Category 4

Organizing the Diagnostic and Statistical Manual (DSM) according to Standard Theory

Category 4

Irregular Impulse (Behavioral) - unwarranted, uncontrollable, inappropriate, or otherwise directed behavior that is externalized as the result of experience of impulse from internal stimulation (hormones, substances, medication, neurotransmitters, emotion) or external stimulation (environment, circumstance, relationship, startle) as dictated by the levels of Vertical Thinking

Levels of Impulse in Vertical Thinking:
Metaphysical: display of impulse, subtraction, and compression components
Impulsive: impulse and subtraction components without compression
Compulsive: component of impulse without subtraction or compression
Compulsive Impulse: component of impulse due to extranneous stimulation only
Complex: Drug-Induced Compulsive Impulse, Hormone-Induced Compulsive Impulse, or extranneous stimulation

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CHAPTER 12 — SEXUAL DYSFUNCTIONS
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Male Hypoactive Sexual Desire Disorder — F52.0

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CHAPTER 15 — DISRUPTIVE, IMPULSE-CONTROL, AND CONDUCT DISORDERS
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Conduct Disorder (unspecified) — F91.9
Oppositional Defiant Disorder — F91.3
Intermittent Explosive Disorder — F63.81
Pyromania — F63.1
Kleptomania — F63.2
Other Specified Disruptive, Impulse-Control, and Conduct Disorder — F91.8
Unspecified Disruptive, Impulse-Control, and Conduct Disorder — F91.9

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CHAPTER 16 — SUBSTANCE-RELATED AND ADDICTIVE DISORDERS
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Cannabis Intoxication (use, unspecified; intoxication, unspecified) — F12.929
Hallucinogen Persisting Perception Disorder (flashbacks)
• with unspecified hallucinogen use — F16.983
• with hallucinogen dependence — F16.283
Gambling Disorder (Pathological Gambling) — F63.0

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CHAPTER 18 — PERSONALITY DISORDERS
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Histrionic Personality Disorder — F60.4
Narcissistic Personality Disorder — F60.81