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Impulse control disorder and ppr

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Impulse control disorder
Usually among women, aged 1830 yrs.
A study by Grant (2008) used a total of 284 participants (48.2% women) with a diagnosis of
pathological gambling.
There were 2 double-blind placebo controlled trials.
One was a 16 week trial with participants taking the drug Nalfamene and the other was an 18
week trial using Naltraxene.
A ‘positive’ response to the treatment was measured as 35% reduction in scores on a scale
measuring pathological gambling symptoms.
Glover (2011) used images of nausea and vomiting to treat a 56 year old woman with a history
of kleptomania for 14 years. At a 19 months follow up, the woman was free of stealing behavior.
Glover (1985) reported on a case study of a female kleptomaniac. A client with a history of daily
compulsive shoplifting of 14 years' duration was treated by covert sensitization.
Muscle relaxation techniques were used and self-hypnosis was also used in session 3 and 4.
Homework exercises were also given where she rehearsed the imagined scenes several times a
day.
The therapy lasted for eight weeks as each session happened fortnightly. She reported that her
thoughts of shoplifting decreased over time with only 2 relapses.
Follow up sessions every 3 months showed less urge to steal
On 19-month follow-up she was free of stealing behavior apart from a single lapse, and there
were corresponding improvements in her self-esteem and socialization.

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Patient-Practitioner Relationships
McKinstry and Wang
8 photos - 5 men 3 women
475 patients from 30 different GPs in Scotland
53% quite important
36% not important at all
11% very important
John McKinley
57 words 13 words fell in grey area
- Including purgative, breech and mucus
Women less than 40%
Health workers lower than 40%
Bryne and Long
2500 medical consultation tapes in different countries
Savage and Armstrong 1990
Undertaken in a group practice in a city area of London
4 patients from each surgery
Randomly allocated
Over a period of 4 months
Selected if
- Aged 16-75 years
- Did not have a life threatening condition
- Were not attending surgery for preventive administered reasons
- GP involved considered they won’t be upset by the project
359 patients insisted to take part
200 completed all assessments and were included in the data analysis
Informed consent for consultation being recorded
Questionnaire one week later
Evaluation
Demand characteristics
No mundane realism/ ecological validity
Individual differences
Subjective understanding of two styles
Independent measures design
No. order effect

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Impulse control disorder Usually among women, aged 18–30 yrs.  A study by Grant (2008) used a total of 284 participants (48.2% women) with a diagnosis of pathological gambling.  There were 2 double-blind placebo controlled trials.  One was a 16 week trial with participants taking the drug Nalfamene and the other was an 18 week trial using Naltraxene.  A ‘positive’ response to the treatment was measured as 35% reduction in scores on a scale measuring pathological gambling symptoms.  Glover (2011) used images of nausea and vomiting to treat a 56 year old woman with a history of kleptomania for 14 years. At a 19 months follow up, the woman was free of stealing behavior.  Glover (1985) reported on a case study of a female kleptomaniac. A client with a history of daily compulsive shoplifting of 14 years' duration was treated by covert sensitization.  Muscle relaxation techniques were used and self-hypnosis was also used in session 3 and 4. Homework exercises were also given where she rehearsed the imagined scenes several times a day.  The therapy lasted for eight weeks as each session happened fortnightly. She reported that her thoughts of shoplifting decreased over time with only 2 relapses.  Follow up sessions every 3 months showed less urge to steal  On 19-month follow-up she was free of stealing behavior apart from a single lapse, and there were corresponding improvements in her self-esteem and socialization. Patient-Practitioner Relations ...
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