INTENSIVE STUDY OF VIOLENT INCIDENTS

描述（申请人的摘要）：过去十年已经看到了巨大的进步 了解哪些精神病患者可能参与 在暴力事件中。 虽然这是一个令人印象深刻的成就，但它将 在控制暴力方面做得很少，因为我们不能再住院了， 有潜在暴力倾向的病人 如果我们要帮忙 最大限度地减少社区精神病患者生活中的暴力， 必须发展的起源和行为模式的理解， 暴力事件本身。 这项探索性研究将研究 暴力事件的特征，而不是暴力的人。 的 研究人员将在100分钟内与患者和共同参与者进行面谈。 暴力事件，以：1）评估精神疾病的作用， 2）分析冲突的情绪序列和冲突策略 3）将这些模式与情绪和冲突的序列进行比较 同样两个人之间的非暴力冲突策略; 4）识别 每个人使用暴力的理由和借口的类型 （5）在关系中， 暴力事件的当事人。 每一个目标都将直接 促进以不同的方式处理或管理涉及 精神疾病患者。 第一个会告诉我们 成功治疗精神疾病的后果。 第二和 第三个目标是为了促进行为设计， 干预措施。 第四个目标涉及影响 暴力是通过直接对抗暴力个人的借口， 通常是为虐待配偶的人进行的 最终目的是 促进对暴力管理采取集体和家庭治疗办法。

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.