ABSTRACT

The dynamic of overwhelming urges that surpass an individual’s ability to control them is the theoretical origin of disruptive behaviors. As discussed in prior chapters, lack of self-control can be caused by biologic factors (such as reduced levels of serotonin levels, as reported by Worbe et al., 2014), developmental events (such as childhood abuse, as discussed by Brodsky and Stanley, 2008), or a combination of both. Poor self-control can lead to impulsive behaviors. Such individuals frequently fail to predict negative outcomes for their behavior and are poor at delaying gratification (Barkley, 1997). Impaired self-control can also lead to deficits in regulation of emotion, a fundamental element of most mood and personality disorders. Dysregulation of emotion coupled with impulsivity are key ingredients in behaviors that defy social norms (as seen in antisocial personality disorder) and cause significant impairment in functioning (prevalent in both mood and personality disorders).