Lack of correspondence between the reactive proactive questionnaire and the impulsive premeditated aggression scale among forensic psychiatric outpatients

The most studied bimodal classifications of aggressive behavior are the impulsive/premeditated distinction measured with the Impulsive Premeditated Aggression Scale and the reactive/proactive distinction measured with the Reactive Proactive Questionnaire. The terms of these classifications are often used interchangeably, assuming that reactive aggression is equivalent to impulsive aggression and that proactive aggressive behavior is the same as premeditated aggression. The correspondence or discrepancy between both aggression classifications/questionnaires, however, is understudied. Therefore, the current study investigated the correspondence between the RPQ and IPAS in a sample of 161 forensic psychiatric outpatients (FPOs) with severe aggressive behavior. Correlation analysis revealed a limited correspondence between the RPQ and IPAS. Cluster analyses derived three clusters from the RPQ as well as the IPAS: these clusters did not match in 60.3% of the cases. Furthermore, the notion that the RPQ measures trait aggression whereas the IPAS assesses state aggression could not be verified. The present study indicates that aggression subtypes as measured by use of the RPQ and IPAS correspond only partially and should not be used interchangeably. Furthermore, it was suggested that RPQ focuses more on actual aggressive behavior and the IPAS more on emotions and their regulation. Future research is needed to elucidate the applicability of both questionnaires in further detail.

     

Impulsive and premeditated subtypes of aggression in conduct disorder: differences in time estimation

Research aimed at identifying and studying subtypes of aggression have historically dichotomized aggressive subtypes, although specific nomenclature has varied; one approach has been to classify aggressive behavior as predominantly impulsive or predominantly premeditated. There are a number of behavioral and cognitive differences between those exhibiting these different forms of aggression. This study was designed to extend understanding of the impulsive/premeditated aggression dichotomy by comparing time estimation among adolescents exhibiting predominantly impulsive or predominantly premeditated forms of physical aggression who have a psychiatric diagnosis of conduct disorder (CD). Time estimation has previously been shown to be disrupted in impulsive and some aggressive individuals. Time estimation was compared between healthy Controls (n = 37) and two groups of adolescents with CD, those with histories of either predominantly impulsive (CD-Impulsive, n = 26) or predominantly premeditated (CD-Premeditated, n = 38) aggressive behaviors. Participants completed five computerized trials during which they estimated when 1 min had passed. Among aggressive adolescents with CD, the misperception of time was specific to those with histories of impulsive aggression, although time estimates improved with repeated testing and performance feedback. This study confirms the importance of considering the role and type of physical aggression when studying heterogeneous diagnostic groups like CD and supports the relevance of time estimation to certain subgroups of adolescents with CD.     

The distinction between reactive and proactive aggression: Utility for theory,diagnosis and treatment?

For theoretical, practical, and research purposes, aggression is often subdivided into subtypes. A frequently used distinction is that between reactive and proactive aggression. Reactively aggressive children behave aggressively in reaction to perceived provocation or threat. Proactively aggressive children behave aggressively to achieve particular goals. In this paper, the utility of distinguishing between reactive and proactive aggression is explored. Eight specific criteria are formulated for this purpose. Based on a review of the research to date, it is concluded that the distinction appears to be useful. Despite considerable overlap between the two subtypes of aggression, reactive and proactive aggression appear to constitute two separate forms of aggression with different precursors, correlates, outcomes, and indicated interventions. Suggestions for future research and further application of the distinction are discussed in the conclusion.     

Characterizing aggressive behavior

In the research literature, aggressive behavior has traditionally been classified into two distinct subtypes, impulsive or premeditated. Impulsive aggression is defined as a hair-trigger aggressive response to provocation with loss of behavioral control. Premeditated aggression is defined as a planned or conscious aggressive act, not spontaneous or related to an agitated state. The present study outlines the development of a clinically useful self-report instrument, the Impulsive/Premeditated Aggression Scales (IPAS), designed to characterize aggressive behavior as predominately impulsive or predominately premeditated in nature. The IPAS showed strong reliability and validity. Analysis of the IPASscores demonstrated thepresence of two types of aggressive behavior, impulsive and premeditated, in men referred for anger problems. The aggression of most individuals in the present sample was characterized as predominately impulsive in nature (90%).     

