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Chapter 7 - Psychological, Psychosocial and Psychotherapeutic Interventions for the Prevention and Management of Violence

from Section 2 - Medical and Psychological Intervention

Published online by Cambridge University Press:  09 May 2023

By
Miriam Barrett ,
Joanna Dow ,
Sarah Devereux ,
Gabriel Kirtchuk  and
Hannah Crisford
Edited by
Masum Khwaja  and
Peter Tyrer
Masum Khwaja
Affiliation:
Imperial College of Science, Technology and Medicine, London
Peter Tyrer
Affiliation:
Imperial College of Science, Technology and Medicine, London
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Summary

Written by a multidisciplinary team of experienced clinicians, this chapter provides the reader with an initial outline of some of the complex psychological mechanisms which underlie or can give rise to violence, such as trauma, problems with attachment and failure to develop a capacity to mentalise, as well as pointers for a wider review of the literature. This is followed by an overview of the range of current evidence-based psychological interventions and therapies available for the prevention and management of violence. Importantly, whilst their approach may differ, they all make use of the therapeutic relationship as an agent for change. The interventions include anger management, positive behavioural support, mentalisation-based techniques, application of a psychoanalytic perspective, family or systemic therapy, help with work experience, education and addressing substance misuse. This chapter will be of interest to professionals in a variety of settings who would like to find out more about how they can make sense of and try to prevent and reduce violence, as well as to patients, carers and the wider public.

Keywords

Violenceevidence-basedpsychologicalpsychoanalyticDBTmentalisationangertherapiespreventionmanagement
Type
Chapter
Information
The Prevention and Management of Violence
Guidance for Mental Healthcare Professionals
 , pp. 107 - 117
Publisher: Cambridge University Press
Print publication year: 2023

