Abstract
Psychiatric inpatient treatment programs for children and adolescents encounter aggressive behaviors from many of their patients, and it is incumbent upon the professional staff of these programs to have an understanding of the importance of aggressive behavior as a clinical phenomenon and to have a clear approach to the management of violence on the unit. Aggression among hospitalized children and adolescents is multifactorial in etiology. The clinician must weigh the historical and diagnostic antecedents to the child’s behavior, as well as the current clinical issues and the inpatient environment itself to unravel the reasons for the child’s violent and destructive impulses. Parallel and coexistent with these imperatives are the programmatic needs to maintain a safe, nurturing, and therapeutic environment for all patients, and thus, the need to effectively intervene with aggressive behavior whenever it occurs on the unit. This chapter addresses the factors, clinical and programmatic, relevant to aggressive behavior on child and adolescent units and emphasizes the importance of accurate diagnoses in the evaluation of aggression. It reviews the application of contingency management techniques coupled to child skills training to decrease violent behavior, and it also reviews the psychopharmacological approach to aggression in this age group.
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References
Amery, B., Minichiello, M. D, & Brown, G. L. (1984). Aggression in hyperactive boys: Response to d-amphetamine. American Journal of Child and Adolescent Psychiatry, 23, 261–269.
Anastopoulos, A., & Barkley, R. A. (1990). Counseling and training parents. In R. A. Barkley (Ed.), Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (pp. 397–431). New York: Guilford Press.
Benalcazar-Schmid, R., & Berlin, I. N. (1986). Violence in the hospitalized adolescent: Some considerations on the management of aggression in the long-term hospital unit. Bulletin of the Menninger Clinic, 50, 480–490.
Benjamin, R., Mazzarins, H., & Kupfersmid, J. (1983). The effect of time-out (TO) duration on assaultiveness in psychiatrically hospitalized children. Aggressive Behavior, 9, 21–27.
Braswell, L. (1991). Involving parents in cognitive-behavioral therapy with children and adolescents. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive-behavioral procedures (pp. 316–351). New York: Guilford Press.
Brent, D. A., Perper, J. A., Goldstein, C. E., Kolko, D. J., Allan, M. J., Allman, C. J., & Zelenak, J. P. (1988). Risk factors for adolescent suicide: A comparison of adolescent suicide victims with suicidal inpatients. Archives of General Psychiatry, 45, 581–588.
Cantwell, D. P. (1985). Paper presented at the Visiting Professor Series, Western Psychiatric Institute and Clinic, Pittsburgh, PA.
Cunningham, C. E. (1990). A family systems approach to parent training. In R. A. Barkley (Ed.), Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (pp 432–461). New York: Guilford Press.
Feindler, E. (1986). Group anger-control therapy for institutionalized psychiatric male adolescents. Behavior Therapy, 17, 109–123.
Gair, D. S. (1984). Guidelines for children and adolescents. In K. Tardiff (Ed.), The psychiatric uses of seclusion and restraint (pp. 69–85). Washington, DC: American Psychiatric Press.
Garrisson, W. T. (1984). Predicting violent behavior in psychiatrically hospitalized boys. Journal of Youth and Adolescence, 13, 225–238.
Garrisson, W. T., Ecker, B., Friedman, M., Davidoff, R., Haeberle, K., & Wagner, M. (1990). Aggression and counteraggression during child psychiatric hospitalization. Journal of the American Academy of Child and Adolescent Psychiatry,29, 242–250.
Gittelman, R., Mannuzza, S., Shenker, R., & Bonagura, N. (1985). Hyperactive children almost grown up. Archives of General Psychiatry, 42, 937–947.
Hechtman, L., Weiss, G., & Perlman, T. (1984). Young adult outcome of hyperactive children who received longterm stimulant treatment. Journal of the American Association of Child and Adolescent Psychiatry, 23, 261–269.
Henggeler, S. W. (1989). Individual treatment interventions. In Henggeler (Auth.) Delinquency in adolescence (pp. 84–94). Newbury Park, CA: Sage Publications.
Henggeler, S. W. (1989). Delinquency in adolescence (pp. 84–94). Newbury Park, CA: Sage Publications.
