PSYCHOPATHIC BATTERERS IMPACT ON MENTAL HEALTH SERIVICE

描述(申请人摘要)：一些理论和 经验来源表明，国内有相当一部分人 暴力肇事者表现出更多的反社会行为，表达更多 普遍的暴力，通常对心理健康更具抵抗力 干预措施。在一篇平行文献中，研究人员发现了一种 表现出若干特征的暴力犯罪者亚群 类似于这个更反社会/普遍暴力的群体。此外，由于 国内问题引起了全国更大的关注 暴力，当地社区开始意识到家庭暴力的影响 他们的精神卫生保健服务受到暴力侵害。肇事者可以进入 当地的服务系统通过妇女收容所、门诊顾问、 急诊室，家庭医生，以及间接通过法律系统。 然而，最近的理论表明，这些男性中的一个亚群 最好的可以被鉴定为表现出精神变态的特征 精神卫生服务提供系统的特殊问题。海流 研究表明，这一群施暴者最适合被视为 精神变态者，这对分娩有许多影响 让他们参与的精神健康服务。具体地说，建议 精神变态施暴者(1)将犯下更严重和更频繁的罪行 对伴侣实施暴力，并有不同的动机这样做， (2)在评估特定任务的认知任务上会有不同的反应 学习缺陷，并表现出更多与 暴力委员会，(3)将表现出不同程度的病理， (4)双重诊断的风险更大，(5)报告的使用率更高 精神卫生保健系统，和(6)将不太可能作出反应 对当前的心理健康服务持积极态度(即，积极性较低 并且更有可能退出治疗)。由150人组成的小组已经被 因伴侣袭击而转介接受治疗的人将从 两个当地的门诊治疗机构，提供唯一的治疗 社区中家庭暴力的肇事者。在转介时， 参与者将接受临床访谈，并回答一些 评估当前和以前功能的心理测量。这个 他们暴力行为的频率、严重性和动机将是 评估过了。此外，他们还将完成一项认知任务，这项任务已经表明 在以下方面区分精神病患者和非精神病患者的能力 他们的学习能力不足。参与者的治疗舒适性和 完成的可能性将由他们的治疗师在 治疗完成。最后，参与者将被要求回答以下问题 旨在揭示他们的使用程度的问题数量 社区精神卫生资源。

DESCRIPTION (Applicant's Abstract): A number of both theoretical and empirical sources have proposed that a significant group of domestic violence perpetrators exhibit more antisocial behavior, express more generalized violence, and generally are more resistant to mental health interventions. In a parallel literature, researchers have identified a subgroup of violence offenders that exhibit a number of characteristics similar to this more antisocial/generally violent group. Furthermore, as greater national attention has been focused on the problem of domestic violence, local communities are becoming aware of the impact of domestic violence upon their mental health care services. Perpetrators may enter the local service systems through women's shelters, outpatient counselors, emergency rooms, family physicians, and indirectly through the legal system. However, recent theories have proposed that a subgroup of these men that best can be identified as exhibiting psychopathic characteristics may pose special problems for mental health service delivery systems. The current study proposes that this subgroup of batterers can best be considered psychopaths and that there are a number of implications for the delivery of mental health services involving them. Specifically, it is proposed that psychopathic batterers (1) will perpetrate more severe and more frequent violence against their partners and have different motivations for doing so, (2) will respond differently on cognitive tasks that assess specific learning deficits and demonstrate more cognitive distortions relevant to the commission of violence, (3) will exhibit differential levels of pathology, (4) will be at greater risk for dual diagnosis, (5) will report greater use of the mental health care system, and (6) will be less likely to respond positively to current mental health services (i.e., will be less motivated and more likely to drop out of treatment). A group of 150 men who have been referred for treatment as a result of partner assault will be obtained from two local outpatient treatment facilities that provide the only treatment of perpetrators of domestic violence in the community. Upon referral, participants will undergo a clinical interview and respond to a number of psychological measures assessing both current and prior functioning. The frequency, severity and motivation for their violent behavior will be assessed. In addition, they will perform a cognitive task that has shown the ability to differentiate psychopaths from nonpsychopaths in regard to their learning inability. Participants' treatment amenability and likelihood of completion will be assessed by their therapists prior to treatment completion. Finally, participants will be asked to respond to a number of questions designed to reveal the extent to which they have used the community mental health resources.