The investigation of acting on delusions as a tool for risk assessment in the mentally disordered

1997 ◽  
Vol 170 (S32) ◽  
pp. 12-16 ◽  
Author(s):  
Alec Buchanan
Keyword(s):  
Risk Assessment ◽  
Clinical Intervention ◽  
Clinical Information ◽  
Violent Behaviour ◽  
Mentally Disordered ◽  
The Subject ◽  
Medical Involvement

Not everyone thinks that psychiatrists have much to offer in a discussion of dangerousness. The first point made by the advocates of this position is that psychiatrists get it wrong much of the time when they predict violence. The second point is that they do not use clinical information to predict. Exactly how much of the time they get it wrong is the subject of some debate. Those hostile to the idea of medical involvement in risk assessment argue that psychiatrists and psychologists are wrong 95% of the time when they predict violent behaviour (Ennis, 1972). Even sometime supporters of clinical intervention contend that psychiatrists and psychologists are wrong at least twice as often as they are right when they predict violence (Monahan, 1984).

scholarly journals Psychodynamic approaches to violence

2018 ◽  
Vol 24 (2) ◽  
pp. 83-92
Author(s):  
Jessica Yakeley
Keyword(s):  
Risk Assessment ◽  
Mental Health Professionals ◽  
Therapeutic Interventions ◽  
Violence Risk ◽  
List Type ◽  
Violent Behaviour ◽  
Mentally Disordered ◽  
Assessment And Treatment ◽  
Actuarial Risk ◽  
Psychoanalytic Theories

SUMMARYThe assessment and management of violent behaviour in mentally disordered patients are no longer the sole domain of forensic psychiatrists, but are increasingly part of the day-to-day work of all psychiatrists and mental health professionals. Violence risk assessment has become a huge industry, and although the importance of dynamic, as well as actuarial, risk factors is now recognised, a more systematic approach exploring the psychodynamics in the aetiology, assessment and treatment of violent behaviour is often lacking. In this article I revisit some of the key psychodynamic principles and concepts relevant to an understanding of violence, summarising the historical contributions of key psychoanalytic writers on violence and aggression, and exploring the ideas of more contemporary writers working in the field of forensic psychotherapy. A psychodynamic framework for working with violent patients is introduced, focusing on the setting and containment, specific therapeutic interventions and monitoring countertransference reactions.LEARNING OBJECTIVES•Understand historical and contemporary psychoanalytic theories of the aetiology of aggression and violence•Utilise a psychodynamic framework for working with violent patients and offenders•Understand the use of countertransference in the risk assessment and treatment of violenceDECLARATION OF INTERESTNone.

Risk assessment and forest pest management

1991 ◽  
Vol 67 (5) ◽  
pp. 486-492
Author(s):  
Frank N. Dost
Keyword(s):  
Risk Assessment ◽  
High Dose ◽  
Forest Pest ◽  
Potential Harm ◽  
Dose Rates ◽  
Human Risk ◽  
Forest Pest Management ◽  
The Subject ◽  
Management Method ◽  
Normal Background

Prediction of potential harm, or risk assessment, is essential to planning for any vegetation management method, but the concepts and process are often not understood. This discussion is a highly simplistic description of the basic elements of toxicology and estimation of risk in excess of the high normal background. All chemical risk is directly related to the dose acquired by the subject or population. In the case of cancer, added human risk that may be associated with very low doses is expressed as a probability that is estimated by extrapolation from observations at high dose rates. Reasons for such an indirect approach and weaknesses of the present process are described.

Violent figures, risky stories

2004 ◽  
Vol 10 (4) ◽  
pp. 275-276 ◽  
Author(s):  
Cilia Witteman
Keyword(s):  
Risk Assessment ◽  
Psychodynamic Psychotherapy ◽  
Violent Behaviour ◽  
Clinical Methods

Doctor (2004, this issue) raises the important question of how to assess and manage violent behaviour. He claims that actuarial models of risk assessment based on epidemiology have failed, and that indeed the most reliable risk assessment is one based on clinical methods. He proposes that psychodynamic psychotherapy be used for this purpose, to uncover the meaning of the violent behaviour. Such therapy will, Doctor argues, help the violent person be aware of and understand the function of their behaviour. This understanding in turn will reduce the need in the patient to act out violently.

scholarly journals Risk in the scope of research and innovative technological projects

2020 ◽  
pp. 58-67
Author(s):  
Rafał Hubicki ◽  
Maria Richert ◽  
Piotr Łebkowski ◽  
Joanna Kulczycka ◽  
Asja Mrotzek-Bloess
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Assessment Methods ◽  
Individual Risk ◽  
Fruitful Cooperation ◽  
Specific Factors ◽  
The Subject ◽  
The Individual ◽  
Risk Categories ◽  
Management Of Risk

Assessment and management of risk constitute the subject of many researches. Nevertheless, many more specific factors are applicable during the implementation of innovative technological projects. On the article identified risk factors, which have been supplemented, systematized and assigned to the individual risk categories. The risk assessment methods for R&D projects have been analysed, as well as the risk sheets have been developed for the R&D project through the use of dotProject application. Also shown that networking and clustering is a change for fruitful cooperation within difference EU projects, which create trust between business and sciences and reduce the risk.

