What's the point? Towards a methodology for assessing the function of psychiatric inpatient aggression

Behaviour Research and Therapy
Michael DaffernJames Ogloff

Abstract

There are few examples in the literature of the application of functional analysis to psychiatric inpatient aggression. Structural assessment approaches have dominated. This paper introduces a system for classifying the functions of aggression in psychiatric inpatients that was applied to 502 aggressive behaviours exhibited by patients in a secure forensic psychiatric hospital. At least one function was identified for the majority of aggressive incidents; the most common functions pertaining to patients' responses to the restrictions and demands of the inpatient setting, to express anger or to punish others perceived as provocative, and to maintain status. There was little evidence suggesting that aggression was used to obtain tangible rewards, to reduce social isolation, or to simply observe the suffering of others. Differences in the function of aggressive behaviour were found across victim types. Results of this study have implications for the prediction and prevention of inpatient aggression and for the treatment of aggressive inpatients.

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Citations

Nov 16, 2007·Criminal Behaviour and Mental Health : CBMH·Michael DaffernVictoria Tunbridge
Aug 9, 2011·International Journal of Mental Health Nursing·Amy CooksonFiona Foley
Jul 26, 2012·Journal of Psychiatric and Mental Health Nursing·R Millar, N Sands
Feb 22, 2012·International Journal of Mental Health Nursing·Kirsten van KesselPeter W Reed
Mar 29, 2014·Criminal Behaviour and Mental Health : CBMH·Ragnar UrheimTom Palmstierna
Feb 1, 2013·International Journal of Mental Health Nursing·Jessica J GriffithTimothy Godber
Mar 31, 2010·Criminal Behaviour and Mental Health : CBMH·Kerry SheldonGita Patel
Dec 6, 2012·International Journal of Mental Health Nursing·Chi Meng ChuJames R P Ogloff
Jan 14, 2012·The American Journal of Orthopsychiatry·Janice LeBelRonald O'Halloran
Mar 14, 2012·Journal of the American Psychiatric Nurses Association·Marion Janner, Kathleen R Delaney
Feb 6, 2017·Psychiatry Research·Tegan PodubinskiMichael Daffern
May 1, 2008·Journal of Interpersonal Violence·Michael Daffern, Kevin Howells
May 9, 2008·Journal of Interpersonal Violence·Andrew DayAstrid Birgden
May 14, 2010·International Journal of Offender Therapy and Comparative Criminology·Calvin M LangtonKevin Howells
Apr 27, 2011·International Journal of Offender Therapy and Comparative Criminology·Michael DaffernAmy Cookson
Dec 17, 2009·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Justin Barry-WalshJames Ogloff
Nov 23, 2013·Journal of Forensic Nursing·Adam Gerace, Andrew Day
Jun 29, 2018·Journal of Applied Research in Intellectual Disabilities : JARID·Javier Malda CastilloGuillermo Perez-Algorta
Oct 3, 2018·Journal of Psychosocial Nursing and Mental Health Services·Katie LambertPolly Turner

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