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Violence in Major Mental Disorders

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Violence and Mental Disorders

Part of the book series: Comprehensive Approach to Psychiatry ((CAP,volume 1))

Abstract

Aggressive and violent behaviors are overrepresented in patients with severe mental illness when they are often linked to other psychopathological characteristics such as impulsivity and hostility. The relationship between psychiatric disorders and altered behaviors has been extensively investigated by both clinicians and researchers. Several determinants are potentially associated with violent/aggressive behavior: sociodemographic (e.g., males, young age, stressful life events, socioeconomic difficulties) and clinical features (e.g., psychotic symptoms, manic and mixed episode, subjective dissociative experiences, psychiatric comorbidities, cyclothymic temperament), neurobiological abnormalities (e.g., depletion of serotonin in the amygdala and prefrontal cortex), and neurocognitive dysfunctions (e.g., executive and working memory impairments, altered decision-making and problem-solving abilities, cognitive inflexibility) have been identified as possible predictors of aggressive behaviors in affective and non-affective psychoses being able to increase the risk of committing a violent act. Clinicians should personalize the assessment of specific subgroups of patients in order to carefully recognize at-risk conditions and better manage modifiable and dynamic-related variables potentially linked to violence.

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Authors and Affiliations

  1. Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy

    Mario Amore, Andrea Aguglia, Francesca Santi & Gianluca Serafini

  2. IRCCS Ospedale Policlinico San Martino, Genoa, Italy

    Mario Amore, Andrea Aguglia, Francesca Santi & Gianluca Serafini

Authors
  1. Mario Amore
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  2. Andrea Aguglia
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  3. Francesca Santi
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  4. Gianluca Serafini
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Corresponding author

Correspondence to Mario Amore .

Editor information

Editors and Affiliations

  1. Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy

    Bernardo Carpiniello

  2. Department of Clinical and Experimental Science, University of Brescia, Brescia, Italy

    Antonio Vita

  3. Department of Neuroscience, Luigi Sacco Hospital, Milano, Italy

    Claudio Mencacci

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Amore, M., Aguglia, A., Santi, F., Serafini, G. (2020). Violence in Major Mental Disorders. In: Carpiniello, B., Vita, A., Mencacci, C. (eds) Violence and Mental Disorders. Comprehensive Approach to Psychiatry, vol 1. Springer, Cham. https://doi.org/10.1007/978-3-030-33188-7_4

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  • DOI: https://doi.org/10.1007/978-3-030-33188-7_4

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-33188-7

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