Deconstructing violence in acutely exacerbating psychotic patients

CNS Spectrums ◽  
2020 ◽  
pp. 1-5
Author(s):  
Andrea Nichtová ◽  
Jan Volavka ◽  
Jan Vevera ◽  
Kateřina Příhodová ◽  
Veronika Juríčková ◽  
...  
Keyword(s):  
Impulse Control ◽  
Psychiatric Inpatients ◽  
Psychotic Symptoms ◽  
Semistructured Interview ◽  
Treatment Interventions ◽  
State Hospitals ◽  
Additional Information ◽  
Proximate Causes ◽  
Assaultive Behavior

Abstract Background This study examined the proximate causes of psychotic patients’ aggression upon the admission to the psychiatric wards of a university and two state hospitals. Methods The authors used a semistructured interview to elicit proximate causes of assaults from the assailants and victims. The treating psychiatrists and nurses provided additional information. Based on this interview, aggressive episodes were categorized as psychotic, impulsive and planned. Results A total of 820 assaults committed by 289 newly admitted violent psychotic inpatients were evaluated. The interview ratings indicated that 76.71% of the assaults were directly driven by psychotic symptoms and 22.32% of all attacks were labeled as impulsive. Only 0.98% of assaults were categorized as planned. Conclusions These findings indicate that assaultive behavior among recently admitted acute psychiatric inpatients with untreated or undertreated psychosis is primarily driven by psychotic symptoms and disordered impulse control. Because each type of assault requires a different management, identifying the type of assault is crucial in determining treatment interventions.

Gender and Impulse Control Disorders

2012 ◽  
Author(s):  
Alexea Takacs ◽  
Sonia Madrid ◽  
Marc N. Potenza
Keyword(s):  
Impulse Control ◽  
Treatment Strategies ◽  
Impulse Control Disorders ◽  
Treatment Interventions ◽  
Prevention And Treatment

Although women and men (and girls and boys) share similarities, they also exhibit differences that may contribute to the etiology and development of impulse control disorders. Such differences may hold significant implications for the generation of optimal prevention and treatment strategies. In this chapter, we review data on gender-related differences in impulse control disorders, considering epidemiological, clinical, biological, and therapeutic perspectives. Implications for improving prevention and treatment interventions are discussed.

Novel Antipsychotics and Patient Care in State Hospitals

1998 ◽  
Vol 32 (9) ◽  
pp. 906-914 ◽  
Author(s):  
Peter F Buckley
Keyword(s):  
State Hospital ◽  
Cost Savings ◽  
Preliminary Evidence ◽  
The State ◽  
New Agents ◽  
Hospital System ◽  
Specific Patient ◽  
State Hospitals ◽  
Additional Information ◽  
Patient Subgroups

OBJECTIVE: To review and highlight the opportunities and challenges of pharmacologic advances in the use of antipsychotics for the state hospital system. METHODS: A critical review was performed of studies published either as articles or abstracts, on the use of novel antipsychotics, particularly as they relate to the patient population within the state mental hospital system. FINDINGS: The recent availability of new antipsychotic medications within state facilities has resulted in more progressive treatment, reduced recidivism (and consequently cost savings), and preliminary evidence of preferential and superior treatment response in specific patient subgroups (e.g., those with aggression). At the same time, inpatient pharmacy budget increases and uncertainty in guiding the use of novel antipsychotics have influenced the availability of these agents in state hospitals. CONCLUSIONS: State hospital services have, by and large, embraced the developments in pharmacotherapy of schizophrenia. Optimal use of these new agents in this population requires additional information on their relative efficacy in specific patient subgroups.

Connotative Meaning of Time in Therapists' Conceptualization of Psychotherapeutic Interventions

1993 ◽  
Vol 72 (3_suppl) ◽  
pp. 1211-1221
Author(s):  
Dawn S. O'Neil ◽  
Anthony F. Grasha
Keyword(s):  
Subjective Experience ◽  
Specific Treatment ◽  
Therapeutic Interventions ◽  
Semistructured Interview ◽  
Connotative Meaning ◽  
Treatment Interventions ◽  
Psychotherapeutic Interventions ◽  
Experience Of Time ◽  
Perception Of Time ◽  
Selection Of

This study examined the connotative meaning which beginner ( n = 15), intermediate ( n = 14), and advanced ( n = 15) therapists assigned to time in psychotherapy and their perception of time as a factor in designing therapeutic interventions. Therapists' conceptualization of the subjective experience of time as a component of psychotherapeutic interventions was assessed by examining their selection of metaphors for time, their semantic differential assessments of past, present, and future perspectives, and through their responses to a semistructured interview. Therapists at all three levels of experience appeared to view time for their clients as moving slowly, promoting growth, and allowing progress, with an emphasis on the importance of future time-based interventions for growth while the clients' past was viewed as reflective of distress. Responses appeared to be atheoretical and idiosyncratic, showing lack of clear integration of time with specific treatment interventions.

