Seattle University Collaborative Projects - International Academy of ...

This paper concerns a study in which we investigated the treatment effects on the behavior ofviolent forensic psychiatric patients during their stay in hospital. For that purpose, 237 inpatientswere measured between 2003 and 2011 bi-annually by the staff on the ward with the aid of theObservation Scale for Aggressive Behavior (OSAB). As a start, we compared the patients’subscale scores during the successive bi-annual measurements. During a period of five years,scores on the Irritation/Anger, Anxiety/Gloominess, Antecedents, and Aggression subscales werefound to increase, then decrease, then again increase and finally again decrease. Scores on theProsocial Behavior subscale increased gradually over the course of time. A significant relationbetween PCL-R scores and aggressive behavior on the ward was found only during the first twoyears of stay. We concluded that a structured and controlled environment has a strong influenceon the behavior of violent offenders. Consequently, the relevance of risk assessment in a closedsetting is discussed.The Use of the Implicit Association Test in Differentiating between CognitionsRelated to Reactive and Proactive AggressionAlmar J. Zwets, FPC de Kijvelanden, Rotterdam, Netherlands (almarzwets@hotmail.com)This paper concerns a study in which we investigated whether certain cognitions shoulddifferentiate between offenders and students, and between reactively and proactively aggressivepatients. By using an Implicit Association Task (IAT) we analyzed cognitions in a group ofviolent forensic psychiatric inpatients and a group of students. We used two IAT's: a violent IAT(pleasant, unpleasant, peace, and violence) and a control IAT (pleasant, unpleasant, flowers, andinsects). IAT-scores were compared between both groups. We expected that the inpatients wouldhave a less negative association to violence than the students. Scores of reactively aggressivepatients were compared with those of proactively aggressive patients. From the literature, weexpected that patients who show proactive aggression have a less negative association toviolence on the IAT. Other factors which might have influenced these results, like psychopathy,were taken into account. During our presentation the results of our study will be presented.Consequences of our results for the development of an effective treatment program will bediscussed.79. Innovation in Mental Health Shared Decision Making Policy,Practice, and ResearchWhat Helps and Hinders Shared Decision-Making in Mental Health Services?Miles Rinaldi, South West London & St George’s Mental Health NHS Trust, London, UK(Miles.Rinaldi@slwstg-tr.nhs.uk)191