Prospective associations among borderline personality disorder symptoms, interpersonal problems, and aggressive behaviors

This study examined the prospective relationships among borderline personality disorder (BPD) symptoms, interpersonal problems, and types of aggressive behaviors (i.e., experiencing psychological and physical victimization and perpetrating psychological and physical aggression) in a psychiatric sample (N = 139) over the course of 2 years. We controlled for other PD symptoms and demographic variables. BPD symptoms at baseline were associated with interpersonal sensitivity, interpersonal ambivalence, interpersonal aggression, need for social approval, and lack of sociability 6 months later. In turn, interpersonal sensitivity predicted not experiencing physical aggression, interpersonal aggression predicted experiencing physical aggression and perpetrating both psychological and physical aggression, need for social approval predicted experiencing both psychological and physical aggression, and lack of sociability predicted perpetrating physical aggression 2 years later. Results demonstrated that interpersonal problems mediated the relationship between BPD and later violent behaviors. Our findings suggest the importance of distinguishing between these groups of aggressive behaviors in terms of etiological pathways, maintenance processes, and treatment interventions.     

Personality Correlates of Aggression: Evidence From Measures of the Five-Factor Model, UPPS Model of Impulsivity, and BIS/BAS

Although many studies of personality and aggression focus on multidimensional traits and higher order personality disorders (e.g., psychopathy), lower order, unidimensional traits may provide more precision in identifying specific aspects of personality that relate to aggression. The current study includes a comprehensive measurement of lower order personality traits in relation to three forms of aggression: reactive, proactive, and relational. Traits related to interpersonal antagonism and impulsivity, especially impulsive behavior in the context of negative affect, were consistently related to aggression across multiple indices. These findings suggest that certain lower order traits are of critical importance to understanding who engages in aggressive behavior and why this behavior occurs.     

Sex and ethnic differences in past aggressive behaviors

To investigate gender and ethnic differences in experiences of violence, 415 Black and White males and females were asked about some of their aggressive behaviors in the past. In their most aggressive encounters, males were more likely than females to have received and instigated physical violence and females to have experienced violence in a sexual context; same-sex aggression was more common than cross-sex violence. More males than females had urged or screamed at others to be more aggressive, with males more likely to incite other males and females to urge other females to be aggressive. Males were more likely than females to have last been angry with a male, and a number of sex differences were found in the behaviors exhibited when last angry. Although positive consequences of aggression did not differ significantly by sex, females were more likely to have experienced negative interpersonal effects of behaving aggressively and males to have suffered physical harm or legal troubles. Relatively few differences between Black and White subjects were found, but Black males were more likely than Whites to keep their anger to themselves and to get the target in trouble; White males were more likely to yell at the target and tell the target of their anger. White females were more likely than Blacks to get the target in trouble. In general, the results are consistent with sex role stereotypes and suggest that the experiences of aggression and responses to anger may be substantially different for males and females.     

Experiences with Parental Aggression During Childhood and Self-Concept in Adulthood: The Importance of Subjective Perceptions

That individuals' realities are subjectively constructed is a basic, fundamental concept in psychology. However, past research examining child maltreatment in relation to psychological functioning has only investigated the frequency with which parental aggression occurs. Here, adults' perceptions of the abusiveness of their parents' aggressive behaviors during childhood were investigated as a predictor of current self-concept. Participants (N = 119) completed questionnaires assessing the extent to which they experienced parental aggression during childhood, their subjective perceptions of their parents' behaviors, and their current self-concept. Results indicated that how participants perceived their parents' aggressive behaviors was a more important predictor of self-concept than was the frequency with which those aggressive parental behaviors occurred. How individuals characterize their experiences with parental aggression should be taken into account when examining the psychological effects of aggressive parental behaviors.     

Violence against animals and people: is aggression against living creatures generalized?

An association between childhood cruelty to animals and dangerous aggression against people at a later age could have important implications regarding early detection and treatment, preventive psychiatry, and a social ethic that encourages positive attitudes toward living creatures in general. Research reports in the literature are inconsistent and inconclusive regarding a possible relationship between animal cruelty and aggression against people. Although a single act is not predictive of another act, a pattern of substantial animal abuse may conceivably be associated with a pattern of recurrent violence directed against people. In the present study, extensive interview schedules were administered to aggressive criminals, nonaggressive criminals, and noncriminals. The nature of abuse was described for each subject who gave a history of substantial abuse. A clear relationship was found between early substantial abuse and recurrent violence against people. Possible explanations for conflicting results in the literature are discussed.     

