(Dys)Functional behavior in forensic psychiatric patients: Study of analogy between music therapy and group work

Hakvoort, Laurien; Bogaerts, Stefan; Spreen, Marinus

doi:10.1016/j.aip.2012.03.004

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…In the Netherlands, music therapy is offered to patients in most PPCs. In addition, music therapy is offered to those who reside in a forensic psychiatric clinic (Hakvoort, Bogaerts, & Spreen, 2012). The majority of those patients suffer from one or more personality disorders.…”

Section: Music Therapymentioning

confidence: 99%

“…Twenty percent of those patients are diagnosed with a severe mental disorder. One of the goals of music therapy in the study of Hakvoort et al (2012) was to assess whether the patient was able to adjust to a new situation (i.e., being in music therapy). The main research question was whether the coping skills developed during music therapy resemble those in a real-life situation.…”

Section: Music Therapymentioning

confidence: 99%

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van Beek

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The main objective of this thesis was to produce more tangible knowledge about how and why patients with SMI come to show violent behavior in a specialized ward in prison, specifically regarding the role of the symptoms of psychopathology that are present during these incidents. A systematic review of empirical studies on violent incidents in European penitentiaries was performed to gain insight in the prevalence of aggressive behavior in penitentiary settings. Sixteen studies were found in which quantitative data on the nature and prevalence of violent behavior were published. The results suggest that violence is much more prevalent in a penitentiary institute than in a nonincarcerated European population. Psychiatric disorders are related to violent incidents. Insight into the psychiatric symptoms of offenders with SMI is a prerequisite for examining the relationship between the psychiatric symptoms and violent incidents. The Brief Psychiatric Rating Scale-Extended (BPRS-E) was used to assess these symptoms in offenders with SMI. We examined the factor structure of the BPRS-E. Five factors emerged: affect, psychosis, activation, resistance, and negative emotions. Hostility appeared as a seperate entity. The symptom profile of incarcerated patients with SMI was explores and compared that profile with profiles observed in nonforensic institutions. With the scores of 140 assessments, a symptom profile was created using the domains of the BPRS-E. This profile was compared with the clinical profiles of three nonincarcerated patient groups described in the literature with diagnoses on the same spectrum. The results suggest that the profile of our incarcerated patients was characterized by high scores in the domains of psychosis (positive and manic psychotic symptoms), activation, and hostility (showing anger and verbal and physical aggression), and low scores for guilt, depression, and negative symptoms. Combined these scores could be indicative of a profile in which there is little awareness of or contact with the inner life; feeling, fears, grief etc., while aggression serves as an externalizing coping skill. We proceeded with a study into the short-term dynamic risk factors for aggressive behavior in incarcerated people with SMI by investigating the relationship between acute psychiatric symptoms and violent incidents. The results of this study show a significant positive relationship between the BPRS-E factors of hostility and antisocial traits and aggressive incidents. In other words, higher scores for these factors are related to an increased risk of aggressive incidents. Positive symptoms were not related to aggression. To better understand possible causes of hostility and reasons for aggression, we performed qualitative analyses of incidents based on interviews with patients and staff members. We found that the restrictions and demands of the environment triggered anti-authoritarian and suspicious thoughts in the incarcerated patients. In several cases, boredom was identified as a risk factor. In addition, negative experiences, symptoms of trauma, and dysfunctional personality styles hindered the de-escalation of conflict. We concluded that often, there is no satisfactory solution to the conflict, despite mutual understanding concerning the cause of the conflict.

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Section: Music Therapymentioning

confidence: 99%

Section: Music Therapymentioning

confidence: 99%

From Inside to Insight

van Beek

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Theoretical foundations and workable assumptions for cognitive behavioral music therapy in forensic psychiatry

Hakvoort

Bogaerts

2013

The Arts in Psychotherapy

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Text Watch

Strange¹

2012

British Journal of Music Therapy

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Compiled by John StrangeThe BJMT Text Watch appears in the second issue of each volume. It aims to raise awareness of music therapy writing outside the principal English-language music therapy journals, and to act as a guide to the proliferating literature of our profession. It seeks to draw attention to relevant material from publications that may be less accessible to music therapists, and which therefore might otherwise be overlooked. It includes music therapy and related publications in English published in the current or previous calen-dar year, except for articles published in English-language music therapy journals, which are listed in Journal Watch (included in the first issue of each volume). Authors are requested to email references (formatted in the usual BJMT style) for inclusion in Text Watchin the next edition to john.strange@student.anglia.ac.uk.

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(Dys)Functional behavior in forensic psychiatric patients: Study of analogy between music therapy and group work

Cited by 3 publications

References 25 publications

From Inside to Insight

From Inside to Insight

Theoretical foundations and workable assumptions for cognitive behavioral music therapy in forensic psychiatry

Text Watch

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