Advertisement

Psychiatric Quarterly

, Volume 64, Issue 4, pp 359–369 | Cite as

Modifying the behavior of the violent patient

  • Gordon G. Ball
Article

Abstract

Different behavioral techniques are briefly described for treating the violent patient in a hospital setting. Emphasis is placed on doing a careful assessment of the situation and behavior before attempting a behavioral intervention. It is also emphasized that all staff members involved be adequately trained, otherwise the procedures tend to fail. Techniques include strategies for changing the environment, as well as using relaxation procedures, systematic desensitization, differential reinforcement schedules, token economies, response cost, time out, and social skills training. Multi-component programs are also briefly mentioned. The paper emphasizes that violent behavior can be greatly reduced if approached in a systematic way, using procedures based on sound research methodology.

Keywords

Staff Member Social Skill Behavioral Intervention Research Methodology Skill Training 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Boe, R.B. Economical procedures for the reduction of aggression in a residential setting. Mental Retardation 15(5):25–28, 1977.Google Scholar
  2. 2.
    Azrin, N.H., Hutchinson, R.R., and Hake, D.F. Extinction induced aggression. Journal of the Experimental Analysis of Behavior 9(3):191–204, 1966.Google Scholar
  3. 3.
    Rago, W.V., Parker, R.M., and Cleland, C.C. Effect of increased space on the social behavior of institutionalized profoundly retarded male adults. American Journal of Mental Deficiency 82(6):554–558, 1978.Google Scholar
  4. 4.
    Bandura, A. Aggression: A Social Learning Analysis. Englewood Cliffs, NJ: Prentice-Hall, 1973.Google Scholar
  5. 5.
    Wolpe, J. The Practice of Behavior Therapy (2nd ed.). New York: Pergamon, 1973.Google Scholar
  6. 6.
    Solnick, J.V., Rincover, A., and Peterson, C.R. Some determinants of the reinforcing and punishing effects of timeout. Journal of Applied Behavior Analysis 10(3):415–424. 1977.Google Scholar
  7. 7.
    Vukelich, R., and Hake, D.F. Reduction of dangerously aggressive behavior in a severely retarded resident through a combination of positive reinforcement procedures. Journal of Applied Behavior Analysis 4(3):273–274, 1973.Google Scholar
  8. 8.
    Hersen, M. Ed., Practice of Inpatient Behavior Therapy. Orlando, Fl. Grune & Stratton, Inc. 1985.Google Scholar
  9. 9.
    Drabman RS. (1973). Child versus teacher administered token programs in a psychiatric hospital school. Journal of Abnormal Child Psychology 1, 66–87.Google Scholar
  10. 10.
    Phillips EL. (1968). Achievement place: Token reinforcement procedures in a home style rehabilitation setting for “predelinquent” boys. Journal of Applied Behavior Analysis 1, 213–223.Google Scholar
  11. 11.
    Feindler, E.L. and Ecton, R.B. Adolescent Anger Control: Cognitive Behavioral Techniques. Elmsford, NY. Pergamon Press, 1986Google Scholar
  12. 12.
    Matson JL, Ollendick TH, & DiLorenzo TM. (1980). Time-out and the characteristics of mentally retarded institutionalized adults who do or do not receive it. Mental Retardation 18, 181–184.Google Scholar
  13. 13.
    Foxx, R.M., and Azrin, N.H. Restitution: A method of eliminating aggressive-disruptive behavior of retarded and brain damaged patients. Behavior Research and Therapy 10(1):15–27, 1972.Google Scholar
  14. 14.
    Foxx RM, & Bechtel DR. (1982). Overcorrection. In Hersen M, Eisler RM, & Miller PM (Eds), Progress in Behavior Modification: Vol 13. New York: Academic Press, 227–288.Google Scholar
  15. 15.
    Dorsey, M.F., Iwata, B.A., Ong, P., and McSween, T.E. Treatment of self-injurious behavior using a water mist: Initial response suppression and generalization. Journal of Applied Behavior Analysis 13(2):343–353, 1980.Google Scholar
  16. 16.
    Goldstein, A.P., et al. Aggression Replacement Training: A comprehensive intervention for aggressive youth. Champaign, Il., Research Press, 1987.Google Scholar
  17. 17.
    LaVigna, G.W., et al. The Role of Positive Programming in Behavioral Treatment. In: The Treatment of Severe Behavioral Disorders. Cipani, E. Ed. American Association on Mental Retardation, Wash. DC. 1989.Google Scholar
  18. 18.
    Gardner, W.I. and Cole, C.L. Aggression and Related Conduct Difficulties. In: Handbook of Behavior Modification with the Mentally Retarded. 2nd. ed. J.L. Matson, Ed., New York, Plenum Press, 1990Google Scholar

Copyright information

© Human Sciences Press, Inc 1993

Authors and Affiliations

  • Gordon G. Ball
    • 1
  1. 1.Dept. of PsychiatryColumbia University Medical CollegeUSA

Personalised recommendations