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Seattle University Collaborative Projects - International Academy of ...

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Are Negative Symptoms <strong>of</strong> Psychosis and the Deficient Affective ExperienceDifferent Concepts? An Exploratory Study in Chronic (Forensic) PsychiatricPatientsMaarten van Giels, Mental Health Care Westelijk Noord-Brabant, Halsteren, Netherlands(Maarten.van.Giels@ggzwnb.nl)Erol Ekiz, Mental Health Care Westelijk Noord-Brabant, Halsteren, Netherlands(e.ekiz@ggzbreburg.nl)Kris Goethals, Mental Health Care Westelijk Noord-Brabant, Halsteren, Netherlands(kris.goethals@ggzwnb.nl)Hjalmar van Marle, Erasmus <strong>University</strong> <strong>of</strong> Rotterdam (Hjalmar@xs4all.nl)Background: The Deficient Affective Experience (DAE) is described as being apredictor <strong>of</strong> violent behaviour in men recently discharged from forensic psychiatry aswell as in general populations. Furthermore, schizophrenia, and possibly its negativesymptoms as an emotional dysfunction, are also a cause for increased risk for violentbehaviour. However, it is unclear in what way there is a correlation between these twoemotional dysfunctions.Aim: In this study, the aim is to explore the possible correlation between the DAE andnegative symptoms <strong>of</strong> schizophrenia.Method: Based on an interview and a review <strong>of</strong> institutional files, the DAE total scoreand facet scores were examined among different forensic and non-forensic psychiatricsubgroups. Subsequently, (partial) correlation and rank order coefficients werecalculated.Results: The personality disordered subgroup showed a significant higher DAE totalscore, as do psychotic patients without a comorbid personality disorder. Forensicpatients have a significant higher DAE total score, compared to patients in generalpsychiatry.Conclusions: Based on few significant correlations between DAE total and facet scoresand negative symptoms items, both appear not to be the same concept. This means thatinterpreting the DAE total score <strong>of</strong> psychotic patients in general psychiatry should beconsidered with caution.Security and Psychiatry: Adapting Mental Health Services to a “New” Reality –Planning <strong>of</strong> the First Medium Security Ward in Israel – Learning from theBritish ExperienceTal Bergman Levy, Beer Yaacov Mental Health Center, Israel (bergmantal@gmail.com)119

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