This paper offers a criminologically informed framework to guide research on the relationship between mental disorder and violence. Criminological theories examined include social learning, social stress, social control, rational choice, and social disorganization. In addition, the “criminal careers” and “local life circumstance” methodologies are reviewed. It is argued that adopting a criminologically informed framework that takes into account within-person changes over time will contribute greatly to our understanding of the factors that affect violence among people with mental disorder living in the community, and enhance the capacity of research to support effective evidenced-based case management programs aimed at reducing violence.
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By “major mental disorder” I refer to disorders of thought and affect that form a subset of Axis I of the Fourth Edition (1994) of the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-IV). These include schizophrenia and major affective disorders such as depression and bipolar disorder.
This discussion has benefited greatly from Akers and Silverman's (2004) recent extension of social learning theory to the study of violence.
It is important to note that the social learning processes described here are compatible with the notion that individuals often choose their social relationships in part based on perceived similarities between themselves and others. Indeed, researchers in the social learning tradition point out that perceived similarities between people that have an effect on their social relationships choices often are themselves influenced by learning during previous associations with others. Moreover, the theory would predict that even if a person's inclination toward violence influences their choice of associates, once an association is made, the frequency and seriousness of violence is likely to increase due to the processes described above (Akers, 2001, p. 197).
In examining the beliefs, attitudes, and behaviors regarding violence of social network members, researchers should strive to use methods that enable them to gather information directly from the social network members themselves. Doing so avoids the problem of same-source bias, that is, the tendency for individuals to rate members of their social network as holding views similar to their own (Jussim & Osgood, 1989).
Since the late 1970s, several published studies have attempted to examine the relationship between stress and violence among mentally disordered people, all of which found a significant positive association (Levinson & Ramsey, 1979; Steadman & Ribner, 1982; Monahan et al., 2001; Swanson et al., 2002). In none of these studies, however, was the effect of life stress on violence examined among a non-mentally disordered comparison sample. Thus, the extent to which the relationship between mental disorder and violence is due to prior levels of life stress was not examined in these prior studies
Although the concept of chronic stress has not been tested in a study of mental disorder and violence, it has received a good deal of attention in the mental health literature (Aneshensel, 1992; Pearlin, 1989; Turner, Wheaton, & Lloyd, 1995) and some attention in the criminology literature (Hoffman & Cerbone, 1999). For example, recent and chronic life stress have been shown to contribute to the occurrence of depressive symptoms among community residents, helping to explain variation in depressive symptoms across key social positions, including race, gender, and social class (for a review, see Aneshensel, 1992). In addition, stressful life events have been shown to have a cumulative effect on delinquency over the life course, suggesting that early and persistent exposure to stress may be an important link between social demographic characterstics and delinquency (Hoffman & Cerbone, 1999; Sigfusdottir et al., 2004). Thus, the hypothesis that chronic stress may contribute to the relationship between mental disorder and violence remains plausible and should be examined in future research.
A recent survey of approximately 200 adult outpatients in 5 states found that half of all people receiving public-sector mental health treatment do so under some form of “leverage,” including money, housing, criminal justice intervention, or outpatient commitment (Monahan et al., 2005).
This discussion has benefited greatly from a recent description of the age-graded theory of informal social control provided by Laub, Sampson, and Allen (2001).
See Thornberry (1997) for a review of other developmental approaches in the field of criminology.
This discussion has benefited greatly from Felson's (2004) recent application of rational choice theory to the study of violence.
REFERENCES
Agnew, R. (1992). Foundation for a general strain theory of crime and delinquency. Criminology, 30, 47–87.
Agnew, R. (2004). A general strain theory approach to violence. In M. Zahn, H. Brownstein, & S. Jackson (Eds.), Violence: From theory to research (pp. 37–50). Dayton, OH: Anderson Publishing.
Akers, R. (1985). Deviant behavior: A social learning approach (3rd ed). Belmont, CA: Wadsworth.
