Violence in geriatric patients with dementia

Although the elderly have been studied as victims of violent behavior, there has been little investigation of this population as perpetrators of violence. Using the method of retrospective chart review, this study examines the issue of violence by geriatric patients with dementia who need acute psychiatric hospitalization. Of 52 patients, 44 percent engaged in physical attacks and/or fear-inducing behavior during the two weeks prior to admission, and 29 percent engaged in similar behavior within the first 72 hours of hospitalization. Married patients and those who lived with family were overrepresented in the group of violent patients. The authors discuss possible explanations and implications of these findings.     

DOES VIOLENCE INVOLVING WOMEN AND INTIMATE PARTNERS HAVE A SPECIAL ETIOLOGY?*

We used data from a survey of inmates who have committed homicide or assault to examine whether men and women who have killed or assaulted their intimate partners are different from other violent offenders. A “gender perspective” implies that intimate partner violence and violence between the sexes have different etiologies than other types of violence, whereas a “violence perspective” implies that they have similar etiologies. Our evidence supports a violence perspective. In general, offenders who attack their partners are similar to other offenders in terms of their prior records, alcohol and drug use, and experiences of abuse. We observed some differences between men who attack women (including their female partners) and other male offenders, but the differences were opposite those predicted by a gender perspective. For example, men who attacked their partners were particularly likely to have been abused by their partners. In addition, men who attacked women were particularly likely to have experienced sexual abuse during childhood and to have been intoxicated at the time of the incident. These results suggest that some well-known predictors of violence are particularly strong predictors of male violence against women and female partners.     

Stranger and acquaintance sexual assault of adult males

This study examined victim and assault characteristics and the nature and extent of coercion, violence, and physical injuries among adult male victims of sexual assaults. Client records of three groups presenting to a sexual assault care center were included: males assaulted by a stranger (n = 64), males assaulted by an acquaintance (n = 81), and females assaulted by an acquaintance (n = 106). Study results revealed that male victims of sexual assault tended to be young, single men who reported high rates of vulnerabilities such as homelessness and physical, psychiatric, and cognitive disabilities. Male stranger assailant victims were more likely to experience assaults involving weapons and physical violence. Injuries sustained by victims and services delivered at the sexual assault care center were similar for both male and female clients. The results of this study reveal new information about violence in male sexual assaults and the vulnerability of the male victims.     

Mental Disorder, Violence, and Gender

Recent studies have reported comparable rates of violence among men and women with mental disorder, raising important issues for clinical risk assessment. This study examines the relationship between gender and violence using data from the MacArthur Violence Risk Assessment Study. Patients in acute psychiatric wards were interviewed 5 times over the year following their discharge to the community. Results showed some differences between men and women in the violence committed immediately following discharge, with rates for men being higher. But the prevalence of violence over the 1 year was similar for female and male discharged patients. However, there were substantial gender differences in the situational context of the violence committed. Men were more likely to have been drinking or using street drugs, and less likely to have been adhering to prescribed psychotropic medication, prior to committing violence. The violence committed by men was more likely to result in serious injury than the violence committed by women, and men were more likely than women to be arrested after committing a violent act. Women were more likely to target family members and to be violent in the home.     

A prospective study of predictors of violence in adult male mental health admissions

Studies of violence prediction have typically involved long-range follow-up of institutionalized persons and have shown poor predictive accuracy. In the present study a sample of adult males at risk for violent behavior admitted as inpatients at a community mental health center was followed for six months after their release. Data collected at admission (which included demographics, family back-ground, criminal justice and mental health systems contacts, past violent behavior, life stress, family, friendship, and work environment measures, psychiatric diagnosis, and alcohol and drug use) were used to predict subsequent violent arrests or readmissions using stepwise discriminant analysis. Results yielded 85% of the total sample correctly classified. Of those predicted to be nonviolent 94% were actually nonviolent and of those predicted to be violen 59% were actually violent. Seventy-six percent of the violent subjects were identified. Implications of the findings for clinical predictions of violence are discussed.     

Gender Differences in the Impact of Family of Origin Violence on Perpetrators of Domestic Violence

This study examines the applicability of theories related to the intergenerational transmission of violence. Studies of the impact of violence in the family of origin on the propensity to engage in domestic violence as an adult have commonly focused on boys as potential perpetrators. This study examined the impact of previous violent victimization on males and females charged with domestic violence perpetration, finding previous violence significantly related to increased fear and hyper-vigilance to threat in adult relationships. In addition, the study explored the theoretical assertion that those who use violence in their homes are not also generally violent and found that the majority of individuals using violence, both males and females, were not violent outside the home.     

