Animal and human research suggests that the central serotonin system is involved in the inhibition of impulsive behavior. Two studies were designed to assess this relationship in male vervet monkeys ( Cercopithecus aethiops sabaeus ) using a standardized test of impulsivity in a social context: the Intruder Challenge. In the first study, an index of impulsivity in response to an unfamiliar adult male intruder (including latency to approach and aggressive and assertive interactions) was inversely correlated with levels of the serotonin metabolite, 5-hydroxyindoleacetic acid (5-HIAA) in cisternal cerebrospinal fluid (r ϭ Ϫ 0.33, p Ͻ .01, n ϭ 138). The approach, but not aggressive, component of the Impulsivity Index was the primary contributor to this relationship (partial r ϭ Ϫ 0.27, p Ͻ .01). The second experiment compared responses to the Intruder Challenge after 9 weeks of daily treatment with fluoxetine (2 mg/kg, i.m.) or vehicle. Fluoxetine-treated subjects ( n ϭ 6) had significantly lower Impulsivity Index scores than controls ( n ϭ 12Impulsivity has been proposed as the common denominator in a variety of psychological disorders and sociological conditions that have been associated with indices of low central serotonergic functioning (Linnoila et al. 1993). For example, low levels of the serotonin metabolite, 5-hydroyxindoleacetic acid (5-HIAA) in cerebrospinal fluid (CSF) have been related to violent suicide attempts, impulsive fire-setting, violent and unprovoked aggression, and early onset alcoholism (Brown et al. 1982;Mann 1999;Virkkunen et al. 1994). Impulsivity and impulsive aggression have also been associated with blunted response to pharmacological challenges with serotonin agonists in personality-disordered and substance abusing men Moeller et al. 1994). Recently, Manuck et al. (1998) reported significant inverse correlations between prolactin response to fenfluramine and measures of impulsivity and aggressiveness in men from a community-based sample. This latter study suggests that psychosocial disorders involving impulsive aggression may represent the extremes of normal dimensions of personality and underlying neurochemistry. NO . 4 Social Impulsivity, 5-HIAA, and Fluoxetine 371A number of models have proposed that the monoaminergic neurotransmitters modulate the expression of basic personality dimensions (Cloninger 1987;Depue et al. 1994;Zuckerman 1996). These models generally agree that dopamine is associated with behavioral activation, and serotonin with behavioral inhibition. For example, Cloninger (1987) links the dopamine system with novelty seeking and serotonin with harm avoidance, while Zuckerman (1996) proposes that impulsive sensation seeking is a joint function of a highly reactive dopaminergic system and a weakly reactive serotonergic system. Empirical research to test the above hypotheses uses a variety of methods to measure impulsivity. Human studies typically use self-report interviews or questionnaires, but the different inventories designed to measure this construct frequ...