scholarly journals The clinical assessment of acts of violence: mental mechanisms and subjectivity

2019 ◽  
Vol 26 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Rajan Nathan ◽  
Peter Wilson
Keyword(s):  
Risk Assessment ◽  
Risk Management ◽  
Clinical Practice ◽  
Clinical Assessment ◽  
Clinical Utility ◽  
Individual Case ◽  
Evidence Base ◽  
Routine Clinical Practice ◽  
Factors Associated ◽  
The Individual

SUMMARYApproaches to assessing violence in clinical practice have been influenced by developments in the field of risk assessment. As a result, there has been a focus on identifying and describing factors associated with violence. However, a factor-based approach to assessing violence in individual cases has limited clinical utility. In response, the benefits of a formulation-based approach have been promoted. This approach is enhanced by an understanding of the specific mental mechanisms that increase the likelihood of violence in the individual case. Although there is an empirical evidence base for mental mechanisms associated with violence, this literature has not been distilled and synthesised in a way that informs routine clinical practice. In this article the authors present the key mechanisms that are known to be associated with violence in a way that is relevant to the clinical assessment of violence and, in turn, can inform clinical and risk management.

scholarly journals When the going gets tougher: the importance of long-term supportive psychotherapy in psychosis

2008 ◽  
Vol 14 (1) ◽  
pp. 42-49 ◽  
Author(s):  
Alan Meaden ◽  
Susie Van Marle
Keyword(s):  
Clinical Practice ◽  
Psychosocial Interventions ◽  
Individual Case ◽  
Routine Care ◽  
Routine Clinical Practice ◽  
Psychotic Symptoms ◽  
Treatment Team ◽  
Supportive Psychotherapy ◽  
The Individual

There has been considerable progress in recent years in developing psychosocial interventions for people who experience persistent psychotic symptoms. However, it is sometimes difficult to generalise these findings into routine clinical practice. Long-term, psychodynamically informed, supportive psychotherapy is a valuable approach for working with individuals for whom current psychosocial interventions are ineffective or where unhelpful team reactions are obstacles to care. Its principles are used to inform a multiaxial formulation, which is shared with the treatment team and guides treatment, promoting good-quality comprehensive routine care. The benefits of this approach can best be seen at the individual case level using a subsequent multiaxial reformulation.

scholarly journals The place of artificial intelligence in the risk management process

2021 ◽  
Vol 120 ◽  
pp. 02013
Author(s):  
Petya Biolcheva
Keyword(s):  
Artificial Intelligence ◽  
Risk Assessment ◽  
Risk Management ◽  
Real Time ◽  
Risk Identification ◽  
Management Process ◽  
Whole Process ◽  
Risk Management Process ◽  
Problematic Issue ◽  
The Individual

In recent years, there has been increasing talk of the rapid entry of artificial intelligence into risk management. All the benefits it would bring over the whole process are often commented on: real-time results, processing large amounts of data, more complete risk identification, more accurate risk assessment, etc. There are also negative moods that make various experts feel threatened by their need to be replaced by artificial intelligence. Another problematic issue that arises is related to the transparency of algorithms and the increase in cyber risks [6]. This material aims to identify the individual elements at the stages of risk management in which artificial intelligence (AI) can and should be applied alone, in combination with expert opinion or not. Here it is shown that because of the use of AI the efficiency of the whole process is significantly increased, first of all by conducting in-depth analyses, and the decisions are made by the risk management experts. This proves its usefulness and increases the confidence of experts in it.

Stapes Prosthesis Length: One Size Fits All?

2019 ◽  
Vol 24 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Holger Sudhoff ◽  
Hans Björn Gehl ◽  
Ercan Boga ◽  
Stefan Müller ◽  
Katharina Wilms ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Standard Length ◽  
Routine Clinical Practice ◽  
Insertion Depth ◽  
Individual Measurement ◽  
Stapes Prosthesis ◽  
Zero Rate ◽  
Length Data ◽  
Measured Length ◽  
The Individual

Background: The insertion of the stapes piston into the vestibule provides the physical basis for a successful stapedotomy. In routine clinical practice, two different ways to handle prosthesis length are performed: (1) an individualized measurement of the stapes prosthesis length or (2) a standard prosthesis length for all cases. Objective: The objective of this study was to compare both ways of handling prosthesis length and the effect of these methods on insertional prosthesis depth. Material and Method: We retrospectively evaluated 39 patients after performing a stapedotomy for radiologically estimated vestibular stapes prosthesis insertion depth. The individual measured length data were hypothetically changed to a standard length of 4.75, 5, 5.25, and 5.5 mm, and the insertion depths were compared. Results: The individually measured prosthesis lengths led to an insertion depth between 0.2 and 1.6 mm (mean 0.74 mm). The ratio of insertion depth/vestibular depth was between 8 and 59.1% (mean 26.6%). The different assumed standard lengths led to different rates of the vestibulum positions and possible bony contacts at the vestibulum floor. Conclusion: The individual measurement led to a zero rate of the vestibulum positions of stapes prosthesis pistons with a low insertion depth/vestibular depth ratio.

scholarly journals Health status in routine clinical practice: validity of the clinical COPD questionnaire at the individual patient level

