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Chapter 21 - Neurocognition and Social Cognition Training as Treatments for Violence and Aggression in People with Severe Mental Illness

from Part IV - Nonpsychopharmacological Treatment Considerations

Published online by Cambridge University Press:  19 October 2021

Katherine Warburton
Affiliation:
University of California, Davis
Stephen M. Stahl
Affiliation:
University of California, San Diego
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Summary

There is a wide-ranging belief that people with severe mental illnesses (SMI) are violent or dangerous. Most patients with schizophrenia are not chronically aggressive or violent; among patients with schizophrenia, there is a small increase in violence and violent offending on average compared with general population standards in the USA and Europe. However, violence on the part of people with SMI has several features that differentiate it from violence in the general population. First, it is less likely to be motivated by financial reasons. Second, it can be unpredictable and directed toward strangers. Not being financially motivated, it is more challenging for the general public to avoid.

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Publisher: Cambridge University Press
Print publication year: 2021

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References

Fazel, S, Gulati, G, Linsell, L, et al. Schizophrenia and violence: systematic review and meta-analysis. PLoS Med. 2009; 6(8): e1000120.Google Scholar
Witt, K, van Dorn, R, Fazel, S. Risk factors for violence in psychosis: systematic review and meta-regression analysis of 110 studies. PLoS One. 2013; 8(2): e55942.Google Scholar
Martell, DA, Dietz, PE. Mentally disordered offenders who push or attempt to push victims onto subway tracks in New York City. Arch Gen Psychiatry. 1992; 49(6): 472475.Google Scholar
The Disaster Center. New York Crime Rates 1960–2016. www.disastercenter.com/crime/nycrime.htm (accessed June 2020).Google Scholar
Torrey, EF. Stigma and violence: isn’t it time to connect the dots? Schizophr Bull. 2011; 37(5): 892896.Google Scholar
McQuade, KM. Victim-offender relationship. In: Albanese, JS, ed. The Encyclopedia of Criminology and Criminal Justice. Hoboken, NJ: Blackwell Publishing Ltd; 2014.Google Scholar
California Department of State Hospitals. Welcome. www.dsh.ca.gov/about_Us/ (accessed June 2020).Google Scholar
White, L, Parrella, M, McCrystal-Simon, J, et al. Characteristics of elderly psychiatric patients retained in a state hospital during downsizing: a prospective study with replication. Int J Geriatr Psychiatry. 1997; 12(4): 474480.Google Scholar
Bowie, CR, Moriarty, PJ, Harvey, PD, et al. Aggression in elderly schizophrenia patients: a comparison of nursing home and state hospital residents. J Neuropsychiatry Clin Neurosci. 2001; 13(3): 357366.Google Scholar
Puri, BK, Richardson, AJ, Higgins, CJ, et al. Reduction in IQ in patients with schizophrenia who have seriously and dangerously violently offended. Schizophr Res. 2002; 53(3): 267268.Google Scholar
Ahmed, AO, Richardson, J, Buckner, A, et al. Do cognitive deficits predict negative emotionality and aggression in schizophrenia? Psychiatry Res. 2018; 259: 350357.Google Scholar
Serper, M, Beech, DR, Harvey, PD, Dill, C. Neuropsychological and symptom predictors of aggression on the psychiatric inpatient service. J Clin Exp Neuropsychol. 2008; 30(6): 700709.Google Scholar
Krakowski, MI, Czobor, P. Proneness to aggression and its inhibition in schizophrenia: interconnections between personality traits, cognitive function and emotional processing. Schizophr Res. 2017; 184: 8287.Google Scholar
Pinkham, AE, Penn, DL, Green, MF, et al. The social cognition psychometric evaluation study: results of the expert survey and RAND panel. Schizophr Bull. 2014; 40(4): 813823.Google Scholar
Pinkham, AE, Penn, DL, Green, MF, et al. Social cognition psychometric evaluation: results of the initial psychometric study. Schizophr Bull. 2016; 42(2): 494504.Google Scholar