Akers, R. (2001). Social learning theory. In R. Paternoster & R. Bachman (Eds.), Explaining Crime and Criminals. Los Angeles, CA: Roxbury Publishing Company.
Akers, R., & Silverman, A. (2004). Toward a social learning model of violence and terrorism. In M. Zahn, H. Brownstein, & S. Jackson (Eds.), Violence: From theory to research (pp. 19–30). Dayton, OH: Anderson Publishing.
American Psychiatric Association. (1994). Diagnostic and Stastical Manual of Mental Disorders (4th ed.). Washington DC: American Psychiatric Association.
Aneshensel, C. (1992). Social stress: Theory and research. Annual Review of Sociology, 18, 15–38.
Appelbaum, P. (1994). Almost a revolution: An international perspective on the law of involuntary commitment. Journal of the American Academy of Psychiatry and the Law, 25, 135–147.
Appelbaum, P. S., Robbins, P. C., & Monahan, J. (2000). Violence and delusions: Data from the MacArthur Violence Risk Assessment study. American Journal of Psychiatry, 157, 566–572.
Arboleda-Flórez, J., Holley, H., & Crisanti, A. (1998). Understanding causal paths between mental illness and violence. Social Psychiatry and Psychiatric Epidemiology, 33, 38–46.
Black, D. (1983). Crime as social control. American Sociological Review, 48, 34–45.
Blumstein, A., Cohen, J., Roth, J., & Visher, C. (Eds). (1986). Criminal careers and career criminals. Washington, DC: National Academy Press.
Bonta, J., Law, M., & Hanson, K. (1998). The prediction of criminal and violent recidivism among mentally disordered offenders: A meta-Analysis. Psychological Bulletin, 123, 123–142.
Bursik, R., & Grasmick, H. (1993). Neighborhoods and crime: The dimensions of effective community control. Lexington, KY: Lexington Books.
Coid, J. (1996). Dangerous patients with mental illness: Increased risks warrant new policies, adequate resources, and appropriate legislation. British Medical Journal, 312, 965–966.
Douglas, K., & Skeem, J. (2005). Violence risk assessment: Getting specific about being dynamic. Psychology, Public Policy, and the Law, 11, 347–383.
Draine, J. (2002). Where is the ‘illness’ in the criminalization of mental illness? Community-Based Interventions for Criminal Offenders With Severe Mental Illness, 12, 9–12.
Draine, J., Salzer, M., Culhane, D., & Hadley, T. (2002). Role of social disadvantage in crime, joblessness, and homelessness among persons with serious mental illness. Psychiatric Services, 53, 565–573.
Dvoskin, J., & Steadman, H. (1994). Using intensive case management to reduce violence by mentally ill persons in the community. Hospital and Community Psychiatry, 45, 679–684.
Elbogen, E., Swanson, J., Swartz, M., & Van Dorn, R. (2005). Family representative payeeship and violence risk in severe mental illness. Law and Human Behavior, 29, 563–574.
Estroff, S., Zimmer, C., Lachiotte, W., & Benoit, J. (1991). The influence of social networks and social support on violence by persons with serious mental illness. Hospital and Community Psychiatry, 45, 669–678.
Felson, R. (1992). Kick ‘em when they’re down: Explanations of the relationship between stress and interpersonal aggression and violence. The Sociological Quarterly, 33, 1–16.
Felson, R. (2004). A rational choice approach to violence. In M. Zahn, H. Brownstein, & S. Jackson (Eds.), Violence: From theory to research (pp. 71–90). Anderson Publishing.
Felson, R., & Steadman, H. (1983). Situational factors in disputes leading to criminal violence. Criminology, 21, 59–74.
Goffman, I. (1961). Asylums: Essays on the social situation of mental patients and other inmates. New York: Harper and Row.
Heilbrun, K., & Peters, L. (2000). The efficacy and effectiveness of community treatment programmes in preventing crime and violence among those with severe mental illness in the community. In S. Hodgins (Ed.), Violence among the mentally ill (pp. 341–357). Dordrecht: Kluwer.
Hiday, V. (1995). The social context of mental illness and violence. Journal of Health and Social Behavior, 36, 122–137.
