Book contents
- Psychiatric Intensive Care
- Psychiatric Intensive Care
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Preface to the Second Edition
- Preface to the First Edition
- Acknowledgements
- Chapter 1 Psychiatric Intensive Care: Development and Definition
- Chapter 2 Psychiatric Intensive Care in Mental Health Secure Units
- Chapter 3 National Standards and Good Practice
- Chapter 4 Commissioning and Developing a PICU
- Chapter 5 PICU Design, Environment and Security
- Chapter 6 Team Resilience
- Chapter 7 Principles and Practice for Management of Acutely Disturbed Patients
- Chapter 8 Absconding
- Chapter 9 Substance Misuse
- Chapter 10 Fire-Setting and Arson
- Chapter 11 Sexually Problematic Behaviour in Mental Health Inpatient Units
- Chapter 12 Self-Harm and Personality Disorders in PICU
- Chapter 13 Activity and Positive Engagement within a PICU
- Chapter 14 De-escalation
- Chapter 15 Psychological Approaches to the Acute Patient in PICUs
- Chapter 16 A Social Behaviour Theory Approach to Challenging Behaviours in Psychosis
- Chapter 17 Pharmacological Therapy
- Chapter 18 Rapid Tranquillisation
- Chapter 19 The Use of Seclusion in Mental Health Care
- Chapter 20 The Practice of Restraint and Physical Intervention
- Chapter 21 Management of the Mental Health Emergency in the Community
- Chapter 22 PICU for the Care of Young People
- Chapter 23 Female-Only PICUs
- Chapter 24 The Complex Needs Patient
- Chapter 25 Psychiatric Intensive Care in General Hospital Settings
- Chapter 26 An Overview of International Perspectives on PICUs
- Index
- References
Chapter 16 - A Social Behaviour Theory Approach to Challenging Behaviours in Psychosis
Published online by Cambridge University Press: 15 March 2024
Book contents
- Psychiatric Intensive Care
- Psychiatric Intensive Care
- Copyright page
- Contents
- Contributors
- Foreword
- Preface to the Third Edition
- Preface to the Second Edition
- Preface to the First Edition
- Acknowledgements
- Chapter 1 Psychiatric Intensive Care: Development and Definition
- Chapter 2 Psychiatric Intensive Care in Mental Health Secure Units
- Chapter 3 National Standards and Good Practice
- Chapter 4 Commissioning and Developing a PICU
- Chapter 5 PICU Design, Environment and Security
- Chapter 6 Team Resilience
- Chapter 7 Principles and Practice for Management of Acutely Disturbed Patients
- Chapter 8 Absconding
- Chapter 9 Substance Misuse
- Chapter 10 Fire-Setting and Arson
- Chapter 11 Sexually Problematic Behaviour in Mental Health Inpatient Units
- Chapter 12 Self-Harm and Personality Disorders in PICU
- Chapter 13 Activity and Positive Engagement within a PICU
- Chapter 14 De-escalation
- Chapter 15 Psychological Approaches to the Acute Patient in PICUs
- Chapter 16 A Social Behaviour Theory Approach to Challenging Behaviours in Psychosis
- Chapter 17 Pharmacological Therapy
- Chapter 18 Rapid Tranquillisation
- Chapter 19 The Use of Seclusion in Mental Health Care
- Chapter 20 The Practice of Restraint and Physical Intervention
- Chapter 21 Management of the Mental Health Emergency in the Community
- Chapter 22 PICU for the Care of Young People
- Chapter 23 Female-Only PICUs
- Chapter 24 The Complex Needs Patient
- Chapter 25 Psychiatric Intensive Care in General Hospital Settings
- Chapter 26 An Overview of International Perspectives on PICUs
- Index
- References
Summary
This chapter proposes that a psychological model based on disturbed internal cognitive appraisals and social reinforcement has sufficient flexibility to formulate challenging behaviour within the ward environment. Disturbance of appraisals is likely to have a traumatic basis which has solidified into powerful beliefs which influence the transferential projections of the patient to the treating team and ward situation. It is the patient’s distorted view of the ‘social -emotional situation’ that drives behaviour – rationale within the context of distorted beliefs. Tools for analysing and formulating the challenging behaviour and suggested treatments are taken up over a number of case studies.
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- Information
- Psychiatric Intensive Care , pp. 205 - 215Publisher: Cambridge University PressPrint publication year: 2024
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