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PubMed2006

A specification of the types of intimate partner violence experienced by women in the general population.

This study analyzes data from a national, general population sample of respondents (National Violence Against Women Survey) to estimate the prevalence of the different forms of intimate partner violence (IPV) that women experience in the United States. The study's purpose, to differentiate types of IPV, follows the Johnson and Ferraro tradition that distinguishes occasional and random acts of abuse from chronic and controlling forms of violence. When examining the specific types of IPV that the survey respondents disclosed, the author finds that the distribution closely resembles Gordon's epidemiological findings. This study analyzed the variance in the number of types of IPV as a function of the childhood abuse the women experienced and their partner's controlling and threatening behaviors. It concludes with a discussion of the multiple responses to IPV that are necessary in contemporary U.S. society.

Battered Women↗
PubMed1987

[Responsibility of the hospital psychiatrist in civil rights].

As every hospital practitioner, the psychiatrist of hospitals engages his liability at each act. But his responsibility is however edulcorated by the difficulties bound up with consent, confinement, possible dangerosity and suicide risk of mental patients, and also sector policy. He can be therefore, brought to account to his behaviors, before certain instances. This present work only treats upon civil and penal liability, insisting on their basis and their starting up.

Dangerous Behavior↗
PubMed1976

Public perception of ex-mental patients.

Data are presented from two studies which show that perceptions of ex-mental patients appear to derive from a lack of information and that the provision of information alters the perception of former patients. Perceived unpredictability of behavior and dangerousness seem to form a dyad that causes the public to fear the mentally ill. More positive perceptions of mildly ill ex-mental patients were obtained when subjects were given short paragraphs describing typical behaviors and symptoms. These findings support the notion that a fear-motivated threat recoil cycle process is likely to be evoked by attempts to establish locally based treatment facilities, particularly in residential communities.

Attitude to Health↗
PubMed1994

The social context for risky sexual behavior among adolescents.

This study supports a model of adolescents' risky sexual behavior in which this behavior is seen as a product of the same peer and family factors which influence a wide range of problem behaviors. The Patterson et al. (1992) model of peer and parental factors associated with adolescents' sexual risk-taking behavior was tested on three independent samples of adolescents, ages 14 through 18. Adolescents whose peers were reported to engage in diverse problem behaviors were more likely to engage in risky sexual behavior. Poor parental monitoring and parent-child coercive interactions were associated having deviant peers, and poor parental monitoring also had a direct relationship to risky sexual behavior. Family involvement was associated with fewer parent-child coercive interactions. Less availability of parental figures in the family was directly associated with risky sexual behavior and was also associated with poorer parental monitoring.

Adolescent↗
PubMed1987

Rhabdomyolysis following violent behavior and coma.

An individual suspected of being under the influence of phencyclidine (PCP) exhibited acute psychotic and violent behavior which was followed by cardiac arrest, coma, and renal failure. Sections of the damaged muscle showed rhabdomyolysis, and sections of the kidneys showed myoglonin casts positive for immunoperoxidase stain. Extensive toxicology studies for narcotics, PCP, and cocaine were negative. Therefore, a correlation between PCP and rhabdomyolysis associated with acute psychotic and violent behavior could not be made with certainty. The etiology and pathogenesis of rhabdomyolysis are discussed in depth.

Adult↗
PubMed1983

Inpatient violence and the schizophrenic patient. A study of Brief Psychiatric Rating Scale scores and inpatient behavior.

A correlational analysis of Brief Psychiatric Rating Scale (BPRS) ratings and measures of inpatient violence in 207 schizophrenic patients is presented. Significant correlations were found between BPRS measures of schizophrenic symptomatology and several measures of inpatient violence including assault. BPRS subscales which related to paranoid symptoms were also significantly correlated with inpatient danger-related measures; however, to a lesser degree.

Adult↗
PubMed2000

Revisions cut restraint risk.

The Joint Commission has revised its restraint and seclusion standards for behavioral health facilities and hospitals, effective January 1, 2001. The standards protect patients and staff, stress the importance of training, and clarify caregivers' roles.

Dangerous Behavior↗
PubMed2004

[Risk factors for HIV transmission in drug users from Porto Alegre, Rio Grande do Sul State, Brazil].