Pinkham, AE, Harvey, PD, Penn, DL. Paranoid individuals with schizophrenia show greater social cognitive bias and worse social functioning than non-paranoid individuals with schizophrenia. Schizophr Res Cogn. 2016; 3: 3338.Google Scholar
O’Reilly, K, Donohoe, G, Coyle, C, et al. Prospective cohort study of the relationship between neuro-cognition, social cognition and violence in forensic patients with schizophrenia and schizoaffective disorder. BMC Psychiatry. 2015; 15: 155.Google Scholar
Skeem, L, Mulvey, EP. Psychopathy and community violence among civil psychiatric patients: results from the MacArthur Violence Risk Assessment Study. J Consult Clin Psychol. 2001; 69: 358374.Google Scholar
Volavka, J. Violence in schizophrenia and bipolar disorder. Psychiatr Danub. 2013; 25(1): 2433.Google Scholar
Harvey, PD, Velligan, DI, Bellack, AS. Performance-based measures of functional skills: usefulness in clinical treatment studies. Schizophr Bull. 2007; 33(5): 11381148.Google Scholar
Martinez-Martin, N, Fraguas, D, Garcia-Portilla, MP, et al. Self-perceived needs are related to violent behavior among schizophrenia outpatients. J Nerv Ment Dis. 2011; 199(9): 666671.Google Scholar
Keers, R, Ullrich, S, Destavola, BL, et al. Association of violence with emergence of persecutory delusions in untreated schizophrenia. Am J Psychiatry. 2014; 171(3): 332339.Google Scholar
Shawyer, F, Mackinnon, A, Farhall, J, et al. Acting on harmful command hallucinations in psychotic disorders: an integrative approach. J Nerv Ment Dis. 2008; 196(5): 390398.Google Scholar
Ekinci, O, Ekinci, A. Association between insight, cognitive insight, positive symptoms and violence in patients with schizophrenia. Nord J Psychiatry. 2013; 67(2): 116123.Google Scholar
Haddock, G, Eisner, E, Davies, G, et al. Psychotic symptoms, self-harm and violence in individuals with schizophrenia and substance misuse problems. Schizophr Res. 2013; 151(1–3): 215220.Google Scholar
Hunt, GE, Large, MM, Cleary, M, et al. Prevalence of comorbid substance use in schizophrenia spectrum disorders in community and clinical settings, 1990–2017: systematic review and meta-analysis. Drug Alcohol Depend. 2018; 191: 234258.Google Scholar
Van Dorn, R, Volavka, J, Johnson, N. Mental disorder and violence: is there a relationship beyond substance use? Soc Psychiatry Psychiatr Epidemiol. 2012; 47: 487503.Google Scholar
Ntounas, P, Katsouli, A, Efstathiou, V, et al. Comparative study of aggression – dangerousness on patients with paranoid schizophrenia: focus on demographic data, PANSS, drug use and aggressiveness. Int J Law Psychiatry. 2018; 60: 111.Google Scholar
Keefe, RS, Buchanan, RW, Marder, SR, et al. Clinical trials of potential cognitive-enhancing drugs in schizophrenia: what have we learned so far? Schizophr Bull. 2013; 39(2): 417435.Google Scholar
Bradley, ER, Woolley, JD. Oxytocin effects in schizophrenia: reconciling mixed findings and moving forward. Neurosci Biobehav Rev. 2017; 80: 3656.Google Scholar
Simons, DJ, Boot, WR, Charness, N, et al. Do “brain-training” programs work? Psychol Sci Public Interest. 2016; 17(3): 103186.Google Scholar
Harvey, PD, McGurk, SR, Mahncke, H, et al. Controversies in computerized cognitive training. Biol Psychiatry Cogn Neurosci Neuroimaging. 2018; 3(11): 907915.Google Scholar
McGurk, SR, Twamley, EW, Sitzer, DI, et al. A meta-analysis of cognitive remediation in schizophrenia. Am J Psychiatry. 2007; 164(12): 17911802.Google Scholar
Wykes, T, Huddy, V, Cellard, C, et al. A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes. Am J Psychiatry. 2011; 168(5): 472485.Google Scholar
Harvey, PD, Penn, D. Social cognition: the key factor predicting social outcome in people with schizophrenia? Psychiatry (Edgmont). 2010; 7(2): 4144.Google Scholar
Brekke, JS, Hoe, M, Long, J, et al. How neurocognition and social cognition influence functional change during community-based psychosocial rehabilitation for individuals with schizophrenia. Schizophr Bull. 2007; 33(5): 12471256.Google Scholar
