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The present study is the first to explore patient‐to‐patient bullying within a secure psychiatric hospital housing mentally‐ill patients. Its main aim was to provide an outline of the perceptions held by both patients and staff with regards to patient‐to‐patient bullying as opposed to providing an objective study of bullying. The total sample comprised 104 participants, 44 patients and 60 staff. These were sampled from wards housing male patients and wards housing female patients. All participants took part in a semi‐structured interview based on that developed by Ireland and Ireland [2003] and Ireland [2005, 2004]. One quarter of participants stated they had seen a patient being bullied in the previous week, with staff perceiving a higher extent of bullying than patients. Differences between wards were minimal. It was predicted that theft‐related bullying would be reported most frequently, that staff would identify a wider range of bullying behaviours than patients and that direct forms of aggression would be identified more readily as bullying than indirect forms. All predictions were supported. Problems in attempting to obtain a definition of bullying were also identified, with participants operating broader definitions than those found in the school‐based literature. For example, bullying was not generally considered a repeated form of aggression, the severity of the aggression or provocative behaviour of the victim were not defining features, and it was felt bullying could be accidental. In summary, the current study highlights how patient‐to‐patient bullying does occur in services housing mentally‐ill patients and that researching the behaviour may require the adoption of broader hospital‐specific definitions of bullying. Aggr. Behav. 32:1–13, 2006. © 2006 Wiley‐Liss, Inc.  相似文献   

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The current study explored the perceptions of staff and patients concerning how patient‐to‐patient bullying should be defined and what behaviours it should include. Participants were randomly selected from the Personality Disorder Unit of a maximum secure hospital. A total of sixty interviews were conducted (30 staff and 30 patients). Problems in attempting to utilise definitions of bullying developed for use in other contexts, i.e., schools, were identified. Patients and staff presented with similar views about how it should be defined: both felt that aggression did not have to be repeated or severe in order to be classed as bullying, that bullying could be accidental, that the power imbalance between perpetrator and victim was not always explicit and, finally, that victims could provoke bullies unintentionally. Indirect (i.e. covert) forms of aggression were less likely to be considered bullying than direct (i.e. overt) forms. A number of differences were found between staff and patients regarding how bullying was conceptualised. Staff were more likely than patients to hold the belief that some patients liked being bullied, and appeared to acknowledge a broader definition of bullying than patients, accounting for a wider range of aggressive behaviours. A number of similarities between the current study and previous prison‐based research were found. The implications of these findings for current research and the value in attending to prison‐based research are highlighted. Aggr. Behav. 00:000–000, 2005. © 2005 Wiley‐Liss, Inc.  相似文献   

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This study assesses how beliefs about aggression and personality can predict engagement in intra‐group bullying among prisoners. A sample of 213 adult male prisoners completed the DIPC‐SCALED (bullying behavior), the EXPAGG (beliefs toward aggression), and the IPIP (a five‐factor measure of personality). It was predicted that bullies would hold greater instrumental beliefs supporting the use of aggression than the other categories, with perpetrators reporting lower scores on agreeableness, conscientiousness, and openness to experience, and higher scores on neuroticism (i.e. low scores on emotional stability) than the remaining sample. Bullies and bully‐victims endorsed greater instrumental aggressive beliefs than the victim category. Only one perpetrator group, bullies were predicted by reduced levels of agreeableness and increased levels of neuroticism, whereas bully/victims were predicted by decreased levels of neuroticism. Limitations of this study and directions for future research are discussed. Aggr. Behav. 36:261–270, 2010. © 2010 Wiley‐Liss, Inc.  相似文献   

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We examined links between mothers' parenting and children's relational bullying and overt bullying in a sample of children attending a Head Start program. Mothers completed surveys and face-to-face interviews. Head Start teachers completed assessments on children. Results indicated that a small percentage of children in the sample was rated by teachers as engaging in relational bullying “frequently to almost always,” and slightly over half of the sample was rated by teachers as engaging in relational bullying “occasionally to about half of the time.” Similar results were found for the frequency with which children engaged in overt physical bullying. Regarding mothers' parenting, maternal empathy was most strongly correlated with both children's relational bullying and overt physical bullying. In addition, mothers' inappropriate developmental expectations for children and mothers' need to exert power over children rather than grant them independence were related to children's relational bullying. A composite variable for mothering predicted 11% of the variance in children's relational bullying. No gender differences were found for children's relational bullying and children's overt bullying.  相似文献   

