Psychodynamic approaches to violence

Yakeley, Jessica (2018) Psychodynamic approaches to violence. BJPsych Advances, 24 . pp. 83-92. ISSN Print ISSN: 2056-4678 ; Online ISSN: 2056-4686

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The assessment and management of violent behaviour in mentally disordered patients are no longer the sole domain of forensic psychiatrists, but are increasingly part of the day-to-day work of all psychiatrists and mental health professionals. Violence risk assessment has become a huge industry, and although the importance of dynamic, as well as actuarial, risk factors is now recognised, a more systematic approach exploring the psychodynamics in the aetiology, assessment and treatment of violent behaviour is often lacking. In this article I revisit some of the key psychodynamic principles and concepts relevant to an understanding of violence, summarising the historical contributions of key psychoanalytic writers on violence and aggression, and exploring the ideas of more contemporary writers working in the field of forensic psychotherapy. A psychodynamic framework for working with violent patients is introduced, focusing on the setting and containment, specific therapeutic interventions and monitoring counter- transference reactions.

Item Type: Article
Uncontrolled Keywords: Violence, Aggression, Risk
Subjects: Criminology > Forensic Psychiatry
Disabilities & Disorders (mental & physical) > Behaviour Disorders
Department/People: Special Units

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