Techniques for psychotherapy with defiant, aggressive adolescents.

Defiant, aggressive adolescents are among the most difficult and challenging of all psychotherapy clients. This article presents a number of techniques and strategies for working with this population, along with several case examples illustrating their proper use. The techniques are intended to supplement existing approaches and focus on motivating apathetic clients and directly addressing anger and violent impulses. A few of the techniques mentioned are therapeutic "button-pushing," disengaging the motor controls, addressing the hurt, externalizing, and resurrecting empathy. Strategies are aimed toward managing countertransference and strengthening the therapeutic relationship. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Traumatic brain injury: A hidden consequence for battered women.

The inability of substantial numbers of battered women to terminate or extricate themselves from violent relationships is of grave concern to clinical practitioners. Despite professional intervention, many victims of domestic violence return to the batterer and to repetitive battering, demonstrating that, for these women, traditional psychosocial interventions are ineffective. In a sample of 53 battered women, 92% reported having received blows to the head in the course of their battering; 40% reported loss of consciousness. Correlations between frequency of being hit in the head and severity of cognitive symptoms were significant, strongly suggesting that battered women should be routinely screened for traumatic brain injury and postconcussive syndrome. Development of treatment strategies to address the potentially damaging sequelae of head trauma in this population is essential. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The ACT Against Violence Training Program: A preliminary investigation of knowledge gained by early childhood professionals.

Given the prevalence of violence in young children's lives and the detrimental effects violence exposure may have on children's development, it is essential that psychologists disseminate information to those in direct contact with young children. One antiviolence program, the Adults and Children Together (ACT) Against Violence Training Program, is aimed specifically at the role models in young children's lives, their parents or caregivers, and teachers and others who work directly with them. This research examined the utility of the ACT program in disseminating knowledge to early childhood professionals. Results revealed that the program is effective in terms of both participants' increase in knowledge and perception of knowledge regarding violence in childhood. Preliminary support for the utility of the ACT training program for psychologists working with young children was provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Violence classifications and their impact on observed relationships with key factors in young offenders.

The understanding of violent criminal behavior is hindered by definitional problems in both the legal and research communities. Different definitions of violent criminal behavior and different classifications of the severity of violence are fundamental problems that need to be resolved in order to develop better conceptual models of the precursors to criminal violence that can inform management and treatment of violent young offenders. This study evaluated 6 classifications of violent juvenile offenses derived from the legal system and published research. The authors compare frequencies from different classifications and examine the influence of classifications on observed associations with expected predictor variables. Differences in frequencies and perceived associations between classifications highlight the need to adopt a consistent method of coding violent offenses for research purposes in order to obtain valid results that are capable of informing policy, the judiciary, and the development of effective interventions. The final classification system offers a method of systematic coding based on the type, frequency, and outcome of the violent behavior that distinguishes between levels of violence severity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

What Do Clinicians Expect? Comparing Envisioned and Reported Violence for Male and Female Patients.

Mental health professionals' (MHPs') accuracy in assessing the risk of violence in female patients is particularly limited. Based on assessments made by 205 MHPs of 605 patients in an emergency room, this study explored potential causes of MHPs' poorer accuracy in assessing women's potential for violence. The dimensions that underlie MHPs' envisioned violence in patients were identified and were compared with those that characterized patients' reported violence during a 6-month follow-up period. There were three key findings from their study. First, violence envisioned by MHPs differed depending on their professional role and varied in its congruence with patients' reported violence. Second, patients' violence was organized by dimensions of domesticity and substance relatedness; women's violent incidents were more domestic than were men's. Third, when MHPs envisioned violence that was highly conditional on psychiatric deterioration and medication noncompliance, violence often did not occur. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detecting intimate partner violence in family and divorce mediation: A randomized trial of intimate partner violence screening.

Handling mediation cases with a history of intimate partner violence (IPV) is one of the most controversial issues in the field of divorce mediation. Before deciding whether and how to mediate cases with IPV, mediators must first detect violence. Using random assignment of cases to an enhanced screening condition (n = 30) and to a standard screening control condition (n = 31), we compared information gathered from a brief, behaviorally specific IPV screening questionnaire to mediators' independent determination of the presence or absence of violence using standard mediation clinic screening procedures. Mediators did not label as violent about half of the cases reporting IPV on the screening questionnaire. Mediators were more likely to report IPV when fathers were reported (by mothers) to have engaged in a greater number of differing violent behaviors, but a score reflecting severity and frequency of party reported violence did not predict mediator detection of violence. In cases with two mediators, mediators did not always agree on whether or not the case involved IPV. Possible reasons for the differences in mediator and party reports of IPV are considered, and we emphasize the potential importance of using systematic methods to screen for violence in divorce mediation. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Criminal thinking as a mediator of the mental illness–prison violence relationship: A path analytic study and causal mediation analysis.