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This study examined how proactive and reactive aggression related to traditional bullying and cyberbullying. Participants were 851 students in Grades 6 through 8 who completed a survey that assessed bullying behaviors, proactive aggression, and reactive aggression. Most of these students were Caucasian and from a rural background. For both traditional bullying and cyberbullying groups, uninvolved students were found to have significantly lower proactive and reactive aggression than bullies and bully-victims. Further, it was found that for traditional and cyberbullying groups, bully-victims had significantly higher proactive and reactive aggression than bullies. Implications and future directions are discussed.  相似文献   

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Although the application of psychoanalysis to the clinical understanding of, and work with, psychotic and personality disordered patients has developed significantly over many years now, the presence of such an approach alongside other treatment modalities in many treatment settings can often be poor and sometimes absent. This in part reflects the complexity of developing both theoretical understanding and clinical technique in relation to these patients and in many settings a combination of interventions might well be the treatment programme of choice. In this paper, the author puts forward a view that in relation to recent developments in contemporary mental health services, specifically in the provision of care and treatment for forensic and anti-social personality disordered patients and offenders, the application of psychoanalysis might have a particularly important role to play. The experiences of staff working with patients and offenders who project their unprocessed internal anxieties and conflicts into the external environment can often be difficult and disturbing. The author argues that this dynamic needs to be understood as a representation of the patient's unmanageable internal world and, as such, careful attention has to be paid to this sometimes toxic impact on staff groups and care institutions. He argues that an application of psychoanalytic principles has a unique role in this reflective task which should be seen as a necessary and crucial part of the treatment process.  相似文献   

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A considerable body of research has accumulated regarding aggression toward health care staff, yet little is known about the contextual factors involved. The present study examined the context within which aggressive incidents occurred and the dynamics of the interaction between staff and patients. Two aspects in particular were investigated; firstly, whether incidents were preceded by some anxiety provoking stimulus and secondly, the assailants' levels of cognitive processing apparent at the time of the incident. A prospective study collected data concerning incidents of physical assault and threatening behaviour in a general hospital. Staff were interviewed soon after the incident occurred. A content analysis determined that 82.8% of incidents involved experiences delivered by the staff victims likely to have provoked anxiety in the assailant. Most commonly, incidents involved staff intervening in the patient's intended behaviour. In addition, in 64% of cases, assailants were actually displaying some impairment in cognitive processing at the time of the incident Data suggest that many patients may not have been fully aware of their situation and might have experienced some difficulty in comprehending the staff member's actions. Patients who do not appear to understand what is happening may require additional time and effort to ensure they comprehend fully and accept what the staff member is intending to do, particularly if patients are experiencing an event likely to increase anxiety levels. Aggr. Behav. 30:534–543, 2004. © 2004 Wiley‐Liss, Inc.  相似文献   

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The paper identifies aspects of subtle social aggression in the school environment that can make children and staff feel quite miserable and unsafe, and which will thus likely impair a child's capacity to learn, and a teacher's capacity to teach. Unaddressed power dynamics created by the interaction and attitudes of those in the social context are defined, and the interpersonal dynamics of the abdicating bystander described. A randomized controlled trial of an intervention for elementary schools is described briefly, which attempts to modify social aggression.  相似文献   

