251114 comportamentul agresiv
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Transcript of 251114 comportamentul agresiv
ComportamentulComportamentulagresivagresiv
ComportamentulComportamentulagresivagresiv
Maria Nistor & Lili Sepordi
CeCe intelegemintelegem prinprin
““comportamentcomportament agresivagresiv”?”?
CeCe intelegemintelegem prinprin
““comportamentcomportament agresivagresiv”?”?
CatevaCateva tipuritipuri ……
Auto si hetero Verbala si fizica Emotionala sau psihologica Usoara, moderata si severa Caracteriologica si situationala Activa si pasiva Reactiva si instrumentala
Auto si hetero Verbala si fizica Emotionala sau psihologica Usoara, moderata si severa Caracteriologica si situationala Activa si pasiva Reactiva si instrumentala
PerceptiiPerceptii ……
Ale publicului
In mass media
Ale profesionistilor
Ale beneficiarilor
Ale publicului
In mass media
Ale profesionistilor
Ale beneficiarilor
AgresivitateaAgresivitatea inin tulbtulb mentalementale
Marea majoritatea nu sunt periculosi.
Majoritatea actelor agresive nu sunt comise
de pers cu tulb mentale.
Sunt mai mult victime decat abuzatori.
Contributia altor factori este mai mare.
Exista anumiti factori care cresc riscul.
Marea majoritatea nu sunt periculosi.
Majoritatea actelor agresive nu sunt comise
de pers cu tulb mentale.
Sunt mai mult victime decat abuzatori.
Contributia altor factori este mai mare.
Exista anumiti factori care cresc riscul.
FactoriFactori dede riscrisc generaligenerali
Depedenta sau abuzul de subst
Episodul acut psihotic sau maniacal
Lipsa sau intreruperea medicatiei
Istoricul agresivitatii
Sexul, varsta, nivelul socio-economic redus
Expunerea la violenta in copilarie
A fi victima unui abuz
Depedenta sau abuzul de subst
Episodul acut psihotic sau maniacal
Lipsa sau intreruperea medicatiei
Istoricul agresivitatii
Sexul, varsta, nivelul socio-economic redus
Expunerea la violenta in copilarie
A fi victima unui abuz
AgresivitateaAgresivitatea inin tulbtulb dede dezvoltaredezvoltare
1. Comunicare: frustrare, durere, nevoi, neglijare, abuz
2. Comport invatat si intarit (obt atentie, stimulare,
acces, contact; evitare/scapare din situatii, sarcini, stres)
3. Modulare disconfort fizic si emotional
4. Semn al unei tulb mentale sau medicale
Lowry, M. & Sover R. (1991) Functional existence of probl behav. The Habilit Mental Health Care
Matson, J.L., et al (2010) What is the evidence for environmental causes of challenging behaviors
in persons with intellectual disabilities and autism spectrum disorders?Research in Devel Disabilities
1. Comunicare: frustrare, durere, nevoi, neglijare, abuz
2. Comport invatat si intarit (obt atentie, stimulare,
acces, contact; evitare/scapare din situatii, sarcini, stres)
3. Modulare disconfort fizic si emotional
4. Semn al unei tulb mentale sau medicale
Lowry, M. & Sover R. (1991) Functional existence of probl behav. The Habilit Mental Health Care
Matson, J.L., et al (2010) What is the evidence for environmental causes of challenging behaviors
in persons with intellectual disabilities and autism spectrum disorders?Research in Devel Disabilities
InterventiiInterventii inin tulbtulb dede dezvoltaredezvoltare
1. Modificarea antecedentelor
2. Strategii bazate pe intariri
3. Controlul consecintelor
4. Tehnici de blocaj
5. Tratamament medicamentos
Brosnan, J & Healy, O. (2011). A review of behavioral interventions for the treatment of
aggression in individual with developmental disabilities. Research in Develop Disab.
1. Modificarea antecedentelor
2. Strategii bazate pe intariri
3. Controlul consecintelor
4. Tehnici de blocaj
5. Tratamament medicamentos
Brosnan, J & Healy, O. (2011). A review of behavioral interventions for the treatment of
aggression in individual with developmental disabilities. Research in Develop Disab.
