Psych 380 1nd Edition Lecture 19 Outline of Current Lecture I. Impulse Control DisorderCurrent LectureI. Impulse control disordera. Uncontrollable impulsesb. Pressure and tension to actc. Pleasure or gratificationd. Often feel regret and self hatredII. Supposed to be included in DSM-5 sexual additionIII. APA protested it; pulled from DSM-5 <hypersexual disorder>IV. Case study; Charlesa. Seen in Julyb. Pacing back and forth in lobbyc. Left then came back another dayd. This is not uncommon especially if the patient is embarrassede. Called in and came inf. Felt very ashamedg. You’re probably going to hate me and feel repulsed by my disorderV. Who is Charles?a. 23b. umass graduatec. barely graduated with a 2.1 GPAd. freshman year – alcohole. sophomore year – potf. junior year – cocaineg. senior year – pain killers (as majors)h. I don’t know how I graduated – he starts talking about his habit onlinei. Halgin signs consent form and explains he has a duty to report abuse toward children/elderly/disabled; Charles watched sadistic/abusive porn involving violencetoward women while split screening with chatrooms on “innocent” women – oriented sites; would then flirt with women; some fooled and would meet with them but would actually only admire from afar; while chatting he would masturbatej.  been doing this since freshman yearVI. How did it start?a. 1st year of freshman year; at dinner after moving him in, parents confess to Charles that she’s been in an affair and that they are getting divorced; wanted to wait before he got settled into college first; charles was enraged; from Midwest – These notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.spent 2 days in the car and you move me in and now you tell me that you’re breaking up – fuck youb. following this he went on computer, watched porn and drank by himselfVII. side story;a. girlfriend walk in boyfriend shaving “downstairs”b. I though that it would be fun, left open laptop – gmail up “meet me in center & share” <written by male> individuals leaving cluesVIII. Internet / game addiction <center in CT>a. 5 days intensive therapyb. $16000c. parents desperated. biggest issue: absolute rage with kids when game, etc. taken away from childe. worldwide issueIX. video #1a. internet/game addiction in Chinab. boot camp like center for treating those with internet addictions; internet heroinX. study  when text alert goes off; dopamine released in brainXI. case formulationa. resentment towards women stemming from his mother; Halgin upset hearing about victimization of womeni.  has to commend Charles for coming to him to seek helpb. Charles never spoke to his mother during the 4 yearsc. Stolen memories  who was she? What was the falsehood that she was portrayingto you?d. Was she screwing other men?e.  when parents got divorced: proactive debate involving hard copy of photographsXII. the computera. given to Charles from his Dadb. develops a love for iti. drug likec. doesn’t have communication with mom, this replaces it; Halgin: You’ve got to make a decision – you’re living with the enemyd. I’ll give it up – No you aren’t Charles – you’ll relapsee. You need to get rid of the computerf. Next day; you’re right – got rid of itXIII. Treatment;a. Behavioral; but need to explore why he has hatred towards womenb. Halgin: the absence is a presencei. Regarding Charles’ mother; by not talking to her for 4 years, doesn’t mean hes not thinking about her and that she isn’t thereii. Committed to treatmentiii. Moved to Seattle – relapsed after a yeariv. Halgin: You need to see someone againXIV. Sex and love addict anonymousa. Block, filter, keystroke monitoringb. Not going to access these sites againc. Keystrokes are recorded – whats been typed ind. Impulse is there. I must do it nowe. By time individual gets around blockadef. 2-3 min delay helps disengage individualXV. reconciliation with Moma. After 5-6 years of ignoring herb. Helped with all relationshipsXVI. Klyptomaniaa. Impulsive stealing, but individual doesn’t necessarily want themb. Woman everyday in department store stole $4 earrings; walks out, throws them awayc. Still arrested and mandated to go to therapyd. Husband highly regarded surgeon – I feel empty/lonely; almost like orgasmic highXVII. Pyromaniaa. Setting fires without monetary gainb. Volunteer firefighters are the most inclined to set themc. NOHO 09; set fires, two people died, sent to jailXVIII. Compulsive skin pickinga. Picking until you bleedXIX. BIID (body integrity identity disordera. Unwanting of body partsb. I don’t want this arm/legc. Video