Relationship Between Two Types of Help Seeking Behavior in Domestic Violence Victims

A coordinated community response system to the help-seeking behaviors of domestic violence victims is critical to minimize the impact of violent events and to educate the public, so that safe and effective conflict management skills may replace violent responses. The focus for the present study is to identify and analyze victims’ choices of law enforcement assistance in stopping the violence and/or aid through the services of the regional family violence center. Some victims select legal channels of support; others rely exclusively on social service support, and others seek assistance from both sources. Characteristics of victims whose cases followed two types of help-seeking behavior patterns—legal support or social support–were determined through archived data from both the records of a regional family violence center (FVC) (n=258) and domestic violence incident reports of a police department serving a city of approximately 200,000 citizens (n=127). Findings indicate that African American victims more frequently sought protection through law enforcement sources than they did through family violence center services, and the reverse was true for Euro-Americans.     

The relationship between domestic violence and animal abuse: an Australian study

Several North American studies have found a connection between domestic violence and animal abuse. This article reports on the first Australian research to examine this connection. A group of 102 women recruited through 24 domestic violence services in the state of Victoria and a nondomestic violence comparison group (102 women) recruited from the community took part in the study. Significantly higher rates of partner pet abuse, partner threats of pet abuse, and pet abuse by other family members were found in the violent families compared with the nondomestic violence group. As hypothesized, children from the violent families were reported by their mothers to have witnessed and committed significantly more animal abuse than children from the nonviolent families. Logistic regression analyses revealed, for the group as a whole, that a woman whose partner had threatened the pets was 5 times more likely to belong to the intimate partner violence group.     

The relationship between trauma and violence in a jail inmate sample

Research suggests there is a link between trauma and violence, although the nature of the relationship is rather equivocal. This study explored this relationship by examining self-reported trauma as a predictor of self-reported violence in 93 jail inmates. Ninety-six percent of the sample reported experiencing a traumatic event, and 67% reported having been violent during the year preceding incarceration. Inmates reporting trauma were more than twice as likely to report having been violent than nonviolent. Stepwise multiple regression analyses suggested traumatic events, as a combined model, significantly contributed to violence perpetration. In addition, witnessing serious violence predicted perpetration of violence. Implications and limitations of the present study are discussed.     

FAMILY ORIGINS OF VIOLENT DELINQUENTS*

Family is central to contemporary theories of delinquent and violent behavior. Yet, the processes by which families shape violent behavior in their children are not well understood. In the past, structural views posited that a weak family exposed a child to the evils of the street. More recently, functionalists have suggested that the family plays an active role in socializing youths to violent behaviors through supervision and discipline practices and modeling and reinforcement of antisocial behaviors. Integrated theories presume that socially disorganized families weaken children's conventional bonds and attachments, leading to associations with delinquent peers and in turn antisocial behavior. However, the influence of the family as a socializing environment may shift over time, and some suggest that its influence is overshadowed during adolescence by that of other social domains—schools, neighborhoods, peers, and work. This study describes the family processes and environments of (n = 98) chronically violent delinquents. Interviews with youths and their mothers assessed family social process and environments and the social domains and institutions with which they interact. Analyses of youth reports of family environments and processes yield three family types: “interactionist” families exhibiting a high degree of internal interaction and bonding; “hierarchical” families characterized by parental dominance and the presence of family bond and interaction patterns; and “antisocial” families marked by criminality and family violence. Family variables have weaker explanatory power than do other social influences on violent delinquency. The relative contributions of family supervision practices and school environment varied by crime type. Social influences outside the family appear as stronger contributors to delinquency and violence during adolescence, regardless of early childhood experiences. The results underscore the importance of integrating social policies regarding family, crime, and neighborhood.     

Family Dynamics Associated with the Use of Psychologically Violent Parental Practices

The purpose of this study is to explore the family dynamics that are associated with parental psychological violence. A qualitative theorizing analysis has been performed upon the content of 26 interviews with parents and practitioners, in order to: (1) develop a typology of family dynamics conducive to psychologically violent parental practices, and (2) provide some support to this typology by confronting it with other data and real life cases. The results suggest four types of families in which psychological violence is likely to occur, characterized respectively by a scapegoat child, a domineering and intolerant father, a rigid and manipulative mother, and a chaotic and incompetent parent. Participants' explanations of the occurrence of psychological violence in a given family support the proposed typology: a different explanatory profile is associated with each type of psychologically violent family. Furthermore, the typology has been submitted to practitioners working in the fields of child protection and community family support, who applied the typology to real files in their caseloads in order to assess its usefulness in clinical settings. This procedure supported the relevance of the proposed typology for practice.     