Fett, AK, Viechtbauer, W, Dominguez, MD, et al. The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: a meta-analysis. Neurosci Biobehav Rev. 2011; 35(3): 573588.Google Scholar
Combs, DR, Adams, SD, Penn, DL, et al. Social Cognition and Interaction Training (SCIT) for inpatients with schizophrenia spectrum disorders: preliminary findings. Schizophr Res. 2007; 91(1–3): 112116.Google Scholar
Roberts, DL, Combs, DR, Willoughby, M, et al. A randomized, controlled trial of Social Cognition and Interaction Training (SCIT) for outpatients with schizophrenia spectrum disorders. Br J Clin Psychol. 2014; 53(3): 281298.Google Scholar
Nahum, M, Fisher, M, Loewy, R, et al. A novel, online social cognitive training program for young adults with schizophrenia: a pilot study. Schizophr Res Cogn. 2014; 1(1): e11e19.Google Scholar
Kurtz, MM, Richardson, CL. Social cognitive training for schizophrenia: a meta-analytic investigation of controlled research. Schizophr Bull. 2012; 38(5): 10921104.Google Scholar
Lindenmayer, JP, McGurk, SR, Khan, A, et al. Improving social cognition in schizophrenia: a pilot intervention combining computerized social cognition training with cognitive remediation. Schizophr Bull. 2013; 39(3): 507517.Google Scholar
Lindenmayer, JP, Khan, A, McGurk, SR, et al. Does social cognition training augment response to computer-assisted cognitive remediation for schizophrenia? Schizophr Res. 2018; 201: 180186.Google Scholar
Fisher, M, Nahum, M, Howard, E, et al. Supplementing intensive targeted computerized cognitive training with social cognitive exercises for people with schizophrenia: an interim report. Psychiatr Rehab J. 2017; 40(1): 2132.Google Scholar
Sacks, S, Fisher, M, Garrett, C, et al. Combining computerized social cognitive training with neuroplasticity-based auditory training in schizophrenia. Clin Schizophr Rel Psychoses. 2013; 7(2): 7886.Google Scholar
Russell, TA, Green, MJ, Simpson, I, et al. Remediation of facial emotion perception in schizophrenia: concomitant changes in visual attention. Schizophr Res. 2008; 103(1–3): 248256.Google Scholar
Penn, DL, Roberts, DL, Combs, D, et al. Best practices: the development of the Social Cognition and Interaction Training program for schizophrenia spectrum disorders. Psychiatr Serv. 2007; 58(4): 449451.Google Scholar
Eack, SM, Hogarty, SS, Greenwald, DP, et al. Cognitive Enhancement Therapy in substance misusing schizophrenia: results of an 18-month feasibility trial. Schizophr Res. 2015; 161(2–3): 478483.Google Scholar
Eack, SM, Hogarty, SS, Bangalore, SS, et al. Patterns of substance use during cognitive enhancement therapy: an 18-month randomized feasibility study. J Dual Diag. 2016; 12(1): 7482.Google Scholar
Darmedru, C, Demily, C, Franck, N. Cognitive remediation and social cognitive training for violence in schizophrenia: a systematic review. Psychiatry Res. 2017; 251: 266274.Google Scholar
Cullen, AE, Clarke, AY, Kuipers, E, et al. A multisite randomized trial of a cognitive skills program for male mentally disordered offenders: violence and antisocial behavior outcomes. J Consult Clinical Psychol. 2012; 80(6): 11141120.Google Scholar
Cullen, AE, Clarke, AY, Kuipers, E, et al. A multi-site randomized controlled trial of a cognitive skills programme for male mentally disordered offenders: social-cognitive outcomes. Psychol Med. 2012; 42(3): 557569.Google Scholar
Ahmed, AO, Hunter, KM, Goodrum, NM, et al. A randomized study of cognitive remediation for forensic and mental health patients with schizophrenia. J Psychiatr Res. 2015; 68: 818.Google Scholar
Kumar, D, Zia, Ul Haq, M, Dubey, I, et al. Effect of meta-cognitive training in the reduction of positive symptoms in schizophrenia. Eur J Psychother Couns. 2010; 12(2): 149158.Google Scholar
Ussorio, D, Giusti, L, Wittekind, CE, et al. Metacognitive training for young subjects (MCT young version) in the early stages of psychosis: is the duration of untreated psychosis a limiting factor? Psychol Psychother. 2016; 89(1): 5065.Google Scholar

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