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Logit and logistic regression analyses were employed to explore the nature, extent and predictors of behaviors indicative of \"being bullied\" and of \"bullying others\" in a sample of 125 adult male offender-patients sectioned for enduring mental illness and detained within a high-secure psychiatric hospital. The study addresses the lack of research into this specialized population to date, with a subsidiary aim of comparing the results directly with a previous study conducted with a population of adult male personality-disordered offender-patients (n = 53). Participants were required to complete a self-report behavioral checklist (Direct and Indirect Patient behavior Checklist-Hospital version Revised). The prediction that indirect (subtle) aggression would be reported more frequently than direct aggression was supported in relation to perpetration estimates, with evidence such aggression was also more prevalent among personality-disordered than mentally ill offender-patients. As predicted verbal aggression was the most commonly reported direct behavior. Although it was predicted that those perpetrating aggression would present with increased experience with secure settings this was only supported with regard to bully-victims. Contrary to the prediction made, those victimized did not present with less experience of secure settings. Consistent with the hypothesis, bully/victims were predicted by increased negative behavior toward staff and hospital rules. The results are discussed in relation to the environment in which the aggression is taking place with the implications for practice and future research outlined.  相似文献   

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This study investigated the construct validity of a measure of Karen Horneys (1945) psychoanalytic theory that postulated three neurotic trends: compliant, aggressive, and detached. Her theory was operationalized by the Horney-Coolidge Type Indicator (HCTI). One hundred seventy-two adults completed the HCTI and the short form of the Coolidge Axis II Inventory, a measure of the three DSM-IV personality disorder clusters. Multiple regression and canonical correlation analyses revealed significant and differential patterns of the three HCTI dimensions with the three clusters. Because Paris (1994) has noted that Horneys neurotic trends may today be conceived of as personality disorders, one implication of the present findings is that Horneys dynamic theory can be valid and useful in the general understanding of personality disorders from a cluster perspective.  相似文献   

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Borderline personality disorder (BPD) is characterized by rapidly shifting symptoms, including intense anger and aggressive behavior. Understanding how fluctuations in ovarian hormones across the menstrual cycle may contribute to symptom instability is key for accurate assessment of BPD symptoms and effective interventions. Reactive and proactive aggression, as well as anger-in and anger-out, were assessed daily in 15 physically healthy, unmedicated naturally cycling female individuals meeting criteria for BPD across 35 days. Urine luteinizing hormone surge and salivary progesterone were used to confirm ovulation and verify the cycle phase. Multilevel models evaluated cyclical differences of symptoms between cycle phases. Both forms of aggressive behavior demonstrated marked cycle effects, with reactive aggression highest during the midluteal cycle phase, co-occurring with initial increases in anger and irritability and followed by perimenstrual peaks in anger and anger-in. In contrast, highest levels of proactive aggression were observed during the follicular and ovulatory phases, when emotional symptoms and anger were otherwise at lowest levels. These findings highlight the importance of identifying the function of aggression when considering potential psychological and biological influences. Naturally cycling individuals with BPD may be at elevated risk for luteal worsening of a range of interpersonally reactive symptoms, including reactive aggression, whereas proactive aggression may occur more in phases characterized by less emotional and cognitive vulnerability and greater reward sensitivity. Research on aggression in this population should consider cycle effects. Cycling individuals with BPD attempting to reduce aggressive behavior may benefit from cycle-tracking to increase awareness of these effects and to develop appropriate strategies.  相似文献   

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The aim of this study is to examine differences in personality between a group of bullied victims and a non-bullied group. The 144 participants, comprising of 72 victims and a matched contrast group of 72 respondents, completed Goldberg's (1999) International Personality Item Pool (IPIP). Significant differences emerged between victims and non-victims on four out of five personality dimensions. Victims tended to be more neurotic and less agreeable, conscientious and extravert than non-victims. However, a cluster analysis revealed that the victim sample can be divided into two personality groups. One cluster, which comprised 64% of the victim sample, do not differ from non-victims as far as personality is concerned. Hence, the results indicate that there is no such thing as a general victim personality profile. However, a small cluster of victims tended to be less extrovert, less agreeable, less conscientious, and less open to experience but more emotional unstable than victims in the major cluster and the control group. Further, both clusters of victims scored higher than non-victims on emotional instability, indicating that personality should not be neglected as being a factor in understanding the bullying phenomenon.  相似文献   