AgresivitateaAgresivitatea inin dementedemente
1. Exprimare, comunicare - disconfort, emotii,
supra/substimulare, pierderi, neintelegeri, suspiciune
2. Rezultat al frustrarii (<= dificult, dependenta,
interpretari sau perceptii gresite)
3. In contextul relatiei cu ingrijitorul - majorit actelor
au loc in timpul ingrijirii, calit relatiei, stresul ingrijitorului
4. Semn al unei tulb mentale sau medicale
Kunikm M. , et al (2010). Causes of Aggressive Behavior in Patients With Dementia. J Clin Psychiatry
Morgan, R. (2013). Modeling causes of aggressive beh in patients with dementia. The Gerontologist.
1. Exprimare, comunicare - disconfort, emotii,
supra/substimulare, pierderi, neintelegeri, suspiciune
2. Rezultat al frustrarii (<= dificult, dependenta,
interpretari sau perceptii gresite)
3. In contextul relatiei cu ingrijitorul - majorit actelor
au loc in timpul ingrijirii, calit relatiei, stresul ingrijitorului
4. Semn al unei tulb mentale sau medicale
Kunikm M. , et al (2010). Causes of Aggressive Behavior in Patients With Dementia. J Clin Psychiatry
Morgan, R. (2013). Modeling causes of aggressive beh in patients with dementia. The Gerontologist.
InterventiiInterventii inin dementedemente
1. Interventii pe modificarea fact activatori (durere,
stimuli, ingrijire, relatie, comp ingrijitori)
2. Activitati pentru reducerea comport agresiv(distragere, comunicare & blocare, izolare)
3. Interventii pentru preventie (interv senzoriale,
sociale, comport, structurare act, training ingrijitori)
4. Abordarea centrata pe persoana
Enmarker, I, et al. (2010). Management of person with dementia with aggressive and violent behaviour: asystematic literature review. International Journal of Older People Nursing,.
Pulsford, D, et al. (2011). A survey of staff attitudes and responses to people with dementia who areaggressive in residential care settings. Journal of Psychiatric and Mental Health Nursing
1. Interventii pe modificarea fact activatori (durere,
stimuli, ingrijire, relatie, comp ingrijitori)
2. Activitati pentru reducerea comport agresiv(distragere, comunicare & blocare, izolare)
3. Interventii pentru preventie (interv senzoriale,
sociale, comport, structurare act, training ingrijitori)
4. Abordarea centrata pe persoana
Enmarker, I, et al. (2010). Management of person with dementia with aggressive and violent behaviour: asystematic literature review. International Journal of Older People Nursing,.
Pulsford, D, et al. (2011). A survey of staff attitudes and responses to people with dementia who areaggressive in residential care settings. Journal of Psychiatric and Mental Health Nursing
AgresivitateaAgresivitatea inin relatiarelatia cucu profesionistiiprofesionistii
1. Factori beneficiar (diag, istoric agresivitate, stil
interpersonal, interpretari, perceptie stres, nivel simpt)
2. Factori profesionist (experienta, stil interper, coping,
comunicare, convingeri, stres ocupat, disponibilitate)
3. Factori institutie (supraincarcare, organiz activit,
supra/substimulare, rata beneficiar - personal)
Nijman (2002) A Model of Aggression in Psychiatric Hospitals. Acta Psychiatr Scand
Whittington R & Richter D (2006) From the Individual to the Interpersonal: Environment and
Interaction in the Escalation of Violence in Mental Health Settings. In Violence in Mental Health
Settings (ed by Richter & Whittington), Springer.
1. Factori beneficiar (diag, istoric agresivitate, stil
interpersonal, interpretari, perceptie stres, nivel simpt)
2. Factori profesionist (experienta, stil interper, coping,
comunicare, convingeri, stres ocupat, disponibilitate)
3. Factori institutie (supraincarcare, organiz activit,
supra/substimulare, rata beneficiar - personal)
Nijman (2002) A Model of Aggression in Psychiatric Hospitals. Acta Psychiatr Scand
Whittington R & Richter D (2006) From the Individual to the Interpersonal: Environment and
Interaction in the Escalation of Violence in Mental Health Settings. In Violence in Mental Health
Settings (ed by Richter & Whittington), Springer.
