Unrealistic public policies have increasingly concerned clinicians who fear being held responsible for their decisions in a legal climate that expects them to accurately predict the future. Clinical Assessment of Dangerousness provides a forum in which a group of internationally recognized scholars present the major conceptual issues and themes in their areas of violence research. Each chapter includes an issue-based essay that makes the research findings clinically relevant for assessment and prediction of violence. This book provides a reference that outlines key information for conducting more effective risk assessments with different populations.
Author(s): Georges-F. Pinard, Linda Pagani
Edition: 1
Year: 2000
Language: English
Pages: 336
Cover......Page 1
Half-title......Page 3
Title......Page 5
Copyright......Page 6
Contents......Page 7
Contributors......Page 9
Prologue......Page 11
REFERENCES......Page 15
INTRODUCTION 1. Clinical Assessment of Dangerousness: An Overview of the Literature......Page 17
Dangerousness: Clinical Concept and Operationalized Variable......Page 18
The Link......Page 19
Prediction......Page 21
Sociodemographic Factors......Page 23
Situational Factors......Page 24
Mental Status as a Risk Factor......Page 25
Substance Abuse......Page 26
Biological Factors......Page 27
Assessment of Risk Factors......Page 29
Clinical Issues in the Assessment of Dangerousness......Page 30
Conclusion......Page 33
REFERENCES......Page 34
Behavioral Domains of Dangerousness and Biological Processes......Page 39
Models for Considering Biological Processes and Antisocial Behavior......Page 40
Current Developmental Models and Antisocial Behavior......Page 41
Specific Models for Considering Biology and Violence......Page 42
Biological Systems and Antisocial Behavior......Page 44
Gonadal Steroids and Antisocial Behavior......Page 45
Neurotransmitters......Page 50
Clinical Implications......Page 54
REFERENCES......Page 56
The Adolescent Years......Page 63
The Middle Childhood Years......Page 64
The Preschool Years......Page 67
Does Childhood Physical Aggression Predict Adolescent or Adult Physical Violence?......Page 71
Conclusions......Page 75
REFERENCES......Page 77
4. Predicting Adult Official and Self-Reported Violence......Page 82
Previous Relevant Research......Page 83
The Cambridge Study in Delinquent Development......Page 84
Violent Offenses......Page 86
Previous Analyses of Violence......Page 88
Behavioral Predictors......Page 90
Explanatory Predictors......Page 92
Multivariate Analyses......Page 94
Risk Scores......Page 97
Conclusions......Page 99
REFERENCES......Page 101
The Epidemiology of Violence Among People with Mental Disorder......Page 105
Risk Assessment of Violence Among People with Mental Disorder......Page 110
Future Directions......Page 113
Conclusion......Page 115
REFERENCES......Page 116
Introduction......Page 119
Antisocial Personality Disorder......Page 120
Borderline Personality Disorder......Page 121
Histrionic Personality Disorder......Page 123
Narcissistic Personality Disorder......Page 124
Paranoid Personality Disorder......Page 126
Short-Term Prediction of Dangerousness......Page 127
Intent......Page 129
History of Violence, Suicide, and Other Impulsive Behaviors......Page 130
Alcohol Use and Substance Abuse......Page 131
Background of the Patient......Page 132
Threats of Violence Toward Clinicians......Page 133
REFERENCES......Page 134
7. Recidivistic Violent Behavior and Axis I and Axis II Disorders......Page 137
Studies on the Association of Mental Disorders and Recidivistic Violent Behavior......Page 138
Recidivistic Violent Behavior among Persons without Major Mental Disorders......Page 141
Subjects with Major Mental Disorders......Page 142
Subjects without Major Mental Disorders......Page 146
Conclusion......Page 147
REFERENCES......Page 148
8. Risk Assessment for Intimate Partner Homicide......Page 152
Review of Literature......Page 153
Relationship between Victim and Perpetrator in Intimate Partner Homicide......Page 154
Perpetrators......Page 155
Weapons......Page 156
Homicide-Suicide and Domestic Femicide......Page 157
Summary of Risk Factors and Implications for Risk Assessment......Page 158
Recidivism and Lethality Risk Domestic Violence Instruments......Page 161
SARA, K-SID, and DA Instruments......Page 162
Danger Assessment......Page 165
Conclusion......Page 168
REFERENCES......Page 169
Introduction......Page 174
Age of Victim......Page 175
Sex of Victim......Page 176
Obstetric Risk Factors......Page 177
Parents at Risk of Neonaticide......Page 178
Stepfathers?......Page 181
Filicide Typologies......Page 182
Characteristics of Abusive Parents Who Kill......Page 186
Munchausen Syndrome by Proxy......Page 188
What Makes a Parent a Fatal Child Abuser?......Page 189
The Role of Mental Illness......Page 190
Conclusion......Page 192
REFERENCES......Page 194
10. Parricide......Page 197
The Incidence of Parricide......Page 199
Parricide as a Response to Child Abuse......Page 200
Other Possible Risk Factors......Page 201
Parricide as a Family Conspiracy......Page 202
Mental Illness and Parricide......Page 204
The Antisocial Parricide Perpetrator......Page 206
Economically Motivated Parricides......Page 207
Conclusion: Assessing the Risk of Parricide......Page 208
REFERENCES......Page 210
11. Alcohol and Dangerousness......Page 211
Criminal Behavior and Drinking......Page 212
Prohibition, Alcohol, and Crime......Page 213
Post-Prohibition Studies of Crime and Alcohol......Page 215
Alcohol-Related Crimes......Page 218
Alcoholism and Antisocial Behavior......Page 221
Conceptual Issues and Discussion......Page 224
REFERENCES......Page 226
Introduction......Page 232
Theoretical Assumptions......Page 234
Who Are the Violent Substance Abusers, and Where Does Violence Occur?......Page 237
The Social Conditions Under Which Violence and Substance Abuse Occur......Page 238
Psychopharmacological Violence......Page 240
Economic Crime and Violence Within Drug Markets......Page 244
Systemic Violence......Page 246
A Note on Gender, Substance Abuse, and Violence......Page 248
Summary/Conclusion......Page 249
REFERENCES......Page 251
Definitions......Page 254
Threatening Communications......Page 255
Evaluating Threatening Communications......Page 257
Demographics......Page 258
Typologies......Page 259
Psychiatric Diagnoses......Page 260
Victims......Page 261
Stalking Motivations......Page 262
Violence......Page 263
REFERENCES......Page 270
Medical History......Page 274
Psychiatric History......Page 277
History of Violent and Criminal Behavior......Page 279
Consumption of Substances......Page 280
Relational and Social History......Page 282
Developmental Psychopathology......Page 283
Characteristics of Violent Acts......Page 284
Risk Management Strategies......Page 285
REFERENCES......Page 289
Index......Page 295
