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Biomedical subjects

J R Cusack

Publications and source records attributed to J R Cusack.

3 recordsLinked to original sources

Insights about pathological gamblers. 'Chasing losses' in spite of the consequences.

In the United States, a small but growing portion of the adult population are pathological gamblers. The majority are men (about one third are women). Although the Diagnostic and Statistical Manual of Mental Disorders, third revised edition, defines pathological gambling as a disorder of impulse control, diagnostic criteria and treatment are modeled after psychoactive substance dependence. About half of pathological gamblers have a history of alcoholism or substance abuse, and accompanying mood disorders (eg, major depression, bipolar disorder) are common. Once diagnosed, pathological gambling is highly treatable.

Behavior, Addictive↗

Patients with antisocial personality disorder. Are they bad or mad?

Antisocial personality disorder is the psychiatric diagnosis most closely linked to explosive and criminal behavior. This diagnosis is easily documented but challenges a clinician's diagnostic skill because of the patient's propensity for masquerade and pathologic lying. The essential feature of antisocial personality disorder is a pattern of irresponsible and antisocial behavior beginning in childhood or early adolescence and continuing into adulthood. The differential diagnosis should include substance abuse, adult antisocial behavior, psychotic and organic illness, and other personality disorders. Suggested medical and psychiatric treatment includes rapidly establishing firm behavior limits and performing a mental status examination to evaluate thought processes and suicidal and homicidal intent.

Antisocial Personality Disorder↗