A cross-sectional study with a sample of 420 drug users from Porto Alegre, Rio Grande do Sul State, Brazil, was utilized to assess demographic variables, drug use, and risk behaviors for HIV infection. We used the Brazilian version of the Risk Assessment Battery. Overall HIV seropositivity was 22.6%; 39.3% of the subjects infected were at least 30 years old, and 69.5% were males. In the month prior to the interview, 56.8% of the sample had used marijuana, 43.6% had sniffed cocaine, 17.6% had injected cocaine, and 42.4% had used alcohol on a frequent basis. The variables that continued to be associated with HIV infection after logistic regression were age (30 or older) (OR: 2.89; 95%CI: 1.17-7.12), having less than seven years of schooling (OR: 2.10; 95%CI: 1.02-4.36), having a monthly family income of less than one minimum wage, or approximately U$90 (OR: 2.89; 95%CI: 1.32-6.32), and having injected drugs (OR: 5.18; 95%CI: 1.32-6.32). Seroprevalence in this sample is considered high, particularly since 70.0% of the sample reported no prior drug injection. Variables associated with HIV infection are similar to the national and international literature and agree with the theoretical model of risk behavior proposed by the first author.

Adolescent↗
PubMed1994

Psychosocial correlates and predictors of AIDS risk behaviors, abortion, and drug use among a community sample, of young adult women.

Relations among latent constructs of Social Conformity, Sensation Seeking, Polydrug Use, Sexual Experience, Abortion, and Risky AIDS Behaviors were examined among a community sample of women (N = 438, mean age = 25.5 years) using confirmatory factor analysis (CFA) and predictive structural equation models (SEM). In the CFA, Risky AIDS Behavior was strongly related to more Polydrug Use and less Social Conformity and modestly related to Sexual Experience and Abortions. In SEMs, Social Conformity significantly predicted less Risky AIDS Behavior and less Polydrug Use but did not predict Abortions. Prior Sexual Experience predicted more Polydrug Use and Abortions. We conclude that the same psychological processes and predispositions that relate low social conformity to drug use and other unhealthy behaviors also influence AIDS-risk behaviors, even among a community sample of women.

Abortion, Induced↗
PubMed1985

Violent or fear-inducing behavior associated with hospital admission.

Recent studies indicate that the incidence of violent or fear-inducing behavior among the mentally ill may be higher than once thought. In this study, medical record admission notes for 1,687 psychiatric patients over a four-year period were examined for indications that the patients had engaged in violent or fear-inducing behavior just prior to hospital admission. This and other studies suggest that the frequency of violent or fear-inducing behavior associated with psychiatric admissions may have stabilized in recent years. The authors also found a significantly higher level of hospital readmissions for violent patients than for other patients. As a result, they caution against assuming that the rate of violent behavior among hospital admissions accurately reflects the prevalence of violent behavior among the general population of the mentally ill.

California↗
PubMed1985

Seclusion and restraint in 1985: a review and update.

The 1982 Supreme Court decision in Youngberg v. Romeo gave mental health professionals flexibility to exercise professional judgment in using seclusion to control violent patients, and also suggested that seclusion and restraint might be used when patients exhibit disruptive behavior that may lead to violence. The authors reviewed 13 studies of seclusion and restraint in adult inpatient psychiatric settings to define indications for use. They found that seclusion and restraint practices varied widely depending on the population served and the philosophical orientation of the hospital staff, and were more often used to contain behavior that might lead to violence rather than to control violent behavior itself. They conclude that there is overwhelming empirical support for using seclusion and restraint to limit the progression of disruptive behavior to actual violence, but that the decision to do so should be based on sound clinical judgment.

Dangerous Behavior↗
PubMed1992

Factors related to emergency commitment of chronic mentally ill patients who are substance abusers.

A total of 247 chronic mentally ill patients committed for emergency involuntary hospitalization in a public intensive treatment unit were grouped on the basis of positive or negative urine toxicology screens for psychoactive substances at admission. Patients whose screens were positive for substance abuse were more likely to live alone or to be homeless, to be committed for making threats, and to have a diagnosis of organic mental disorder or substance abuse disorder. Patients who screened negative were more likely to live in a supervised setting, to be committed for actions such as assaults and suicidal behavior, and to have a diagnosis of schizophrenia or other psychotic disorder.

Adult↗
PubMed1993

Fuzzy dice, dream cars, and indecent gestures: correlates of driver behavior?

In 1989 the Los Angeles Times conducted a telephone survey of over 1,800 Southern California motorists. We analyzed the data to determine whether personality and demographic characteristics were related to driver behavior. Fourteen percent of drivers were involved in a motor vehicle accident in the previous year, 8% reported driving when they had too much to drink, 20% ran at least one red light in the previous month, and nearly half said they often drove faster than the speed limit. Motorists under 30 years of age are especially likely both to engage in the three risk-taking behaviors and to be involved in a crash, even holding other factors constant. Drivers over 65 years of age take fewer risks, but have the same likelihood of having an accident per mile driven as middle-aged motorists. Surprisingly, drivers with more than a high school education are more likely to both speed and be involved in a crash. Those with fuzzy dice or bumper stickers are not readily distinguishable from other motorists in terms of accidents or risk-taking behaviors. Individuals driving their dream car are somewhat less likely than others to run red lights and drive after drinking. Motorists who made indecent gestures at other drivers, and particularly those who argue with other motorists tend to be unlawful and dangerous drivers. Youth and hostility toward other motorists are two of the most significant and important correlates of bad driving.

