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Aggression in patiens with psychosis
Nichtová, Andrea ; Vevera, Jan (advisor) ; Papežová, Hana (referee) ; Končelíková, Dana (referee)
Most psychiatric patients do not behave aggressively, but they very often become victims of aggressive behaviour. However, in the practical part of this work, we focused on the phenomenon of aggressive behaviour in psychotic patients, and we address victimization of psychotic patients in the theoretical part because it is one of the most important predictors of aggressive behaviour not only in psychiatric patients but also in the general population. In the literature, we encounter three basic immediate causes of aggressive behaviour - psychotic, impulsive, and predatory (planned) - which we observed in hospital conditions. Specifically, we focused on impulsive behaviour in aggressive patients, given that it is assumed that psychotic patients have difficulties in this area. The aim of this study was to examine the immediate causes of aggressive behaviour and provide data from the Czech Republic on their prevalence. Another goal was to determine whether the factor structure in our work is consistent with the three hypothesized factors described by Nolan et al. Another goal was to explore impulsive behaviour in psychotic patients in light of the reported reduced impulse control and emotional dysregulation associated with the emergence of aggressive behaviour in psychotic patients. The study aimed to...
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Analysis of factors affecting the physical attacks on crews of emergency medical services
KLEINOVÁ, Natálie
This bachelor thesis deals with the analysis of the circumstances affecting physical assaults of medical emergency service (EMS) crews. Three objectives have been established. The first objective was to compare the frequency of physical and verbal assaults among the respondents. The second objective was to map out the most common causes of physical assaults of the EMS crews and the third objective was to map out the respondents' knowledge of self-defence. Three research questions were established along with these three objectives. The entire work is divided into a theoretical part and a practical part. In the theoretical part, I focused on the explanation of basic concepts relating to aggression, aggressive individuals and known forms of aggressive behavior. Furthermore, I addressed chapters such as the causes of aggressive behavior, which I split into several groups. Then I also tried to describe the principle of an assault. An important chapter is the rules of communication and negotiation with an aggressive person, what should crew members pay attention to, and also what to avoid. In this chapter, I describe the differences of communication with selected types of aggressive individuals. The conclusion describes the options of pacifying aggressive persons and legal self-defence. The research part consists of the processed results of the questionnaires filled out by EMS crew members of South Bohemian and Moravian-Silesian region, 52 of them in total. The other part consists of the results of the semi-structured interviews provided to me by 4 paramedics working in Moravian-Silesian region. The aim was to choose such respondents who came across assaults, whether verbal or physical. In the case of the interviews, the only respondents were those who had experienced physical assault. The extent of practice the respondents have is ranging from a few years to tens of years. The questionnaires were filled out by drivers, paramedics and doctors, working at the EMS. The results of the questionnaires were recorded in graphs and the results of the interviews were summarized.
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