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La Valutazione clinica del paziente con disturbo mentale e comportamento violento sulle persone = Clinical assessment of patients with mental disorders and violent behavior directed towards others

Nivoli, Giancarlo and Lorettu, Liliana and Milia, Paolo and Nivoli, Alessandra M. A. and Nivoli, Luisa Fabrizia (2008) La Valutazione clinica del paziente con disturbo mentale e comportamento violento sulle persone = Clinical assessment of patients with mental disorders and violent behavior directed towards others. Giornale Italiano di Psicopatologia = Italian Journal of Psycopathology, Vol. 14 (4), p. 396-412. ISSN 1592-1107. Article.

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Abstract

Objective The management of patients with mental disorder and violent behavior has become one of the most important issues among psychiatrists, due to repercussions related to professional liability. The aim of this study is to identify an assesment methodology of patients with mental disorder and violent behaviors oriented to manage the risk of violent behavior in clinical practice, particularly focusing on both stimulating and protective factors.
Methods This study is a personal contribution based on clinical experience among specific institutions specialized in the evaluation and treatment of psychiatric patients, who committed violent crimes. The presented methodology is based on contributions of clinical reports and the most recent literature.
Results and conclusions Authors present a methodology of assessment of patients with a mental disorder and violent behaviors including categorical psychiatric diagnosis, dimensional psychiatric diagnosis, dynamic psychiatric diagnosis, etiologic evaluation of violent behavior, the assesment of transference, countertransference and resistance of the patient. The treatment trend that emerges includes a sequence of operative indications that concern the treatment of both mental disorder and violent behavior, beyond the adoption of protective measures. It is also specified that the evaluation of the risk have to focus on the specific patient. We ought to, at least, emphasize the importance to document in case histories, the evaluation of the violent behavior risk carried-out, as a concrete proof of good clinical practice.

Item Type:Article
ID Code:7205
Status:Published
Refereed:Yes
Uncontrolled Keywords:Mental disorder, violent behavior, liability, assessment, treatment
Subjects:Area 06 - Scienze mediche > MED/25 Psichiatria
Divisions:001 Università di Sassari > 01 Dipartimenti > Neuroscienze, scienze materno infantili
Publisher:Pacini
ISSN:1592-1107
Deposited On:12 Mar 2012 09:49

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