Self-directed and other-directed aggressive behavior in a forensic sample.

Fifty habitually aggressive men were assessed for self-directed aggressive behavior (SDAB) and other-directed aggressive behavior (QDAB). Subjects displaying SDAB were compared with subjects exhibiting exclusively ODAB. The former were found to engage in more frequent acts of verbal aggression, physical aggression against objects, and physical aggression against others, as well as in more severe acts of verbal aggression and physical aggression against others. They were also more likely to receive diagnoses of mental retardation, organic personality disorder, intermittent explosive disorder, or autism. Findings are consistent with the presence of a neurologically based behavioral dyscontrol in the SDAB subjects.     

Frustration,attribution of blame,and aggression

In contrast to most recent studies of human aggression, multiple measures of naturally occurring aggressive behavior were examined in a realistic and involving setting. Consistent with attributional formulations, it was found that aggression increased in accord with attributions of blame, and that more blame was attributed to another in response to inadequately justified thwartings than to adequately justified thwartings. As anticipated, anger, other-directed attributions of blame, and other-directed aggression were greatest in response to unjustified (illegitimate) thwartings. Justified (legitimate) thwartings produced intermediate anger and intermediate levels of blame and aggression internally and externally. Self-caused (internal) thwartings, ostensibly caused neither by the other's disposition nor by situational factors, produced the least anger and other-directed aggression but the most self-blame/self-aggression. In addition, unexpected thwartings produced independently more anger than did expected thwartings, and high-drive thwartings produced independently less other-directed aggression than did low-drive thwartings. The results are discussed with reference to both the need and the potential for studies of human aggression which employ more ecologically valid settings and measures of aggressive behavior.     

Using narratives to explore other-directed occupational choice and academic success

The construct of “other-directed versus self-directed career choice” has existed for quite some time. The current focus of vocational psychologists and counselors has made them question the relevance of this construct for contemporary American society. Many counselors today challenge the assumption that a career choice based on others’ expectations is problematic. This longitudinal study utilized a logistic regression analysis to determine whether self-directed or other-directed status, as measured by the Thematic Apperception Test related to success with which individuals enacted career choices. The sample consisted of 433 BS/MD students enrolled in a Bachelor of Science-Doctor of Medicine (BS/MD) degree program at a Midwestern medical college. The findings showed that self-directed or other-directed career choice did not predict academic success.     

Thinking about thinking: Causal,evaluative and finalistic cognitions about social situations

The present article is concerned with first considerations and data for a theory of social cognitions. A taxonomy of social cognitions is suggested comprising three classes: causal, evaluative and finalistic thinking. These classes are subdivided according to the social perspective taken, i.e. self-directed versus other-directed thinking. The situational preconditions of these social cognition classes are studied in different social episodes each comprising either positive or negative, expected or unexpected events. The results show that the most reasoning about a situation occurs when it is an important private episode with an unexpected and affectively negatively experienced event. The data concerning the natural occurrence of the three cognition classes is interpreted as providing suggestions of their functional meaning: The functions of the three classes of social cognitions are labelled ‘information integration’ (self-directed evaluative thinking), ‘action planning’ (self-directed finalistic thinking and other-directed causal thinking), ‘control of negative feelings’ (self-directed causal, and finalistic thinking) and ‘understanding’ (other-directed finalistic and evaluative thinking and self-directed causal thinking).     

Case study: The combined use of imipramine and behavior modification to reduce aggression in an adult male diagnosed as having autistic disorder

The present study examined the behavior decelerative effects of combined imipramine (tofranil) and behavior modification in a severely retarded, depressed autistic man. A simple interrupted time-series design was conducted and the primary data analytic techniques consisted of modified trend analyses and dependent samples t-tests. Consistent with previous theory and scant empirical research, results indicated that combined imipramine and behavior modification significantly reduced daily episodes of self-directed and other-directed aggression. Specifically, controlling for the effects of time, the combined treatment regimen led to significant reductions in both level and slope across three topographies of aggressive behavior. Limitations of the present study and recommendations for future research were discussed. It was concluded that combined imipramine and behavior modification may be an effective strategy for reducing aggression in the developmentally disabled.     

