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Commentary: Aggression and impulsivity after head injury

Published online by Cambridge University Press:  02 January 2018

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The most taxing behavioural complications of severe head injury for relatives include irritability and aggression, as illustrated by J. B. Longitudinal studies show an increase over time in the frequency and severity of temper outbursts (Brooks et al, 1986; Hall et al, 1994), which take the form of explosive or impulsive aggression. I will comment on the nature and treatment of impulsive aggression as illustrated in case J. B., emphasising the interaction of neurobiology with motivational, situational and personality factors.

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Article Commentary
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Copyright © The Royal College of Psychiatrists 1997 

References

Barrett, E. S. (1992) Impulsiveness and aggression. In Violence and Mental Disorder: Developments in Risk Assessment (eds Monahan, J. & Steadman, H.) pp. 6179. Chicago, IL: University of Chicago Press.Google Scholar
Barrett, E. S. (1993) The use of anticonvulsants in aggression and violence. Psychopharmacology Bulletin, 29, 7581.Google Scholar
Brooks, N., Campsie, L., Symington, C. et al (1986) The five year outcome of severe blunt head injury: a relative's view. Journal of Neurology, Neurosurgery and Psychiatry, 49, 764770.CrossRefGoogle ScholarPubMed
Buss, A. & Plomin, R. (1975). A Temperament Theory of Personality Development. London: Wiley-Interscience.Google Scholar
Corrigan, P. W., Yudofsky, S. C. & Silver, J. M. (1993) Pharmacological and behavioural treatments for aggressive psychiatric inpatients. Hospital and Community Psychiatry, 44, 125133.Google Scholar
Dolan, B. & Coid, J. (1993) Psychopathic and Antisocial Personality Disorders. Treatment and Reasearch Issues. London: Gaskell.Google Scholar
Eichelman, B. & Hartwig, A. (1990) The Carolina nosology of destructive behaviour. Journal of Neuropsychiatry, 2, 288296.Google Scholar
Elliott, F. A. (1992) Violence, the neurological contribution: an overview. Archives of Neurology, 49, 595603.Google Scholar
Farrington, D. P. (1995) The development of offending and antisocial behaviour from childhood: key findings from the Cambridge Study in Delinquent Development. Journal of Child Psychology and Psychiatry, 36, 909964.Google Scholar
Gardner, D. L. & Cowdry, R. W. (1986) Positive effects of carbamazepine on behavioural dyscontrol in borderline personality disorder. American Journal of Psychiatry, 143, 519522.Google Scholar
Grounds, A. (1995) Risk assessment and management in clinical context. In Psychiatric Patient Violence – Risk and Response (ed. Crichton, J.) pp 4359. London: Duckworth.Google Scholar
Hall, K., Karzmark, P., Stevens, M. et al (1994) Family stressors in traumatic brain injury: a two-year follow-up. Archives of Physical Medicine and Rehabilitation, 75, 876884.CrossRefGoogle ScholarPubMed
Lucas, P. (1994) Episodic dyscontrol: a look back at anger. Journal of Forensic Psychiatry, 5, 371407.Google Scholar
Mattes, J. A. (1984) Psychopharmacology of temper outbursts: a review. Journal of Nervous and Mental Disease, 174, 464470.Google Scholar
Moore, B. (1995) Risk Assessment: A Practitioner's Guide to Predicting Harmful Behaviour. London: Whiting and Birch.Google Scholar
Monahan, J. & Steadman, H. J. (1994) Towards a rejuvenation of risk assessment research. In Violence and Mental Disorder –Developments in Risk Assessment (eds Monahan, J. & Steadman, H. J.) pp. 117. Chicago, IL: University of Chicago Press.Google Scholar
Monroe, R. R. (1978) Brain Dysfunction in Aggressive Criminals. Lexington, MA: Lexington Books.Google Scholar
Mungas, D. (1983) An empirical analysis of specific syndromes of violent behaviour. Journal of Nervous and Mental Disease, 171, 354361.Google Scholar
Plutchik, R. & van Praag, H. M. (1995) The nature of impulsivity: definitions, ontology, genetics and relations to aggression. In Impulsivity and Aggression, vol. 1 (eds Hollander, E. & Stein, D. J.) pp. 724. Chichester: John Wiley.Google Scholar
Ratey, J. J. & Gordon, A. (1993) The psychopharmacology of aggression: toward a new day. Psychopharmacology Bulletin, 29, 6573.Google Scholar
Silver, J. M. & Yudofsky, S. C. (1995) Organic mental disorders and impulsive aggression. In Impulsivity and Aggression, vol. 15 (eds Hollander, E. & Stein, D. J.) pp. 242259. Chichester: John Wiley.Google Scholar
Stein, D. J., Towey, J. & Hollander, E. (1995) The neuropsychiatry of impulsive aggression. In Impulsivity and Aggression, vol. 7 (edited by Hollander, E & Stein, D J) pp. 91115. Chichester: John Wiley.Google Scholar
Stein, D. J., Hollander, E. & Liebowitz, M. R. (1993) Neurobiology of impulsivity and the impulse control disorders. Journal of Neuropsychiatry and Clinical Neuroscience, 5, 917.Google Scholar
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