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1.06 - Approach to Persistent Aggression and Violence in Schizophrenia Spectrum Psychotic Disorders

from Part I - Treatment Strategies

Published online by Cambridge University Press:  19 October 2021

Michael Cummings
University of California, Los Angeles
Stephen Stahl
University of California, San Diego
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The first step to addressing persistent aggression in patients with schizophrenia spectrum disorders is to categorize the nature of the aggression to help inform the approach to treatment strategies [1]. There is evidence that understanding violence as a dimension of psychiatric illness, by identifying the underlying etiology, is an effective approach to treatment [2–4]. Based on studies within the New York and California State Hospital Systems [2, 3], three categories of aggression can be utilized to help focus treatment: psychotic, impulsive and predatory (also called organized or instrumental.)

Publisher: Cambridge University Press
Print publication year: 2021

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