Relative effects of breastfeeding intention and practice on maternal responsiveness

Our objective was to examine the differential effects of antenatal breastfeeding intention (BI) and breastfeeding practice (BP) on maternal postnatal responsiveness. We conducted a secondary analysis of longitudinal data from a subsample of 962 mother–infant dyads from a U.K.-based birth cohort study the Avon Longitudinal Study of Parents and Children. Exposures were BI and BPs measured at 32 weeks of gestation and 18 months’ postpartum. The outcome was maternal responsiveness assessed at 12 months’ postpartum. We used logistic regression analyses unadjusted and adjusted for confounders. Intention to breastfeed was associated with increased odds of postnatal maternal responsiveness independent of BP, adjusted odds ratio (OR) = 2.34, 95% CI [1.42, 3.86]. There was no evidence that BP was an independent predictor of maternal responsiveness, OR = 0.93, 95% CI [0.55, 1.57]. Life-course epidemiology analyses demonstrated that maternal responsiveness is most positive when both BI and BP are present. This is the first population-based study to provide evidence that BI during pregnancy is more strongly associated with maternal postnatal responsiveness than is BP. Further research is needed to understand the determinants of BI in pregnancy and its relationships with maternal responsiveness.     

Metaanalysis of Mood and Substance Use Disorders in Proximal Risk for Suicide Deaths

Evidence for proximal risk factors for suicide is based on case–control psychological autopsy studies, with these reports showing that mood and substance use disorders are the most prevalent mental disorders among suicide decedents worldwide and are associated with marked risk. However, moderators of risk and the degree of risk associated with (nonalcohol) drug use disorder are unknown. A comprehensive search was used to identify 35 case–control psychological autopsy studies published worldwide over a 30‐year period that were metaanalyzed using random effects models. Major depression, odds ratio (95% confidence interval) = 9.14 (5.53, 15.09), and drug use disorder, OR (95% CI) = 7.18 (3.22, 16.01), had large effect sizes, among other results. Risk estimates associated with major depression were greater in studies with a larger proportion of women and those conducted in Asia compared with other regions. There was no evidence of publication bias or that any one study had a disproportionate impact on findings. Risk for suicide associated with major depression appears to be moderated by sex and/or world region. Drug use disorder is a potent risk factor, illustrating the importance of assessing drug use in clinical risk assessment.     

Associations between nonparental care experience and preschooler's emotion regulation in the presence of the mother

This study tested predictions concerning the associations between children's nonparental care experiences and emotion regulation. It involved 53 participants (21 girls and 32 boys) of preschool age and their mothers. The children's care experiences ranged from those who were raised exclusively at home to those who had nonparental care experience beginning in early infancy. The participants were observed in a laboratory playroom, and their mothers were asked to complete questionnaires regarding their children's care histories and their current care situations. The children with extensive nonparental care backgrounds were found to be more likely to use self-directed emotion regulation behaviors when faced with a mildly frustrating situation. In the same situation, the children who had experienced minimal nonparental care were found to be more likely to use other-directed emotion regulation behaviors. Additionally, the children who had experienced care settings with large numbers of children in each care group or who had experienced many caregiver changes were more likely to use self-directed emotion regulation behaviors, whereas those who had experienced settings with smaller care groups and fewer caregiver changes were more likely to use other-directed emotion regulation behaviors.     

Diagnostic profiles of offenders in substance abuse treatment programs

This study examined the association of Axis I and Axis II disorders among offenders who were in prison-based substance abuse treatment in a national multi-site study. Participants (N = 280) received a psychosocial assessment and a structured diagnostic interview in two separate sessions. Logistic regression models examined the association between lifetime mood and anxiety disorders with two personality disorders, and the relationship of Axis I and Axis II disorders (alone and in combination) to pre-treatment psychosocial functioning. Over two-thirds of the sample met criteria for at least one mental disorder. Borderline personality disorder was strongly associated with having a lifetime mood disorder (odds ratio = 7.5) or lifetime anxiety disorder (odds ratio = 8.7). Individuals with only an Axis II disorder, or who had both Axis I and Axis II disorders, had more severe problems in psychosocial functioning than those without any disorder. Clinical treatment approaches need to address this heterogeneity in diagnostic profiles, symptom severity, and psychosocial functioning.     

