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Hospital treatment and the control of violent behaviour

Published online by Cambridge University Press:  18 September 2015

Summary

Violent behaviour between inpatients and wardpersonnel is seen from a relational viewpoint. The reactions of the staff show a strong similarity with regressive transferences from the patients. Limit-setting as a method should be employed to contain the individuel behaviour of the patient as also so further the social climate on the ward. The method of limit-setting involves the reality testing of the patient, the transference reactions between patient and staff, clarity in decision-making and regulations, and architectural arrangements. These four levels of influence are separately discussed.

Type
Research Article
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1990

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References

Literatuur

1.Parens, H. The development of agression in earlychildhood. New York: J Aronson 1979.Google Scholar
2.Marie, HJC van. Hulpverlening aan daders van geweldsdelikten, Bijblijven, Cumulatief Geneeskundig Nascholingssysteem; 5; 23. Utrecht: Bohn Scheltema en Holkema 1989.Google Scholar
3.Decker Tanke, E, Yesavage, JA. Characteristics of Assaultive Patients who do and do not provide visible cues of potential violence. Am J Psychiat 1985; 142:1409-13.Google Scholar
4.Offer, D, Marohn, RC, Ostrov, E. Violence among hospitalized delinquents, Arch Gen Psychiat 1975;32:1180-6.CrossRefGoogle ScholarPubMed
5.Quinsey, VL. Assessment of the dangerousness of mental patients held in maximum security, Int J Law & Psychiat 1979; 2:389406.CrossRefGoogle ScholarPubMed
6.Webster, CD, Ben-Aron, MH, Hucker, SJ. Dangerousness, Probability & Prediction, Psychiatry & Public Policy. Cambridge London New York: Cambridge University Press 1985.Google Scholar
7.Fottrell, E. A study of violent behaviour among patients in psychiatric hospitals. Br J Psychiat 1980; 136:1621.CrossRefGoogle ScholarPubMed
8.Haller, RM, Deluty, RH. Assaults on staff by psychiatric In-patients, A critical review. British J of Psychiat 1988; 152:174-9.CrossRefGoogle ScholarPubMed
9.Janofsky, JS, Spears, S, Neubauer, DN. Psychiatrists' accuracy in predicting violent behaviour on an inpatient unit. Hosp Comm Psychiat 1988;39:1090-4.Google Scholar
10.Lion, JR, Snyder, W, Merrill, GL. Underreporting of assaults on staff in a state hospital. Hosp Comm Psychiat 1981; 32:497-8.Google ScholarPubMed
11.Tuinier, S. De Psychiater en de wilde Man. diss. Meppel/Giethoorn: 1989.Google Scholar
12.Rossi, AM, Jacobs, M, Monteleone, M, Olsen, R, Surber, RW, Winkler, EL, Wommack, A. Characteristics of psychiatric patients who engage in assaultive or other fear-inducing behaviours. J nerv ment Dis 196; 174:154160.CrossRefGoogle Scholar
13.Manuzza, S, Gittelman Klein, R, Horowitz König, P, Giampino, TL. Hyperactive boys almost grown up. Arch. Gen. Psychiat 1989; 46: 1073-79.CrossRefGoogle Scholar
14.Munoz-Millan, R, Casteel, CR. Attention-deficit hyperactivity disorder: recent literature. Hosp Comm Psychiat 1989; 40:699707.Google ScholarPubMed
15.McNiel, DE, Binder, RL. Relationship between preadmission threats and later violent behaviour by acute psychiatric inpatients, Hosp Comm Psychiat 1989; 40:605-8.Google ScholarPubMed
16.Kernberg, O. Borderline conditions and Pathological narcissism. New York: Jason Aronson Ine 1975.Google Scholar
17.Freud, S (1923). Das Ich und Das Es. Gesammelte Werke XIII. London: ImagoPublCo 1940; 237-89.Google Scholar
18.Zanarini, MC, Gunderson, JG, Frankenburg, FR, Chauncey, DL. Discriminating Borderline Personality Disorders from other Axis II Disordersm. Am J Psychiat 1990; 147:161-7.Google Scholar
19.Marle, HJC van. Klinische psychothérapie in een justitiële inrichting. Tijdschr voorPsychother 1988; 14:334-46.Google Scholar
20.Delga, I, Heinssen, RK, Fritsch, RC, Goodrich, W, Yates, BT. Psychosis, Agression and self-destructive behaviour in hospitalized adolescents. Am J Psychiat 1989; 146:521-5.Google Scholar
21.Steadman, HJ. A situational approach to violence, Int J Law and psychiat 1982; 5: 171186.CrossRefGoogle ScholarPubMed
22.Dietz, PE, Rada, RT. Battery incidents and batterers in a maximum security hospital Arch. Gen Psychiat 1982; 39:31-4.CrossRefGoogle Scholar
23.Lion, JR, Reid, W. Assaults within psychiatric facilities. New York: Grune & Stratton 1983.Google Scholar
24.Kemberg, O. Internal world and external reality, New York: Jason Aronson 1980.Google Scholar
25.Marie, HJC van. De zorg- en bejegeningsaspekten van de Very Intensive Care afdeling, In: Verantwoordelijk voor mensen. Arnhem Gouda Quint 1985:205-18.Google Scholar
26.Marie, HJC van. Ageren, ensceneren en het samenwerkingsverbond. Nieuws voor Psychotherapeuten XXII: 1320, Nederi Ver Psychoth 1990.Google Scholar
27.Marle, HJC van. Afzondering binnen T.B.S.-inrichtingen. Procès 1989;68:185-96.Google Scholar