Handbook of Aggressive and Destructive Behavior in Psychiatric Patients

533 Pages·1994·11.12 MB·English

by  Michel Hersen (ed.)

Handbook of
Aggressive and Destructive
Behavior in Psychiatric
Patients
Handbook of
Aggressive and Destructive
Behavior in Psychiatric
Patients
EDITED BY
MICHEL HERSEN
Nova Southeastern University
Fort Lauderdale, Florida
AND
ROBERT T. AMMERMAN AND LORI A. SISSON
Western Pennsylvania School for Blind Children
Pittsburgh, Pennsylvania
Springer Science+Business Media, LLC
Library of Congress Cataloglng-ln-PublIcat1on Data
Handbook of aggressive and destructive behavior 1n psychiatric
patients / edited by Michel Hersen and Robert T. Ammerman and Lor1
A. Slsson.
p. en.
Includes bibliographical references and Index.
ISBN 978-1-4613-6019-3 ISBN 978-1-4615-2403-8 (eBook)
DOI 10.1007/978-1-4615-2403-8
1. Aggressiveness (Psychology) 2. Violence—Psychological
aspects. 3. Se1f-destruct1veness. I. Hersen, Michel.
II. Ammerman, Robert T. III. Slsson, LoM A.
[DNLM: 1. Mental Disorders—psychology. 2. Aggression. WM 600
H236 1993]
RC569.5.A34H36 1993
616.85'82—dc20
DNLM/DLC
for Library of Congress 93-36072
CIP
ISBN 978-1-4613-6019-3
©1994 Springer Science+Business Media New York
Originally published by Plenum Press, New York in 1994
Softcover reprint of the hardcover 1st edition 1994
All rights reserved
No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form
or by any means, electronic, mechanical, photocopying, nticrofilrning, recording, or otherwise,
without written permission from the Publisher
To Vicki, Jonathan, and Nathaniel-M.H.
To Betty and Ken Haughin-R.T.A.
To Jay-L.A.S.
Contributors
Donna Ames, Department of Psychiatry and Biobehavioral Sciences, UCLA School of
Medicine, and West Los Angeles Veterans Affairs Medical Center, Los Angeles, California
90073.
Paul F. Brain, School of Biological Sciences, University of Wales, Swansea, SA2 8Pp,
United Kingdom.
Oscar G. Bukstein, Department of Psychiatry, Western Psychiatric Institute and Clinic,
Pittsburgh, Pennsylvania 15213.
Allen G. Burgess, College of Business Administration, Northeastern University, Boston,
Massachusetts 02115.
Ann W. Burgess, University of Pennsylvania School of Nursing, Philadelphia, Pennsyl
vania 19104.
John E. Douglas, Investigative Support Unit, Federal Bureau of Investigation Academy,
Quantico, Virginia 22135.
Joshua Ehrlich, Department of Psychiatry, University of Michigan, Ann Arbor, Michigan
48104.
John W. Fantuzzo, Graduate School of Education, University of Pennsylvania, Phila
delphia, Pennsylvania 19104.
Barry Fisher, Comprehensive Alcohol and Drug Abuse Program, Western Psychiatric
Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
15213.
Willard B. Frick, Professor of Psychology, Albion College, Albion, Michigan 49224.
David M. Garner, Department of Psychiatry, Michigan State University, East Lansing,
Michigan 48824.
Russell G. Geen, Department of Psychology, University of Missouri, Columbia, Missouri
65211.
Gerald Goldstein, ~epartment of Veterans Affairs, VA Medical Center, Pittsburgh,
Pennsylvania 15206.
D. M. Gorman, Center of Alcohol Studies, Rutgers University, The State University of
New Jersey, Piscataway, New Jersey 08855.
vii
viii CONTRIBUTORS
Grant T. Harris, Mental Health Centre, Penetanguishene, Ontario, Canada.
Lori A. Head, Department of Psychiatry, Medical University of South Carolina, Charles
ton, South Carolina 29425.
Tara Hicks-Gray, Department of Psychiatry and Biobehavioral Sciences, UCLA School
of Medicine,· and West Los Angeles Veterans Affairs Medical Center, Los Angeles,
California 90073.