Effect of continuing care for people with cocaine dependence on criminal justice sentences

While continuing care for substance use treatment has been associated with reduced involvement in the criminal justice system, much of this research lacks random assignment to continuing care and so is limited by self‐selection bias. This study sought to determine the impact of adding telephone‐based continuing care to intensive outpatient programs on criminal justice outcomes for people with cocaine dependence. In three continuing care studies, spanning 1998–2008, participants were randomly assigned to an intensive outpatient program or an intensive outpatient program plus a telephone‐based continuing care intervention. Cocaine‐dependent participants from these three studies were included in the analyses, with outcomes derived from a dataset of jurisdiction‐wide criminal sentences from a state sentencing agency. Multiple logistic regression was employed to examine the odds of a criminal conviction occurring in the 4 years after enrollment in a continuing care study. The results showed that, controlling for a criminal sentence in the previous year, gender, age, and continuing care study, people with cocaine dependence randomized to an intensive outpatient program plus a telephone‐based continuing care intervention had 54% lower odds (p = 0.05, odds ratio = 0.46, 95% CI: 0.20–1.02) of a criminal sentence in the 4 years after enrollment in the continuing care study, compared with those randomized to an intensive outpatient program alone. We can conclude that adding telephone monitoring and counseling to intensive outpatient programs is associated with fewer criminal convictions over a 4‐year follow‐up period compared with intensive outpatient programs alone.     

Medical Conditions and Nearly Lethal Suicide Attempts

P hysical illness has been studied as a risk factor for suicidal behavior, but little is known about this relationship among younger persons. We conducted a population‐based, case‐control study in Houston, Texas, from November 1992 through September 1995. The final sample consisted of 153 case‐ and 513 control‐subjects aged 13 to 34 years. Case patients were identified at hospital emergency departments and met criteria for a nearly lethal suicide attempt. Control subjects were recruited via a random‐digit‐dial telephone survey. Case patients were more likely than controls to report having any serious medical conditions (crude OR = 3.23; 95% CI = 2.12–4.91). After controlling for age, race/ethnicity, alcoholism, depression, and hopelessness, the adjusted odds ratio for men was 4.76 (95% CI = 1.87–12.17), whereas the adjusted odds ratio for women was 1.60 (95% CI‐0.62–4.17), suggesting that young men with medical conditions are at increased risk for nearly lethal suicide attempts. Increased efforts to identify and appropriately refer these patients are needed.     

College Students With Military Experience Report Greater Alcohol-Related Consequences

This study examined associations among military experience, alcohol use, and alcohol-related consequences among a large national sample of 27,249 students pursuing postsecondary education. Because of the uniqueness of the developmental period of emerging adulthood, we stratified all analyses by age groups of 18–24 and 25 and older. There were no differences between students with and without military service history in terms of 3 indicators of alcohol use: alcohol consumption in the last 30 days, binge drinking in the last 2 weeks, and drinking and driving in the last 30 days. There were, however, several differences in self-reported consequences of drinking. Among individuals ages 18–24, students with military service history had nearly twofold increased odds of police encounters as a consequence of drinking (adjusted odds ratio [aOR] = 1.91, 95% confidence interval [CI] [1.02, 3.57]) and increased odds greater than twofold of experiencing nonconsensual sex (aOR = 2.68, 95% CI [1.17, 6.19]). Among both age groups, students with military service history reported greater odds of having unprotected sex as a consequence of drinking when compared to students without military service history. Research is needed to identify the reasons why alcohol use results in these particular negative consequences for students with military service history, which can inform prevention and intervention efforts.     

Factors influencing the temporal relationship between alcohol consumption and experiences with aggression among college women.

