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Psychopathology, trauma and delinquency: subtypes of aggression and their relevance for understanding young offenders.

Steiner H, Silverman M, Karnik NS, Huemer J, Plattner B, Clark CE, Blair JR, Haapanen R - Child Adolesc Psychiatry Ment Health (2011)

Bottom Line: Selective review of preclinical and clinical studies in normal, clinical and delinquent populations.The identification of these disturbances can be supported by findings in cognitive neuroscience.The identification of this subtype of disruptive behavior disorders leads to more specific clinical interventions which in turn promise to improve hitherto unimpressive treatment outcomes of delinquents and patients with disruptive behavior.

View Article: PubMed Central - HTML - PubMed

Affiliation: Stanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, California, 94305, USA. steiner@stanford.edu.

ABSTRACT

Objective: To examine the implications of an ontology of aggressive behavior which divides aggression into reactive, affective, defensive, impulsive (RADI) or "emotionally hot"; and planned, instrumental, predatory (PIP) or "emotionally cold." Recent epidemiological, criminological, clinical and neuroscience studies converge to support a connection between emotional and trauma related psychopathology and disturbances in the emotions, self-regulation and aggressive behavior which has important implications for diagnosis and treatment, especially for delinquent populations.

Method: Selective review of preclinical and clinical studies in normal, clinical and delinquent populations.

Results: In delinquent populations we observe an increase in psychopathology, and especially trauma related psychopathology which impacts emotions and self-regulation in a manner that hotly emotionally charged acts of aggression become more likely. The identification of these disturbances can be supported by findings in cognitive neuroscience. These hot aggressive acts can be delineated from planned or emotionally cold aggression.

Conclusion: Our findings support a typology of diagnostic labels for disruptive behaviors, such as conduct disorder and oppositional defiant disorder, as it appears that these acts of hot emotional aggression are a legitimate target for psychopharmacological and other trauma specific interventions. The identification of this subtype of disruptive behavior disorders leads to more specific clinical interventions which in turn promise to improve hitherto unimpressive treatment outcomes of delinquents and patients with disruptive behavior.

No MeSH data available.


Related in: MedlinePlus

Percent of clinically significant RADI and PIP aggression in High School Students and Delinquent Youth on Relabeled YSR Scales (Chi Square = 1975; DF 3; p < 0.0001).
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Figure 1: Percent of clinically significant RADI and PIP aggression in High School Students and Delinquent Youth on Relabeled YSR Scales (Chi Square = 1975; DF 3; p < 0.0001).

Mentions: The use of the MAYSI permitted us to examine more specifically the effects of traumatic incidents and Drug and Alcohol Abuse on our YSR variable of aggression subtypes. In addition, the WAI in turn provided us with trait measures of happiness to retain the parallel results to the normal sample. The results of this study are juxtaposed to our high school result in Figure 1.


Psychopathology, trauma and delinquency: subtypes of aggression and their relevance for understanding young offenders.

Steiner H, Silverman M, Karnik NS, Huemer J, Plattner B, Clark CE, Blair JR, Haapanen R - Child Adolesc Psychiatry Ment Health (2011)

Percent of clinically significant RADI and PIP aggression in High School Students and Delinquent Youth on Relabeled YSR Scales (Chi Square = 1975; DF 3; p < 0.0001).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3141659&req=5

Figure 1: Percent of clinically significant RADI and PIP aggression in High School Students and Delinquent Youth on Relabeled YSR Scales (Chi Square = 1975; DF 3; p < 0.0001).
Mentions: The use of the MAYSI permitted us to examine more specifically the effects of traumatic incidents and Drug and Alcohol Abuse on our YSR variable of aggression subtypes. In addition, the WAI in turn provided us with trait measures of happiness to retain the parallel results to the normal sample. The results of this study are juxtaposed to our high school result in Figure 1.

Bottom Line: Selective review of preclinical and clinical studies in normal, clinical and delinquent populations.The identification of these disturbances can be supported by findings in cognitive neuroscience.The identification of this subtype of disruptive behavior disorders leads to more specific clinical interventions which in turn promise to improve hitherto unimpressive treatment outcomes of delinquents and patients with disruptive behavior.

View Article: PubMed Central - HTML - PubMed

Affiliation: Stanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, 401 Quarry Road, Stanford, California, 94305, USA. steiner@stanford.edu.

ABSTRACT

Objective: To examine the implications of an ontology of aggressive behavior which divides aggression into reactive, affective, defensive, impulsive (RADI) or "emotionally hot"; and planned, instrumental, predatory (PIP) or "emotionally cold." Recent epidemiological, criminological, clinical and neuroscience studies converge to support a connection between emotional and trauma related psychopathology and disturbances in the emotions, self-regulation and aggressive behavior which has important implications for diagnosis and treatment, especially for delinquent populations.

Method: Selective review of preclinical and clinical studies in normal, clinical and delinquent populations.

Results: In delinquent populations we observe an increase in psychopathology, and especially trauma related psychopathology which impacts emotions and self-regulation in a manner that hotly emotionally charged acts of aggression become more likely. The identification of these disturbances can be supported by findings in cognitive neuroscience. These hot aggressive acts can be delineated from planned or emotionally cold aggression.

Conclusion: Our findings support a typology of diagnostic labels for disruptive behaviors, such as conduct disorder and oppositional defiant disorder, as it appears that these acts of hot emotional aggression are a legitimate target for psychopharmacological and other trauma specific interventions. The identification of this subtype of disruptive behavior disorders leads to more specific clinical interventions which in turn promise to improve hitherto unimpressive treatment outcomes of delinquents and patients with disruptive behavior.

No MeSH data available.


Related in: MedlinePlus