Mental disorder in violent women in secure settings: Potential relevance to risk for future violence

The relevance to women of common violence risk factors identified in men has in many instances yet to be established. Consequently, there is a reluctance to accept without question the application to women of practices relating to violence risk assessment and management developed from research into men. This study examines mental disorder in women who are violent in order comment on its relevance to the practice of violence risk assessment and management. A sample of 95 violent women in high secure prison and forensic psychiatric care were assessed. Structured assessments of Axis I and II mental disorders and psychopathy were undertaken on all women and conviction histories were recorded. Very high levels of psychiatric morbidity were noted and patterns in comorbidity were detected. Among Axis I conditions, psychotic disorders and disorders of mood co-occurred at a very high rate. Among the Axis II conditions, dimensional ratings of borderline personality disorder (PD) correlated with dimensional ratings of avoidant, dependent and paranoid PDs while ratings of antisocial PD correlated with those of narcissistic, histrionic and obsessive–compulsive PDs. Women who had been incarcerated for a major violent offence were four times more likely to have a diagnosis of borderline PD than women whose index offence was one of minor violence. A number of the findings reported are in contrast to those reported in similar studies of men. Findings suggest that practitioners are right to question the application to women of knowledge derived from research into men. The practice of violence risk assessment and management with women should emphasise the development of individual risk formulations and responding to psychiatric comorbidity should be the rule rather than the exception with this population.     

MOVING BEYOND THE STEREOTYPES: WOMEN'S SUBJECTIVE ACCOUNTS OF THEIR VIOLENT CRIME*

This research builds on the recent scholarship that questions the anti‐agentic depictions of women's acts of violence. We inductively examine women's narratives of their violence to illuminate the diversity of motivations that appear to lie behind that violence. The narratives are drawn from a racially diverse sample of 205 women who were incarcerated in the Hennepin County Adult Detention Facility (Minneapolis, Minnesota). A life events calendar was used to assess women's involvement as both victims and offenders in violent crimes over the 36 months prior to their incarceration. We found that sixty‐six women provided information on 106 incidents of violence. Further, given the dominant theoretical framework in studying women's offending, we assess whether particular types of violent incidents are more likely to involve a partner as opposed to someone who is not a partner (friend, acquaintance, or stranger). Our contextualization of these events also includes an examination of the demographic and situational correlates of the incidents. Our findings reveal that women's reasons for engaging in violence are wide‐ranging and that we need not essentialize stereotypic views of gender in the study of violence.     

Mental health correlates of the victim-perpetrator relationship among interpersonally victimized adolescents

This research examines mental health correlates of different victim-perpetrator relationships among adolescent victims of interpersonal violence. A large and nationally representative sample of adolescents (N = 4,023) responded to structured telephone interviews concerning mental health functioning (posttraumatic stress disorder-PTSD, major depressive disorder, substance abuse/dependence, and delinquency). Those reporting histories of sexual (n = 321) and/or physical (n = 688) assault were queried about specific aspects of their assaults, including their relationship with the perpetrator. After controlling for demographic and assault-related risk factors, the victim-perpetrator relationship remained a significant risk factor for mental health problems. Adolescents sexually assaulted by nonstrangers were at increased risk for PTSD; those sexually assaulted by acquaintances or people they did not know well were at increased risk for delinquency. Adolescents who were physically assaulted by a family member were at increased risk for PTSD. Explanations for the findings and the need for consistent assessment methods across related studies are discussed.     

Violent behaviors in drug addiction: differential profiles of drug-addicted patients with and without violence problems

This study explored the prevalence of violent behaviors in patients who are addicted to drugs. A sample of 252 addicted patients (203 male and 49 female) who sought outpatient treatment was assessed. Information on violent behaviors, sociodemographic factors, consumption factors (assessed by the European version of the Addiction Severity Index [EuropASI]), psychopathological factors (assessed by Symptom Checklist-90-Revised [SCL-90-R]), and personality variables (assessed by Millon Clinical Multiaxial Inventory [MCMI-II]) was collected. Drug-addicted patients who were associated with violent behaviors were compared on all variables with patients who were not associated with violent behaviors. The rate of drug-addicted patients with violent behaviors in this sample was 39.68% (n = 100). There were significant differences between the numbers of patients who did and did not demonstrate violence on some variables. Patients with violence problems were younger than those without violence problems and were more likely to report having been a victim of abuse. Moreover, they were significantly more likely to have experienced an overdose and showed a significantly higher score on several EuropASI, SCL-90-R and MCMI-II variables. According to these results, patients with violence control problems present with both a more severe addiction and several comorbid problems. The implications of these results for further research and clinical practice are discussed.     

