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Results for “Dangerous Behavior”

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PubMed2007

Family physicians' perceptions and predictors regarding the competence of a person with Alzheimer's disease.

OBJECTIVE: The aim of the present study was to assess family physicians' perceptions about the competence of a person with AD. METHODS: Telephone interviews were conducted with a representative sample of 395 family physicians using an experimental vignette methodology, varying in the severity of the disease. Participants were requested to rate the competence of the person described in the vignette in the areas of driving, health-decision making, financial decisions, and the performance of instrumental activities of daily living. RESULTS: Results of the study showed that family physicians perceived the person described in the vignette to be highly incompetent in items involving safety issues. Only a small variety of factors were associated with these perceptions. The main factors were the severity of the disease as reflected in the vignette, participants' perceptions regarding the dangerousness and responsibility of the person with AD, and the percentage of patients aged 65 + with cognitive deterioration in the physician's practice. CONCLUSION: The assessment of competence in persons with AD is a subtle and complex process. Future research is urgently needed to further explore the factors affecting the process, such as stigmatic views.

Activities of Daily Living↗
PubMed2004

Evil by default: the origins of dark visions.

The growing body of literature on transformational change reflects an increasing interest among professionals in understanding epiphany and visionary change. However, we typically assume that such quantum changes are positive and pro-social ones. It is equally possible for an individual to lead a life that is organized around a motivating vision that is destructive to self, others, or both. The author examines the phenomenon of "dark visions," offering some hypotheses as to their origins. The article also offers strategies to minimize the number of individuals who choose dark visions, with all their unfortunate consequences.

Dangerous Behavior↗
PubMed1996

Security and patient management in a forensic hospital.

Emphasizing the use of humane techniques and interventions, the security model discussed here has proven more effective, more therapeutic, and more economical than traditional approaches.

Commitment of Persons with Psychiatric Disorders↗
PubMed2000

Assessing the risk for violence.

In addition to taking steps to ensure their own safety, clinicians also have a role in predicting violence. In the past the clinician's ability to accurately assess the risk for violence has been seriously questioned. This chapter provides guidance for making acceptable predictions.

Dangerous Behavior↗
PubMed1999

Health status of juvenile offenders. A survey of young offenders appearing before the juvenile courts.

This paper reports on the health needs of a sample of juvenile offenders appearing before a Manchester Court during the month of August 1992. Of the 192 subjects interviewed (74% of those listed), 19% had significant medical problems, 42% a history of substance abuse and 7% psychiatric problems requiring further treatment. Substantial numbers (26%) engaged in a variety of dangerous behaviours. Custodial remands were common (21%), particularly in those with multiple psychosocial difficulties.

Adolescent↗
PubMed1987

Follow-up 20 years later of 34 Klinefelter males with karyotype 47,XXY and 16 hypogonadal males with karyotype 46,XY.

A 20-year follow-up study of 50 hypogonadal males has been made. Of these 34 had Klinefelter's syndrome with the karyotype 47,XXY and 16 had the karyotype 46,XY. These males have been examined at mean ages of 27 and 37 and in the present study at a mean age of 47. At the first examination the following conditions were found in the Klinefelter males to a significantly higher degree than in the hypogonadal males with 46,XY: immaturity, below average school performance, few or no friends, previous mental illness, little energy and initiative, few or no spare time interests, occupation as an unskilled labourer. Psychological testing showed a full scale IQ of 103 in the Klinefelter males and 115 in the hypogonadal males. The follow-up studies have shown that in spite of these findings the Klinefelter males have managed far better than could have been expected at the time of the first investigation. The improvement in a number of conditions such as mental health, working capacity, social adjustment, relations with other people, and activity level was considerable between the ages of 27 and 37. The present examination shows a further improvement at the age of 47 with the only significant difference between the Klinefelter males and the hypogonadal males with 46,XY being a higher frequency of single Klinefelter males. The present examination also showed that there was no significant difference between the two groups in occupation, working capacity, social adjustment, mental and physical disorders or criminality. The results of the examination at the mean age of 27 would probably have been considerably more favourable for the Klinefelter males if diagnosis had been made in childhood, and information, counselling, support and hormone treatment had been given from an early age. The fact that the great majority of the Klinefelter males have managed quite well in spite of this and that no remarkable differences were found between them and a control group is of great importance for genetic counsellers, especially for prenatal counsellers. Up until now, in 75% of cases in which sex chromosome abnormalities, including Klinefelter's syndrome, have been diagnosed prenatally in Denmark abortion has been induced. We believe this is mainly due to insufficient information about the many positive aspects of the development of individuals with sex chromosome abnormalities.

Adoption↗