Hiday, V. (1997). Understanding the connection between mental illness and violence. International Journal of Law and Psychiatry, 20, 399–417.
Hirschi, T. (1969). Causes of delinquency. Berkeley: University of California Press.
Hodgins, S. (2000). The etiology and development of offending among persons with major mental disorders. In S. Hodgins (Ed.), Violence among the mentally ill (pp. 89–116). Dordrecht: Kluwer.
Hodgins, S. (2001). The major mental disorders and crime: Stop debating and start treating and preventing. International Journal of Law and Psychiatry, 24, 427–446.
Hodgins, S., Cote, G., & Toupin, J. (1998). Major mental disorders and crime: An etiological hypothesis. In D. Cooke, A. Forthe, & R. D. Hare (Eds.), Psychopathy: Theory, research, and implications for society (pp. 231–256). Dordrecht: Kluwer .
Hoffman, J., & Cerbone, F. (1999). Stressful life events and delinquency escalation in early adolescence. Criminology, 37, 343–373.
Howells, K., Day, A., & Thomas-Peter, B. (2004). Changing violent behaviour: Forensic mental health and criminological models compared. The Journal of Forensic Psychiatry and Psychology, 15, 391–406.
Junginger, J., & McGuire, L. (2004). Psychotic motivation and the paradox of current research on serious mental illness and rates of violence. Schizophrenia Bulletin, 30, 21–30.
Jussim, L., & Osgood, D. W. (1989). Influence and similarity among friends: An integrative model applied to incarcerated adolescents. Social Psychology Quarterly, 52, 98–112.
Katz, J. (1988). Seductions of crime: Moral and sensual attractions of doing evil. New York: Basic Books.
Kubrin, C., & Weitzer, R. (2003). New directions in social disorganization theory. Journal of Research in Crime and Delinquency, 40, 374–402.
Laub, J., Sampson, R., & Allen, L. (2001). Explaining crime over the life course: Toward a theory of age-graded informal social control. In R. Paternoster & R. Bachman (Eds.), Explaining crime and criminal: Essays in contemporary criminological theory (pp. 97–112). Los Angeles, CA: Roxbury.
Levinson, R., & Ramsey, G. (1979). Dangerousness, stress, and mental health evaluation. Journal of Health and Social Behavior, 20, 178–187.
Lidz, C., Mulvey, E., & Gardner, W. (1993). The accuracy of predictions of violence to others. Journal of the American Medical Association, 269, 1007–1011.
Link, B., & Stueve, A. (1994). Psychotic symptoms and the violent/illegal behavior of mental patients compared to community controls. In J. Monahan & H. J. Steadman (Eds.), Violence and mental disorder: Developments in risk assessment (pp. 137–160). Chicago, IL: University of Chicago Press.
Link, B., & Stueve, A. (1995). Evidence bearing on mental illness as a possible cause of violent behavior. Epidemiologic Reviews, 17, 1–10.
Link, B., Phelan, J., Bresnahan, M., Stueve, A., & Pescosolido, B. (1999). Public conceptions of mental illness: Labels, causes, dangerousness, and social distance. American Journal of Public Health, 89, 1328–1333.
Link, B., Monahan, J., Stueve, A., & Cullen, F. (1999). Real in their consequences: A sociological approach to understanding the association between psychotic symptoms and violence. American Sociological Review, 64, 316–332.
Loeber, R., & LeBlanc, M. (1990). Toward a developmental criminology. In M. Tonry & N. Morris (Eds.), Crime and Justice (Vol. 7). Chicago, IL: University of Chicago Press.
Monahan, J. (1992). Mental disorder and violent behavior: Perceptions and evidence. American Psychologist, 47, 511–521.
Monahan, J. (1993). Limiting therapist exposure to Tarasoff liability: Guidelines for risk containment. American Psychologist, 48, 242–250.
Monahan, J. (1997). Actuarial support for the clinical assessment of violence risk. International Review of Psychiatry, 9, 167–169.