Although mental illness and violence correlate, it has been speculated that this relationship is mediated by a series of third variables. The current study examined the possibility that the relationship between mental illness and prison violence is mediated by criminal thinking. General criminal thinking, as measured by the General Criminal Thinking (GCT) score of the Psychological Inventory of Criminal Thinking Styles (PICTS; Walters, 1995), was tested as a possible mediator of the mental illness–prison violence relationship. Using a prospective design and path analytic statistical technique, it was determined that general criminal thinking served as a partial mediator of the mental illness-institutional violence nexus in a sample of 2,487 male prison inmates. Causal mediation analysis also documented the presence of a small but statistically significant mediating role for general criminal thinking in this study. The implications of these results for understanding, predicting, and managing violent behavior in severely mentally ill inmates are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The relationship between confidence and accuracy in clinical assessment of psychiatric patients' potential for violence

The authors studied the relationship between confidence and accuracy in clinical assessments of psychiatric patients' short-term risk of violence. At the time of entry to the hospital, physicians (N = 78) estimated the probability that each of 317 patients would physically attack other people during the first week of psychiatric hospitalization. The clinicians also indicated the degree of confidence they had in their estimates of violence potential. Nurses rated the occurrence of inpatient physical assaults with the Overt Aggression Scale. The results showed that when clinicians had a high degree of confidence, their evaluations of risk of violence were strongly associated with whether or not patients became violent. At moderate levels of confidence, clinicians' risk estimates had a lower, but still substantial relationship with the later occurrence of violence. However, when clinicians had low confidence, their assessments of potential for violence had little relationship to whether or not the patients became violent. The findings suggest that the level of confidence that clinicians have in their evaluations is an important moderator of the predictive validity of their assessments of patients' potential for violence.     

Development of personality disorder symptoms and the risk for partner violence.

In a community sample (N = 543) followed over 20 years, the authors studied associations among childhood family violence exposure, personality disorder (PD) symptoms, and adult partner violence. PD symptoms (DSM-III-R Clusters A, B, and C) in early adulthood partially mediated the effect of earlier childhood risks on the odds of perpetrating partner violence. The authors tested whether stability of PD symptoms from adolescence to the early 20s differs for individuals who later perpetrated partner violence. Cluster A ("Odd/Eccentric") symptoms declined less with age among partner violent versus nonviolent men and women. Cluster B ("Dramatic/Erratic") symptoms were more stable through late adolescence in partner violent men, compared with nonviolent men and violent women. Cluster C ("Anxious") symptoms were most stable among partner violent men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pathways to Violence in the Children of Mothers Who Were Depressed Postpartum.

The impact of postnatal depression on a child's risk for violent behavior was evaluated in an urban British community sample (N=122 families). Mothers were interviewed during pregnancy, at 3 months postpartum, and when the child was 1, 4, and 11 years of age. Mothers, teachers, and children reported on violent symptoms at age 11. Structural equation modeling revealed that the child's violence was predicted by the mother's postnatal depression even when her depression during pregnancy, her later history of depression, and family characteristics were taken into account. Violence was associated with symptoms of attention-deficit/hyperactivity disorder and problems with anger management. Children were most violent if mothers had been depressed at 3 months and at least once thereafter. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Temporal architecture of violent incidents.

Five hundred five reports of violent incidents in British pubs and bars were studied by using logical pathway modeling to provide information on the processes underlying work-related violence. Logical pathway modeling is innovative in examining and mapping sequences in real incidents at a population level. The data reveal the most common pathway to be misbehavior by customers, intervention by staff (before any physically violent act), physical attack on staff, and injury to staff. The data also highlight the likelihood of further action after assailants have exited and identify stages in incidents at which most staff and customer injuries and damage to property occur. Results assist in the design of strategies to reduce the risk from future violence, particularly by training staff to recognize and to handle potentially violent situations and to maintain vigilance and security following problem incidents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-regulatory failure and intimate partner violence perpetration.

Five studies tested the hypothesis that self-regulatory failure is an important predictor of intimate partner violence (IPV) perpetration. Study 1 participants were far more likely to experience a violent impulse during conflictual interaction with their romantic partner than they were to enact a violent behavior, suggesting that self-regulatory processes help individuals refrain from perpetrating IPV when they experience a violent impulse. Study 2 participants high in dispositional self-control were less likely to perpetrate IPV, in both cross-sectional and residualized-lagged analyses, than were participants low in dispositional self-control. Study 3 participants verbalized more IPV-related cognitions if they responded immediately to partner provocations than if they responded after a 10-s delay. Study 4 participants whose self-regulatory resources were experimentally depleted were more violent in response to partner provocation (but not when unprovoked) than were nondepleted participants. Finally, Study 5 participants whose self-regulatory resources were experimentally bolstered via a 2-week training regimen exhibited less violent inclinations than did participants whose self-regulatory resources had not been bolstered. These findings hint at the power of incorporating self-regulation dynamics into predictive models of IPV perpetration. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in patterns of relationship violence in Alberta.

