S. Herpertz et H. Sass, IMPULSIVENESS AND IMPULSE CONTROL DISORDE R - A PSYCHOLOGICAL AND PSYCHOPATHOLOGICAL CONCEPTUALIZATION, Nervenarzt, 68(3), 1997, pp. 171-183
Impulsiveness and impaired impulse control are connected with an incre
asing number of psychic disorders. While impulsiveness presents an end
uring, pervasive predisposition of personality, the DSM-IV category of
''impulse control disorder not elsewhere classified'' is operationali
zed by specific dysfunctional behaviors. So far, the construction of i
mpulsiveness has really not been sufficiently clarified. What does it
means and how can one describes it. Different means of conceptualizati
on are presented from a psychological and psychopathological point of
view. Their critical review leads to the hypothesis that impulsiveness
subsumes a specific quality of drive, on the one hand, which is close
ly related to a person's temperament and control mechanisms on the oth
er. Drive and impulse control represent enduring traits that act on al
l levels of personality function, including behavior, cognitive proces
sing and affect regulation. Finally, a model of impulsiveness is sugge
sted that reflects the close interactions among drive, affect and cogn
ition in the regulation of behavior.