Diagnosing and Managing Violence


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Available categorization systems for violence encountered in medical practice do not constitute optimal tools to guide management. In this article, 4 common patterns of violence across psychiatric diagnoses are described (defensive, dominance-defining, impulsive, and calculated) and management implications are considered. The phenomenologic and neurobiological rationale for a clinical classification system of violence is also presented.

Prim Care Companion CNS Disord 2011;13(5):doi:10.4088/PCC.11br01144

Submitted: January 19, 2011; accepted March 16, 2011.

Published online: October 6, 2011.

Corresponding author: Jeffrey C. Fetter, MD, Concord Hospital, 250 Pleasant St, Concord, NH 03301 (jfetter@crhc.org).

Prim Care Companion CNS Disord 2011;13(5):doi:10.4088/PCC.11br01144

https://doi.org/10.4088/PCC.11br01144