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Thinking or acting: physical aggression in a therapeutic community: how best to manage it?

Marjan Ghazirad (Psychiatry Specialist Registrar, based at Oxford Deanery, Oxford, UK)
Christopher Newrith (Consultant Psychiatrist in Psychotherapy, based at Oxford Health NHS Foundation Trust, Aylesbury, UK)

Therapeutic Communities: The International Journal of Therapeutic Communities

ISSN: 0964-1866

Article publication date: 3 June 2014

144

Abstract

Purpose

The purpose of this paper is to provide an overview of a rare phenomenon of physical aggression in a Therapeutic Community (TC) and the clinical results of its management.

Design/methodology/approach

The case vignette illustrates the psychodynamic and socio-therapy elements of the treatment model worked within the service prior to, during and after the incident. The information demonstrates how the TC model finds significant value in the living-learning experience that is possible in physical aggression and its management.

Findings

The dynamic administration at the interface between TC with preparation groups has a potential pitfall which might increases the risk of aggression in TC.

Originality/value

It is an original study focusing on the interface between new notion of preparation groups and TC following a case of Physical aggression. Physical aggression is a rare incident in TCs and there are very limited literature about it. The paper has a distinctive feature of being prepared in collaboration with TC service users.

Keywords

Acknowledgements

The authors are thankful to the New Horizon unit staff team, the client members, Dr F. Shaddel and Mark Bryant for their contribution. None of these would have been possible without their collaboration.

Citation

Ghazirad, M. and Newrith, C. (2014), "Thinking or acting: physical aggression in a therapeutic community: how best to manage it?", Therapeutic Communities: The International Journal of Therapeutic Communities, Vol. 35 No. 2, pp. 37-41. https://doi.org/10.1108/TC-12-2013-0036

Publisher

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Emerald Group Publishing Limited

Copyright © 2014, Emerald Group Publishing Limited

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