The role of psychotherapy and childhood maltreatment in homicidal ideation - Study looked at psychotherapy (lack of remorse, empathy) incarcentated, if child maltreatment had occurred. As childhood maltreatment increased, so did homocidalology. Men more so than women and gangs was not indicative of this.
Leakage is the communication to a third person as an intent to harm a target. (Maloy & Otoole, 2011) Communication can vary such as email; verbal. Reveals feelings, attitudes. It is not motivated to be stopped. So often it has occurred in mass shootings.
Don't expect someone to actually do the harm. Must be joking, denying it. It is uncomfortable. We must not be a weak link. This is important information such as minimizing. We need to be able to assess leakage. eg. one teenager communicated he wanted to kill girlfriend.
Case Study: Caregivers.
Mother had lost custody. Grandfather adopted 14 year old boy and his brother. 14 year old leaked he wanted to kill his girlfriend. Goes into the kitchen and cuts his wrists in front of his grandmother and gets gun. Grandmother calls police. 14 year old points the gun at his grandmother and told her to move. There was a bullet in the gun.
Woman complained that boy was carrying a gun and would kill her. Reported that she was being told she would be killed. Male states he didn't mean it. Male downplayed at pointing gun at her.
Domains: Safety - increase or decrease risk. Emotional risk - shame, guilt, fatal or non fatal. Neighbourhood factors - violence, community safety, gun presence, friends, traditions, shared commonalties, status; regret, social perceptions.
A clinician can be easily triggered in working with a family due to belief system. How do they parent this child? Grandmother - he put my life in danger. Grandfather doesn't see it that way.
We need to create safety and how the socialogy is. How does the family respond when homocidal behaviours enter the room? Lead with second order change (relational change). Pull in first order change when needed (behavioural change).
The boy went out to the community. Police arrested him.
Lethal means safety counselling. Be straight forward, practical and respectful. Where does access occur in the community. It only takes on bullet for someone to die.
Talk about safer storage. Look at pros and cons of keeping a gun in the house and changing how the gun is stored. For some it is safety and protection of family.
Assault and Homicidal Danger Assessment Tool. No predictable risk of assault/homicide. Low Risk/Moderate risk - occurred within last year. High risk.
How do we address the relationship, so homicide is not the solution. When child is distressed - instead of turning to the care giver, turned to a gun - homicial behaviour. Difference of grandparents views make it difficult for child to turn to them. Show how systematic family needs to change for behaviour of child. How do we address the relationship so homicide is not the solution. When caregivers are in conflict, children are in conflict. - "When you need us, we are here for you." That allows children to be able to go to them.
Conclued lecture. Have a good weekend world.
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