Reducing reactive aggression by lowering coping demands and boosting regulation: five key staff behaviors

Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
Kathleen R Delaney

Abstract

Lowering the incidence of reactive aggression on inpatient child/adolescent psychiatric units by creating a milieu that reduces coping demands and augments children's self- regulation capabilities. This article elaborates on specific staff approaches that have the potential to reduce occurrences of reactive aggression and behavioral eruptions frequently displayed by children and adolescents during inpatient psychiatric treatment. Identified are key staff behaviors along with explanations on how they dampen the kindling of reactive aggression and create an enhanced milieu. Accompanying each staff behavior is an explanation of the neuroscience and theory that supports the intervention. Published literature and clinical examples. Children hospitalized on inpatient psychiatric units frequently have poor self-regulation skills and diffuse the negative affects they experience via behaviors such as tantrums, venting, and aggression. Staff can reduce this reactive aggression by tempering the way they set expectations, by providing structure, and by decreasing threat via sensible rules that encourage choice. Staff must also create and maintain relationships with the patients that set a particular tone, thereby creating an enhanced milie...Continue Reading

References

Feb 1, 1990·Journal of Abnormal Child Psychology·M B NattaJ L Schulman
Jan 1, 1990·The Journal of Neuropsychiatry and Clinical Neurosciences·B VitielloA Ricciuti
Jun 1, 1996·Child Development·N R Crick, K A Dodge
Dec 29, 1998·Journal of Clinical Child Psychology·A Shields, D Cicchetti
Mar 6, 1999·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·D L CauseyC Darnell
Dec 11, 1999·The International Journal of Eating Disorders·M J EsplenR Gallop
Oct 3, 2000·Development and Psychopathology·M I Posne, M K Rothbart
Jan 31, 2002·Proceedings of the National Academy of Sciences of the United States of America·William M PerlsteinV Andrew Stenger
Apr 6, 2002·Psychological Science·Barbara L Fredrickson, Thomas Joiner
May 10, 2002·Depression and Anxiety·Eric Vermetten, J Douglas Bremner
Jul 26, 2002·The Psychiatric Clinics of North America·Martin H TeicherCarryl P Navalta
Dec 5, 2002·Child Psychiatry and Human Development·Peter MurisSylvia Walczak
Jan 29, 2003·Development and Psychopathology·Carroll E IzardJan Campbell
May 2, 2003·Child Psychiatry and Human Development·Daniel F ConnorRichard H Melloni
Jul 10, 2003·Development and Psychopathology·Pamela M ColeCarolyn Zahn-Waxler
Dec 13, 2003·Child Development·Jennifer S SilkAmanda Sheffield Morris
Apr 2, 2004·Child Development·Nancy Eisenberg, Tracy L Spinrad
Sep 7, 2004·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Richard J Davidson
Oct 23, 2004·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Cynthia Suveg, Janice Zeman
Oct 23, 2004·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Christy Mangione Walcott, Steven Landau
Mar 29, 2005·The American Journal of Orthopsychiatry·Amy S Diehl, Maurice F Prout
Jun 3, 2005·The American Journal of Psychiatry·Katya RubiaEric Taylor
Jun 15, 2005·Biological Psychiatry·Brendan A RichEllen Leibenluft
Aug 23, 2005·Journal of the American Academy of Child and Adolescent Psychiatry·Mani N PavuluriMichael W Naylor
Sep 2, 2005·The American Journal of Psychiatry·Erin B McClureEllen Leibenluft
Sep 30, 2005·Journal of Child and Adolescent Psychopharmacology·Josh EasterMonique Ernst
Feb 17, 2006·The Journal of Neuroscience : the Official Journal of the Society for Neuroscience·Florin Dolcos, Gregory McCarthy
Jun 1, 2006·Proceedings of the National Academy of Sciences of the United States of America·Brendan A RichEllen Leibenluft
Nov 14, 2006·Biological Psychiatry·Mani N PavuluriJohn A Sweeney
Nov 23, 2006·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Kathleen R Delaney
Nov 23, 2006·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Kathleen R Delaney
Nov 23, 2006·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Kathleen R Delaney
Feb 23, 2007·Journal of the American Academy of Child and Adolescent Psychiatry·Daniel P DicksteinEllen Leibenluft
Mar 21, 2007·BioPsychoSocial Medicine·Yoshihide Nakai
Aug 2, 2007·Journal of the American Academy of Child and Adolescent Psychiatry·Lindsay S SchenkelJohn A Sweeney

❮ Previous
Next ❯

Citations

Jan 14, 2016·Journal of Psychosocial Nursing and Mental Health Services·Sarah Ritter, Lois M Platt
Aug 22, 2018·Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc·Kathleen R Delaney

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Child and Adolescent Psychiatric Nursing : Official Publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
Wanda K Mohr, Andres J Pumariega
Journal of Pediatric Nursing
June Andrews HorowitzBill McCullough
Journal of Pediatric Gastroenterology and Nutrition
Julia K KolodziejczykGregory J Norman
© 2022 Meta ULC. All rights reserved