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References

Walker, N. Crime and Punishment in Britain. 2nd ed. Edinburgh: Edinburgh University Press, 1968.Google Scholar
Cordess, C. and Cox, M. Forensic Psychotherapy: Crime, Psychodynamics and the Offender Patient, Vol. 1 Mainly Theory, and Vol. 2 Mainly Practice. London/Bristol, PA: Jessica Kingsley, 1996.Google Scholar
Garland, C. Understanding Trauma: A Psychoanalytical Approach. Tavistock Clinic Series. London: Taylor and Francis, 1998.Google Scholar
Crisford, H., Dare, H. and Evangeli, M. Offence-related posttraumatic stress disorder (PTSD) symptomatology and guilt in mentally disordered violent and sexual offenders. Journal of Forensic Psychiatry & Psychology 2008; 19(1):86–107.Google Scholar
Glasser, M. Aspects of violence. Paper given to the Applied Section of the British Psychoanalytical Society, 1985. See Perelberg, R. J. (ed.) 1999, Psychoanalytic Understanding of Violence and Suicide. The New Library of Psychoanalysis. Abingdon: Routledge.Google Scholar
Glasser, M. On violence: A preliminary communication. The International Journal of Psycho-analysis Oct 1998; 79 (Pt 5):887–902 PMID: 9871829Google Scholar
Allen, J. G. and Fonagy, P. Mentalizing in Practice. The Handbook of Mentalization Based Treatment. Chichester: Wiley & Sons, 2006.CrossRefGoogle Scholar
Taubner, S., White, L. O., Zimmermann, J., Fonagy, F. and Nolte, T. Attachment-related mentalization moderates the relationship between psychopathic traits and proactive aggression in adolescence. Journal of Abnormal Child Psychology, 2013;41:929–938.Google Scholar
Ogilvie, C. A., Newman, E., Todd, L. and Peck, D. The relationship between attachment & psychopathy: A meta-analysis. Aggression and Violent Behaviour. 2014; 19(4):322–339.CrossRefGoogle Scholar
Cassidy, J. and Shaver, P. Handbook of Attachment: Theory, Research & Clinical applications. New York: Guildford Press, 2016Google Scholar
Driscoll, H., Zinkivskay, A., Evans, K. and Campbell, A. Gender differences in social representations of aggression: The phenomenological experience of differences in inhibitory control? Br J Psychol. 2006 May;97(Pt 2):139–53. https://doi.org/10.1348/000712605X63073. PMID: 16613646.Google Scholar
O’Connor, J. and Crisford, H. Assessment and Interventions for Anger. Presentation at Royal Holloway, University of London, for the Doctorate in Clinic Psychology Training,England, 2017.Google Scholar
Copping, L. (2017). Gender differences in violence and aggression. In Sturmey, P. (ed.), The Wiley Handbook of Violence and Aggression. Chichester: John Wiley & Sons. https://doi.org/10.1002/9781119057574.whbva005.Google Scholar
Perelberg, R. Psychoanalytic Understanding of Violence and Suicide. The New Library of Psychoanalysis. London: Routledge, 1998.Google Scholar
Yakeley, J. Psychodynamic approaches to violence. British Journal of Psychiatric Advances, 2018; 24(2):83–92.Google Scholar
National Institute for Health and Care Excellence. Violence and aggression. Short-term management in mental health, health and community settings. Updated edition. Nice Guideline NG10. 2015.Google Scholar
Royal College of Psychiatrists. See Think Act. 2nd ed. 2015. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/320249/See_Think_Act_2010.pdf [Accessed 24 April 2022].Google Scholar
Markham, S. Red-teaming the Panopticon (mobilising adaptive change in secure and forensic settings). Journal of Forensic Psychiatry and Psychology, 2017; 29(1):16–36.Google Scholar
Doctor, R. Dangerous Patients: A Psychodynamic Approach to Risk Assessment and Management. Forensic Psychotherapy Monograph Series, London: Routledge, 2003.Google Scholar
Beck, R. and Fernandez, E. Cognitive-behavioral therapy in the treatment of anger: A meta-analysis. Cognitive Therapy and Research, 1988; 22(1):63–74.Google Scholar
Henwood, K. S., Chou, S. and Browne, K. D. A systematic review and meta-analysis on the effectiveness of CBT informed anger management. Aggression and Violent Behaviour 2015; 25B:280–92.Google Scholar
Novaco, R. W. Anger and coping with stress: Cognitive behavioural interventions. In Forest, J. A. P. A. N. and Rathjen, D. P. (eds.), Cognitive Behaviour Therapy: Research and Application. New York: Plenum Press, 1978, pp. 135–73.Google Scholar
Miller, W. R. and Rollnick, S., Motivational interviewing: Helping people change. New York: Guilford Press, 2013Google Scholar
Davies, W. Overcoming Anger and Irritability: A Self-Help Guide Using Cognitive Behavioural Techniques. 2nd ed. London: Robinson, 2009Google Scholar
Meichenbaum, D. Stress inoculation training: A preventative and treatment approach. In Lehrer, P. M., Woolfolk, R. L. and Sime, W.E. (eds.), Principles and Practice of Stress Management, 3rd ed. New York: Guilford Press, 2007, pp. 497–516.Google Scholar
Novaco, R. W., Stress inoculation: A cognitive therapy for anger and its application to a case of depression. Journal of Consulting and Clinical Psychology, 1977;45(4):600–8.Google Scholar
Horner, R. H., Dunlap, G., Koegel, R. L. et al. Toward a technology of ‘non-aversive’ behavioural support. Journal of the Association for Persons with Severe Handicaps 1990; 15(3):125–32.Google Scholar
Allen, D., James, W., Evans, J., Hawkins, S., and Jenkins, R. Positive behavioural support: Definition, current status and future directions. Learning Disability Review, 2005; 10(2):4–11.Google Scholar
Gore, N. J. , McGill, P. , Toogood, S. et al. Definition and scope for positive behaviour support. International Journal of Positive Behaviour Support 2013;3(2):14–23.Google Scholar
NHS Protect. Meeting needs and reducing distress: Guidance for the prevention and management of clinically related challenging behaviour in NHS settings. 2013. Available at www.crisisprevention.com/CPI/media/Media/Blogs/Meeting-needs-and-reducing-distress-NHS-Protect-CB.pdf [Accessed 24 April 2022].Google Scholar