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The role of reactive and proactive aggression in school bullying perpetration remains unclear. In this study, we explore the predictive value of an expanded model of aggression motives based on the Quadripartite Violence Typology (QVT), which distinguishes between motivational valence (appetitive or aversive) and recruitment of deliberative self‐control to derive four classes of motives: Rage, Revenge, Reward, and Recreation. With a sample of 1,802 students from grades 7–9, we assessed aggression motives via self‐report, along with self‐report of bullying perpetration and victimization, which were used to assign students into categories of Pure Bully, Bully/Victim (B/V), Pure Victim, and Uninvolved. Two structural models were computed to examine the relationship between these four categories of bullying involvement and aggression motives, using conservative and liberal bullying cutoffs. As predicted, B/V status was more strongly related to Rage and Revenge motives. However, B/Vs had higher scores than Pure Bullies for almost all aggression motives, including Recreation. We discuss the implications of addressing Revenge and Recreation, as well as Reward and Rage (which map most clearly to proactive and reactive aggression, respectively) aggression motives, for bullying prevention and intervention strategies, especially among adolescents for whom extant bullying prevention strategies may be ineffective or counterproductive.
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The authors examined the degree to which callous-unemotional traits and narcissism predict relational aggression, social aggression, and prosocial skills in a sample of 79 adolescent offenders (13–18 years old; 26% girls; 74% boys) attending a school for youth with behavior disorders in the Mid-Atlantic United States. Narcissism made a significant contribution to the prediction of both relational aggression and social aggression, accounting for most of the unique variance in the prediction of these indirect forms of aggression. Conversely, callous-unemotional traits—but not narcissism—made a significant contribution to the prediction of lower prosocial skills. Furthermore, in contrast to the large number of studies indicating gender differences in the expression of aggression, no significant gender differences in the present study were found.  相似文献   

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A revised version of the Bully/Victim Questionnaire [Olweus, 1991] was given to 2,086 fifth–tenth grader students from schools in two German federal states. The results were analysed in terms of frequencies of self‐reports of different forms of bullying (physical, verbal, relational/indirect; for bullies and for victims), gender and grade differences. Overall, 12.1% of the students reported bullying others and 11.1% reported being bullied (victimisation). We classified 2.3% of the students as bully/victims due to their self‐report. Significantly more boys reported bullying others, regardless of bullying form, and significantly more boys than girls were classified as bully/victims. Although there was no gender difference for victimisation at all, boys reported significantly more often than girls being bullied physically. Besides, self‐reports of pure and overlapping forms of bullying behaviour (relational, verbal, physical) were analysed. With regard to age trends, students from middle grades reported the highest rates of bullying. Self‐reported rates of victimisation were higher for younger students, regardless of form of victimisation. Furthermore, class size was not linked to reports of bullying and victimisation. Results from logistic regression analyses emphasised that the variables “gender” and “grade” add significantly to the prediction of self‐reported bullying; “grade” and variables measuring impaired psychosocial “well‐being” of students at school (e.g., feeling of not being popular, negative attitude towards breaks) add significantly to the prediction of self‐reported victimisation. The results are discussed against the background of other study findings, accentuating the significance of gender‐ and age‐specific forms of bullying/victimisation. Aggr. Behav. 32:1–15, 2006. © 2006 Wiley‐Liss, Inc.  相似文献   

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This paper examined empirically the value of a conceptual model in which emotional stability and agreeableness contribute to engagement in aggression and violence (EAV) indirectly through irritability, hostile rumination and moral disengagement. Three hundred and forty young adults (130 male and 190 female) participated in the study. The average age of participants was 21 at time 1 and 25 at time 2. Findings attested to the role of basic traits (i.e. agreeableness and emotional stability) and specific personality dispositions (i.e. irritability and hostile rumination) in predisposing to EAV and to the pivotal role of moral disengagement in giving access to aggressive and violent conduct. In particular, the mediational model attested to the pivotal role of emotional stability and agreeableness in contributing directly to both hostile rumination and irritability and indirectly to moral disengagement, and to EAV. Agreeableness and hostile rumination contribute to moral disengagement that plays a key role in mediating the relations of all examined variables with EAV. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   

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