were not clear as to what constituted the best treatment. The conference on which this book is based was conceived of as an attempt to bring together people of varying back­ grounds to discuss in a general, nontechnical fashion the approaches they have tried in working with such people. We attempted to bridge the gap between the many sophisticated theorists who work in this area and the front-line personnel who daily confront these problems. Because of the general scope of the conference, the papers covered a wide range of issues and experiences.

• Cambridge
• ETA
• Mental Health
• alcohol
• alcoholism
• behavior
• children
• development
• emotion
• health
• nature
• treatment

• Harvard Medical School, The Cambridge Hospital, Cambridge, USA

  Howard A. Wishnie

• Bedford Veterans Administration Hospital, Bedford, USA

  Howard A. Wishnie

• The Judge Baker Guidance Center, Bedford, USA

  Joyce Nevis-Olesen

Policies and ethics