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Rischio di violenza nel paziente psichiatrico/Etero-aggressive behavior in psychiatric patients - Lab

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Etero-aggressive behavior in psychiatric patients

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Anno accademico 2015/2016

Docente
Flavio Vischia (Titolare del corso)
Corso di studi
Psicologia criminologica e forense
Anno
2° anno
Tipologia
Laboratorio
Crediti/Valenza
2
SSD dell'attività didattica
M-PSI/08 - psicologia clinica
Modalità di erogazione
Tradizionale
Lingua di insegnamento
Italiano
Modalità di frequenza
Obbligatoria
Tipologia d'esame
Da definire
Prerequisiti
Conoscenza di base psicopatologia dei disturbi psichici maggiori, in particolare psicosi non affettive, disturbo bipolare e disturbi di personalità

Basic knowledge of the psychopathology in major psychiatric disorders as schizophrenia, bipolar disorder and personality disorder.

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Sommario insegnamento

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Obiettivi formativi

Gli obiettivi del corso sono verificare quanto i fattori di rischio di comportamento aggressivo dei pazienti affetti da disturbi psichici, così come indicati dalla letteratura, siano riscontrabili nella pratica clinica. Il corso fornirà inoltre strumenti relazionali per la gestione clinica dell’aggressività del paziente affetto da disturbi psichici.

The objectives of this course are to verify whether the risk factors of etero-aggressive behavior in psychiatric patients, highlighted in the International Literature, are really present in clinical practice; also it will provided clinical tools for the management of aggressive behavior in psychiatric patients.

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Risultati dell'apprendimento attesi

Sviluppare la comprensione relativa alla metodologia di valutazione, anche attraverso specifiche scale psicmetriche, dei fattori di rischio statici e dinamici, relativi al comportamento aggressivo del paziente psichiatrico. Sviluppare infine abilità relazionali sia individuali che di équipe circa la prevenzione e la gestione dell’aggressività del paziente aggressivo.

Develop the comprehension of the methods of valuation about “static” risk factors and “dynamic” risk factors about aggressive behavior in psychiatric patients, also with the aid of rating scale. Develop relationship skills in clinical intervention and prevention (both individual and équipe) of aggressive behavior in psychiatric patients.

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Modalità di insegnamento

Breve introduzione teorica dei contenuti del laboratorio, lavoro di gruppo

Brief theoretical introduction, group activity, evaluation of clinical cases in psychiatric unit for acute psychiatric patients

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Modalità di verifica dell'apprendimento

Il laboratorio prevede una valutazione in itinere durante le attività in presenza e un breve elaborato scritto da cui si evinca l’acquisizione da parte dello studente della capacità di integrare aspetti teorici e clinici forniti.

The laboratory will also involve an intermediate evaluation during the lessons and a brief essay proving the acquisition of the ability to integrate both theoretical and clinical perspectives provided during the course.

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Programma

Il colloquio clinico psichiatrico, la raccolta anamnestica, la valutazione del rischio di aggressività, la prevenzione dell’aggressività, la gestione del paziente aggressivo

The psychiatric clinical interview, the history-taking, the risk assessment of aggression, the prevention of aggression, aggressive psychiatric patient management

Testi consigliati e bibliografia

Oggetto:

Allen, J. (1997). Assessing and managing risk of violence in the mentally disordered. Jounal of Psychiatric and  Mental Health Nursing, 4, 369-378.

Amore, M., Menchetti, M., Tonti, C., Scarlatti, F., (2008). Predictors of violent behavior among acute psychiatric patients: clinical study. Psychiatry Clinical Neuroscience, 62(3):247-55.

Arsenault, L., Moffitt, T., Caspi, A. (2000). Mental Disorders and Violence in a Total Birth Cohort. Arch Gen Psychiatry, Vol.57, pp 979-986.

Barratt E.S. (1991). Measuring and predicting aggression within the context of a personality theory. Journal of Neuropsychiatry and Clinical Neurosciences, Vol 3pp 35-39.

Beck, J., (2004). Delusions, Substance Abuse and Serious Violence. J Am Acad Psychiatry Law 32: 169-172.

Berti, A., Maberino, C., (2004). La psichiatria e il rischio professionale: analisi predittive delle aggressioni. Giornale italiano di psicopatologia, Vol.10, 1.

