Toward a better understanding of violence in psychiatric settings: debunking the myths.

Because of the risk of dealing with violent patients on a daily basis, psychiatric clinicians must keep abreast of new developments in the field and after their practice accordingly. However, belief in outdated theories results in the continuation of some traditional practices that are minimally effective for decreasing violence. Five myths about violence are identified and alternatives offered to clinicians interested in changing their approach. The five myths are: (1) the violent person is out of control, (2) the use of a punching bag decreases violence, (3) staff doing a good job means controlling patients, (4) unconscious staff conflicts result in aggression and violence by patients, and (5) the fearful clinician is most often assaulted.