Book contents
- Psychiatric Intensive Care
- Psychiatric Intensive Care
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Preface to the Second Edition
- Preface to the First Edition
- Acknowledgements
- Chapter 1 Psychiatric Intensive Care: Development and Definition
- Chapter 2 Psychiatric Intensive Care in Mental Health Secure Units
- Chapter 3 National Standards and Good Practice
- Chapter 4 Commissioning and Developing a PICU
- Chapter 5 PICU Design, Environment and Security
- Chapter 6 Team Resilience
- Chapter 7 Principles and Practice for Management of Acutely Disturbed Patients
- Chapter 8 Absconding
- Chapter 9 Substance Misuse
- Chapter 10 Fire-Setting and Arson
- Chapter 11 Sexually Problematic Behaviour in Mental Health Inpatient Units
- Chapter 12 Self-Harm and Personality Disorders in PICU
- Chapter 13 Activity and Positive Engagement within a PICU
- Chapter 14 De-escalation
- Chapter 15 Psychological Approaches to the Acute Patient in PICUs
- Chapter 16 A Social Behaviour Theory Approach to Challenging Behaviours in Psychosis
- Chapter 17 Pharmacological Therapy
- Chapter 18 Rapid Tranquillisation
- Chapter 19 The Use of Seclusion in Mental Health Care
- Chapter 20 The Practice of Restraint and Physical Intervention
- Chapter 21 Management of the Mental Health Emergency in the Community
- Chapter 22 PICU for the Care of Young People
- Chapter 23 Female-Only PICUs
- Chapter 24 The Complex Needs Patient
- Chapter 25 Psychiatric Intensive Care in General Hospital Settings
- Chapter 26 An Overview of International Perspectives on PICUs
- Index
- References
Chapter 16 - A Social Behaviour Theory Approach to Challenging Behaviours in Psychosis
Published online by Cambridge University Press: 15 March 2024
Book contents
- Psychiatric Intensive Care
- Psychiatric Intensive Care
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Preface to the Second Edition
- Preface to the First Edition
- Acknowledgements
- Chapter 1 Psychiatric Intensive Care: Development and Definition
- Chapter 2 Psychiatric Intensive Care in Mental Health Secure Units
- Chapter 3 National Standards and Good Practice
- Chapter 4 Commissioning and Developing a PICU
- Chapter 5 PICU Design, Environment and Security
- Chapter 6 Team Resilience
- Chapter 7 Principles and Practice for Management of Acutely Disturbed Patients
- Chapter 8 Absconding
- Chapter 9 Substance Misuse
- Chapter 10 Fire-Setting and Arson
- Chapter 11 Sexually Problematic Behaviour in Mental Health Inpatient Units
- Chapter 12 Self-Harm and Personality Disorders in PICU
- Chapter 13 Activity and Positive Engagement within a PICU
- Chapter 14 De-escalation
- Chapter 15 Psychological Approaches to the Acute Patient in PICUs
- Chapter 16 A Social Behaviour Theory Approach to Challenging Behaviours in Psychosis
- Chapter 17 Pharmacological Therapy
- Chapter 18 Rapid Tranquillisation
- Chapter 19 The Use of Seclusion in Mental Health Care
- Chapter 20 The Practice of Restraint and Physical Intervention
- Chapter 21 Management of the Mental Health Emergency in the Community
- Chapter 22 PICU for the Care of Young People
- Chapter 23 Female-Only PICUs
- Chapter 24 The Complex Needs Patient
- Chapter 25 Psychiatric Intensive Care in General Hospital Settings
- Chapter 26 An Overview of International Perspectives on PICUs
- Index
- References
Summary
This chapter proposes that a psychological model based on disturbed internal cognitive appraisals and social reinforcement has sufficient flexibility to formulate challenging behaviour within the ward environment. Disturbance of appraisals is likely to have a traumatic basis which has solidified into powerful beliefs which influence the transferential projections of the patient to the treating team and ward situation. It is the patient’s distorted view of the ‘social -emotional situation’ that drives behaviour – rationale within the context of distorted beliefs. Tools for analysing and formulating the challenging behaviour and suggested treatments are taken up over a number of case studies.
