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Tables of Contents for Concise Guide to Assessment and Management of Violent Patients
Chapter/Section Title
Page #
Page Count
Introduction to the American Psychiatric Press Concise Guides
xiii
Introduction
1
4
Causes of Human Violence
5
14
Neurophysiological Factors
5
2
Neurotransmitters
7
2
Other Brain Pathology
9
1
Genetics
9
1
Psychiatric Disorders
10
1
Developmental Factors
11
1
Socioeconomic Factors
12
1
Other Environmental Factors
13
1
Conclusion
14
1
References
15
4
Clinician Safety
19
14
Attacks on Clinicians
19
1
To Talk or Not to Talk and Where?
20
2
Talking With the Violent Patient
22
1
Interviewing and the Physical Environment
23
1
Physical Maneuvers by the Clinician
24
2
Firearms and Hostage Situations
26
3
Threats of Violence
29
2
References
31
2
Seclusion and Restraint
33
20
Prevention of Inappropriate Seclusion or Restraint
33
2
Standards for Seclusion and Restraint
35
1
Indications for Seclusion or Restraint
36
3
Alternatives to Seclusion or Restraint
39
2
Contraindications for Seclusion or Restraint
41
1
Role of the Physician
42
2
Techniques of Seclusion and Restraint
44
4
Monitoring and Caring for the Patient
48
1
Release From Seclusion or Restraint
49
2
References
51
2
Use of Emergency Medication
53
8
Neuroleptics
53
4
Anxiolytics
57
2
Barbiturates
59
1
References
59
2
Extended Evaluation of Violent Patients
61
24
Chief Complaint
62
1
History of the Presenting Illness
62
1
Family History
63
1
Personal and Developmental History
64
1
Medical History
64
1
Mental Status and Physical Examinations
64
2
Organic Disorders
64
2
Psychoactive Substances
66
4
Alcohol
66
1
Sedatives or Anxiolytics
67
1
Cocaine or Crack
67
1
Amphetamines or Other Sympathomimetics
68
1
Hallucinogens
68
1
Inhalants
69
1
Other Substances
70
1
Primary Diseases of the Brain That Are Associated With Violence
70
1
Systemic Disorders Associated With Violence
71
1
Other Psychiatric Disorders
72
7
Schizophrenia
72
2
Delusional Disorder
74
1
Mood Disorders
75
1
Intermittent Explosive Disorder
75
1
Personality Disorders
76
1
Mental Retardation
77
1
Disruptive Behavior Disorders
78
1
Laboratory and Other Diagnostic Testing
79
1
Psychological Testing
80
2
References
82
3
Long-Term Medication
85
24
Neuroleptics
85
8
Anxiolytic Drugs and Sedatives
93
1
Carbamazepine and Other Anticonvulsants
94
4
Propranolol and Other Beta-Blockers
98
3
Lithium
101
3
Psychostimulants
104
1
Serotonergic Drugs
105
1
References
106
3
Long-Term Psychotherapy
109
12
Types of Patients
110
1
Types of Psychotherapies
110
1
Goals of Psychotherapy
111
4
Special Concerns in the Treatment of Violent Patients
115
5
Therapists' Reactions to Violent Patients
115
1
Safety
116
2
Duty to Protect Intended Victims
118
2
References
120
1
Behavior Therapy
121
6
Development of a Treatment Plan
121
1
Positive Reinforcement
122
1
Teaching Social Skills
123
1
Negative Stimuli
124
2
References
126
1
Short-Term Prediction of Violence
127
10
Analogy to Suicide Potential
127
2
Appearance of the Patient
129
1
Degree to Which the Threat Is Planned
130
1
Available Means
130
1
Past History of Violence or Impulsivity
130
1
Psychiatric Disorders
131
2
Alcohol and Drug Use
131
1
Other Organic Mental Disorders
132
1
Psychosis
132
1
Intermittent Explosive Disorder
133
1
Personality Disorders
133
1
Demographic Characteristics
133
1
Summary
134
1
References
135
2
Legal Issues in the Management of Violent Patients
137
18
Balance of Individual Liberty and Protection of Others
137
1
Involuntary Hospitalization
138
3
Informed Consent
141
3
Involuntary Treatment and the Right to Refuse Treatment
144
2
Seclusion and Restraint
146
2
The Clinician's Duty to Protect Others
148
5
References
153
2
Index
155