Case Study: Mr. X

(Juhnke et. Al., 1999) Although substance abuse does not cause students to be violent, students under the influence of psychoactive substances often fail to think logically and experience increased impulsivity. Therefore a strong correlation exists between substance abuse and violent behavior. Undoubtedly, all these risk factors by themselves will not identify every violent student. However, the risk factors can be used as an aid in assessing students at risk of violence behavior.

Modern biology is focused more on understanding behavior, like violence and crime, through research on indicators and influences. Rather than attempting to determine a single root cause, researchers are discovering markers of predisposition and identifying factors of risk. In a recent interview about his new book, The Anatomy of Violence: The Biological Roots of Crime, criminologist and professor at the University of Pennsylvania, Adrian Raine asserts that there is a “biology of violence” that should not be ignored; “Just as there’s a biological basis for schizophrenia and anxiety disorders and depression… there’s a biological basis also to recidivistic violent offending” (Gross, 2013).

Scenario 2: Gary M. was arrested by the FBI when he showed up at a local mall to meet a "14 year old girl" for a date, which he arranged over the Internet. He didn't know that the "14 year old girl" was a 35-year old male FBI agent. Category of crime, crimes of public morality referring to cybercrime, charges Iowa code 705.1 solicitiation of a minor felony up to 5 years imprisonment and fines (Reuters, 2017).

In addition to any potential financial stressors an individual may be experiencing that could trigger a violent episode, there may be a mental illness that makes the bad situation worse. Conditions such as, anti-social personality disorder, depression, schizophrenia, bipolar disorder are just a few illnesses that can make a potentially violent situation go from bad to worse. The negative effects of an individual’s illness make can make a person think that whatever problem they are having that is making them angry, is worse than it really is, potentially making their violent outburst worse. The stress this puts on the victim has a high probability of passing on an emotional disorder to them on top of the abuse they are enduring. (Blasco-Ros, Concepcion, Sanchez-Lorente, & Martinez, 2010)

Offenders and Victims tend to be around a similar age, while offenders of other homicide categories in cases where there is no known relationship, the perpetrators are younger than the victims (Australian Institute of Criminology). Age is inconsistent with the general pattern in this case as Gittany and Ms Harnum were 10 years apart. The dynamics of Mr Gittany and Ms Harnum relationship are consistent with the general pattern concerning gender characteristics. Men are generally driven to commit IPH due to possessive and jealous impulses within the relationship in connection to the threat of separation and control over their spouse (Weizmann-Henelius et al., 2011). There was undoubtable evidence to suggest Mr Gittany was abusive, controlling and domineering within the relationship. He would keep track of her movements by bugging her phone and by surveillance means without Ms Harnums knowledge. Studies show contradictory results, whether mental disorders and personality disorders correlate with IPH. Watt (2008) suggests that cases congruent with spouse batterers, have generally tested positively with a personality disorder, however offenders convicted of IPH rarely have psychopathic traits (Weizmann-Henelius et al., 2011). Although Gittany’s mental health assessment suggested he suffered from depressive,

Pt is a 14 y/o African American male presented to NNBHC with his mother with a dx of ADHD, ODD, PTSD and Depressive D/O. Pt states that he had an episode of enuresis last night when he had a nightmare about killing his family. Pt states that when he woke up he began to have intrusive thoughts of wanting to kill his family and himself so he wouldn’t have to go jail. Pt states that recently he have been blamed for everything in the home that is missing, or goes wrong. Pt states that he has taken ownership over all the negative things in the home, so none of the his sibilings wont get in trouble. Pt states “I am pretending to be happy, this is not my family”. Pt states when he cam home from residential that his biological

After completing the collateral interviews, background check into personnel file and through the interview and assessment administered to Mr. Smith. The HCR- 20 determined Mr. Smith to be a moderate risk for violence. Certain factors were considered to assess the level of risk.