Context for specific episodes of marital violence: Gender and severity of violence differences

The present study was designed to evaluate the context of marital violence through husbands' and wives' accounts of the worst violent episode in the year prior to assessment. The primary objective was to examine severity (mild or severe) and gender (husbands or wives) differences in reports of the worst episode of marital aggression using a functional analysis conceptualization. That is, within the specific episode, current stressors, setting events, outcome, and function of aggressive behavior(s) and victimization experiences were evaluated. Sixty-two couples, who presented for marital treatment over a three year period and also reported at least one episode of physical aggression in the past year, participated. In most cases, marital aggression appeared to reflect an outgrowth of conflict between both partners. However, wives consistently reported that their aggressive husbands had engaged in more psychological coercion and aggression than they as a marital conflict escalated to physical violence. Further, there was a tendency for wives to use severe physical aggression in self-defense more often than husbands.     

The stop and think group: Changing sexually aggressive behaviour in young children

Abstract

Until recently, relatively little attention has been paid to young children who are sexually aggressive to other children. In this paper, cognitive-behavioural group techniques which have been used in the treatment of aggressive, impulsive behaviour in young children were applied in a small group setting to the sexually aggressive behaviour of pre-pubescent boys. The boys initially learned a ‘Stop and Think” model for general interpersonal problem-solving, which was then used to work on their difficulties with verbal and physical sexual aggression. Observation of the children's behaviour, reports from carers, school staff and social workers indicated that the group programme increased the children's ability to inhibit impulsive, aggressive behaviour. In the nine months after the group finished there were no known incidents of sexual aggression. In the context of certain limitations discussed in the paper, this positive outcome suggests that these methods have potential for reducing the likelihood of sexually aggressive behaviour becoming habitual.     

Courtship Violence Among College Students: A Comparison of Verbally and Physically Abusive Couples

This study used a modified version of the Conflict Tactic Scale (Straus, 1990) to measure the expression of verbal and physical aggression among 572 college students (395 females and 177 males) involved in dating relationships over the previous year. Results indicated that 82% (n = 465) of the total sample reported having engaged in verbally aggressive behavior with a dating partner over the past year, whereas 21% (n = 116) admitted to acting in a physically aggressive manner over the same interval. No significant gender-based difference was found for verbal aggression scores; however, females were significantly more likely to report using physical force than were male students. Male and female students who used verbal aggression were characteristically similar to each. Both had experienced aggression from a parent as children and had drunk alcohol within 3 hours (before or after) an argument with a dating partner. Male and female students who admitted using physical force were dissimilar except that both had experienced parent-child aggression. For male students, having witnessed conjugal violence and their general drinking patterns were also significantly related to their using physical force, whereas for females, the use of physical force was associated with drinking alcohol within 3 hours of an argument with a dating partner.     

The impact of interpersonal style on aggression and treatment non-completion in patients with personality disorder admitted to a medium secure psychiatric unit

Abstract

The aim of this study was to examine the impact of interpersonal style and psychopathy on treatment non-completion and aggressive behaviour. Participants were patients with personality disorder admitted for treatment to a structured group program operating within a medium secure psychiatric hospital. Assessment of personality disorder and psychopathy occurred prior to admission. Interpersonal style was assessed on admission with the Impact Message Inventory (IMI), a self-report transactional inventory. Files were subsequently reviewed to determine whether patients were aggressive during their hospital stay and whether they were prematurely expelled from the unit and therefore did not complete treatment. Results showed that patients who completed treatment were more nurturing and help-seeking. Aggressive patients were more competitive and dominant. Psychopathy did not differentiate treatment completers from non-completers or aggressive from non-aggressive patients. Clinical implications and opportunities for further research are explored.     

