Therapeutic interventions for people labeled with aggressiveness in assessment and treatment

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ACKNOWLEDGEMENT

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ABSTRACT

The term 'aggression' is defined as behaviour intended to harm another individual. While the current review will emphasise the use of drug therapy in individuals with mental illness, this discussion will be placed within the broader context of current knowledge on the clinical characteristics and multimodal treatment of aggression. Research reports forming the basis for the current literature review were generated from a computer based literature search using both Medline and PsychInfo to locate all potentially relevant articles published in the past 20 years.

Table of Contents

ACKNOWLEDGEMENTII

DECLARATIONIII

ABSTRACTIV

CHAPTER 01: INTRODUCTION1

CHAPTER 02: LITERATURE REVIEW7

CHAPTER 03: CRITICAL ANALYSIS25

CHAPTER 04: CONCLUSIONS33

REFERENCES38

CHAPTER 01: INTRODUCTION

Background of the Research

Other- and self-directed physical violence is high-impact behaviours that contribute to morbidity, mortality, and broader social problems. These behaviours are particularly prevalent in externalizing populations, partly as a consequence of the self-regulation and emotional problems frequently experienced by individuals with externalizing disorders. Indeed, emotional liability is heightened in individuals with externalizing psychopathology and is often linked to violence and suicidality (Turcotte-Seabury 2010). Despite the potential importance of emotions in promoting violence, distinct facets of emotional tendencies are not generally studied in tandem as risk factors. Such investigation would aid in identifying differential mechanisms of risk for other- and self-directed violence. Further, with a few notable exceptions, there has been a dearth of research that has examined gender specificity in emotional risk for violence, particularly among adults. Consequently, the present study investigated potential gender differences in the contribution of distinct emotional tendencies for understanding other- and self- directed physical violence in a criminally involved sample of adults.

Despite the importance of better understanding the emergence of other- and self-directed violence in men and women, very few studies have examined gender as a potential moderator of the emotional dysregulation associated with violence (DePalma, Rollison & Camporese 2011). At a more descriptive level, consistent gender differences in the base rates of other- and self-directed violence have been demonstrated. In particular, men are much more likely than women to exhibit aggression and assaultive behaviour, whereas women are more likely than men to engage in suicide attempts. Men are, however, more likely than women to complete suicide. These gender differences provide some impetus for examining whether different emotional experiences underlie the emergence of self- versus other-directed violence for men and women. Research reveals that gender differences exist in the types of relationship contexts in which violence typically occurs, ...