INTENSIVE STUDY OF VIOLENT INCIDENTS

描述(申请人摘要)：在过去的十年中取得了很大的进步 在了解哪些精神疾病患者可能参与 在暴力事件中。尽管这是一项令人印象深刻的成就，但它将 对控制暴力没有什么帮助，因为我们不能再住院了 有潜在暴力倾向的病人会有很长的时间。如果我们要帮助 尽量减少社区精神病患者生活中的暴力事件，我们 必须发展对行为的起源和模式的理解 暴力事件本身。这项探索性研究将研究 暴力事件的特点，而不是暴力的人。这个 调查人员将在100分钟询问患者和共同参与者 暴力事件，以便：1)评估精神疾病在 2)分析事件的情绪序列和冲突策略 使用；3)将这些模式与情绪和冲突的顺序进行比较 同一人之间非暴力冲突中的策略；4)确定 各自使用暴力的理由和借口的类型 以及5)描述在下列关系中感觉到的紧张 暴力事件的各方。这些目标中的每一个都直接 促进处理或管理暴力的不同方法，包括 患有精神疾病的个人。第一个会告诉我们可能的 成功治疗精神疾病的后果。第二个和 第三个目标旨在促进行为模式的设计 干预措施。第四个目标涉及影响的可能性 通过直接对抗暴力个人的借口而实施的暴力 通常是针对配偶施虐者的团体行为。最终目的是为了 促进暴力管理的团体和家庭治疗方法。

DESCRIPTION (Applicant's Abstract): The last decade has seen great progress in understanding which people with mental illness are likely to be involved in violent incidents. Although this is an impressive achievement, it will do little to help manage the violence because we can no longer hospitalize potentially violent patients for long periods of time. If we are to help minimize the violent in the lives of the mentally ill in the community, we must develop an understanding of the origins and patterns of behavior in the violent incidents themselves. This exploratory research will study characteristics of violent incidents rather than violent people. The investigators will interview both the patient and the co-participant in 100 violent incidents in order to: 1) assess the role of the mental illness in these incidents; 2) analyze the sequences of emotions and conflict tactics used; 3) compare these patterns to the sequences of emotions and conflict tactics in non-violent conflicts between the same two people; 4) identify the types of justifications and excuses for the use of violence made by each party; and 5) describe the perceived strains in the relationships between the parties to the violent incidents. Each of these aims will directly facilitate a different approach to treating or managing violence involving individuals with mental illness. The first will inform us about the likely consequences of successfully treating the mental illness. The second and third aims are intended to facilitate the design of behavioral interventions. The fourth aim addresses the possibility of affecting violence by direct confrontation of the violent individual's excuses as is often done in groups for spouse abusers. The final aim is intended to facilitate group and family therapy approaches to violence management.