Monahan, J., Redlich, A., Swanson, J., Robbins, P., Appelbaum, P., Petrila, J., Steadman, H., Swartz, M., Angell, B., & McNiel, D. (2005). Use of leverage to improve adherence to psychiatric treatment in the community. Psychiatric Services, 56, 37–44.
Monahan, J. (2002). The scientific status of research on clinical and actuarial predictions of violence. In D. Faigman, D. Kaye, M. Saks, & J. Sanders (Eds.), Modern scientific evidence: The law and science of expert testimony (pp. 423–445). St. Paul, MN: West Publishing.
Monahan, J., Lidz, C., Hoge, S., Mulvey, E., Eisenberg, M., Roth, L., Gardner, W., & Bennett, N. (1999). Coercion in the provision of mental health services: The MacArthur studies. In J. Morrissey & J. Monahan (Eds.), Research in community and mental health, Vol. 10: Coercion in mental health services—international perspectives (pp. 13–30). Stamford, CT: JAI Press.
Monahan J., & Steadman, H. J. (1983). Crime and mental disorder: An epidemiological approach. In M. Tonry & M. Morris (Eds.), Crime and Justice: An Annual Review of Research (Vol. 4, pp. 145–189). Chicago: University of Chicago Press.
Monahan, J., Steadman, H., Silver, E., Appelbaum, P., Robbins, P., Mulvey, P., Roth, L., Grisso, T., & Banks, S. (2001). Rethinking risk assessment: The MacArthur study of mental disorder and violence. Oxford: Oxford University Press.
Muller-Isberner, R., & Hodgins, S. (2000). Evidenced-based treatment for mentally disordered offenders. In S. Hodgins & R. Muller-Isberner (Eds.), Violence, crime, and mentally disordered offenders (pp. 7–38). New York: Wiley.
Mulvey, E. (1994). Assessing the evidence of a link between mental illness and violence. Hospital and Community Psychiatry, 45, 663–668.
Mulvey, E., Blumstein, A., & Cohen, J. (1986). Reframing the research question of mental patient criminality. International Journal of Law and Psychiatry, 9, 57–65.
Mulvey, E., & Lidz, C. (1995). Conditional prediction: A model for research on dangerousness to others in a new era. International Journal of Law and Psychiatry, 18, 129–143.
Pearlin, L. (1989). The sociological study of stress. Journal of Health and Social Behavior, 30, 241–256.
Redick, R., Witkin, M., Atay, J., & Manderscheid, R. (1996). Highlights of organized mental health services in 1992 and major national and state trends. In R. Manderscheid & M. Sonnenschein (Eds), Mental healtl united states 1996 (pp. 90–137). Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, DHHS Publication No. (SMA) 96-3098.
Reiss, A., & Roth, J. (1993). Understanding and preventing violence. Washington, DC: National Academy Press.
Robins, L., & Regier, D. (1991). Psychiatric disorders in America. New York: Free Press.
Sampson, R., & Laub, J. (1993). Crime in the making: Pathways and turning points through life. Cambridge, MA: Harvard University Press.
Sampson, R., Raudenbush, S., & Earls, F. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277, 918–924.
Shaw, C., & McKay, H. (1942). Juvenile delinquency and urban areas. Chicago, IL: University of Chicago Press.
Sigfusdottir, I., Farkas, G., & Silver, E. (2004). The role of depressed mood and anger in the relationship between family conflict and delinquent behavior. Journal of Youth and Adolescence, 33, 509–522.
Silver, E., & Miller, L. (2004). Sources of informal social control in Chicago neighborhoods. Criminology, 42, 551–583.
Silver, E. (2000a). Extending social disorganization theory: A multilevel approach to the study of violence among persons with mental illnesses. Criminology, 38, 1043–1074.
Silver, E. (2000b). Race, neighborhood disadvantage, and violence among persons with mental disorders: The importance of contextual measurement. Law and Human Behavior, 24, 449–456.
Silver, E. (2002). Mental disorder and violent victimization: The mediating role of involvement in conflicted social relationships. Criminology, 40, 191–212.