The client has high motivation for treatment within MRFH. The client was diagnosed with Alcohol Use Disorder: Severe and Cocaine Use Disorder (crack): Moderate. The client sought treatment at MRFH when he realized he had lost control of using alcohol and crack cocaine. The client stated he attended the MRFH program in the 1980 's but does not remember the exact date of attendance. The client stated he was diagnosed with Mild Depression by a primary care physician when he was 56-years-old. The client reports he has no history of suicidal or homicidal attempts, and currently denies having any suicidal ideations or homicidal ideations. The client stated one to two times per week he experiences muscle tension and worrying about things that he often realizes have no significance. The client stated prior to the age of 18-years-old, "I would knock over my neighbors mailboxes and destroy their gardens, because they would make my parents aware of my wrong doings and that was way of getting them back." The client stated, there was one time that I started a fire and blamed it on my brother. I would break things as well and blame someone else. The client stated if there was an event taking place that he wanted to participate in, he would rush and complete what he was doing so he could become involved in other events taking place around him. The client stated, "I started using drugs and alcohol without thinking about what the consequences. The client appeared to be oriented to the

Mr. S is a 29-year-old male with past medical history of (PMH) hypertension (HTN) and obesity who presented to local emergency room (ER) with headache and chest and back pain. Mr. s had been seen at urgent care three days prior for a headache and near syncope and was told to hold his metoprolol due to bradycardia. Due to health insurance related problem, he has been off amlodipine and lisinopril for a month.

Family/Living Situation – Anthony Edward Pearson is an unmarried 43 year old Black male with four children and seven grandchildren. At the time of his arrest, he co-habited with his then live-in girlfriend and their two year old daughter.

When undertaking a risk assessment in relation to violence it is important to consider the safety of the clinician and it is essential to consider the clinicians experience and their own anxiety when confronted with a significant risk. Safety considerations may be that the individual will need to be in restraints or security personal is available, panic buttons, duress alarms or physical secured barrier between patient and clinician (Thienhaus & Piasecki, 1998, p.1). Although Jane does not appear to have any history of violence towards staff, on this occasion she has presented intoxicated and has described her mood as very depressed, there is a possibility that

Countless of different patients come to seek healthcare and advice for a variety of reasons including certain signs and symptoms they feel that their health is threatened by. It is a crucial skill that health practitioners have a working knowledge of different pathologies patients can present with to direct the patient appropriately towards the correct diagnosis and thus, prescribe the most effective treatment in return. Mr Smith is a 63-year-old male suffering from hypertension and diabetes for the last 20 years. He irregularly monitors blood pressure and blood glucose levels as well as inconsistently uses Minidiab and Tritace for treatment. He presents with shortness of breath worsening over the past five weeks as well as other multiple symptomologies. Throughout this case study, we will examine the pathophysiology of Mr Smith’s health concerns, clarify and interpret the physical examination outcomes and laboratory tests. Through the exams, we will then propose a number of possible and justified diagnoses and after that lead to further diagnostic tests suggested as a result of these interpretations.

Over the past few decades, many researches have strived to test and explain the correlation between violence and crime and mental illness. Moore and Hiday (2006) assert that up 22% of inmates has a mental illness, sometimes containing more mental illness patients than many psychiatric units. Due to these statistics it is evident how important it is to understand the causes of the correlations between crime and violence and mental disorders. This proposal wishes to explain and understand the possible correlation and the reasons for such correlation between mental health illnesses and violence and crime. Further research to test

The relationship between those who suffer from personality disorders and violent criminal activity are recurrent. For years

In recent years, there has been a higher prevalence of articles in the media in relation to mental illness and crime. This is due to a higher focus of research in the past half-century by criminal psychologists into the relationship between mental illness and violence. A conclusion has then come of this research that people with mental health problems are at increased risk of violent offending. This is determined through classification and misclassification of mental illness and clinical aspects of violence. However, there are also seen to be additional factors and trends that impact a person with mental illness’s likelihood of becoming a violent offender.