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Practical management of affective disorders in older people: a multi-professional approach
- Editors:
- CURRAN Stephen, WATTIS John P., (eds.)
- Publisher:
- Radcliffe
- Publication year:
- 2008
- Pagination:
- 272p.
- Place of publication:
- Oxford
This book looks at affective disorders from a variety of perspectives. It includes expert contributions on areas such as aetiology, diagnosis and psychological and pharmacological treatment. It also focuses on a contextual approach to the management of affective disorders in areas like primary care and geriatric medicine, as well as the specific contributions of disciplines such as nursing, social work and occupational therapy. User and carer viewpoints are also included, along with the often neglected spiritual aspects of managing these conditions. This practical approach makes it ideal for all members of the multi-disciplinary team involved in the management of affective disorders in older people.
Pyromania: fact or fiction?
- Author:
- DOLEY Rebekah
- Journal article citation:
- British Journal of Criminology, 43(4), Autumn 2003, pp.797-807.
- Publisher:
- Oxford University Press
The issue of deliberate firesetting is a growing concern in Australia. Every hour of every day in Australia at least one arson fire is lit and this type of criminal behaviour is costing the country over $157m annually in property losses alone. Although much has been written on the subject of arson there remains substantial confusion about the nature and extent of pyromania within the arsonist population. This paper explores some of the common misperceptions that exist in the literature and attempts to clarify the true magnitude of pyromania in Australia's arsonist population.
Family responses and multifamily behavioural treatment for obsessive-compulsive disorder
- Authors:
- VAN NOPPEN Barbara, STEKETEE Gail
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.231-247.
- Publisher:
- Oxford University Press
Family responses to obsessive-compulsive disorder (OCD) that have relevance to behavioural treatments for adults with this disorder include family accommodation, family members' expression of emotion (EE) toward patients, and the effects of including family members in treatment. Family accommodation to OCD symptoms has been linked to greater severity of symptoms and poorer family mental health. Components of EE, including hostility and perceived criticism, have proved predictive of poorer outcome following behavioural treatment, but nonhostile criticism appears to improve outcomes. A model of multifamily behavioural treatment, in which relatives and patients are trained in exposure and blocking of rituals, as well as behavioural contracting to improve communication, is presented and illustrated in case examples.
Effects of emotion-oriented care on elderly people with cognitive impairment and behavioral problems
- Authors:
- SCHRIJNEMAEKERS Vernon, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(10), October 2002, pp.926-937.
- Publisher:
- Wiley
This article investigates the effects of emotion-oriented care on the behavior of elderly people with cognitive impairment and behavioral problems. 16 Homes for the aged with structured day care units were randomly allocated to an intervention or control group. 151 Residents with cognitive impairment and behavioral problems were included in the study. The eight intervention homes received a training program with regard to emotion-oriented care. In the eight control homes usual care was continued. Measurements were performed at baseline and after 3, 6 and 12 months of follow-up (assessment by caregivers and relatives). The primary outcome measure was the change in behaviour of the residents. The article concludes that there is insufficient evidence yet to justify the implementation of emotion-oriented care on a large scale.
Anger Experience and Expression Among Male Dating Violence Perpetrators During Anger Arousal
- Authors:
- ECKHARDT Christopher, JAMISON T. Rene, WATTS Kimberly
- Journal article citation:
- Journal of Interpersonal Violence, 17(10), October 2002, pp.1102-1114.
- Publisher:
- Sage
The relationship between dating violence and anger experience and expression were investigated in samples of 17 men who reported at least one incident of physical aggression toward a female dating partner and of 16 men who reported a nonviolent interaction history. Participants articulated thoughts during simulated situations (ATSS) paradigm while listening to anger-arousing audiotapes. The violent men articulated more aggressive verbalizations during ATSS anger arousal than did nonviolent men. However, the groups did not differ on the number of angry verbalizations. The findings are interpreted in the context of social learning theories of partner violence.