Patterns of Psychological Aggression, Dominance, and Jealousy within Marriage

Few empirical studies with representative samples have focused on the gendered aspect of psychological aggression and its sub-constructs of dominance and jealousy. Those that do report on gender differences, often fail to report on important dyadic factors such as whether the aggression is unilateral or bilateral in nature. Differences in psychological aggression, dominance, and jealousy constructs were assessed in a representative sample of 453 married parents. Overall, women had significantly higher dominance, jealousy, and psychological aggression scores. Both male and female respondents in relationships where there was bi-directional severe psychological aggression demonstrated higher mean levels of severe psychological aggression, dominance, and jealousy than did their counterparts who were unilaterally severely aggressive. This is the first study to demonstrate that bilateral psychological aggression is associated with higher mean levels of psychological aggression, dominance, and jealousy scores for both male and female partners than unilateral aggression. Contrary to our hypothesis, there was no differential impact of severe psychological aggression by gender.     

Inpatient aggression by mentally ill offenders: a retrospective case-control study

A retrospective case-control study was conducted examining relationships between patients’ socio-demographic, clinical and admission characteristics and inpatient aggression. Patients aged 18–64?years with a recent offence episode, who were admitted to a regional acute mental health unit, were included as cases (N?=?82), while controls comprised the next available admission, matched for age and gender (N?=?82). The prototypical patient was a young, single male, with a diagnosis of schizophrenia, a history of substance use and previous psychiatric admissions. The majority of cases had a history of aggression and recent offences against public order. They also revealed a higher likelihood of involvement in ‘less serious’ aggressive incidents (e.g. verbal threats or demands) during the index admission. Clinically, knowledge of each patient’s recent offence history, arrival mode and observed characteristics on admission (including any verbal aggression) may be important in the management of subsequent inpatient aggression.     

Implications for the prevention of aggressive behavior within psychiatric hospitals drawn from interpersonal communication theory

Although interpersonal style is a defining feature of personality and personality disorder and is commonly identified as an important influence on aggressive behavior, treatment completion, and the development of an effective therapeutic alliance, it is rarely considered in practice guidelines for preventing, engaging, and managing patients at risk of aggression. In this article, the authors consider three potential applications of interpersonal theory to the care and management of patients at risk of aggression during hospitalization: (a) preventing aggression through theoretically grounded limit setting and de-escalation techniques, (b) developing and using interventions to alter problematic interpersonal styles, and (c) understanding therapeutic ruptures and difficulties establishing a therapeutic alliance. Interpersonal theory is proposed to offer a unifying framework that may assist development of intervention and management strategies that can help to reduce the occurrence of aggression in institutional settings.     

The relationship between aggressive behaviour in prison and violent offending following release

Aggression during incarceration impacts on parole release decisions. However, research examining the link between aggressive behaviour in custody and violence post-release is limited, particularly in relation to adult violent offenders. Several factors complicate the use of institutional aggression as a marker of risk for future violence, including environmental causes of aggressive behaviour and adaptation to prison. This study explored the association between aggressive behaviour in prison and violent recidivism post-release in a sample of 148 adult male violent offenders. Prisoners with three or more aggressive incidents recorded in prison incurred a violent charge more often and sooner after release than those with no aggressive incidents, when controlling for age, ethnicity, length of incarceration and risk for future violence. Subjects with one or two aggressive incidents were not at increased risk of violent recidivism. These findings suggest that institutional aggression can be used to identify individuals at risk of violence following release but only when repeated aggressive behaviour is evident. Importantly, some prisoners who were not aggressive in prison were charged with violent offences post-release and some prisoners with three or more aggressive incidents were not violent following release, highlighting the complexity of using in-prison aggression as a marker for violent recidivism.     

Staff members’ evaluation of inpatients’ motivation for aggression – the roles of staff restrictions and aggression severity

Improved understanding of inpatient aggression can come from systematic assessment of motivation for aggressive incidents. This study investigates staff members’ evaluation of motivation for aggressive incidents, and how such evaluations are influenced by staff restrictions and aggression severity. Staff reports of aggressive incidents in a secure psychiatric unit were collected in clinical practice over a ten-year period (2006–2015). Motivation for aggression was assessed with the Aggressive Incident Motivation Evaluation Scale, measuring irritable, instrumental, and defensive dimensions. Information about staff restrictions was collected with the Staff Observation Aggression Scale – Revised, and severity was rated with the Visual Analog Scale. Multilevel analyses of 2649 aggressive incidents, committed by 67 inpatients, revealed greater variation in aggression motivation across incidents than between individual patients. Staff restrictions preceding the aggressive incident and rating of severity were positively related to staffs’ evaluation of motivation for aggression, but their impacts differed across motivational dimensions. Staff reports of motivation provide important additional information beyond current standard report forms. Systematically evaluating motivation is essential to risk management, and may contribute to develop more fine-tuned interventions for preventing and managing aggression in inpatient settings.     