Bjorkly (1995). Prediction of aggression in psychiatric patients: a review of prospective prediction studies. Clinical Psychology, Vol.15, No.6, pp. 475-502.

Caprara, G.V., Barbaranelli, C., Zimbardo P.G., (1996). Understanding the Complexity of Human Aggression: Affective, Cognitive, and Social Dimension of Individual Differences in Propensity Toward Aggression. European Journal of Personality, Vol.10, 133-155.

Douglas, K.S., Skeem, J.L. (2005). Violence Risk Assessment. Psychology, Public Policy, and Law, Vol.11, No.3, 347-383.

Elbogen, E.B., Van Dorn, R.A., Swanson, J.W., Swartz, M.S., (2006). Treatment engagement and violence risk in mental disorders. The British Journal of Psychiatry, 189:354-360.

Esbec, E., Echeburùa, E. (2010). Violence and personality disorders: clinical and forensic implications. Actas Esp Psiquiatr; 38(5): 249-261.

Fazel, S., Gulati, G., Linsell, L., (2009). Schizophrenia and Violence: Systematic Review and Meta-Analysis. Plos Medicina, Vol. 6, 8: 1- 15.

Ferguson, C. (2005). Social isolation, impulsività and depression as predictors of aggression in a psychiatric inpatient population. Psychiatric Quartely, Vol. 76, 2: 123- 137.

Giovanbattista, E., Pollice, E., Mazza, M., Roncone, R., Casacchia, M. (2006). Comportamento violento, impulsività e deficit di cognizione sociale in pazienti affetti da schizofrenia. Giornale Italiano di Psicopatologia; 12: 385-392.

Heilbrun, K., Kramer G.M., (2001). Update on Risk Assessment in Mentally Disordered Populations. Journal of Forensic Psychology Practice. Vol.1 (pp. 55- 63).

James, D.V., Fineberg, N.A., Shah, A.K. e Priest, R.G., (1990). An increase in violence in an acute psychiatric ward. A study of associated factors. The British Journal of Psychiatry, 156: 846- 852.

Kennedy, M.G. (1993). Relationschip between psychiatric diagnosis and patient aggression. Issues in Mental Health Nursing; 14: 263-273.

Kraemer, H.C., Stice, E.et al. (2001). How do risk factors work together? Mediators, Moderators and Indipendent, Overlapping, and Proxy Risk Factors. Am J Psychiatry, 158: 848-856.

Link, B.G., Monahan, J., Steuve, A., Cullen, F.T., (1994). Real in their consequences:  sociological approach to understanding the association between psychotic symptoms and violence. American Sociological Review, Vol. 64, 316-332.

 Nolan, K.A., Czobor, P., Roy, B.B., et altri (2003). Characteristics of Assaultive Behavior Among Psychiatric Inpatients. Psychiatric Services Vol.54, 7: 1012- 1016.

Norko, M.A., Baranoski, M., (2005). The State of Contemporary Risk Assessment Research. Can J Psychiatry, Vol.50, No.1, pp 18-26.

Norko, M., Baranoski, M. (2007). The prediction of Violence; Detection of Dangerousness. Brief Treatment and Crisis Intervention, 8:1, pp 73-91.

Raia, M., Azzoni, A., (2005). Hostility and violence of acute psychiatric inpatients.Clinical  Practica & Epidemiological  Mental  Health, Vol. 1, 11.

Searles, H. F., (1974). Scritti sulla Schizofrenia. Torino: Boringhieri.

Silver, E., Mulvey E.P., Monahan J., (1999). Assessing Violence Risk Among Discharged Psychiatric Patients: Toward an Ecological Approach. Law and Human Behavior, Vol. 23, 2: 237-255.

Silver, E., (2006). Understanding the Relationship Between Mental Disorder and Violence: the Need for a Criminological Perspective. Law and Human Behavior, Vol. 30, 6: 685- 706.

Singh, J.P., Serper, M. et al. (2011). Structured Assessment of Violence in Schizophrenia and Other Psychiatric Disorders: A Systematic Review of the Validity, Reliability, and Item Content of 10 Available Instruments. Schizophrenia Bulletin, Vol. 37, No. 5, pp. 899-912.

Steinert, T., Wolfle, M. (2000). Measurement of violence during in-patient treatment and association with psychopatology. Acta Psychiatr Scand: 102; 107-112.