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- Psychiatric Intensive Care , pp. 205 - 215Publisher: Cambridge University PressPrint publication year: 2024
References
Akerman, G, Needs, A and Bainbridge, C (eds.) (2018) Transforming Environments and Rehabilitation. London: Routledge.Google Scholar
Beck, A and Freeman, A (1990) Cognitive Therapy of Personality Disorders. New York: Guilford Press.Google Scholar
Bentall, R (2004) Madness Explained: Psychosis and Human Nature. London: Penguin Books.Google Scholar
Brennan, P, Mednick, S and Hodgins, S (2000) Major Mental Disorders and Criminal Violence in a Danish Birth Cohort. Archives of Psychiatry 57 (5) 494–500.CrossRefGoogle Scholar
Brown, S, O’ Rourke, S and Schwannauer, M (2019) Risk Factors for Inpatient Violence and Self-Harm in Forensic Psychiatry: The Role of Head Injury, Schizophrenia and Substance Misuse. Brain Injury 33 (3) 313–21.CrossRefGoogle ScholarPubMed
Byrt, R (1999) Nursing: The Importance of the Psychosocial Environment. In Campling, P and Haig, R (eds.), Therapeutic Communities: Past, Present and Future. London: Jessica Kingsley.Google Scholar
Challis, S, Nielssen, O, Harris, A and Large, M (2013) Systematic Meta-Analysis of the Risk Factors for Deliberate Self-Harm Before and After Treatment for First-Episode Psychosis. Acta Psychiatrica Scandanavia 127 (6) 442–54.CrossRefGoogle ScholarPubMed
Douglas, K, Guy, L and Hart, S (2009) Psychosis as a Risk Factor for Violence to Others: A Meta-Analysis. Psychological Bulletin 135 (5) 679–706.CrossRefGoogle ScholarPubMed
Farber, S (2008) Dissociation, Traumatic Attachments, and Self-Harm: Eating Disorders and Self-Mutilation Clinical Social Work Journal 36 (1) 63–72.CrossRefGoogle Scholar
Fazel, S, Gulati, G, Linsell, L, Geddess, JR and Grann, M (2009) Schizophrenia and Violence: Systematic Review and Meta-Analysis. PLoS Medicine 6 (8) e1000120.CrossRefGoogle ScholarPubMed
Fedyszyn, I, Erlangsen, A, Hjorthøj, C, Madsen, T and Nordentoft, M (2016) Repeated Suicide Attempts and Suicide Among Individuals with a First Emergency Department Contact for Attempted Suicide: A Prospective, Nationwide, Danish Register-Based Study. Journal of Clinical Psychiatry 77 (6) 832–40.Google ScholarPubMed
Fonagy, P, Gergely, G, Jurist, E and Target, M (2004) Affect Regulation, Mentalisation and the Development of the Self. London: Karnac.Google Scholar
Garety, PA, Kuipers, E, Fowler, D, Freeman, D and Bebbington, P (2001) A Cognitive Model of the Positive Symptoms of Psychosis. Psychological Medicine 31 (2) 189–95.CrossRefGoogle ScholarPubMed
Gladstone, G, Parker, G, Mitchell, P, Malhi, G, Wilhelm, K and Austin, M (2004) Implications of Childhood Trauma for Depressed Women: An Analysis of Pathways from Childhood Sexual Abuse to Deliberate Self-Harm and Revictimization. American Journal of Psychiatry 161 (8) 1417–25.CrossRefGoogle ScholarPubMed
Han, H, Miller, H, Nkimbeng, M, Budhathoki, C, Mikhael, T, Rivers, E et al. (2021) Trauma Informed Interventions: A Systematic Review. PLoS ONE 16 (6) e0252747.CrossRefGoogle ScholarPubMed
Johnstone, L and Boyle, M (2018) The Power Threat Meaning Framework: Towards the Identification of Patterns in Emotional Distress, Unusual Experiences and Troubled or Troubling Behaviour, as an Alternative to Functional Psychiatric Diagnosis. Leicester: British Psychological Society.Google Scholar
Lavi, I, Katz, LF, Ozer, EJ and Gross, JJ (2019) Emotion Reactivity and Regulation in Maltreated Children: A Meta-Analysis. Child Development 90 (5) 1503–24.CrossRefGoogle ScholarPubMed
Leyton–Brown, K and Shoham, Y (2008) Essentials of Game Theory: A Concise Multidisciplinary Introduction. Williston: Morgan & Claypool Publishers.CrossRefGoogle Scholar
Lincoln, T, Lange, J, Burau, J, Exner, C and Moritz, S (2010) The Effect of State Anxiety on Paranoid Ideation and Jumping to Conclusions: An Experimental Investigation. Schizophrenia Bulletin 36 (6) 1140–8.CrossRefGoogle ScholarPubMed
Linehan, M (1993) Cognitive Behavioural Treatment of Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Mace, FC (1994) The Significance and Future of Functional Analysis Methodologies. Journal of Applied Behavior Analysis. 27 (2) 385–92.CrossRefGoogle ScholarPubMed
Morgan, C and Murray, R (2020) A Systematic Review on Mediators between Adversity and Psychosis: Potential Targets for Treatment. Psychological Medicine 50 (12) 1966–76.Google Scholar
Moskowitz, A, Schäfer, I, and Dorahy, M (2008) Psychosis, Trauma and Dissociation: Emerging Perspectives on Severe Psychopathology. New York: Wiley Blackwell.CrossRefGoogle Scholar
Needs, A and Adair-Stantiall, A (2017) The Social Context of Transition and Rehabilitation. In Akerman, G, Needs, A and Bainbridge, C (eds.), Transforming Environments and Rehabilitation. London: Routledge.Google Scholar
Penn, J, Esposito, C, Schaeffer, L, Fritz, K and Spirito, A (2003) Suicide Attempts and Self-Mutilative Behavior in a Juvenile Correctional Facility. Journal of the American Academy of Child and Adolescent Psychiatry 42 (7) 762–9.Google Scholar
Rossiter, A, Byrne, F and Hallahan, B (2015) Childhood Trauma Levels in Individuals Attending Adult Mental Health Services: An Evaluation of Clinical Records and Structured Measurement of Childhood Trauma. Child Abuse & Neglect 44: 36–45.CrossRefGoogle ScholarPubMed
Schore, A (2003) Affect Regulation and the Repair of the Self. New Jersey: Lawrence Erlbaum.Google Scholar
Shepherd, G (1999) Social Functioning and Challenging Behaviour. In Meuser, KT and Terrier, N (eds.), Handbook of Social Functioning and Schizophrenia. Massachusetts: Allyn and Bacon.Google Scholar
Wright, A, Coman, D, Deng, W, Farabaugh, A, Terechina, O, Cather, C, et al. (2020) The Impact of Childhood Trauma, Hallucinations, and Emotional Reactivity on Delusional Ideation. Shizophrenia Bulletin 1 (1) sgaa021.CrossRefGoogle Scholar
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