Hunt, R. D., Capper, L., & O’Connell, P. (1990). Clonidine in child and adolescent psychiatry. Journal of Child and Adolescent Psychopharmacology, 1, 87–102.
Inamdar, S. C., Darrell, E., Brown, A., & Lewis, D. O. (1986). Trends in violence among psychiatrically hospitalized adolescents: 1969–1979 compared. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 704–707.
Joshi, P. T., Capozzoli, J. A., & Coyle, J. T. (1988). Use of a quiet room on an inpatient unit. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 642–644.
Kazdin, A. E., Esveldt-Dawson, K., French, N. H., & Unis, A. S. (1987). Effects of parent management training and problem-solving skills training combined in the treatment of antisocial child behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 416–424.
Kolko, D. J. (1992). Conduct disorder. In V. B. Van Hasselt & D. J. Kolko (Eds.), Inpatient behavior therapy for children and adolescents (pp. 205–237). New York: Plenum.
Kupfersmid, J. (1988). Utilizing mechanical restraints, child and youth services (pp. 153–163). Binghamton, NY: The Haworth Press.
Lewis, D. O. (1991). Conduct disorder. In M. Lewis (Ed.), Child and adolescent psychiatry—A comprehensive textbook (pp. 561–573). Baltimore: Williams & Wilkins.
Lochman, J. E., White, K. J., Curry, J. F., & Rumer, R. R. (1992). Antisocial behavior. In V. Van Hasselt & D. J. Kolko (Eds.), Inpatient behavior therapy for children and adolescents (pp. 277–312). New York: Plenum.
Loeber, R. (1991). Antisocial behavior: More enduring than changeable? Journal of the American Academy of Child and Adolescent Psychiatry, 30, 393–397.
Mazzarins, H., Payne, M., & Kupfersmid, J. (1988). Utilizing mechanical restraints. Child and Youth Services, 10, 153–163.
Miller, D., Walker, M. C., & Friedman, D. (1989). Use of a holding technique to control the violent behavior of seriously disturbed adolescents. Hospital and Community Psychiatry, 40, 520–524.
Monane, M., Leichter, D., & Lewis, D. O. (1984). Physical abuse in psychiatrically hospitalized children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 23, 653–658.
Patterson, G. (1975). Families (pp. 73–82). Champaign, IL: Research Press.
Petti, T. A. (1991). Cognitive therapies. In M. Lewis (Ed.), Child and adolescent psychiatry-A comprehensive textbook (pp. 831–841). Baltimore: Williams & Wilkins.
Robin, A. L. (1990). Training families with ADHD adolescents. In R. A. Barkley (Ed.), Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment (pp. 462–497). New York: Guilford Press.
Satterfield, J. H., Satterfield, B. T., & Cantwell, D. P. (1981). Three-year multimodality treatment study of 100 hyperactive boys. Journal of pediatrics, 98, 650–655.
Statton, H., & Magnusson, D. (1984). The role of early aggressive behavior for the frequency, the seriousness, and the types of later criminal offenses (No. 618, 1–24). Reports from the Department of Psychology, the University of Stockholm.
Strober, M., Morrell, W, Burroughs, J., (1988). A family study of bipolar I in adolescence: Early onset of symptoms linked to increased familial loading and lithium resistance. Journal of Affective Disorders, 15, 255–268.
Weiss, G. (1991). Attention deficit hyperactivity disorder. In M. Lewis (Ed.), Child and adolescent psychiatry—A comprehensive textbook (pp. 544–561). Baltimore: Williams & Wilkins.
Weiss, G., & Hechtman, L. (1986). Hyperactive children grown up: Empirical findings and theoretical considerations. New York: Guilford Press.
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Hindmarsh, D.J. (1994). Control in the Psychiatric Setting—Children and Adolescents. In: Hersen, M., Ammerman, R.T., Sisson, L.A. (eds) Handbook of Aggressive and Destructive Behavior in Psychiatric Patients. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2403-8_10
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DOI: https://doi.org/10.1007/978-1-4615-2403-8_10
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