Characterization of aggressive behavior and phenytoin response

Recent work has suggested that the success of pharmacological treatment for chronic aggressive behavior may depend, in part, on the subtype of aggressive behavior displayed (e.g. reactive, impulsive aggression vs. predatory, premeditated aggression). The present study examined the usefulness of characterizing aggressive behavior during a 16‐week double‐blind crossover study of phenytoin (PHT) treatment in 41 aggressive adult males. The Impulsive/Premeditated Aggression Scales (IPAS) were used to characterize aggressive behavior as predominantly impulsive or predominantly premeditated in nature. Analyses indicated that participants who did not respond to PHT treatment endorsed significantly more premeditated characteristics on the IPAS than those who responded to PHT treatment. Non‐responders also exhibited fewer aggressive outbursts during placebo treatment, suggesting a greater level of behavior control. Participants who did not complete the study were younger, endorsed significantly more premeditated aggression characteristics and reported more lifetime antisocial behaviors than those who completed the study. Taken together, these data emphasize several factors that may influence the success of pharmacological treatment in aggressive individuals, namely the importance of characterizing the predominant type of problem aggressive behavior. Aggr. Behav. 00:1–6, 2005. © 2005 Wiley‐Liss, Inc.     

Impulsive versus premeditated aggression: implications for mens rea decisions

Science can provide more information about the nature of aggressive acts, and therefore the mens rea of criminal offenses, than is commonly assumed. For example, progress has been made in classifying aggression as impulsive or premeditated within the context of the role of conscious experience in controlling behavior. This review of the status of the scientific ability to distinguish conscious from unconscious acts and more specifically impulsive from premeditated aggressive acts is organized around four themes: (i) How is aggression defined and measured in general? (ii) How does the distinction between impulsive and premeditated aggression relate to the legal concept of mens rea? (iii) How do various scientific disciplines contribute to the mind/body discourse? (iv) What risk factors are associated with impulsive and premeditated aggression respectively? The authors conclude that the most promising approach to researching the nature of behavioral intention and motivation is to apply a discipline neutral model that integrates the data from multiple disciplines, collectively designated the cognitive neurosciences.     

Proactive and reactive aggression in delinquent adolescents: relations to aggression outcome expectancies

Investigated whether the relation between aggression and the tendency to expect positive outcomes for aggressive behavior is specific to the proactive subtype of aggression (as opposed to the reactive subtype). In a sample of 86 incarcerated adolescent boys ages 13 to 18, we measured outcome expectancies for aggression using audiotaped hypothetical vignettes. For each participant, staff members completed proactive and reactive aggression rating scales. Regression analyses revealed that the relation between aggression and outcome expectancies was indeed specific to proactive aggression. Furthermore, this finding was supported regardless of whether outcome expectancies were assessed using vignettes describing proactive-aggressive behavior or those describing reactive-aggressive behavior. We discuss these findings and argue that interventions to reduce proactive or reactive aggression should differ from each other by addressing the specific social cognitive processes involved in each type of aggression.     

主动性攻击和反应性攻击的遗传基础研究述评

根据攻击行为的意图可以将攻击分为主动性攻击和反应性攻击。近年来, 研究者对遗传和环境在主动性攻击和反应性攻击发展中的作用进行了探讨, 并获得了两类攻击具有不同遗传和环境基础的重要发现。既有研究主要采用定量行为遗传学研究的范式考察两类攻击的遗传基础, 未来研究应从确定与两类攻击相关的候选基因、遗传基因与环境的交互作用机制、遗传基因作用于两类攻击的神经生物机制等方面展开。     

