Abstract
Hiring, training and supervising treatment staff who work closely with forensic patients at all levels of security requires careful planning. In particular, staff must identify and share feelings like fear and anger that are always generated when patients threaten or attack staff. Approaches to dealing with staff countertransference to patients are suggested in this article, and aids to breaking the aggression cycle are discussed. Relationship security is a working through of dynamics that are always in operation where there are keepers and kept.
Issue Section:
Research Papers
References
1.
Ohio Department of Health, Division of Mental Health and Forensic Services
, 1984
.2.
Levy
, P.
and Hartocollis
, P.
, “Nursing Aides and Patient Violence
,” American Journal of Psychiatry
0002-953X, Vol. 133
, 1976
, pp. 429
-431
.3.
Training Manual
, Madison Fire Department
, Madison, WI
, 1982
.4.
“
A Program for the Prevention and Management of Disturbed Behavior, Gold Award of the American Psychiatric Association
,” Hospital and Community Psychiatry
0022-1597, Vol. 27
, No. 10
, 1976
, pp. 724
-727
.5.
Lion
, J. R.
, Evaluation and Management of the Violent Patient
, Charles C Thomas
, Springfield, IL
, 1972
.6.
Lion
, J. R.
and Bach-Y-Rita
, G.
, “Group Therapy with Violent Outpatients
,” International Journal of Group Psychotherapy
0020-7284, Vol. 20
, 1970
, pp. 185
-191
.7.
Madden
, D. J.
, “Voluntary and Involuntary Treatment of Aggressive Patients
,” American Journal of Psychiatry
0002-953X, Vol. 134
, No. 5
, 05
1977
.8.
Berkowitz
, L.
, “Aversively Stimulated Aggression, Some Parallels and Differences in Research with Animals and Humans
,” American Psychologist
0003-066X, Nov. 1983
, pp. 1135
-1144
.9.
Dubin
, W. R.
, Emergency Psychiatry for the House Officer
, Spectrum Publications
, Jamaica, NY
, in press.10.
Groves
, J. E.
, “Taking Care of the Hateful Patient
,” The New England Journal of Medicine
, Vol. 298
, No. 16
, 1978
, pp. 883
-887
.11.
Johansen
, K. H.
, “The Impact of Patients with Chronic Character Pathology on a Hospital Inpatient Unit
,” Hospital and Community Psychiatry
0022-1597, Vol. 34
, No. 9
, 1983
, pp. 842
-846
.12.
Brown
, L. J.
, “Staff Countertransference Reactions in the Hospital Treatment of Borderline Patients
,” Psychiatry
0033-2747, Vol. 43
, 1980
, pp. 333
-345
.
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