Silver, E., Mulvey, E., & Monahan, J. (1999). Assessing violence risk among discharged psychiatric patients: Toward an ecological approach. Law and Human Behavior, 23, 237–255.
Silver, E., Mulvey, E., & Swanson, F. (2002). Neighborhood structural characteristics and mental disorder: Faris and Dunham revisited. Social Science and Medicine, 55, 1457–1470.
Silver, E., & Teasdale, B. (2005). Mental disorder and violence: An examination of stressful life events and impaired social support. Social Problems, 52, 62–78.
Skeem, J., Monahan, J., & Mulvey, E. (2002). Psychopathy, treatment involvement, and subsequent violence among civil psychiatric patients. Law and Human Behavior, 26, 577–603.
Steadman, H., & Ribner, S. (1982). Life and violence among ex-mental patients. Social Science and Medicine, 16, 1641–1647.
Swanson, J. W., Swartz, M. S., & Elbogen, E. B. (2004). Effectiveness of atypical antipsychotic medications in reducing violent behavior among persons with schizophrenia in community-based treatment. Schizophrenia Bulletin, 30, 3–20.
Swanson, J. W., Swartz, M. S., Essock, S. M., Osher, F. C., Wagner, H. R., Goodman, L. A., Rosenberg, S. D., & Meador, K. G. (2002). The social-environmental context of violent behavior in persons treated for severe mental illness. American Journal of Public Health, 92, 1523–1531.
Swanson, J. W., Swartz, M. S., Estroff, S., Borum, R., Wagner, R. H., & Hiday, V. A. (1998). Psychiatric impairment, social contact, and violent behavior: Evidence from a study of outpatient-committed persons with severe mental disorder. Social Psychiatry and Psychiatric Epidemiology, 33, 86–94.
Swartz, M., Swanson, J., Hiday, V., Wagner, H., Burns, B., & Borum, R. (2001). A randomized control trial of outpatient commitment in North Carolina. Psychiatric Services, 52, 325–329.
Taylor, P., & Monahan, J. (1996). Commentary: Dangerous patients or dangerous disease? British Medical Journal, 312, 967–969.
Teasdale, B. (2004). Violence by and against persons with major mental disorders: A total local life circumstances approach. Dissertation Research, Pennsylvania State University.
Teasdale, B., Silver, E., & Monahan, J. (in press). Gender, threat/control-override delusions and violence. Law and Human Behavior.
Tedeschi, J., & Felson, R. (1994). Violence, aggression, and coercive actions. Washington, DC: American Psychological Association.
Thornberry, T. (1997). Toward an interactional theory of delinquency. Criminology, 25, 863–891.
Toch, H. (1980). Violent men: An inquiry in to the psychology of violence. Washington, DC: American Psychological Association.
Turner, R., Wheaton, B., & Lloyd, D. (1995). The epidemiology of social stress. American Sociological Review, 60, 104–125.
Wacholz, S., & Mullaly, R. (1993). Policing the deinstitutionalized mentally ill: Toward an understanding of its function. Crime, Law, and Social Change, 19, 281–300.
Wessely, S., & Taylor, P. J. (1991). Madness and crime: Criminology versus psychiatry. Criminal Behaviour and Mental Health, 1, 193–228.
Zahn, M., Brownstein, H., & Jackson, S. (Eds.) (2004). Violence: From theory to research. Dayton, OH: Anderson Publishing.
ACKNOWLEDGMENTS
This work was supported by the National Institute of Mental Health's Center for Mental Health Services and Criminal Justice Research. Special thanks go to Edward P. Mulvey, Henry J. Steadman, John Monahan, and Brent Teasdale for commenting on an earlier draft of this work.
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Silver, E. Understanding the Relationship Between Mental Disorder and Violence: The Need for a Criminological Perspective. Law Hum Behav 30, 685–706 (2006). https://doi.org/10.1007/s10979-006-9018-z
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DOI: https://doi.org/10.1007/s10979-006-9018-z