2010 ◽  
Vol 8 (1) ◽  
pp. 135 ◽  
Author(s):  
Janwillem WH Kocks ◽  
Huib AM Kerstjens ◽  
Sandra L Snijders ◽  
Barbara de Vos ◽  
Jacqueline J Biermann ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Health Status ◽  
Routine Clinical Practice ◽  
Individual Patient Level ◽  
Patient Level ◽  
The Individual

scholarly journals Bus Wheel Injuries And A Remedial Method For Prevention Of These Accidents

2001 ◽  
Vol 18 (1) ◽  
Author(s):  
James M. Green
Keyword(s):  
Risk Assessment ◽  
Risk Management ◽  
Bus Transit ◽  
Transit Buses ◽  
The Individual ◽  
Serious Injuries ◽  
Accident Statistics ◽  
Anecdotal Information

The Accident Statistics For Injuries Caused By Pedestrians Or Cyclists Being Injured, Or Killed, By U.S. Transit Buses Have Typically Been Categorized Simply As Either Fatalities Or Serious Injuries. Although Anecdotal Information From Police Accident Investigators And Forensic Engineers Have Indicated That Certain Types Of Accidents With Transit Buses Are More Prevalent Than Other Types, Definitive Data Has Been Lacking. Recent Risk Management Efforts At Various Transit Authorities2 Have Revealed A Prevalent Type Of Accident From Transit Vehicles Interacting With Either Cyclists Or Pedestrians. The Predominant Accident Type Seems To Be Pedestrians Or Cyclists Being Pulled Into The Bus-Wheel, As Opposed To Individuals Being Struck By The Vehicle Body3. Further Questioning Of Transit Personnel Indicates That, In Most Cases, The Accidents Occur From The Rotating Bus Transit Wheel On The Bus As It Passes The Individual As Opposed To The Cyclist Or Pedestrian Running Into The Stationary Transit Vehicle Or Tire. Surprisingly, The Type Of Accident Where The Bus Strikes The Cyclist Or Pedestrian In An Area Other Than On The Rotating Wheel Is Almost Negligible. The Analysis In This Paper Is Focusing On Transit Authority Buses Since Risk Assessment Managers Have Identified High Incidents Of Injury At The Site Of The Rotating Wheel For These Vehicles.

scholarly journals BRIDGING THE TRANSLATION GAP: FROM DEMENTIA RISK ASSESSMENT TO ADVICE ON RISK REDUCTION

2015 ◽  
pp. 1-10
Author(s):  
K.J. Anstey ◽  
R. Eramudugolla ◽  
D.E. Hosking ◽  
N.T. Lautenschlager ◽  
R.A. Dixon
Keyword(s):  
Risk Assessment ◽  
Clinical Practice ◽  
Risk Reduction ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Academic Research ◽  
Current Evidence ◽  
Factors Associated ◽  
Dementia Risk ◽  
Present Information

Dementia risk reduction is a global health and fiscal priority given the current lack of effective treatments and the projected increased number of dementia cases due to population ageing. There are often gaps among academic research, clinical practice, and public policy. We present information on the evidence for dementia risk reduction and evaluate the progress required to formulate this evidence into clinical practice guidelines. This narrative review provides capsule summaries of current evidence for 25 risk and protective factors associated with AD and dementia according to domains including biomarkers, demographic, lifestyle, medical, and environment. We identify the factors for which evidence is strong and thereby especially useful for risk assessment with the goal of personalising recommendations for risk reduction. We also note gaps in knowledge, and discuss how the field may progress towards clinical practice guidelines for dementia risk reduction.

How do eating disorder specialist clinicians apply DSM-IV diagnostic criteria in routine clinical practice? Implications for enhancing clinical utility in DSM-5

2010 ◽  
Vol 178 (3) ◽  
pp. 511-517 ◽  
Author(s):  
Jennifer J. Thomas ◽  
Sherrie S. Delinsky ◽  
Sarah A. St. Germain ◽  
Thomas J. Weigel ◽  
Christopher M. Tangren ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Clinical Practice ◽  
Diagnostic Criteria ◽  
Clinical Utility ◽  
Routine Clinical Practice ◽  
Dsm 5 ◽  
Dsm Iv

Measurement to Improve Treatment Delivery: A Commentary on the HiTOP Measure Development Project

Assessment ◽  
2021 ◽  
pp. 107319112110509
Author(s):  
Shannon Sauer-Zavala
Keyword(s):  
Clinical Practice ◽  
Clinical Utility ◽  
Measure Development ◽  
Development Project ◽  
Routine Clinical Practice ◽  
Evidence Based ◽  
Treatment Delivery ◽  
Improve Treatment ◽  
Measurement Strategy ◽  
Symptom Level

The focus on this commentary will be on how dimensional models of psychopathology, particularly HiTOP model, have the potential to significantly streamline treatment efforts and increase the likelihood that evidence-based interventions are more widely integrated in clinical practice. The approach to assessment adopted by the HiTOP consortium is likely to have an outsized impact on whether these innovations are adopted in routine clinical practice. Toward that end, I provide suggestions for a measurement strategy that can maximize clinical utility. In particular, the tension between creating items that reflect all phenomena at the sign/symptom level to refine our understanding of relationships among psychopathological constructs and creating a measure that is suitable for clinical practice is explored.

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