Psychological, clinical and social characteristics of patients implementing different types of aggression in the hospital (gender aspect)

848

Abstract

Results of the comparative analysis of clinical, social and psycho-pathological predictors of violations of the regime requirements, physical and verbal aggression among mentally ill women and men during the compulsory treatment are presented. It is revealed that the type of aggression in women sample significantly more frequently associated with clinical and social and pathopsychological characteristics: emotional unstable stew, learned in childhood and adolescence behavioral model of aggression and the severity of hostility and suspicion; the inertia of mental processes combined with low level of the cognitive functioning and a violation of insight in a broad sense. Among men – with the emotional and personal deformation, which were revealed before the beginning of illness, the decline in cognitive functioning and undeveloped links in the regulation of behavior, high level of aggressiveness in communication, internal conflict combined with the rigidity of self-concept. The authors concluded that assessment of risk factors from hospital-acquired aggression is an independent psycho-diagnostic work that needs to be provided with special tools, aimed whilst on the study of individual psychological characteristics of the regulation of behavior, strategies coping, communication installations and the treats of the aggression, as well as subjective ratings of social functioning in the hospital.

General Information

Keywords: socially dangerous acts, compulsory treatment, physical and verbal aggression.

Journal rubric: Forensic and Clinical Psychology in Legal Context

Article type: scientific article

DOI: https://doi.org/10.17759/psylaw.2015050304

For citation: Bulygina V.G., Berezkin A., Kozlov T., Makurina A.P. Psychological, clinical and social characteristics of patients implementing different types of aggression in the hospital (gender aspect) [Elektronnyi resurs]. Psikhologiya i pravo = Psychology and Law, 2015. Vol. 5, no. 3, pp. 37–50. DOI: 10.17759/psylaw.2015050304. (In Russ., аbstr. in Engl.)

References

  1. Berseneva Ju.A. Vnutribol'nichnoe agressivnoe povedenie psihiche-ski bol'nyh (analiticheskij obzor). Soobshhenie 1 // Rossijskij psihiatri-cheskij zhurnal. – M., 2009. – №5. – S.17-22.
  2. Berseneva Ju.A. Prognozirovanie vnutribol'nichnogo agressivnogo povedenija psihicheski bol'nyh (nauchnyj obzor). Soobshhenie 2. //Rossijskij psihiatricheskij zhurnal. –2009. –  №6. – S.4-11
  3. Bulygina V.G. Vnutribol'nichnaja agressija u psihicheski bol'nyh: Metodicheskie rekomendacii. – M., 2010. – 24 s.
  4. Bulygina V.G. Izmerenie riskov nasilija v sudebnoj psihiatrii  // Psihologicheskaja nauka i obrazovanie. – 2011. – №1. – S.1-10. Bulygina V.G., Makurina A.P. Kliniko-social'nye i patopsihologicheskie prediktory agressii zhenshhin v psihiatricheskom stacionare (chast' 1) // Psihicheskoe zdorov'e. – 2014. – №8. – S.50-55.
  5. Bulygina V.G., Makurina A.P. Kliniko-social'nye i patopsiholo-gicheskie prediktory agressii zhenshhin v psihiatricheskom stacionare (chast' 2) // Psihicheskoe zdorov'e. – 2014. –№10. –S.40-50.
  6. Golenkov A.V. Agressivnye dejstvija psihicheski bol'nyh v stacionare: dia-gnostika, standarty uhoda i nabljudenija // Medicinskaja sestra. – 2012. – № 6. – S. 23–25.
  7. Kazakovcev B.A., Bukreev N.V., Bulygina V.G., Malkin D.A. Proble-my profilaktiki povtornyh obshhestvennoj opasnyh dejstvij psihicheski bol'nyh // Sudebnaja psihiatrija.  Profilaktika protivopravnogo povedenija lic s psihicheskimi rasstrojstvami / Pod red. V. V. Vandysha. Moskva, 2011.  – S. 100-109.
  8. Kiprin P.V. Agressivnye dejstvija psihicheski bol'nyh vnutri psihicheskogo stacionara // Rossijskij psihiatricheskij zhurnal. – 2001. – № 6. – S. 28-32.
  9. Makushkina O.A., Golland V.B., Jahimovich L.A. Znachenie mer medi-cinskogo haraktera v sisteme profilaktiki obshhestvenno opasnyh dejstvij psihicheski bol'nyh // Rossijskij psihiatricheskij zhurnal. – 2013. – № 4. – S. 20-26.
  10. Cleary M., Hunt G.E., Matheson S.L., Siegfried N. Psychosocial inter-ventions for people with both severe mental illness and substance abuse // Cochrane Database of Systematic Reviews. – 2007 – Issue 4.
  11. Monahan J., Steadman H.J., Appelbaum P. Actuarial Model of Violence Risk As-sessment for Persons With Mental Disorders // Psychiatr Serv. – 2005. –V.56. – P.810-815.
  12. Mullin S. Does executive functioning predict improvement in offenders' behaviour following enhanced thinking skills training? An exploratory study with implications for rehabilitation // Legal and Criminological Psychology. – 2007. –V.12. – P.117-131.
  13. Wallace C.J., Lecomte T., Wilde J. et al. A consumer-centered assess-ment for planning individualized treatment and evaluating program outcomes // Schizophrenia Research. – 2001. – Vol.50. – P.105-119.

Information About the Authors

Vera G. Bulygina, Doctor of Psychology, Professor, Head of Laboratory of Psychohygiene and Psychoprophylaxis, V.P. Serbsky National Medical Research Center of Psychiatry and Narcology of the Ministry of Health of Russian Federation, Professor, Department of Clinical and Forensic Psychology, Faculty of Legal Psychology, Moscow State University of Psychology & Education, Moscow, Russia, ORCID: https://orcid.org/0000-0001-5584-1251, e-mail: ver210@yandex.ru

Alexender Berezkin, PhD in Medicine, Head doctor, FCU «Psychiatric hospital №5», Moscow, Russia, e-mail: asberezkin@yandex.ru

Timofey Kozlov, PhD in Medicine, Deputy chief, FCU «Psychiatric hospital No. 5», Moscow, Russia, e-mail: tnkozlov@rambler.ru

Anna. P. Makurina, junior researcher, Moscow State University of Psychology & Education, Moscow, Russia, e-mail: anya-plyakina@yandex.ru

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