Swanson, J.W., Borum, R., SSwartz, M.S., Monahan, J., (1996). Psychotic symptoms and disorders and the risk of violent behavior in the community. Criminal Behavior and Mental Health, Vol. 6, 309-329.

Swartz, M.S., Swanson J.W. et altri, (1998). Violence and Severe Mental Illness: the Effects of Substance Abuse and Nonadherence to Medication. Am Psychaitry 155:2, 226 – 231.

Teasdale, B., Silver, E., Monahan, J. (2006). Gender, Threat/Control-Override Delusions and Violence. Law and Human Behavior.

Volavka, J., Citrome, L., (2008). Heterogeneity of violence in schizophrenia and implications for long-term treatment. Clinical Practice, Vol.62, 8: 1237- 1245.

Volavka, J., Swanson, J. (2010). Violent Behavior in Mental Illness: the Role of Substance Abuse. JAMA, Vol.304, No.5, pp 563-564.

Waldheter, E.J. et altri, (2005). Utility of Social Cognition and Insight in the Prediction of Inpatient Violence Among Individuals with a Severe Mental Illness. The Journal of Nervous and Mental Disease, Vol. 193 9: 609- 618.

Allen, J. (1997). Assessing and managing risk of violence in the mentally disordered. Jounal of Psychiatric and  Mental Health Nursing, 4, 369-378.

Amore, M., Menchetti, M., Tonti, C., Scarlatti, F., (2008). Predictors of violent behavior among acute psychiatric patients: clinical study. Psychiatry Clinical Neuroscience, 62(3):247-55.

Arsenault, L., Moffitt, T., Caspi, A. (2000). Mental Disorders and Violence in a Total Birth Cohort. Arch Gen Psychiatry, Vol.57, pp 979-986.

Barratt E.S. (1991). Measuring and predicting aggression within the context of a personality theory. Journal of Neuropsychiatry and Clinical Neurosciences, Vol 3pp 35-39.

Beck, J., (2004). Delusions, Substance Abuse and Serious Violence. J Am Acad Psychiatry Law 32: 169-172.

Berti, A., Maberino, C., (2004). La psichiatria e il rischio professionale: analisi predittive delle aggressioni. Giornale italiano di psicopatologia, Vol.10, 1.

Bjorkly (1995). Prediction of aggression in psychiatric patients: a review of prospective prediction studies. Clinical Psychology, Vol.15, No.6, pp. 475-502.

Caprara, G.V., Barbaranelli, C., Zimbardo P.G., (1996). Understanding the Complexity of Human Aggression: Affective, Cognitive, and Social Dimension of Individual Differences in Propensity Toward Aggression. European Journal of Personality, Vol.10, 133-155.

Douglas, K.S., Skeem, J.L. (2005). Violence Risk Assessment. Psychology, Public Policy, and Law, Vol.11, No.3, 347-383.

Elbogen, E.B., Van Dorn, R.A., Swanson, J.W., Swartz, M.S., (2006). Treatment engagement and violence risk in mental disorders. The British Journal of Psychiatry, 189:354-360.

Esbec, E., Echeburùa, E. (2010). Violence and personality disorders: clinical and forensic implications. Actas Esp Psiquiatr; 38(5): 249-261.

Fazel, S., Gulati, G., Linsell, L., (2009). Schizophrenia and Violence: Systematic Review and Meta-Analysis. Plos Medicina, Vol. 6, 8: 1- 15.

Ferguson, C. (2005). Social isolation, impulsività and depression as predictors of aggression in a psychiatric inpatient population. Psychiatric Quartely, Vol. 76, 2: 123- 137.

Giovanbattista, E., Pollice, E., Mazza, M., Roncone, R., Casacchia, M. (2006). Comportamento violento, impulsività e deficit di cognizione sociale in pazienti affetti da schizofrenia. Giornale Italiano di Psicopatologia; 12: 385-392.

Heilbrun, K., Kramer G.M., (2001). Update on Risk Assessment in Mentally Disordered Populations. Journal of Forensic Psychology Practice. Vol.1 (pp. 55- 63).

James, D.V., Fineberg, N.A., Shah, A.K. e Priest, R.G., (1990). An increase in violence in an acute psychiatric ward. A study of associated factors. The British Journal of Psychiatry, 156: 846- 852.