J. Dee Higley, Laboratory of Clinical Studies, Division of Intramural Clinical and
Biological Research, National Institute of Alcohol Abuse and Alcoholism, Poolesville,
Maryland 20837.
Dale J. Hindmarsh, Division of Child and Adolescent Psychiatry, Department of Psychia
try, Allegheny Neuropsychiatric Institute, Medical College of Pennsylvania, Oakdale,
Pennsylvania 15071.
Stephen P. Hinshaw, Department of Psychology, University of California at Berkeley,
Berkeley, California 94720.
Honore M. Hugbes, Department of Psychology, St. Louis University, St. Louis, Missouri
63103.
Berne Jacobs, Professor of Psychology, Kalamazoo College, Kalamazoo, Michigan
49007.
Richard P. Kloft, The Institute of Pennsylvania Hospital, Philadelphia, Pennsylvania
19139, and Department of Psychiatry, Temple University School of Medicine, Phila
delphia, Pennsylvania 19140.
David J. Kolko, Western Psychiatric Institute and Clinic, University of Pittsburgh School
of Medicine, Pittsburgh, Pennsylvania 15213.
Howard D. Lerner, Department of Psychiatry, University of Michigan, Ann Arbor,
Michigan 48104.
Miriam S. Lerner, Department of Child and Adolescent Psychiatry, Medical College of
Pennsylvania, Allegheny General Hospital, Wexford, Pennsylvania 15090.
Markku Linnoila, Laboratory of Clinical Studies, Division of Intramural Clinical and
Biological Research, National Institute of Alcohol Abuse and Alcoholism, Poolesville,
Maryland 20837.
Marco Marchetti, Department of Forensic Psychopathology, University of Rome Tor
Vergata, Rome, Italy.
Stephen R. Marder, Department of Psychiatry and Biobehavioral Sciences, UCLA School
of Medicine, and West Los Angeles Veterans Mfairs Medical Center, Los Angeles,
California 90073.
Nathaniel McConaghy, The Prince of Wales Hospital, Randwick, N.S.W. Australia.
Howard B. Moss, Comprehensive Alcohol and Drug Abuse Program, Western Psychiatric
Institute and Clinic, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania
15213.
Robert A. Prentky, Joseph J. Peters Institute, Philadelphia, Pennsylvania 19101.
CONTRIBUTORS ix
Vernon L. Quinsey, Queen's University, Kingston, Ontario, Canada.
Robert K. Ressler, Forensic Behavioral Services, Spotsylvania, Virginia 22553.
Mamie E. Rice, Mental Health Centre, Penetanguishene, Ontario, Canada.
Lionel W. Rosen, Department of Psychiatry, Michigan State University, East Lansing,
Michigan 48824.
Alan Rosenbaum, Department of Psychiatry, University of Massachusetts Medical Center,
Worcester, Massachusetts 01655.
Alec Roy, Department of Psychiatry, University of Medicine and Dentistry, New Jersey
Medical School, Newark, New Jersey 07103-2770.
Floyd R. Sallee, Department of Psychiatry, Medical University of South Carolina,
Charleston, South Carolina 29425.
Ihsan M. Salloum, Comprehensive Alcohol and Drug Abuse Program, Western Psychi
atric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh,
Pennsylvania 15213.
Cassandra Simmel, Department of Psychology, University of California at Berkeley,
Berkeley, California 94720.
Lori A. Sisson, Western Pennsylvania School for Blind Children, Pittsburgh, Pennsylvania
15213.
Shirley A. Smoyak, Institute for Health, Health Care Policy and Aging Research, Rutgers
University, The State University of New Jersey, New Brunswick, New Jersey 08903.
Robert M. Stowe, Neurobehavioral Unit Program, Department of Veterans Affairs, VA
Medical Center, and University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania
15206.
Stephen J. Suomi, Laboratory of Comparative Ethology, National Institute of Child Health
and Human Development, Poolesville, Maryland 20837.
Alfonso Troisi, Department of Psychiatry, University of Rome Tor Vergata, Rome, Italy.
Jennifer Waltz, Department of Psychology, University of Montana, Missoula, Montana,
59812-1075.