ProgramePrograme dede interventiiinterventii
1. Non - violent crisis intervention (preventia
escaladarii prin ascultare empatie, de-escaladare, teh
fizice)
2. Professional assault response training (principii
comportam, teh comunic, rezolv conflict, modele ale
agresivit, teh de auto-aparare, blocaj, izolare)
3. Therapeutic options (analiza comportam aplicata, abilit
de conectare, abilit gestionare conflict de putere)
Morrison E & Love C (2003). An Evaluation of Four Programs for the Management of Aggression inPsychiatric Settings. Archives of Psychiatric Nursing
Richter D (2006) Nonphysical Conflict Management and Deescalation. In Violence in Mental Health Settings
(ed by Richter & Whittington), Springer.
1. Non - violent crisis intervention (preventia
escaladarii prin ascultare empatie, de-escaladare, teh
fizice)
2. Professional assault response training (principii
comportam, teh comunic, rezolv conflict, modele ale
agresivit, teh de auto-aparare, blocaj, izolare)
3. Therapeutic options (analiza comportam aplicata, abilit
de conectare, abilit gestionare conflict de putere)
Morrison E & Love C (2003). An Evaluation of Four Programs for the Management of Aggression inPsychiatric Settings. Archives of Psychiatric Nursing
Richter D (2006) Nonphysical Conflict Management and Deescalation. In Violence in Mental Health Settings
(ed by Richter & Whittington), Springer.
PosibilePosibile solutiisolutii
1. Analiza si modificare comportamentala
2. Comunicare asertiva si gestionare a conflictului
3. De-escaladare verbala si comunicarea nonverbala
4. Tehnici fizice (evaziune, auto-aparare, blocaj, izolare)
5. Imbunatatirea relatiei (pre si post)
6. Managementul propriilor emotii
Morrison E & Love C (2003). An Evaluation of Four Programs for the Management of Aggression in
Psychiatric Settings. Archives of Psychiatric Nursing
Richter D (2006) Nonphysical Conflict Management and Deescalation. In Violence in Mental Health Settings
(ed by Richter & Whittington), Springer.
1. Analiza si modificare comportamentala
2. Comunicare asertiva si gestionare a conflictului
3. De-escaladare verbala si comunicarea nonverbala
4. Tehnici fizice (evaziune, auto-aparare, blocaj, izolare)
5. Imbunatatirea relatiei (pre si post)
6. Managementul propriilor emotii
Morrison E & Love C (2003). An Evaluation of Four Programs for the Management of Aggression in
Psychiatric Settings. Archives of Psychiatric Nursing
Richter D (2006) Nonphysical Conflict Management and Deescalation. In Violence in Mental Health Settings
(ed by Richter & Whittington), Springer.
ImpactulImpactul expuneriiexpunerii la compla comp agresivagresiv
Eval subiectiva a comp agresiv si a semnif acestuia
Impactul fiziologic (“inundare”, arousal ridicat)
Impactul emotional (stres, vinov, rusine, furie, anxietate,
vulnerab, neindrept, lipsa putere, ranire, ostilitate)
Impact cognitiv (ruminatii, erori, convingeri, evaluari)
Impact relationare (supra/subreactionare, distantare,
respingere pasiva)
Needham, I. (2006) Psychological Responses Following Exposure to Violence. In Violence in
Mental Health Settings (ed by Richter & Whittington), Springer.
Eval subiectiva a comp agresiv si a semnif acestuia
Impactul fiziologic (“inundare”, arousal ridicat)
Impactul emotional (stres, vinov, rusine, furie, anxietate,
vulnerab, neindrept, lipsa putere, ranire, ostilitate)
Impact cognitiv (ruminatii, erori, convingeri, evaluari)
Impact relationare (supra/subreactionare, distantare,
respingere pasiva)
Needham, I. (2006) Psychological Responses Following Exposure to Violence. In Violence in
Mental Health Settings (ed by Richter & Whittington), Springer.
CeCe putemputem faceface
Constientizare si intelegere
Alocarea unui timp pt recuperare
Auto-linistire
Discursul interior
Cum sa vorbim despre
Cum sa ne reconectam cu beneficiarul
Constientizare si intelegere
Alocarea unui timp pt recuperare
Auto-linistire
Discursul interior
Cum sa vorbim despre
Cum sa ne reconectam cu beneficiarul