Characteristics of Interpersonal Hostile-Dominance in Psychiatric Inpatients

Podubinski, Tegan; Lee, Stuart; Hollander, Yitzchak; Daffern, Michael

doi:10.1521/psyc.2014.77.3.275

Cited by 9 publications

(6 citation statements)

References 34 publications

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“…Many symptoms relate to social perception, anger and hostility (e.g., paranoia will increase hostile attributions) (Podubinski, Lee, Hollander & Daffern, 2014) and aggression and violence more directly (Douglas, Guy, & Hart, 2009). Future research should ensure assessment of psychiatric symptoms alongside assessment of other risk factors so that change in the dynamic risks can be interpreted in line with change in psychiatric symptoms.…”

mentioning

confidence: 99%

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

Daffern

Simpson

Ainslie

et al. 2017

The Journal of Forensic Psychiatry & Psychology

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This study examined the impact of an intensive inpatient violent offender treatment programme, Life Minus Violence -Enhanced (LMV-E, Ireland, 2008), on intermediary treatment targets, risk for violence, and aggressive behaviour during treatment in a sample of male mentally disordered offenders. Using quasi-experimental design, offenders who completed LMV-E and a comparison group showed reduced problems with impulsivity and anger regulation and improvements in social problem solving.Aggregate risk for future violence lessened in both treatment and comparison groups, although by a significantly greater degree for the comparison group. The aggressive behaviour of both groups reduced. Completion of the LMV-E conferred additional improvements in some facets of social problem solving and anger regulation. Neither group showed improvements in empathic responses, coping skills or problematic interpersonal style. Overall, these results suggest anger regulation, impulsivity and social problem solving are most amenable to change, that reductions in certain facets of these dynamic risk factors transpires with nonspecific psychiatric inpatient treatment, but that the LMV-E, a cognitive behavioural violence specific psychological treatment, confers greater change in some facets of social problem solving and anger regulation.

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mentioning

confidence: 99%

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

Daffern

Simpson

Ainslie

et al. 2017

The Journal of Forensic Psychiatry & Psychology

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“…For the purpose of the current research, PANSS items were grouped into five subscales (Negative, Positive, Disorganized, Excited, and Emotional Distress), in accordance with Kelley, White, Compton, and Harvey (). The Emotional Distress subscale was not used as analysis conducted in the full sample of 200 participants in the cross‐sectional component of this study found that this subscale was not associated with HD (Podubinski et al, ).…”

Section: Methodsmentioning

confidence: 94%

“…Participants were eligible for this study if admitted to one of the two inpatient units of the Alfred Hospital Department of Psychiatry (Alfred Psychiatry), Melbourne, Australia, between the 12th January 2012 and 10th October 2012. During the study period, 746 patients were admitted to the Alfred Psychiatry inpatient units and 200 (27%) chose to participate in the cross‐sectional component of this study (reported in Podubinski, Lee, Hollander, & Daffern, ). Forty‐one participants (21% of patients who completed the cross‐sectional component) were available to take part in a 6‐month follow‐up study, with 126 not able to be followed‐up due to not having current contact information or not answering phone calls from the research team, nine not consenting to follow‐up contact when initially interviewed, three being too unwell to participate, and 21 refusing consent for follow‐up.…”

Section: Methodsmentioning

confidence: 99%

An examination of the stability of interpersonal hostile‐dominance and its relationship with psychiatric symptomatology and post‐discharge aggression

Podubinski

Lee

Hollander

et al. 2015

Aggressive Behavior

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The relevance of interpersonal hostile-dominance (HD) to post-discharge aggression in mental health patients is unclear. This study assessed whether (1) HD is stable over time; (2) the relationship between HD and positive, negative, disorganized, and excited symptoms is consistent over time; and (3) HD is related to aggression post-discharge. Two hundred psychiatric inpatients were recruited on admission to hospital; 41 were available for follow-up at 6 months post-discharge, including 29 men and 12 women, with an age range of 19-63 (M = 39.63 years, SD = 12.69 years). Psychiatric symptomatology and interpersonal style were assessed at recruitment and follow-up; aggression in the community post-discharge was measured at follow-up. Results showed that (1) HD was stable over time despite an overall reduction in psychiatric symptoms, (2) HD was positively correlated with symptom severity at both time points, and (3) higher HD, excited symptoms, and positive symptoms measured in the community, and more severe positive symptoms measured in hospital, were associated with aggressive behavior post-discharge. These results suggest that HD is a risk factor for more severe psychopathology. Furthermore, HD, positive symptoms, and excited symptoms measured in the community act as risk factors for aggressive behavior post-discharge. As such, treatment planning and risk assessment should consider HD. Aggr. Behav. 42:324-332, 2016. © 2015 Wiley Periodicals, Inc.

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“…Participants are required to respond according to a 7-point Likert scale ranging from "Never" to "Several times a day". The SIV frequency item has been used to assess the frequency of aggressive script rehearsal in clinical and forensic populations and it has consistently been found to be associated with aggressive behavior (Daff et al, 2014;Gilbert & Daffern, 2010;Podubinski et al, 2014).…”

Section: Frequency Of Aggressive Script Rehearsalmentioning

confidence: 99%

Aggressive script rehearsal in adult offenders: Relationships with emotion regulation difficulties and aggressive behavior

Hosie

Dunne

Meyer

et al. 2021

Aggressive Behavior

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This study explored relationships between self-reported emotion regulation difficulties, frequency of aggressive script rehearsal and aggressive behavior in 129 adult male inmates. Significant moderate positive correlations were found between the frequency of aggressive script rehearsal and (1) emotion regulation difficulties overall, as well as the following dimensions, (2) difficulties controlling impulses when experiencing negative emotions, and (3) confidence in the effectiveness of emotion regulation strategies. Significant weak positive correlations were found between the frequency of aggressive script rehearsal and two emotion regulation difficulty dimensions, (1) a lack of understanding of emotional responses, and (2) difficulties in dealing with goal directed behavior when experiencing uncomfortable emotions. No significant correlations were found between aggressive behavior and emotion regulation difficulties, except for a weak positive correlation between aggressive behavior and difficulties controlling impulses when experiencing negative emotions. Multivariate analyses were used to assess whether the frequency of aggressive script rehearsal moderated the effect of emotion regulation difficulties on aggressive behaviour. Significant improvement in the prediction of aggression resulted from consideration of the interaction between (1) aggressive script rehearsal and difficulties in emotional clarity, and (2) aggressive script rehearsal and awareness of emotional experience, even after accounting for the influence of age and attitudes toward violence.In conclusion, the results suggest that the rehearsal of aggressive scripts may function to regulate emotion, particularly amongst people who are inattentive to their emotions or who have difficulty understanding their emotional experiences.

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Characteristics of Interpersonal Hostile-Dominance in Psychiatric Inpatients

Abstract: HD reflects a characteristic tendency toward interpersonal, affective, and behavioral problems marked by hostility and dominance, combined with a tendency toward frequent aggressive script rehearsal and more severe psychiatric symptomatology.

Cited by 9 publications

References 34 publications

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

The impact of an intensive inpatient violent offender treatment programme on intermediary treatment targets, violence risk and aggressive behaviour in a sample of mentally disordered offenders

An examination of the stability of interpersonal hostile‐dominance and its relationship with psychiatric symptomatology and post‐discharge aggression

Aggressive script rehearsal in adult offenders: Relationships with emotion regulation difficulties and aggressive behavior

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