Abuse Abd Neglect Flashcards
What is the best predictor of future violent behaviour?
Past violent behaviour
What are the 9 risk factors of violence?
1) history of owning weapons and using them against others
2) criminal history, repetitive antisocial behaviour
3) drug and alcohol use
4) psychiatric disorder with coexisting substance misuse
5) certain psychiatric symptoms, like psychosis, intense suspicion, and her, unhappiness
6) personality disorders
7) history of impulsivity, low frustration tolerance, entitlement
8) angry affect without empathy for others
9) environmental stressors (poverty, job termination)
What are static risk factors?
Factors that cannot be changed by interventions such as past history of violent behaviour or demographic information
What are dynamic risk factors
Factors that can be changed by interventions such as change in living situation, treatment of psychiatric symptoms, abstaining from drug and alcohol use
What are 3 things the risk factors can include?
1) stressors (eg history of abuse, financial problems, etc)
2) poor skills (rigid, low IQ, authoritarian, poor communication skills)
3) family issues (marital discord, imbalanced relations with marital partner, domestic violence, substance use)
What are 5 ways to reduce dynamic risk factors?
1) pharmacological interventions
2) substance use treatment
3) psychosocial interventions
4) removal of weapons
5) increased level of supervision
What are 4 signs of abuse
1) suspicious injury, delay in seeking treatment
2) somatic complaints without specific diagnosis
3) behavioural presentation (crying, minimizing, etc)
4) controlling/coercive behaviour of the partner
What is social exchange theory
Based on idea of totalling potential benefits and losses to determine behaviour
What are 3 guidelines for interventions when abuse is present
1) traditional couples counselling not appropriate in addressing abuse as it puts victims in greater danger of further abuse
2) medical needs and safety are prioritized
3) trust is a major issue in establishing a therapeutic alliance