The authors assessed temporal relationships among alcohol use, aggression, and mood using daily data from 179 college women. Participants called an interactive voice response system over an 8-week period. The odds of experiencing verbal, sexual, and physical aggression (odd ratios = 2.25, 19.44, and 11.84, respectively) were significantly higher on heavy drinking days (M = 7.46 drinks) compared to nondrinking days. Both a history of victimization and greater psychological symptom severity influenced the odds of involvement in verbal aggression. The odds of alcohol consumption were 3 times higher during the 24 hr following verbal aggression compared with days in which verbal aggression did not occur. On the day immediately following involvement in either verbal or physical aggression, positive mood decreased and negative mood increased. During the week (2-7 days) following sexual aggression, women's positive mood was decreased. These findings reinforce the need for interventions aimed at reducing heavy episodic drinking on college campuses.     

Microaggressions Are a Form of Aggression

Most efforts to understand microaggressions have examined affected group members, but little work has been done to understand the motivations and characteristics of offenders. The purpose of this study was to determine whether microaggressions are best conceptualized as a form of aggression, as per common definitions advanced in social psychology, by examining correlations between propensity to commit microaggressions and aggressive tendencies. This cross-sectional study was conducted using MTurk Prime to survey a sample of White and Black adults across the United States (N = 610). Measures administered included the Cultural Cognitions and Actions Scale (CCAS) to assess the likelihood of committing microaggressions, Buss–Perry Aggression Questionnaire (BPAQ), Inventory of Hostility and Suspicious Thinking (IHS), Overt–Covert Aggression Inventory (OCAI), and the Positive and Negative Affectivity Schedule (PANAS). The CCAS was found to be highly and significantly positively correlated with all three measures of aggression. There was a significant negative correlation between Black participants’ ratings of microaggressive interactions being racist and White participants’ likelihood of engaging in those same interactions. There was a significant positive correlation between negative affectivity and the propensity of White participants to commit microaggressions. In a regression predicting microaggressive propensity from aggressive tendencies, the BPAQ was highly significant, whereas negative affectivity was not. Findings indicate that microaggressions represent aggression and hostility on the part of offenders and a form of aggressive behavior that is generally socially unacceptable. Future research should explore the relationship between the many forms of microaggressions and aggression among different groups.     

Parameters of Aggressive Behavior in a Treatment-Seeking Sample of Military Personnel: A Secondary Analysis of Three Randomized Controlled Trials of Evidence-Based PTSD Treatments

Aggressive behavior is prevalent among veterans of post-9/11 conflicts who have posttraumatic stress disorder (PTSD). However, little is known about whether PTSD treatments reduce aggression or the direction of the association between changes in PTSD symptoms and aggression in the context of PTSD treatment. We combined data from three clinical trials of evidence-based PTSD treatment in service members (N = 592) to: (1) examine whether PTSD treatment reduces psychological (e.g., verbal behavior) and physical aggression, and; (2) explore temporal associations between aggressive behavior and PTSD. Both psychological (Estimate = -2.20, SE = 0.07) and physical aggression (Estimate = -0.36, SE = 0.05) were significantly reduced from baseline to posttreatment follow-up. Lagged PTSD symptom reduction was not associated with reduced reports of aggression; however, higher baseline PTSD scores were significantly associated with greater reductions in psychological aggression (exclusively; ß = -0.67, 95% CI = -1.05, -0.30, SE = -3.49). Findings reveal that service members receiving PTSD treatment report substantial collateral changes in psychological aggression over time, particularly for participants with greater PTSD symptom severity. Clinicians should consider cotherapies or alternative ways of targeting physical aggression among service members with PTSD and alternative approaches to reduce psychological aggression among service members with relatively low PTSD symptom severity when considering evidence-based PTSD treatments.     

Associations between substance use among car and van drivers in Norway and fatal injury in road traffic accidents: A case-control study

The aim of this study was to determine the association between alcohol or drug use with fatal injury in road traffic accidents by calculating odds ratios (ORs) using a case-control design. The ‘cases’ were 508 drivers killed in road traffic accidents in the period 2003–2010 from whom blood samples were sent to the Norwegian Institute of Public Health for alcohol and drug testing, and the ‘controls’ were 9261 random drivers in normal traffic. Blood samples from ‘cases’ and oral fluid samples from ‘controls’ were analysed for alcohol, 15 drugs which have legislational concentration limits in Norway, in addition to two other commonly detected psychoactive drugs. The ORs for being killed in a traffic crash with blood alcohol concentration above the legal limit of 0.02 g/dL was 199.5 (95% CI 112.6–353.2). For the use of amphetamines without other substances the OR was 41.6 (95% CI 12.6–137.1), and for use of two or more substances 85.0 (95% CI 46.3–156.1). The OR for general use of only one medicinal drug was 6.0, and no significant ORs were found for the specific use of only zopiclone or THC. The ORs were generally higher for involvement in single-vehicle accidents. It is likely that the observed ORs, particularly for alcohol, are not only related to the risk posed by the substance alone, but a combination with behavioural factors, such as sensation seeking or risk taking behaviour.     

