Impacting on factors promoting intra-group aggression in secure psychiatric settings

Three preliminary and linked studies investigate the impact of making alterations to factors considered relevant to engaging in and experiencing intra-group aggression (bullying) among adult male patients detained in a single secure forensic hospital. Study one (n = 44) outlines the institutional fa...

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Main Authors: J.L. Ireland, I. Sebalo, K. McNeill, K. Murphy, G. Brewer, C.A. Ireland, S. Chu, M. Lewis, L. Greenwood, T. Nally
Format: Article
Language:English
Published: Elsevier 2019-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844019300994
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author J.L. Ireland
I. Sebalo
K. McNeill
K. Murphy
G. Brewer
C.A. Ireland
S. Chu
M. Lewis
L. Greenwood
T. Nally
author_facet J.L. Ireland
I. Sebalo
K. McNeill
K. Murphy
G. Brewer
C.A. Ireland
S. Chu
M. Lewis
L. Greenwood
T. Nally
author_sort J.L. Ireland
collection DOAJ
description Three preliminary and linked studies investigate the impact of making alterations to factors considered relevant to engaging in and experiencing intra-group aggression (bullying) among adult male patients detained in a single secure forensic hospital. Study one (n = 44) outlines the institutional factors, attitudes towards bullying and environmental factors that increase the likelihood of engaging in bullying and/or being victimised. Study two (n = 53 patients and 167 staff) assesses the effect of three variations of intervention that aimed to reduce intra-group aggression through direct alteration of the physical and psychosocial environment, using data from both patients and staff. Study three (n = 414) looks at the effects of two variations of the intervention used in study two, which offered patients’ participation in individual and communal activities. It was predicted that changes to the physical and social environment would produce a reduction in the factors shown to predict intra-group aggression. Attitudes supportive of bullying and the presence of social hierarchies each increased the likelihood of engaging in bullying. Indirect changes to the social environment on the wards had more positive effects than those incorporating direct alterations to the physical and social environment. The differences in effectiveness of the two approaches are discussed in relation to the established predictors of intra-group aggression. The research concludes by noting the preliminary nature of the research and outlining potential directions for future research and intervention.
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spelling doaj.art-9250eae250b94a908488d148514ad15d2022-12-22T03:39:52ZengElsevierHeliyon2405-84402019-03-0153e01400Impacting on factors promoting intra-group aggression in secure psychiatric settingsJ.L. Ireland0I. Sebalo1K. McNeill2K. Murphy3G. Brewer4C.A. Ireland5S. Chu6M. Lewis7L. Greenwood8T. Nally9University of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UK; Corresponding author.University of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UKUniversity of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UKAshworth Research Centre, Mersey Care NHS Trust, UKUniversity of Central Lancashire, Preston, UK; University of Liverpool, UKUniversity of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UKUniversity of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UKUniversity of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UKUniversity of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UKUniversity of Central Lancashire, Preston, UK; Ashworth Research Centre, Mersey Care NHS Trust, UKThree preliminary and linked studies investigate the impact of making alterations to factors considered relevant to engaging in and experiencing intra-group aggression (bullying) among adult male patients detained in a single secure forensic hospital. Study one (n = 44) outlines the institutional factors, attitudes towards bullying and environmental factors that increase the likelihood of engaging in bullying and/or being victimised. Study two (n = 53 patients and 167 staff) assesses the effect of three variations of intervention that aimed to reduce intra-group aggression through direct alteration of the physical and psychosocial environment, using data from both patients and staff. Study three (n = 414) looks at the effects of two variations of the intervention used in study two, which offered patients’ participation in individual and communal activities. It was predicted that changes to the physical and social environment would produce a reduction in the factors shown to predict intra-group aggression. Attitudes supportive of bullying and the presence of social hierarchies each increased the likelihood of engaging in bullying. Indirect changes to the social environment on the wards had more positive effects than those incorporating direct alterations to the physical and social environment. The differences in effectiveness of the two approaches are discussed in relation to the established predictors of intra-group aggression. The research concludes by noting the preliminary nature of the research and outlining potential directions for future research and intervention.http://www.sciencedirect.com/science/article/pii/S2405844019300994PsychiatryClinical psychologyPsychology
spellingShingle J.L. Ireland
I. Sebalo
K. McNeill
K. Murphy
G. Brewer
C.A. Ireland
S. Chu
M. Lewis
L. Greenwood
T. Nally
Impacting on factors promoting intra-group aggression in secure psychiatric settings
Heliyon
Psychiatry
Clinical psychology
Psychology
title Impacting on factors promoting intra-group aggression in secure psychiatric settings
title_full Impacting on factors promoting intra-group aggression in secure psychiatric settings
title_fullStr Impacting on factors promoting intra-group aggression in secure psychiatric settings
title_full_unstemmed Impacting on factors promoting intra-group aggression in secure psychiatric settings
title_short Impacting on factors promoting intra-group aggression in secure psychiatric settings
title_sort impacting on factors promoting intra group aggression in secure psychiatric settings
topic Psychiatry
Clinical psychology
Psychology
url http://www.sciencedirect.com/science/article/pii/S2405844019300994
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