情绪如何引发暴力犯的攻击?基于情绪调节理论的解释

本文基于情绪调节理论, 以暴力犯为被试, 通过2项研究探究了情绪在攻击产生过程中的作用。研究1采用改编的反应时竞争范式测量个体攻击行为。结果发现, 情绪调节动机在负性情绪与攻击间起完全中介作用, 证实了负面情绪状态下, 暴力犯会为了调节情绪而实施攻击。研究2进一步表明, 攻击的确能起到调节情绪的作用。具体来说, 在暴力犯群体中, 实施反应性攻击之后, 会伴随着正性情绪的提升和负性情绪的下降; 实施主动性攻击之后, 个体的正性情绪和负性情绪都会提升。文章从对攻击结果的预期和攻击的实际效果两个角度, 对攻击的情绪调节理论进行了验证, 为情绪在攻击产生过程中的作用提出了新的解释。今后的研究和实践过程中, 应设法避免个体通过攻击调节情绪, 引导其使用合理的方式调节情绪以减少攻击行为的产生。     

Reactive and Proactive Aggression in Childhood and Adolescence: Precursors, Outcomes, Processes, Experiences, and Measurement

ABSTRACT. This paper reviews and critiques the growing literature on the distinction between reactive and proactive aggression in children and adolescents. Empirical findings suggest that the subtypes of aggression are (a) preceded by different familial precursors, (b) associated with different behavioral outcomes, (c) driven by different social–cognitive and emotional processes, and (d) related to different social experiences. Because measurement difficulties have been a prominent concern in the study of reactive and proactive aggression, a discussion of various assessment approaches is included. Suggestions are made for future research directions, including a greater use of observational and laboratory-based methods, more longitudinal designs, and a greater focus on the careful assessment of the subtypes of aggression.     

消除威胁或无能狂怒?自恋对暴力犯攻击的影响机制

通过2个研究探索了自恋与暴力犯攻击行为的关系及机制。研究1通过问卷法(N = 498)发现, 自恋与攻击存在正相关, 特质愤怒在自恋与预谋性和冲动性攻击间的中介作用成立, 心理特权的中介作用只对预谋性攻击成立。研究2对90名暴力犯进行了行为学实验, 结果表明威胁感和负性情绪在自恋与攻击间起中介作用, 挑衅调节了上述中介作用。显性自恋者只在挑衅条件下表现出更强的攻击性, 隐性自恋者则在挑衅和无挑衅条件下均有较强的攻击性。研究厘清了不同亚型下自恋与攻击的关系, 突出了隐性自恋的“黑暗性”, 并为罪犯矫治管理及犯罪预防提供了参考。     

Reactive and proactive aggression in childhood: Relations to peer status and social context dimensions

Although there has been an accumulation of evidence to suggest a link between peer-directed aggression and social rejection, little attention has been given to the relations between specific subtypes of aggressive behavior and social rejection. The purpose of this investigation was to examine the relations between two subtypes of aggressive behavior (reactive and proactive aggression) and children's classroom peer status. The reciprocity of each of these subtypes of aggressive behavior and the social contexts in which these behaviors occur were also examined. Assessments of each of these forms of aggression among 70 boys (ages 5 and 6) were conducted using direct observations and teacher ratings. In general, directing reactive aggressive behavior toward peers was associated with social rejection, while utilization of instrumental aggression was positively related to peer status. The findings also indicated that directing proactive forms of aggression toward peers was related to being the target of proactive aggression. Finally, among older boys, both subtypes of aggression were more likely to occur during rough play than during any other type of play activity.     

Reactive and proactive aggression: stability of constructs and relations to correlates

The authors examined short-term temporal stability of reactive and proactive aggression, as well as short-term consistency of differential relations of reactive versus proactive aggression to 4 correlates. The authors used parent, teacher, peer, and self-report measures twice across 1 year to assess reactive aggression, proactive aggression, hyperactivity, social skills, anger expression, and depressive symptoms of 2nd-grade boys and girls (N = 57). Both subtypes of aggression remained stable across the year, even when the other subtype of aggression was explained at each assessment. Reactive aggression, but not proactive aggression, was consistently positively related to hyperactivity, poor social skills, and anger expression at each assessment.     