Gender differences in patterns of relationship violence were investigated in a sample of 356 men and 351 women. Respondents reported on their receipt and perpetration of violent acts in the year prior to the survey. Men and women, respectively, reported similar 1-yr prevalence rates of husband-to-wife violence and wife-to-husband violence. However, differential gender patterns of reporting were identified. On average, men reported that they and their female partners were equally likely to engage in violent acts and to initiate violent conflicts. In contrast, women reported lower levels of victimization than perpetration of violence, and they reported less male-only and male-initiated violence than did men. The majority of respondents in violent relationships reported a pattern of violence that was bidirectional, minor, infrequent, and not physically injurious. The discussion focuses upon the meaning of gender differences in reports of relationship violence, and the existence of distinct patterns of violence within intimate relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting cultural competence: Implications for practice and training.

Training and work experience with clients from diverse groups were examined among 266 recent PhDs in counseling and clinical psychology. Surveys were mailed to 600 participants who completed their graduate work between 1985 and 1987. Analyses examined which training variables predicted self-rated competence in providing services to various cultural groups. Results indicated that most therapists reported competence in working with diverse clients, but there was notable variability among ratings of therapists' self-perceived competence with different client groups. Exposure during training to working with clients from specific cultural groups was important in predicting therapists' current perceived competence. Most respondents reported accessing education and training experiences in providing services to diverse client groups. A small but troubling number of respondents reported seeing clients despite reporting low levels of competence with that client group. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The perceived effectiveness of Christian and secular graduate training programs in preparing Christian psychologists to deal with experiences of sexual attraction.

Most psychologists experience feelings of sexual attraction toward clients, and for some Christian therapists this situation can be further complicated by their tendency to deny such sexual attraction. How effective are graduate training programs in teaching Christian psychologists to manage feelings of sexual attraction in professional contexts? In this survey, 258 Christian psychologists answered questions regarding their graduate training. A positive training environment was related to healthy coping responses in managing feelings of sexual attraction, and graduates of explicitly Christian training programs reported greater satisfaction with training conditions than graduates of secular programs. Those involved in training professional psychologists should consider the general training environment in addition to specific course work about managing feelings of sexual attraction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Domain specificity in relationship history, social-information processing, and violent behavior in early adulthood.

Using prospective longitudinal data, we tested 5 hypotheses: (a) that the relation between earlier developmental experiences (peer social rejection and victimization in a romantic relationship) and adult violent behavior toward peers and romantic partners is specific to relationship domain; (b) that the relation between social-information processing (SIP) biases and subsequent violence is also specific to relational domain (romantic partner vs. peer); (c) that the relation between developmental experiences and SIP biases is domain specific; (d) that domain-specific SIP mediates the impact of earlier developmental experiences on later violent behavior; and (e) that harsh parenting early in life is a domain-general predictor of SIP and later violent behavior. Harsh parenting was assessed through interviews with parents when their children were age 5 years. Classroom sociometric assessments indexing peer rejection were completed in elementary school, and self-report of victimization by romantic partners was provided at age 18 years. SIP was assessed via interview at age 22 years, and violent behavior was measured via self- and partner report at ages 23 years and 24 years. Structural equation analyses revealed specificity in the relation between developmental experiences and violence and in the prediction to and from SIP in the peer domain, but not in the romantic-relationship domain. The impact of early harsh treatment on violence toward peers was mediated by SIP biases in the peer domain. These findings provide support for domain specificity in the peer domain but for cross-domain generality in the romantic relationship domain in the development of violent behavior in early adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does violence beget violence? A critical examination of the literature.

Critically examines the "violence breeds violence" hypothesis broadly defined. Organized into seven sections, the literature review includes (a) the abuse breeds abuse hypothesis; (b) reports of small numbers of violent/homicidal offenders; (c) studies examining the relationship of abuse and neglect to delinquency; (d) to violent behavior, and (e) to aggressive behavior in infants and young children; (f) abuse, withdrawal, and self-destructive behavior; and (g) studies of the impact of witnessing or observing violent behavior. A detailed discussion of methodological considerations and shortcomings precedes the review. The author concludes that existing knowledge of the long-term consequences of abusive home environments is limited and suggests that conclusions about the strength of the cycle of violence be tempered by the dearth of convincing empirical evidence. Recommendations are made for further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)