William J. Warnken, Department of Psychiatry, University of Massachusetts Medical
Center, Worcester, Massachusetts 01655.
Robert M. Wettstein, Western Psychiatric Institute and Clinic, Department of Psychiatry,
University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213.
William C. Wirshing, Department of Psychiatry and Biobehavioral Sciences, UCLA
School of Medicine: and West Los Angeles Veterans Affairs Medical Center, Los Angeles,
California 90073.
Preface
Scarcely a day passes without the media detailing some form of human aggression, whether
it be on its grandest scale in the form of war, random bombings and shootings in the streets,
torture in a prison camp, murder by gangs, wife abuse resulting in the murder of the
husband, or the physical abuse of children, sometimes resulting in their death. Frequently
perpetrators of human aggression, when arrested and tried in court, resort to a psychiatric
defense. But are all such aggressors indeed appropriately psychiatric patients? And if so,
what are their particular diagnoses and how do these relate to aggression? Also of concern is
aggression directed against self, as evidenced in the rising incidence of suicide among
young people or the self-mutilation of patients suffering from certain personality disorders.
Both violence directed outward and aggression toward oneself pose considerable challenges
to clinical management, whether in the therapist's office or in the inpatient unit.
Although we have not been able to find successful deterrents to aggression, a sizeable
body of evidence does exist, certainly of a descriptive nature. Such data for psychiatric
patients are scattered, however, and can be found in literatures as diverse as the biological,
ethological, epidemiological, legal, philosophical, psychological, psychiatric, and crimi
nological. Therefore, given the increased frequency with which mental health professionals
encounter cases of violence in their day-to-day work, we believed it important that existing
data be adduced in one comprehensive volume.
The book is divided into five parts, together comprising 28 chapters. Part I focuses
on the theoretical perspectives and includes the following points of view: biological
physiological, ethological, sociological, social psychological, psychoanalytic, and human
istic. In Part II, we consider in detail such general issues as epidemiology, legal and ethical
questions, and the problems of aggression control in both adult and child psychiatric
settings. The chapters in Parts III and IV, make up the bulk of the book and review how, and
if, aggression is manifested in the various diagnostic groups of adult, juvenile, and
adolescent patients. The modified diagnostic criteria for DSM-IV are considered in these
chapters. To ensure cross-chapter readability and comparisons, each of the contributions
follows a standard format: Description of the Disorder, Epidemiology (concerning aggres
sive and destructive behavior), Etiology (concerning aggressive and destructive behavior),
Aggression toward Self, Aggression toward Others, Clinical Management (aggression and
destructive behavior), Longitudinal Perspectives, Case Illustration, and Summary.
Finally, in Part V, family violence with adults, family violence with children, and serial
murder are considered.
Many individuals have contributed to this volume, and we wish to acknowledge their
special efforts. First, we thank our eminent contributors for sharing with us their thoughts
xi
xii PREFACE
about the issues. Second, we thank our respective assistants, Burt G. Bolton and Ann
Huber, for their technical contributions. Finally, we thank our editor at Plenum, Eliot
Werner, who was willing to tolerate the inevitable delays and who understands the crucial
nature of the material that follows.
MICHEL HERSEN
ROBERT T. AMMERMAN
LoRI A. SISSON
Contents
I. THEORETICAL PERSPECTIVES
1. Biological-Physiological 3
Paul F. Brain
2. Ethological Contributions ........................................ 17
1. Dee Higley, Markku Linnoila and Stephen 1. Suomi
3. Sociological .................................................... 33
Shirley A. Smoyak and D. M. Gorman
4. Social Psychological 51
Russell G. Geen
5. Psychoanalytic .................................................. 65
Howard D. Lerner and Joshua Ehrlich
6. Humanistic ..................................................... 81
Willard B. Frick and Berne Jacobs
II. GENERAL ISSUES
7. Epidemiology ................................................... 95
Alfonso Troisi and Marco Marchetti
8. Legal and Ethical Issues 113
Robert M. Wettstein
9. Control in the Psychiatric Setting-Adults ......................... 129
Marnie E. Rice, Grant T. Harris and Vernon L. Quinsey
xiii