Seattle University Collaborative Projects - International Academy of ...

RCT results will be presented. Our findings suggest that ST is outperforming TAU with respectto drop-outs, supervised leave approval, and possibly recidivism. These differences are greatestin psychopathic patients. These preliminary findings suggest that ST is more effective than usualforensic treatment in psychopathic offenders, and that these patients may be more amenable tochange than believed possible.The Neurocognitive Correlates of Reactive Aggression: What Does the BrainTell Us?Franca Tonnaer, Forensic Psychiatric Centre ‘de Rooyse Wissel’, Venray, Netherlands(FTonnaer@derooysewissel.nl)In the forensic field, reactive aggression is associated with violent behavior and is an importantaspect of risk assessment in daily clinical practice. Neuropsychiatric abnormalities in the frontallobe in persons displaying reactive aggression and criminal behavior suggest an associationbetween frontal brain abnormalities and increased reactive aggression. However, brain imagingstudies have focused on different forms of frontal lobe abnormalities in aggressive individuals,such as differences in mechanisms and volume. Up to now, no study has examined groupdifferences between violent offenders and healthy controls triggering the actual emotion ofinterest: reactive aggression. Recent literature reviews of functional and structural neuroimagingstudies imply that a combination of decreased medial prefrontal activity along with increasedsubcortical activity is related to reactive aggression. We think it is important to investigate theintegrated neural networks using independent component analysis (ICA) between groups insteadof conventional fMRI analysis identifying specific brain activity. The current study thereforeexamines the relationship between medial prefrontal functioning and subcortical inhibitoryactivation after inducing aggression in offenders with a history of violent behavior and healthycontrols using fMRI. Results of the study will be presented, along with possible clinicalimplications.Clinical ImplicationsSanne Verwaaijen, Forensic Psychiatric Centre ‘de Rooyse Wissel’, Venray, Netherlands(sverwaaijen@derooysewissel.nl)During the last decades, evidence has accumulated showing that neurobiological factors have animpact on behavior, including criminal behavior. Recent results regarding such neurobiologicalfactors should be more integrated with current treatment protocols. The individual differencesand neurobiological factors should be taken into account to choose the most effective treatmentand to decide which interventions might have contrary effects. New methods of diagnosis basedon the executive factors should be used to fine-tune specific treatment program and to select themost effective interventions. In order to examine a person’s treatment readiness, not only327