The longitudinal relationship between angry rumination and reactive–proactive aggression and the moderation effect of consideration of future consequences-immediate

The idea that influential factors for two subtypes of aggression (reactive and proactive aggression) should be different is popular, but the common influential factors have not been examined. Such an examination could help understand the influential factors of aggression from the perspective of multiple motivations affecting the development of aggressive motivations over time. The present study argued that angry rumination would be a common influential factor for both reactive and proactive aggression. In addition, consideration of future consequences (CFC) may moderate the longitudinal effect of angry rumination on proactive aggression. Two studies were conducted to test these hypotheses. In Study 1, a cross-lagged analysis with a 6-month interval was employed. A total of 505 undergraduate students (46% males) completed the questionnaires twice. Results indicated that after a 6-month period, angry rumination predicted reactive aggression but not proactive aggression. Furthermore, reactive aggression predicted angry rumination over time. In Study 2, a moderation analysis was performed with another 437 participants (130 males). The results partly supported our hypotheses, indicating that CFC-immediate (CFC-I) moderated the longitudinal effect of angry rumination on proactive aggression. The present results extended prior research regarding the predictors of proactive and reactive aggression and may contribute to a greater understanding of the development of aggressive motivation. In addition, our research suggested that high CFC-I may be an important factor for the motivation change from reactive aggression to proactive aggression.     

Forms and Functions of Aggression in Adolescents: Validation of the Portuguese Version of the Peer Conflict Scale

Aggression in adolescence may assume different forms and functions, and is often associated with maladjustment. To adequately assess aggression in adolescence, instruments need to evaluate both its forms and its functions, as is the case with the Peer Conflict Scale. This research presents and evaluates the Portuguese version of this instrument, and evaluates levels of aggression in an adolescent community sample (n?=?785; 63.6 % female, mean age of 15.97 years old). The four factor structure originally proposed for the instrument (i.e. proactive overt, reactive overt, proactive relational and reactive relational aggression) represented a satisfactory solution for the data, and for both girls and boys. Results also have shown adequate reliability. Regarding levels of aggression, boys reported being overall more aggressive than girls. When aggression is impulsive/ reactive, both boys and girls practice its overt form. It is only when the aggression is pondered upon (proactive) that boys and girls chose to use different forms of aggression. Accurately evaluating different forms and functions of aggression has implications for designing, implementing and evaluating adequate and tailored interventions.     

Schizophrenia and impulsive aggression: A heuristic inquiry with forensic and clinical implications

Assessment of a violent act committed by an offender with schizophrenia typically focuses on whether the act was due to distortions in thought or perception, i.e., delusions or hallucination. An important but less appreciated feature is the impulsivity of the act, which can have forensic and therapeutic implications. Here a modification of Barratt's classification of aggressive behavior is presented that includes premeditated (instrumental), medical (secondary), impulsive (expressive), and compulsive (instrumental and expressive) aggression. Violence due to a mental condition such as schizophrenia is considered medical, but even aggression motivated by delusions or hallucinations can also be characterized as impulsive, premeditated, or compulsive. Although research on aggression and schizophrenia is limited with regard to the impulsivity–premeditation dimension and difficult to compare, current evidence suggests this to be an important consideration in the assessment of aggression in individuals with schizophrenia, important both forensically and therapeutically. Future research on the impulsive–premeditated quality of aggressive acts by offenders with schizophrenia—research wherein aggressive behavior is defined, situational context is clarified, and diagnostic criteria are explicitly followed—should further refine our understanding of the nature of aggressive acts associated with schizophrenia. Findings from such research will undoubtedly inform assessment, treatment, and forensic relevance of schizophrenia-related physical aggression. Copyright © 2008 John Wiley & Sons, Ltd.     