Bateman, A. W. and Fonagy, P. Mentalization-based treatment of BPD. J Pers Disord. 2004 Feb;18(1):36–51. https://doi.org/10.1521/pedi.18.1.36.32772. PMID: 15061343.Google Scholar
Bateman, A. and Fonagy, P. Psychotherapy for Borderline Personality Disorder. Mentalization Based Treatment. USA. Oxford University Press. 2004.Google Scholar
Bateman, A., O’Connell, J., Lorenzini, N., Gardner, T. and Fonagy, P. A randomised controlled trial of mentalization-based treatment versus structured clinical management for patients with comorbid borderline personality disorder and antisocial personality disorder. BMC Psychiatry. 2016 Aug 30;16(1):304. https://doi.org/10.1186/s12888-016-1000-9. PMID: 27577562; PMCID: PMC5006360.Google Scholar
Linehan, M. DBT Skills Training Manual. New York: Guilford Press, 2015Google Scholar
Bion, W.R. Learning from Experience. London: Tavistock, 1962Google Scholar
Gordon, J. and Kirtchuk, G. (eds.) Psychic Assaults and Frightened Clinicians: Countertransference in Forensic Settings, London: Karnac Books, 2008.Google Scholar
Ching, L., Hillen, T., Reiss, D., Kirtchuk, G., Scott, S. and Maier, M. The interpersonal dynamics consultation in physical health settings: A model for reflective practice. BJPsych Advances 2013; 25(2):122–30.Google Scholar
Cooper, A. and Lousada, J., Borderline Welfare: Feeling and Fear of Feeling in Mod-ern Welfare. London: Karnac, 2005Google Scholar
NHS England. The Five Year Forward View for Mental Health. 2016. www.england.nhs.uk/publication/the-five-year-forward-view-for-mental-health/ [Accessed 25 April 2022].Google Scholar
Vaspe, A. Psychoanalysis, The NHS, and Mental Health Work Today: Psychoanalytic Ideas. London: Karnac, 2017.Google Scholar
Adshead, G., Ferrito, M., and Bose, S. Recovery after homicide narrative shifts in therapy with homicide perpetrators. Criminal Justice and Behaviour, 2015; 42(1):70–81.Google Scholar
Main, T. The hospital as a therapeutic institution. Bulletin of the Menninger Clinic 1946; 10:66–70.Google Scholar
Rapoport, R. N. Community as Doctor. London: Tavistock Publications, 1960.Google Scholar
Rutter, D. and Tyrer, P. The value of therapeutic communities in the treatment of personality disorder: A suitable place for treatment? Journal of Psychiatric Practice 2003 Jul;9(4):291–302. https://doi.org/10.1097/00131746-200307000-00004. PMID: 15985944.Google Scholar
Lees, J., Manning, N. and Rawlings, B. A culture of enquiry: Research evidence and the therapeutic community. Psychiatric Quarterly 2004 Fall;75(3):279–94. https://doi.org/10.1023/b:psaq.0000031797.74295.f8. PMID: 15335230.Google Scholar
Pearce, S., Scott, L., Attwood, G. et al. Democratic therapeutic community treatment for personality disorder: randomised controlled trial. British Journal of Psychiatry 2017 Feb;210(2):149–56. https://doi.org/10.1192/bjp.bp.116.184366. Epub 2016 Dec 1. PMID: 27908900.Google Scholar
Royal College of Psychiatrists. Enabling Environment Awards. www.rcpsych.ac.uk/quality/qualityandaccreditation/enablingenvironments.aspx [Accessed 25 April 2022].Google Scholar
Kalvin, C. B. and Bierman, K. L. Child and adolescent risk factors that differentially predict violent versus nonviolent crime. Aggressive Behavior 2017 Nov;43(6):568–77. https://doi.org/10.1002/ab.21715. Epub 2017 Jun 8. PMID: 28597509; PMCID: PMC5640463.Google Scholar
Evans, D. P. COVID-19 and violence: A research call to action. BMC Women’s Health 2020 Nov 10;20(1):249. https://doi.org/10.1186/s12905-020-01115-1. PMID: 33172466; PMCID: PMC7653443.Google Scholar
Gilligan, J. Can psychoanalysis help us to understand the causes and prevention of violence? Psychoanalytic Psychotherapy 2016;30(2):125–37.Google Scholar
Whiting, D., Lichtenstein, P. and Fazel, S. Violence and mental disorders: A structured review of associations by individual diagnoses, risk factors, and risk assessment. Lancet Psychiatry 2021 Feb;8(2):150–61. https://doi.org/10.1016/S2215-0366(20)30262-5. Epub 2020 Oct 20. PMID: 33096045.Google Scholar
National Institute for Health & Clinical Excellence. Drug misuse – Psychosocial Interventions. NICE CG 51. Issued July 2007. www.nice.org.uk/guidance/cg51/evidence/drug-misuse-psychosocial-interventions-full-guideline-195261805 [Accessed 25 April 2022].Google Scholar
National Institute for Health & Clinical Excellence. Coexisting severe mental ill-ness and substance misuse: Community health and social care services. NICE Guideline NG58. Issued 2016. www.nice.org.uk/guidance/NG58 [Accessed 25 April 2022].Google Scholar
Tyrer, P. Nidotherapy: A new approach to the treatment of personality disorder. Acta Psychiatrica Scandinavica 2002 Jun;105(6):469–71; discussion:471–2. https://doi.org/10.1034/j.1600-0447.2002.01362.x. PMID: 12059852.Google Scholar
Tyrer, P. The importance of nidotherapy and environmental change in the management of people with complex mental disorders. International Journal of Environmental Research and Public Health 2018;15(5):972.Google Scholar
Tyrer, P., Sensky, T. and Mitchard, S. Principles of nidotherapy in the treatment of persistent mental and personality disorders. Psychother Psychosom 2003, Nov–Dec, 72(6):350–6.Google Scholar
Ministry of Health New Zealand. Family Violence Assessment and Intervention Guideline. Child abuse and intimate partner violence. 2016 www.health.govt.nz/publication/family-violence-assessment-and-intervention-guideline-child-abuse-and-intimate-partner-violence [Accessed 25 April 2022].Google Scholar
Carerstrust. The Triangle of Care. Carers Included: A Guide to Best Practice in Mental Health Care. 2013. https://carers.org/downloads/resources-pdfs/triangle-of-care-england/the-triangle-of-care-carers-included-second-edition.pdf [Accessed 24 April 2022].Google Scholar

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