Question

what do you believe are the four strongest triggers for aggression? List them in the first column. Explain why you chose those four triggers. Explain how the three means of reducing violence in the could be used to reduce the impetus of the four triggers you listed. Name the violence reducers you would use and describe how you could create a helping behavior instead.

Answer 1

“ Anger often takes an a negative connation because it links with aggression whereas aggression is one way of individuals to express anger."

Triggers for aggression

Psychological factor view aggressive behavior suggests developmental or life experiences which include:

• Organic brain damage, mental retardation, learning disability which impair to deal effectively with frustration.
• Severe emotional deprivation or overt rejection in childhood or parental seduction which contribute to defect in trust or self esteem.
• Exposure to violence in formative years either as a victim of a child abuse or as an observer of the family.
• Suggest that disruption in mother infant bonding lead to development of poor interpersonal behavior likelihood of violent behavior.
• Activities such as violent crime, aggressive sports and was depicted through media or witness in persons reinforce aggressive behavior.

Cultural norms help to define acceptable and unacceptable of experiencing behavior of aggressive feelings.

Social determinants of aggression are:

• Poverty and inability to have basic necessities of life.
• Disruption of marriage.
• Production of single parent families.
• Unemployment.
• Difficulty in maintaining interpersonal ties, family structure and social structure.
• Frustration

Reducing Aggression

1. SELF AWARENESS:

• To ensure the most effective use of the self, it is important to be aware personal strength and limitation.
• Personal stress can interfere with one’s ability to communicate therapeutically with patient.2.

2. PATIENT EDUCATION:

• Teaching patient that communication is the appropriate way to express the anger can be one of the most successful interventions in preventing the aggressive behavior.
• Many patients have identifying their feelings, needs and desires and more even difficulty communicating these to the others.

3. ASSERTIVE TRAINING:

• It is a important nursing intervention and interpersonal skills which includes:

• Communicating directly with another person.
• Saying no to the unreasonably request.
• Being able to state complaints.
• Expressing appreciation as appropriate.
• Accepting the compliments.

• Violent behavior is more likely to occur in the poorly structured milieu with undefined programme rules and great deal of unscheduled time for the patient.
• Units that are overly structure with too much stimulation and little reward for privacy need of patients also may increase aggressive behavior.
• Limit setting:
• It is non punitive, non manipulative act in which the patient is told what is behavior is acceptable and what is not and consequences of behaving are unacceptably.
• By explain the rational for the limit and communicating a patient in a calm and respectful manner potentially aggressive behavior can be avoided.
• Time out:
• In an inpatient setting use of time out can be effective tool for management of agitated person.
• It is a strategy that can decrease need for the seclusion and restrain.
• Time out from reinforcement is behavioral technique in which socially inappropriate behavior can be decrease by short term removal of the patient from over stimulating and sometimes reinforcing the situation.
• Time out allows the patient time away from the stimulating environment to regain the control of one.
• Token Economy:
• In this intervention identified interpersonal skills and self care behaviors are rewarded with token that can be used by patient to buy items or receive the rewards or privileges’.
• Behaviors to be targeted are specific to the each patient with clearly given guideline and desire behavior require to receive the tokens and number of tokens are receives for the each behavior.
• In a token economy undesirable behavior can result in the loss of the tokens.