Biomedical subjects
Stephen Rachlin
Publications and source records attributed to Stephen Rachlin.
Characteristics of assaultive patients with schizophrenia versus personality disorder: six year analysis of the Assaulted Staff Action Program (ASAP).
Literature reviews of individual assaultive patients, repetitively violent patients, and restrained assaultive patients document that persons diagnosed with schizophrenia or personality disorder are at the highest risk to become assaultive. While there has been some initial research of possible predictor variables across diagnostic groups, this six-year retrospective study is the first to compare only persons with schizophrenia or personality disorder on basic demographic and the selected clinical variables of history of violence, personal victimization, and substance use disorder. In this study, the variance suggested that persons with schizophrenia and personality disorder were both likely to be assaultive. Assaults by persons with schizophrenia were somewhat proportional to their presence in the population studied. However, personality disordered patients represented a disproportional increase from the population studied. Younger females with a diagnosis of personality disorder and with histories of violence toward others and personal victimization appeared at increased risk to be assaultive and to require restraints. The findings and their implications for safety and clinical care are discussed.
Characteristics of repetitively assaultive patients: ten year analysis of the Assaulted Staff Action Program (ASAP).
The pre-incident components of CISM interventions focus on providing information on risk expectancy as well as cognitive and behavioral resources to enhance coping. This paper studied both the demographic and clinical variables of repetitively assaultive patients in a ten-year analysis of the Assaulted Staff Action Program (ASAP) in an attempt to enhance predictor variables that might be associated with repeat offenders and thus provide staff additional coping resources. Although the demographic variables offered little predictive information, the clinical variable of personal victimization was highly associated with subsequent repeat assault incidents. The methodological limitations, a proposal for a new research paradigm, and the power of pre-incident training initiatives are examined.
Rethinking the right to refuse treatment.
Explore the source record for details and available documents.
Civil commitment, parens patriae, and the right to refuse treatment.
Explore the source record for details and available documents.