scholarly journals Aggression in Psychoses

2014 ◽  
Vol 2014 ◽  
pp. 1-20 ◽  
Author(s):  
Jan Volavka

Most individuals diagnosed with a mental illness are not violent, but some mentally ill patients commit violent acts. PubMed database was searched for articles published between 1980 and November 2013 using the combination of key words “schizophrenia” or “bipolar disorder” with “aggression” or “violence.” In comparison with the general population, there is approximately a twofold increase of risk of violence in schizophrenia without substance abuse comorbidity and ninefold with such comorbidity. The risk in bipolar disorder is at least as high as in schizophrenia. Most of the violence in bipolar disorder occurs during the manic phase. Violence among adults with schizophrenia may follow two distinct pathways: one associated with antisocial conduct and another associated with the acute psychopathology, particularly anger and delusions. Clozapine is the most effective treatment of aggressive behavior in schizophrenia. Emerging evidence suggests that olanzapine may be the second most effective treatment. Treatment nonadherence greatly increases the risk of violent behavior, and poor insight as well as hostility is associated with nonadherence. Nonpharmacological methods of treatment of aggression in schizophrenia and bipolar disorder are increasingly important. Cognitive behavioral approaches appear to be effective in cases where pharmacotherapy alone is not sufficient.

Author(s):  
Dr. Anita Thakur

Background: Bipolar disorder (BD) is a complex mental disorder which is characterized by episodes of depression/ mania/hypomania/mixed states along with interepisodic phases of remission.  This study is conducted with hope that a better understanding of marital functioning will help to address the needs of both patient and spouse resultantly improving the outcome of marriage and illness. Methods: This study is conducted with 60 married patients with BD along with their spouses and 61 subjects free of any psychiatric disorder. Spouses and controls were age and gender matched.  Results: Less than half of the spouses felt cheated and about one-third of the spouses reported that they felt (to little or some extent) that they should separate from their spouses. About one-fifth (21.7%) of the spouses believed that marriage can be a treatment of mental illnesses and about one-fourth (23.3%) believed that marriage can be a cure from mental illnesses. About one-third (36.7%), of the spouses felt that marriage can help in improving the mental illness. About half of the spouses (45%) also believed that marriage can worsen mental illness. Conclusion: We conclude that when comparisons were made based on the onset of illness prior or after marriage, it was seen that higher proportion of spouse of patients with bipolar disorder who had illness prior to marriage were worried that children may develop mental illness and were not fully satisfied with the child care provided by mentally ill spouse. Keywords: Bipolar disorder (BD), Marriage


2012 ◽  
Vol 82 (4) ◽  
pp. 491-510
Author(s):  
Rochelle Skogen

In this article Rochelle Skogen takes up the subject of university professors diagnosed with severe mental illness and asks why so little is known about these individuals. As an assistant professor who suffers from bipolar disorder, Skogen discusses the impact of stigma on a professor's decision to either disclose or conceal her illness. While it appears that most mentally ill academics choose to hide their diagnoses—perhaps believing that concealment will keep them free of stigma—Skogen argues that such thinking is but an illusion of freedom, because it is based on an emancipation that depends on the “goodwill” of would-be emancipators. Skogen depicts her own journey of “coming into presence” as a process of subjectification rooted in Jacques Rancière's theory of a new logic of emancipation, as interpreted by Bingham and Biesta.


2009 ◽  
Vol 137 (5-6) ◽  
pp. 292-297 ◽  
Author(s):  
Aleksandar Jovanovic ◽  
Miroslava Jasovic-Gasic ◽  
Dusica Lecic-Tosevski

Introduction. This paper deals with medicolegal aspects of the hospital treatment of patients suffering from severe mental disorders and who are prone to violent behavior, dangerous to self and others. Violent acts in this study were defined as deliberate and nonconsensual acts of actual, attempted or threatened harm to a person or persons, and classified into categories of any type of violence, physical violence and nonphysical violence, which is in accordance with approaches used in other risk assessment researches. Outline of Cases. The authors present four cases of mentally ill inpatients whose violent behavior toward self or other persons resulted in self-destruction and physical aggression against other persons. The presented cases involved: 1) selfinjury in a patient with acute organic mental disorder after jumping through a hospital window, 2) suicide by drowning of a patient with acute mental disorder after escaping from intensive care unit, 3) suicide in a depressive patient after escaping from a low-security psychiatry unit, 4) physical violence against body and life of other persons in a patient with chronic mental disorder. Conclusion. The presented cases are considered to be rare in clinical practice and risk of violent behavior and the consequent danger of mentally ill inpatients may be efficiently predicted and prevented with appropriate hospital management based on 1) repeated escalation of violent behavior and 2) protection of the patient and others. Hence, if the physician, in order to prevent harmful consequences, does not apply all the necessary measures, including appropriate diagnostic and therapeutic procedures, as well as treatment in an adequate setting, such act is against the Criminal Law of the Republic of Serbia which sanctions physician's negligence. Also, according to the Law on Obligations of the Republic of Serbia this presents a legal ground for damage claim and the requirement of liability for nonmaterial damage within a civil procedure.


2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient


2017 ◽  
Author(s):  
Brett Gregory Mercier ◽  
Azim Shariff ◽  
Adam Norris

Objective: We test whether prejudice can influence lay attributions of mental illness to perpetrators of violence. Specifically, we examine whether people with negative attitudes towards Muslims perceive Muslim mass shooters as less mentally ill than non-Muslim shooters. Method: Study 1 compares attributions of mental illness to Muslim and non-Muslim perpetrators of recent mass shootings. Studies 2 and 3 experimentally test whether a mass shooter described in a news article is seen as less mentally ill when described as being a Muslim, compared to when described as a Christian (Study 2) and to when religion is not mentioned (Study 3). Study 4 tests whether a Muslim shooter is seen as less mentally ill than a Christian shooter, even when both shooters have symptoms of mental illness. Results: In all studies, Muslim shooters were seen as less mentally ill than non-Muslim shooters, but only by those with negative views towards Muslims. Conclusion: Those with anti-Muslim prejudices perceive Muslim mass shooters as less mentally ill, likely to maintain culpability and fit narratives about terrorism. This may reinforce anti-Muslim attitudes by leading those with anti-Muslim prejudice to overestimate the amount of violence inspired by groups like ISIS relative to extremist groups from other ideologies.


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