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25 Cards in this Set
- Front
- Back
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% of women abused by partner at some time
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20 - 40%
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% of homicides committed by a family member
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20%
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% of American households that have guns
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40 - 50%
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W/ gun @ home, increased risk that household member will be killed
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3x the probability
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3 most common motivations for workplace violence
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Revenge
Jealousy Financial gain |
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Breakdown of victims (%) of workplace violence
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Customer (44%)
Stranger (24%) Co-worker (20%) Boss (7%) Former employee (3%) |
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Most common diagnoses that entail violent patients (5)
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Schizophrenia
Mania Personality disorder Alcoholism Delirium/Dementia |
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Between manic and schizophrnic pts.
Who is more likely to be assaultive in ABSENCE of prior threats? |
Manic pts. (due to general disinhibition)
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In the community, type of schizo pt. more likely to engage in violence
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PARANOID type
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In inpatient setting, type of schizo pt. more likely to engage in violence
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DISORGANIZED type
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Psychiatric diagnosis most prone to violent behavior
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Substance abuse/dependence disorder
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Age group most prone to violence
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Late teens to early 20s
There is also increased violence in >70 group (assoc. w/ dementia) |
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How does socioeconomic status correlate to risk of engaging in violence?
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Lower SES is assoc. w/ increased risk
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In Borderline and Anti-social patients
What subtle neuropsychological dysfunctions are seen (3)? |
Decreased cortical arousal
Increased EEG temporal activity Low CSF serotonin metabolites |
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What 2 personality disorders are especially assoc. w/ impulsive aggression?
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Borderline
Anti-social |
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3 most important screening questions for a history of prior violence
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What's the most violent thing you've ever done?
Have you ever seriously injured another person? Do you ever now think about harming someone else? |
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Some symptoms that account for violence in psych pts. (3)
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Command hallucinations
Taking symptoms to logical extreme Akathisia These are called "threat-control override symptoms" |
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Most common command encountered in command hallucinations
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Commit suicide (51%)
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2 factors that predict compliance w/ command hallucinations
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Delusion is assoc. w/ the hallucination
Hallucinated voice was of a person they could identify |
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What is the Capgras delusion?
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Belief that acquaintance has been replaced by an impostor
(usually, "acquaintance" is a family member) |
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What is the goal of violence assessment
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Assess whether pt. is at high risk
Identify factors that are amenable to clinical intervention |
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Situation for which SSRIs are best treatment
(in context of impulsive aggression) |
Depression/dysphoric mood in setting of personality disorder
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Situations for which beta-blockers are good treatment
(in context of impulsive aggression) |
Mental retardation and head injury
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Situations for which trazodone and buspirone are good treatments
(in context of impulsive aggression) |
Mental retardation
Head injury Dementia |
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What is the Tarasoff rule?
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If a patient poses a serious danger of violence to others, the therapist bears a duty to exercise reasonable care to protect the foreseeable victim of that danger
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