Cited by 25Personality Disorders and PsychopathologyHealthcare Decision-Making and RestraintsWorkplace Violence and Bullying

The impact of interpersonal style and perceived coercion on aggression and self-harm in personality-disordered patients admitted to a secure psychiatric hospital

Daffern, Michael, Tonkin, Matthew, Howells, Kevin, Krishnan, Gopi, Ijomah, Geoffrey, Milton, John·2010·Journal of Forensic Psychiatry & Psychology

Abstract

Recent research on aggressive behaviour in psychiatric hospitals has emphasised the importance of the interaction between characteristics of patients and the hospital environment. Interpersonal style, a key component of personality and personality disorder, has emerged as a potentially important characteristic that may be relevant to a patient's interactions with the hospital environment. Interpersonal style affects how patients relate to others and how they respond to the demands of treatment. This study explored the impact of interpersonal style and perceptions of staff coercion on aggression and self-harm. Participants were 39 patients with personality disorder admitted involuntarily to a secure psychiatric hospital. Results showed that perceptions of coercion were high but unrelated to aggression and self-harm. Interpersonal style did not relate to perceived coercion. However, patients with a more coercive interpersonal style, as measured by the Chart of Interpersonal Reactions in Closed Living Environments, were more likely to self-harm and/or act aggressively. Possible implications for the treatment of aggressive individuals and the prevention of aggressive behaviour are made.

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Crossref · 10.1080/14789940903505951

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Authors
Daffern, M., Tonkin, M., Howells, K., Krishnan, G., Ijomah, G., & Milton, J.
Affiliations
  • University of Nottingham (GB)
  • Rampton Hospital (GB)
Corresponding author
Daffern, Michael
Venue
Journal of Forensic Psychiatry & Psychology
Published
2010-06
Volume
21
Issue
3
Pages
426-445
ISSN
  • 1478-9949 (ISSN-L)
  • 1478-9957
OpenAlex
W2040035513
Cited by
25
References
35
Citations by year
2025: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 1 · 2017: 2 · 2015: 7 · 2014: 1 · 2013: 1 · 2012: 2
FWCI
2.46
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Forensic Psychiatry and Psychology (publishedVersion)
  • Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
  • Social Sciences › Sociology and Political Science › Workplace Violence and Bullying
Keywords
interpersonal style, perceived coercion, aggression, self-harm, personality disorders, secure psychiatric hospitals, involuntary admission, treatment resistance

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