Noone J A, Molnar G, Hopper-Small C
Can J Psychiatry. 1979 Apr;24(3):213-7. doi: 10.1177/070674377902400303.
An approach to the management of potential violence on a General Hospital Psychiatric Unit is described as it evolved following analysis of the successful handling of a series of problem patients. The importance of an attitude of acceptance towards potentially violent persons is emphasized as is an orientation towards prevention. An approach of consistency and directness with enhancement of the patient's positive personality features is favoured. The initial assessment is considered important and clues to the prediction of violence are highlighted, as are aspects of the supervision plan. A specific technique for prevention of violence based on the principle of Dislocation of Expectations, or doing differently than the subject expects, is introduced.
本文描述了综合医院精神科针对潜在暴力行为的管理方法，该方法是在对一系列问题患者的成功处理进行分析后逐步形成的。文中强调了对潜在暴力者持接纳态度的重要性以及预防导向。提倡采用一致且直接的方法，同时增强患者的积极人格特质。初始评估被认为很重要，文中突出了暴力行为预测的线索以及监督计划的各个方面。此外，还介绍了一种基于“期望错位”原则（即采取与对象预期不同的做法）的预防暴力的具体技巧。