Psychotic symptoms and violence toward others : a literature review of some preliminary findings; part two, hallucinations
- Author:
- BJORKLY Stal
- Journal article citation:
- Aggression and Violent Behavior, 7(6), November 2002, pp.605-615.
- Publisher:
- Elsevier
According to the clinical impressions of a number of authors and mental health professionals, an increased risk of violence is associated with the presence of hallucinations and in particular command hallucinations. In contrast to this, some empirical studies have reported that there is no evidence of such a relationship. The present review examines the role of hallucinations in violence toward others. Possible empirical evidence for a violence-escalating interaction between delusions and hallucinations is also analyzed. Among the main findings were: There appears to be no evidence that auditory command hallucinations are dangerous per se. However, there is some evidence that voices ordering acts of violence toward others may increase compliance and thereby be conducive to violent behavior. Finally, the evidence for or against the existence of a possible violence-escalating interaction between delusions and hallucinations is inconclusive.
Psychotic symptoms and violence toward others : a literature review of some preliminary findings; part one, delusions
- Author:
- BJORKLY Stal
- Journal article citation:
- Aggression and Violent Behavior, 7(6), November 2002, pp.616-631.
- Publisher:
- Elsevier
The main scope of this article is to delineate some findings from a review of the literature concerning the possible impact of delusions on violence toward others by psychiatric patients. According to this review, studies on a possible association between delusions and increased risk of violence are scarce, but steadily growing, and have shown some interesting results. However, since delusions are also common in nonviolent psychiatric patients, there is emerging evidence that our attention should be directed to specific hallmarks of delusions that indicate an increased risk of violence.
The meaning of acute confusional state from the perspective of elderly patients
- Authors:
- ANDERSSON Edith M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 17(7), July 2002, pp.652-663.
- Publisher:
- Wiley
The meaning of the patients' lived experiences of being and having been confused was interpreted as Being trapped in incomprehensible experiences and a turmoil of past and present and here and there, comprising the themes trying to get a grip on the experience of the confusion, encountering past, present and the realm of the imagination as reality during the period of confusion and confronting the idea of having been confused. Contradictory to earlier research the patients remembered and could tell in great detail about their Acute Confusional State. While confused, the confusional state means that impressions of all kinds invade the mind of the person and are experienced as reality, making him/her a victim of these impressions rather than the one who controls what comes into his/her mind. While in the middle of these experiences the person simultaneously senses that the impressions are unreal, thus indicating that he/she is in some sort of borderland between understanding and not understanding. The things that come into the mind of the person can either be frightening or neutral or enjoyable scenarios that seem to be mainly familiar but can also be unknown. These scenarios seem to be a mixture of past and present, of events and people while they seem to float from location to location. The findings indicates that what takes place during the Acute Confusional State is not nonsense but probably a mix of the patient's life history, their present situation and above all a form of communication concerning their emotional state and inner experiences in this new situation
Mental health of teenagers who use cannabis
- Authors:
- REY Joseph M, et al
- Journal article citation:
- British Journal of Psychiatry, 180, March 2002, pp.216-221.
- Publisher:
- Cambridge University Press
This study aimed to ascertain the prevalence of cannabis use among Australian adolescents, associations with mental health problems, risk behaviours and service use. Findings show that cannabis use is very prevalent. The association with depression, conduct problems, excessive drinking and use of other drugs shows a malignant pattern of comorbidity that may lead to negative outcomes.
Putting back the 'E' in 'EDB'
- Author:
- BOWERS Tony
- Journal article citation:
- Emotional and Behavioural Difficulties, 1(1), Spring 1996, pp.8-13.
- Publisher:
- Taylor and Francis
Argues that recent developments in the curriculum and in administrative structures for pupils with special educational needs have tended to marginalise the term 'emotional' or to combine it loosely with 'behavioural'. Looks at the influence of forty years of behavioural psychology on the UK Code of Practice for children with Special Educational Needs (SEN) and related government circulars and suggests an alternative model for conceptualising emotional difficulties. The article suggests that if the term 'emotional' is to be used in statements and IEPs in the future, then appropriate ways of defining, assessing and providing for these will have to be found.