Posttraumatic Stress Symptoms,Aggression, and Substance Use Coping among Young Adults

This study examined how the symptom clusters of posttraumatic stress disorder (PTSD) were related to substance use and self-reported aggression in a college sample. There were 358 participants (ages 18–24) who completed surveys to assess PTSD symptoms, substance use as coping, and aggression. Hierarchical regressions tested for the effects of PTSD symptoms (total symptoms as well as cluster symptoms) on self-reported aggression, along with the main and interaction effects of substance use coping on these relationships. The hyperarousal cluster of PTSD was the only group of symptoms significantly related to aggression. There was an interaction between avoidance symptoms and substance use coping on aggression such that under conditions of high substance use coping, aggression increased regardless of avoidance symptoms; however, the relationship between avoidance and aggression was stronger under conditions of low substance use coping, with greater aggression as avoidance symptoms and low substance use coping increased.     

Does surgency moderate the relationship between parenting and children's aggression in middle childhood?

Parenting and child temperament have both been linked to aggression among children. This study explores the moderating effects of children's surgency and sex and paternal/maternal parenting practices on aggressive behaviour in middle childhood. We analyse whether the moderating effects observed fit a Diathesis-Stress, Differential Susceptibility or Vantage Sensitivity model. Participants were 203 school children aged 7–8 years (M = 92.42 months, SD = 3.52) from southern Spain. Maternal inconsistency and coercion and paternal hostility and indulgence, had a direct effect on children's aggressive behaviour. The effects of maternal hostility and anticipatory problem solving on children's aggression were moderated by surgency (Diathesis-Stress), as was the effect of paternal coercion on aggression (Vantage Sensitivity). Children's sex was not found to moderate any effect. It therefore seems that not all children are equally sensitive to the influence of parenting on their aggression levels, and that this influence depends on their temperament.

Highlights

• This study explores the moderating effects of children's surgency and sex and paternal/maternal parenting practices on aggressive behavior.
• Children's surgency moderated the effect of maternal hostility and anticipatory problem solving on children's aggression, with both effects fitting a Diathesis-Stress model.
• Children's surgency moderated the effect of paternal coercion on children's aggression, with this effect fitting a Vantage Sensitivity model.

     

Reducing reactive aggression in schoolchildren through child,parent, and conjoint parent‐child group interventions: An efficacy study of longitudinal outcomes

This study was the first to evaluate the effectiveness of three different group interventions to reduce children's reactive aggression based on the social information processing (SIP) model. In the first stage of screening, 3,734 children of Grades 4–6 completed the Reactive–Proactive Aggression Questionnaire (RPQ) to assess their reactive and proactive aggression. Respondents with a total score of z ≥ 1 on the RPQ were shortlisted for the second stage of screening by qualitative interview. Interviews with 475 children were conducted to select those who showed reactive aggression featuring a hostile attributional bias. Finally, 126 children (97 males and 29 females) aged 8 to 14 (M = 9.71, SD = 1.23) were selected and randomly assigned to one of the three groups: a child group, a parent group, and a parent–child group. A significant Time × Intervention effect was found for general and reactive aggression. The parent–child group and child group showed a significant drop in general aggression and reactive aggression from posttest to 6‐month follow‐up, after controlling for baseline scores, sex, and age. However, the parent group showed no treatment effect: reactive aggression scores were significantly higher than those in the child group at 6‐month follow‐up. This study has provided strong evidence that children with reactive aggression need direct and specific treatment to reconstruct the steps of the SIP involving the selection and interpretation of cues. The intervention could help to prevent severe violent crimes at the later stage of a reactive aggressor.