Kennedy, M.G. (1993). Relationschip between psychiatric diagnosis and patient aggression. Issues in Mental Health Nursing; 14: 263-273.

Kraemer, H.C., Stice, E.et al. (2001). How do risk factors work together? Mediators, Moderators and Indipendent, Overlapping, and Proxy Risk Factors. Am J Psychiatry, 158: 848-856.

Link, B.G., Monahan, J., Steuve, A., Cullen, F.T., (1994). Real in their consequences:  sociological approach to understanding the association between psychotic symptoms and violence. American Sociological Review, Vol. 64, 316-332.

 Nolan, K.A., Czobor, P., Roy, B.B., et altri (2003). Characteristics of Assaultive Behavior Among Psychiatric Inpatients. Psychiatric Services Vol.54, 7: 1012- 1016.

Norko, M.A., Baranoski, M., (2005). The State of Contemporary Risk Assessment Research. Can J Psychiatry, Vol.50, No.1, pp 18-26.

Norko, M., Baranoski, M. (2007). The prediction of Violence; Detection of Dangerousness. Brief Treatment and Crisis Intervention, 8:1, pp 73-91.

Raia, M., Azzoni, A., (2005). Hostility and violence of acute psychiatric inpatients.Clinical  Practica & Epidemiological  Mental  Health, Vol. 1, 11.

Searles, H. F., (1974). Scritti sulla Schizofrenia. Torino: Boringhieri.

Silver, E., Mulvey E.P., Monahan J., (1999). Assessing Violence Risk Among Discharged Psychiatric Patients: Toward an Ecological Approach. Law and Human Behavior, Vol. 23, 2: 237-255.

Silver, E., (2006). Understanding the Relationship Between Mental Disorder and Violence: the Need for a Criminological Perspective. Law and Human Behavior, Vol. 30, 6: 685- 706.

Singh, J.P., Serper, M. et al. (2011). Structured Assessment of Violence in Schizophrenia and Other Psychiatric Disorders: A Systematic Review of the Validity, Reliability, and Item Content of 10 Available Instruments. Schizophrenia Bulletin, Vol. 37, No. 5, pp. 899-912.

Steinert, T., Wolfle, M. (2000). Measurement of violence during in-patient treatment and association with psychopatology. Acta Psychiatr Scand: 102; 107-112.

Swanson, J.W., Borum, R., SSwartz, M.S., Monahan, J., (1996). Psychotic symptoms and disorders and the risk of violent behavior in the community. Criminal Behavior and Mental Health, Vol. 6, 309-329.

Swartz, M.S., Swanson J.W. et altri, (1998). Violence and Severe Mental Illness: the Effects of Substance Abuse and Nonadherence to Medication. Am Psychaitry 155:2, 226 – 231.

Teasdale, B., Silver, E., Monahan, J. (2006). Gender, Threat/Control-Override Delusions and Violence. Law and Human Behavior.

Volavka, J., Citrome, L., (2008). Heterogeneity of violence in schizophrenia and implications for long-term treatment. Clinical Practice, Vol.62, 8: 1237- 1245.

Volavka, J., Swanson, J. (2010). Violent Behavior in Mental Illness: the Role of Substance Abuse. JAMA, Vol.304, No.5, pp 563-564.

Waldheter, E.J. et altri, (2005). Utility of Social Cognition and Insight in the Prediction of Inpatient Violence Among Individuals with a Severe Mental Illness. The Journal of Nervous and Mental Disease, Vol. 193 9: 609- 618.



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Note

GIORNO, ORARIO E MODALITÀ DI RICEVIMENTO DEGLI STUDENTI

Su appuntamento -  dr. Flavio Vischia Dipartimento Salute Mentale – Ospedale Amedeo di Savoia – Corso Svizzera 164 - Torino  (0114393951 mob. 3482611798) mail (flavio.vischia@aslto2.piemonte.it).

STUDENTS' MEETING

By appointment - dr. Flavio Vischia Dipartimento of Mental Health – Ospedale Amedeo di Savoia – Corso Svizzera 164 - Torino  (0114393951 mob. 3482611798) e - mail (flavio.vischia@aslto2.piemonte.it).

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Ultimo aggiornamento: 17/02/2016 15:56

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