Exploring the Association between Aggression and Anxiety in Youth: A Look at Aggressive Subtypes,Gender, and Social Cognition

We examined the associations among dimensions of aggression and anxiety disorder symptoms in an ethnically diverse community sample of youth (N = 83; 46% female). Research supports the existence of four aggressive subtypes (i.e., reactive overt, reactive relational, proactive overt, and proactive relational), and past research has found associations between relational aggression and anxiety, as well as between reactive aggression and anxiety. However, past studies have not examined the associations among anxiety symptoms and the combined subtypes of aggression mentioned above. Results of our study provided support for an association between anxiety and reactive relational aggression. In addition, gender was found to moderate the association, in that males with high anxiety showed higher levels of reactive relational aggression than males with low anxiety and girls. Further, we found that socially based negative cognitive errors mediated the association between reactive relational aggression and anxiety. Results are discussed in terms of clarifying gender differences in aggression, treatment implications, and the need for longitudinal studies to delineate the temporal associations between aggression and anxiety.     

“That Really Hurt,Charlie!” Investigating the Role of Sympathy and Moral Respect in Children's Aggressive Behavior

The authors examined the role of sympathy and moral respect in children's overt aggression, and the subtypes of proactive and reactive aggression, in an ethnically diverse sample of 5-, 7-, and 10-year-olds (N = 110). Aggressive behaviors were measured through teacher reports and peer nominations. Sympathy was assessed through teacher reports. Children reported on their moral respect within an interview procedure where they were asked for their feelings of respect toward hypothetical peers who displayed morally relevant behaviors. Results revealed that sympathy and moral respect were both negatively related to overt aggression and to the proactive aggression subtype, but unrelated to the reactive aggression subtype. The authors discuss the implications of the findings in relation to developmental research on the affective antecedents of children's aggressive behavior.     

Relations between forms and functions of aggression and moral judgments of aggressive transgressions

The present study sought to examine the influence of aggressive behavior, psychopathy, and gender on moral judgments of aggressive transgressions. A two-dimensional conceptualization of aggression was used, such that proactive relational aggression, reactive relational aggression, proactive physical aggression, and reactive physical aggression were treated as distinct subtypes of aggression and also as distinct subtypes of moral judgments of aggression. Participants were 421 emerging adults (215 women). Self-report measures of aggression, psychopathy, and moral judgments were collected. Peer-reports of aggression and psychopathy were obtained from a randomly assigned subsample of 73 participants (46 women) for validity purposes. Unique associations were found between subtypes of aggression and corresponding moral judgments of the same subtypes.     

Defining,measuring, and predicting impulsive aggression: a heuristic model

Aggression research does not lack data—it lacks a model for integrating data. One of the problems confronting aggression researchers is the extensive body of multidisciplinary data that is difficult to synthesize to generate new directions in research. This paper proposes one solution that starts by asking “what is the minimal number of categories of concepts and measurements which are necessary to describe a person?”. The answer is four categories of concepts: biological; cognitive; behavioral; environmental (physical and social). One way of many for integrating these four categories of concepts is a proposed discipline neutral heuristic model that is used herein to compare two different research approaches to the study of impulsive aggression. This comparison identifies clearly the differences in the two approaches with regard to different emphases among the four categories of constructs for each program. Using the model, an example of common ground between the two approaches is sought as a basis for extending aggression research. The main conclusion of one of the research programs was that central nervous arousal is related to impulsive aggression. This program demonstrated that phenytoin will reduce impulsive aggressive acts and has an effect on CNS arousal. The other research program on impulsive aggression has been at the forefront in demonstrating the well established inverse relationship between serotonin levels and aggression. The comparison resulted in the suggestion that both serotonin and phenytoin may relate to a common neurochemical substrate which interacts in part to control CNS arousal, especially at the cortical level. The proposed heuristic model made obvious the need to use synthesizing concepts (e.g. information processing or language) which can interrelate multidisciplinary concepts and data from different research programs within the four categories of constructs when comparing interdisciplinary research. This paper also discusses a two step procedure for classifying aggressive acts as impulsive or premeditated. © 1998 John Wiley & Sons, Ltd.