Obsessive-compulsive personality disorder and behavioral disinhibition

Although obsessive-compulsive personality disorder (OCPD) is an Axis II diagnosis that is not commonly associated with behavioral disinhibition, the literature contains reports of occasional explosive aggressive outbursts. Existing explanations of OCPD etiology do not address the coexistence of compulsive and impulsive features witnessed in some subpopulations of patients. In this study, the authors present a compensatory theory of OCPD in an effort to explain clinical observations of an unexpectedly large number of OCPD diagnoses among patients clinic referred and self-referred for aggression problems.     

Usefulness of Self-Report Instruments in Assessing Men Accused of Domestic Violence

The Psychological Record - Clinical assessment of domestic violence has traditionally relied on self-report methods of data collection, using structured interviews and lengthy questionnaires such...     

Language and executive function in self-reported impulsive aggression

The present study employed a battery of verbal tests that included a broad range of executive demands to demonstrate the differential contributions of language and executive function to the performance decrement observed in individuals who display impulsive aggressive (IA) outbursts. A profile analysis revealed that despite not differing on tasks requiring limited verbal output, the IAs deviated further from nonaggressive controls as the tasks required increasing spontaneous organization. Results suggest that language ability per se is not impaired in IAs; rather inefficient executive functioning is responsible for their significantly poorer performance on complex verbal tasks.     

Characterizing aggressive behavior

In the research literature, aggressive behavior has traditionally been classified into two distinct subtypes, impulsive or premeditated. Impulsive aggression is defined as a hair-trigger aggressive response to provocation with loss of behavioral control. Premeditated aggression is defined as a planned or conscious aggressive act, not spontaneous or related to an agitated state. The present study outlines the development of a clinically useful self-report instrument, the Impulsive/Premeditated Aggression Scales (IPAS), designed to characterize aggressive behavior as predominately impulsive or predominately premeditated in nature. The IPAS showed strong reliability and validity. Analysis of the IPASscores demonstrated thepresence of two types of aggressive behavior, impulsive and premeditated, in men referred for anger problems. The aggression of most individuals in the present sample was characterized as predominately impulsive in nature (90%).