Rough-and-Tumble Play and the Development of Physical Aggression and Emotion Regulation: A Five-Year Follow-Up Study

This is a follow-up to a study demonstrating that rough-and-tumble play was related to physical aggression in the preschool years. Fathers reported on the frequency of father-child rough-and-tumble play interactions, and the degree to which fathers were dominant in the play dyad was observed and coded from play interactions. In this follow-up study, school-aged children’s physically aggressive behaviors and emotion regulation abilities were assessed with questionnaires 5 years later. Higher frequencies of father-child rough-and-tumble play in the preschool years were associated with more physical aggression and worse emotion regulation 5 years later for children whose fathers were less dominant, over and above the effects of physical aggression in the preschool years. Rough-and-tumble play was unrelated to these measures among children whose fathers were more dominant during play. This study shows that early rough-and-tumble play continues to be related to children’s psychosocial adjustment over time, and that the effect remains moderated by the quality of the father-child relationship during play.     

Testosterone reactivity and identification with a perpetrator or a victim in a story are associated with attraction to violence-related cues

Background

Recent field research has demonstrated that an attraction to aggressive behavior and cruelty is common among combatants and perpetrators involved in organized violence. The biological basis of this appetitive perception of aggression in humans has to date not been studied.

Aims

We examined testosterone as a potential hormonal moderator during induction of specifically appetitive aggressive behavior in the laboratory.

Method

To activate physiological responding related to appetitive aggression, 145 university students (72 women) listened to tape recordings of variants of a violent story. The perspective of the listener in the story was randomized between subjects. Participants were required to either identify as perpetrator, neutral observer, or victim. We assessed changes in saliva testosterone in response to the story. Subsequently, a series of pictorial stimuli (IAPS) with different valence ratings was presented and participants determined the length of viewing time with a button click. This viewing time for negative IAPS was assessed as a dependent variable indicating level of interest in violent scenes.

Results

Men identified themselves with the perpetrator more than women irrespective of the particular perspective presented by the story. Men who responded with an increase in saliva testosterone when adopting the perpetrator perspective chose to view the negative IAPS pictures for longer intervals than participants in other conditions or those who did not exhibit a release in testosterone.

Conclusions

Testosterone moderates attraction to cruel and violent cues in men, as indicated by extended deliberate viewing of violence cues.     

Youth and parental attitudes toward fighting

Certain parenting behaviors have been linked with youth aggression and violence, but less is known about whether parents' attitudes toward fighting are a risk factor for children's aggressive behavior problems and future injury risk. Social cognitive theory suggests that parents' beliefs about fighting and retaliation may influence their children's attitudes toward fighting and aggression. The authors examined the associations among parental and youth attitudes toward fighting, parent-child relationships, and youth aggressive behavior in adolescents at great risk for future interpersonal violence. Data came from 72 parents and their adolescents (aged 12 to 17 years, 89% African American), who presented to an emergency department for youth's assault-related injuries. Analyses revealed an association between parents' and youth's attitudes toward fighting. Youth's and parents' attitudes were positively correlated with aggressive behavior, fighting, and school suspension. Parents' attitudes predicted youth's aggressive behavior, even after controlling for youth's attitudes. The findings suggest that interventions for high-risk youth should target the fighting-related attitudes of both parents and youth.     

Change in Self-Esteem and Physical Aggression During Treatment for Partner Violent Men

The role of low self-esteem in aggressive behavior has been questioned by theorists who claim that inflated, rather than deflated, self-esteem is associated with violence, and that societal efforts to increase self-esteem may actually increase, rather than decrease, violent behavior. This conjecture was tested in two treatment samples of partner violent men, one (n = 61) that received a behavioral intervention, and one (n = 107) that received a workshop program designed to enhance compassion for self and others. Both samples reported significant reductions in relationship violence perpetration and significant increases in self-esteem from pre- to post-treatment. In both samples, change in self-esteem was inversely correlated with change in physical aggression. Follow-up data from victims were available for one of the samples, and revealed that self-esteem and its enhancement during treatment did not significantly predict relationship violence during the year after treatment. These results indicate that self-esteem enhancement during treatment for partner violent men is correlated with violence reduction, and does not increase the risk for subsequent relationship aggression.