Accidents, Traffic↗
PubMed2005

Al-Qaeda's operational evolution: behavioral and organizational perspectives.

Al-Qaeda is widely regarded by the military, law enforcement, diplomatic, and intelligence communities as being the foremost threat to U.S. national security and safety. The nature of this threat, however, has changed since al-Qaeda first emerged in the late 1980s. This article describes the emergence of a new form of transnational terrorism and details al-Qaeda's progression from being an organization to an ideological movement. Drawing on a theory of social movements, we analyze its trajectory and the levels of influence. We also offer a behavioral perspective in explaining how al-Qaeda has adapted as a learning organization with new leadership, tactics, and patterns of recruitment and training.

Dangerous Behavior↗
PubMed1979

Delay in seeking help and onset of crisis among Al-Anon wives.

A survey of 123 Al-Anon wives in the Washington, D.C. area revealed that these women delayed an average of more than 7 years after the first occurrence of problem drinking before finally seeking help. The various drinking-related problems antecedent to the wives' seeking help clustered into four time periods composed of similar types of problems; (1) nonthreatening events, such as arrest, occurred 7 years prior to help seeking; (2) acts of physical violence, 5 years; (3) intervention by outside authorities, 3 years; and (4) recognition by significant others that the drinking was out of control, 2 years. The phenomenon of extended delay before recognition of the problem and help seeking is consistent with the paradigm developed from studies of mental patients and their families: pathological behavior becomes defined as a problem only after a long accumulation of bizarre episodes.

Adult↗
PubMed1997

The new state mental hospitals in the community.

OBJECTIVE: The study examined a 95-bed locked community facility (an institute for mental disease), one of 40 such facilities in California to which patients with increasingly difficult problems in management have been referred over the past few years as an alternative to more highly structured state hospitals. The purpose was to determine the characteristics of patients admitted to such facilities and assess whether the facilities are adequate for treating them. METHODS: A hundred and one randomly selected patients in one institute for mental disease were studied by record review and by discussion of each case with staff. RESULTS: The patients were characterized by psychotic diagnoses; the presence of psychotic symptoms even though they took antipsychotic medications in the facility; and histories of previous hospitalizations, serious violence against persons, poor medication compliance, and substance abuse. Ninety-nine percent had been admitted under psychiatric conservatorship. Forty-four percent had been violent toward persons during the current admission, and the level of bizarre, socially inappropriate behavior in the facility was high. CONCLUSIONS: Despite a high-quality rehabilitation program, treating and rehabilitating difficult-to-manage patients normally treated in state hospitals in a facility that had a considerably lower degree of structure had become increasingly difficult and dangerous. The use of community alternatives to state hospitalization, which is often driven by lower costs and an ideology that highly structured care is seldom needed, is not suitable for all patients.

Adolescent↗
PubMed1994

Homicidal behaviors among psychiatric outpatients.

OBJECTIVE: Most studies of violent behavior among psychiatric patients focus on inpatients or patients recently discharged from psychiatric units. To explore violent behavior among patients living in the community, the authors examined the prevalence of homicidal behaviors in a general psychiatric outpatient population. METHODS: During an intake evaluation, 517 outpatients completed several self-report instruments that included a detailed survey of past and current homicidal behaviors covering homicidal ideation, plans, and attempts. Demographic and clinical characteristics of patients with and without a history of homicidal behaviors were compared. RESULTS: Twenty-two patients (4 percent) reported a past homicide attempt. Patients who reported homicide attempts could be distinguished from patients with no homicidal behaviors by the presence of other aggressive behavior such as suicidal ideation and suicide attempts by themselves and their family members and by elevated current measures of interpersonal sensitivity, hostility, and paranoid ideation. CONCLUSIONS: The rate of homicide attempts in the general outpatient population studied was considerably lower than the reported rates of assault among inpatients. The relationship between past and current episodes of aggressive behavior reinforces the importance of including a careful assessment of past history of violent behaviors as part of the routine psychiatric evaluation.

Adolescent↗
PubMed1995

Investigating stalking crimes.

1. Three types of stalkers that are identified in this crime classification are the non-domestic stalker who may know the target through social contact or from a random meeting in a public place; the domestic stalker who may be known to the target and had a close personal relationship with the target; and the erotomania stalker whose target is typically a public figure. 2. Stalking is conceptualized on a continuum from nondelusional to delusional behavior. 3. Classification of a crime is the first step in the investigative process.

Adult↗