Integrating DSM-IV Factors to Predict Violence in High-Risk Psychiatric Patients

Abstract:  This study incorporated Axis-II and Axis-IV factors in DSM-IV to test the relationship between predicted risk for violence assessed in the psychiatric emergency room and actual violence during hospitalization. Psychiatric nurses lack an objective instrument to use during the acute psychiatric assessment. The retrospective study comprised consecutive psychiatric admissions ( n  = 161) in one tertiary veterans' hospital. Statistical testing for the predictive power of risk factors, relationships between variables, and violent events included nonparametric tests, factor analysis, and logistic regression. Of the 32 patients who committed violence during hospitalization, 12 had committed violence in the psychiatric emergency room. Statistical significance was shown for violent incidents and dementia, court-ordered admission, mood disorder, and for three or more risk factors. The 13-item Risk of Violence Assessment (ROVA) scale suggests validity and sensitivity for rating DSM-IV factors and psychosocial stressors to predict risk for violence during hospitalization. Replication studies are recommended to strengthen validity of the ROVA scale.     

Child Abuse in a Disciplinary Context: A Typology of Violent Family Environments

The objectives of this study were to identify and validate types of violent family environments based on child abuse in a disciplinary context. The study is original in that it simultaneously takes into account the cognitive and behavioral dimensions of the parental role as it relates to the degree of family violence in a child??s life. Cluster analyses were performed on a representative sample of 3,148 families. The Abusive profile applied to families who reported at least one severe assault on a child within the past year. This profile also had the highest levels of domestic violence, psychological aggression, and corporal punishment. The Harsh profile is nevertheless similar to the Abusive profile, despite the fact that these families reported no severe assault. The key difference is the lower score levels: the attributes are the same, but less intense. The Nonabusive profile accounted for the families with the lowest rates of domestic and parental violence, together with a negative attitude towards corporal punishment and a heightened awareness of the consequences of violence. Although the families who matched the Paradoxical profile reported very little violence, they are the least aware of the consequences of violence and the most in favor of corporal punishment. The four profiles were replicated with another cluster analysis performed on an independent representative sample of 2,465 families. Then the profiles were compared with regard to the variables used to create the clusters and other variables theoretically associated with the appearance of maltreatment. These validation methods enhance the credibility of the proposed typology.     

Observational experiences of intrapersonal conflict and teenage victimization: A comparative study among spouses and cohabitors

This study drew from the National Family Violence Resurvey of 1985 provided by Straus and Gelles. Five thousand one hundred fifty nine married and cohabiting couples were asked about violent experiences and observations in their family of orientation. These experiences were categorized by the degree of severity as well as its frequency. Intrafamilial conflict impacts on behavior in intimate relationships. The status of the relationship also contributes to the vulnerability towards victimization. Specifically, cohabitors were more likely to engage infuture violentrelationships than spouses given similar patterns of teenage victimization and observation. One explanation for the variation may include anticipation of nonfamilial violence over familial violence. Society fears violence at the hands of a stranger more so than a family member. This affects the greater acceptability to engage in violence with a partner who remains nonfamilial. Past studies have addressed the cycle of violence theory in explaining predictability. Nevertheless, this study initiates the comparison of unique populations within intergenerational transfer research. It proposes that more research needs to be conducted to better understand variation patterns among various victim populations. In other words, why some groups are more vulnerable to victimization and perpetration given similar background experiences should be explored.     

Domestic Violence and Family Dysfunction as Risk Factor for Violent Behavior among University Students in North Jordan

The aim of this study was to investigate the relationship between family dysfunction and domestic violence with violent behavior of university students in North Jordan. A stratified random sample included 1560 undergraduate students from three universities. The distribution of self- administrated questionnaire was done based on the schedule of registration made by the department of the admission and registration at each university. The results revealed a prevalence rate of 11.9% concerning participation in violence (quarrels) among students at the three universities during the last 3 years. About 16.5% of students who participated in the study indicated that their families suffer from dysfunction. Participation of students in quarrels was significantly affected by witnessing and exposure to domestic violence. Students who participated in the study ranked first the family as institution that contributed to acquiring violent behavior, followed by the surrounding community, media, school, and finally university. In conclusion, domestic violence and family dysfunction appear to be significant factors leading to occurrence of violence among university students.