Hospital Management of Indirect Neonatal Hyperbilirubinemia by the Office-Based Physician

1991 ◽  
Vol 12 (9) ◽  
pp. 259-260
Keyword(s):  
Patient Care ◽  
Medical Records ◽  
Clinical Information ◽  
Hospital Management ◽  
Neonatal Hyperbilirubinemia ◽  
Unconjugated Hyperbilirubinemia ◽  
Record Keeping ◽  
The Subject ◽  
Hospitalized Patient ◽  
Record Review

Unconjugated hyperbilirubinemia in the newborn is the subject of the Record Review Guidebook prepared by the American Board of Pediatrics that accompanies this issue of Pediatrics in Review. Review of personal medical records will be part of the recertification examination to be given in 1993. This section of the journal focuses on record-keeping to assist our readers with their own patient care and to help them prepare for the examination. Care of the jaundiced newborn often involves management of a hospitalized patient by a physician who spends most of his or her time in an office away from the hospital. Details on the baby's hospital course are recorded in the nursery chart, but clinical information is often phoned to the office and immediate action may be necessary.

BUSINESS RISK ASSESSMENT METHODS

2021 ◽  
Vol 3 (4) ◽  
pp. 4-12
Author(s):  
S. A. FILIN ◽  
◽  
N. A. FADEEVA ◽  
Keyword(s):  
Risk Assessment ◽  
Risk Analysis ◽  
Assessment Method ◽  
Assessment Methods ◽  
Specific Situation ◽  
Business Risk ◽  
Advantages And Disadvantages ◽  
Risk Assessment Method ◽  
Modern Business ◽  
The Subject

In this article, the subject of research is the methods of risk assessment in business as the main way to minimize risks when choosing a particular scenario for the development of events, as well as the difficulty in choosing a method for further analysis. The purpose of this article is to identify the most appropriate risk assessment method for a given situation and, accordingly, compare them and analyze the advantages and disadvantages of the methods under consideration. The article provides examples for specific situations of the most commonly used risk assessment methods in modern business. Recommendations for the most effective application of the analyzed methods are offered, depending on the goal of risk analysis and a specific situation. The results and conclusions are presented, corresponding to the set goal.

scholarly journals Optimisation of the prescription for trans-tibial (TT) amputees

1997 ◽  
Vol 21 (3) ◽  
pp. 168-174 ◽  
Author(s):  
A. Cortés ◽  
E. Viosca ◽  
J. V. Hoyos ◽  
J. Prat ◽  
J. Sánchez-Lacuesta
Keyword(s):  
Quantitative Method ◽  
Clinical Information ◽  
Normal Subjects ◽  
Individual Variability ◽  
Classification Criteria ◽  
The Other ◽  
Human Gait ◽  
Factors Influencing ◽  
The Subject

The great diversity of prosthetic mechanisms available nowadays leads to the question of which type of artificial foot would be the most advisable for a particular person. To answer correctly, it is necessary to establish, in an objective way, the performance of each type of prosthetic mechanism. This knowledge is obtained by means of the study of the subject-prosthesis interaction, both in static and dynamic conditions. This paper, based on the analysis of 8 transtibial (TT) amputees, presents a quantitative method for the study of human gait which allows the determination of the influence of four different prosthetic ankle-foot mechanisms (SACH, Single-axis, Greissinger and Dynamic) on gait. To do this, 1341 gait trials at different cadences were analysed (383 with normal subjects and 958 with amputees, using the four prosthetic feet under study). From all the variables available for study only those which offered interpretable clinical information were chosen for analysis. A total of 18 variables (kinetic, kinematic and time-related) were selected. A covariance analysis (ANOVA) of these variables was made, which showed that the factors influencing TT amputee gait were, in order of importance, cadence and leg studied (sound or prosthetic), inter-individual variability and, finally, the prosthetic mechanism used. When looking at the performance during gait of the 4 prosthetic mechanisms studied it can be observed that there are similarities in the kinetic study between SACH and Dynamic feet on one hand and Single-axis and Greissinger feet on the other. These results seem to support the classification criteria of articulated and non-articulated prosthetic mechanisms.

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