Impulse control disorders in psychiatric inpatients

2011 ◽  
Vol 188 (3) ◽  
pp. 434-438 ◽  
Author(s):  
Astrid Müller ◽  
Katharina Rein ◽  
Ines Kollei ◽  
Andrea Jacobi ◽  
Andrea Rotter ◽  
...  
Keyword(s):  
Impulse Control ◽  
Psychiatric Inpatients ◽  
Impulse Control Disorders

scholarly journals Generalized scales of content analysis of projective narratives in test of social motivation (TSM). Their validity and specifics. Part 1

2016 ◽  
Vol 9 (4) ◽  
pp. 90-104 ◽  
Author(s):  
N.A. Almayev ◽  
O.V. Murasheva ◽  
Yu.V. Bessonova ◽  
N.I. Kiselyova
Keyword(s):  
Content Analysis ◽  
Impulse Control ◽  
Negative Emotions ◽  
Social Motivation ◽  
Negative Events ◽  
Additional Information ◽  
Current State ◽  
Three Samples ◽  
Humanities Students

Projective stories possess some advantages in comparison to the questionnaires. They provide considerable amount of additional information about subjects’ current state and the motives. Nevertheless, they are also not free from the effects of censorship and social desirability. The list of content analysis scales in this study was the following: 1) “Affiliation”, 2) “Frustration of Affiliation”, 3) “Long-term relationships”, 4) “Rivalry”, 5)”Loyalty”, 6) “Achievement”, 7) “Hope”, 8) “Egoistic benefit”, 9) “Impulse control”, 10) “Struggle of motives”, 11) “Negative emotions”, 12) “Negative events”, as well as the three scales for detection of desire to avoid projection: a)”Abandon of the task” (stories shorter than 20 words), b) “Description”, c) «Either, or». Also some of the indicators were adopted: “Fear to live” – sum of “Negative events” and “Negative emotions” scales; “Hardness” that is subtraction of “Negative emotions” from “Negative events”; “General avoidance of projection” that is the sum of “Abandon”, “Description” and “Either, or”. Validity of the scales was checked and proofed through the multiple comparisons within the three samples: students of Humanities, students of the Moscow Aviation University and MosEmerCom dispatchers. This work was supported by grant RFH №12-06-00647.

scholarly journals 2273 Synthetic cannabinoid usage among psychiatric inpatients

2018 ◽  
Vol 2 (S1) ◽  
pp. 48-48
Author(s):  
Claire L. Mann ◽  
Anahita B. Nia ◽  
Sharron Spriggs ◽  
Steven Carbonaro ◽  
Daniel DeFrancisco ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Dual Diagnosis ◽  
Chart Review ◽  
Synthetic Cannabinoids ◽  
Psychiatric Inpatients ◽  
Psychotic Symptoms ◽  
Inclusion Criteria ◽  
Lengths Of Stay ◽  
Study Population

OBJECTIVES/SPECIFIC AIMS: Synthetic cannabinoids (SC) are widely available and are associated with acute psychosis. Our recent study indicated that SC using psychiatric inpatients admitted in 2014 had more psychotic symptoms, aggression, and agitation compared with cannabis [marijuana (MJ)] using patients. The current study will review more charts and will characterize the demographics and presentations of current SC Versus MJ using patients. METHODS/STUDY POPULATION: A chart review was conducted of patients admitted to a New York City inpatient dual diagnosis psychiatric unit from 2014 to 2016. Inclusion criteria were self-reported current SC use or MJ use, or urine toxicology (+) for MJ. RESULTS/ANTICIPATED RESULTS: In total, 585 charts met inclusion criteria, 168 reported current SC use (40 f, 128 m SC users; 122 f, 295 m MJ users). SC using patients were younger (p=0.050), more likely to be Black (p=0.003), and homeless or living in a shelter (p=0.001). SC users were also more likely to be agitated (OR: 2.26) and aggressive (OR: 2.04) and have psychotic symptoms (OR: 3.03) compared with MJ users. SC users received more PRN medication (p<0.001) and had longer lengths of stay (p=0.001). DISCUSSION/SIGNIFICANCE OF IMPACT: Results demonstrate that current SC users had a different demographic profile compared with current MJ users. Our results also support our previous findings: SC using patients were more likely to be agitated and aggressive and were more likely to demonstrate positive psychotic symptoms.

Characteristics of Assaultive Behavior Among Psychiatric Inpatients

2003 ◽  
Vol 54 (7) ◽  
pp. 1012-1016 ◽  
Author(s):  
Karen A. Nolan ◽  
Pál Czobor ◽  
Biman B. Roy ◽  
Meredith M. Platt ◽  
Constance B. Shope ◽  
...  
Keyword(s):  
Psychiatric Inpatients ◽  
Assaultive Behavior
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