Harm to Others: The Assessment and Treatment of Dangerousness -- Table of Contents -- Preface -- About the Author -- Part 1: Assessment of Violence -- Chapter 1: Understanding Violence -- Chapter Highlights -- Leakage -- Directly Communicated Threats -- Disruptive Behaviors and Indirect Threat -- Assessing the Pathway to Violence -- Dangerous Instincts -- Writing and Social Media -- Summary -- Questions for Further Discussion -- Chapter 2: Preparing for the Assessment -- Chapter Highlights -- Difference Between Assessment and Treatment -- Informed Consent -- Initial Referral Data -- Ethical Limitations of Assessment -- Establishing the Relationship -- Establishing Rapport -- Stressing Similarities and Building Connections -- Lowering Defensiveness -- Assessment of the Individual -- Culture and Ethnicity -- Sexual Identity -- Socioeconomic Status -- Disability -- Summary -- Questions for Further Discussion -- Chapter 3: Case Studies -- Chapter Highlights -- Case Study: Stacie -- Introduction -- Transcript -- Sample Threat Assessment Letter to Referral Source -- Case Study: Dustin -- Introduction -- Transcript -- Sample Threat Assessment Letter to Referral Source -- Summary -- Questions for Further Discussion -- Chapter 4: Central Threat Concepts -- Chapter Highlights -- Action and Time Imperative -- Fixation and Focus -- Organization Versus Disorganization -- Legacy Token -- Costuming -- Objectification and Depersonalization -- Summary -- Questions for Further Discussion -- Chapter 5: Additional Threat Concepts -- Chapter Highlights -- Knowledge of and Access to Weapons and Bombs -- Evidence of Attack Plans -- Attitude Toward Authority and Society -- Judicial and Arrest History -- Past Impulsivity -- Substance Abuse/Dependency -- Attitudes Toward Authority -- Fading Supports -- Absence of Friends and Family -- Lack of Finances.

Additional Loss of Supports -- Another Example -- Declining Academic Progress -- Mental Illness and Violence -- Langman Typology -- Social Isolation -- Manic or Impulsive Thoughts -- Delusional or Paranoid Thoughts -- Depressive and Suicidal Thoughts -- Irrational Thoughts -- Summary -- Questions for Further Discussion -- Chapter 6: Risk Factors Identified in the Literature -- Chapter Highlights -- U.S. Postal Service Threat Assessment Team Guide -- Risk Assessment Guideline Elements for Violence (RAGE-V) -- Turner and Gelles -- FBI Four-Pronged Approach -- ASIS Workplace Violence Prevention and Intervention Standards -- Meloy, Hoffmann, Guldimann, and James -- Handbook for Campus Threat Assessment and Management -- Virginia Tech Faculty/Staff Guide -- Concerning, Threatening, Dangerous -- Summary -- Questions for Further Discussion -- Chapter 7: Structured Professional Judgment -- Chapter Highlights -- 1. Gather Information -- 2. Determine the Presence of Risk Factors -- 3. Determine the Relevance of Risk Factors -- 4. Develop a Good Formulation of Risk -- Motivators -- Disinhibitors -- Destabilizers -- Clinical Formulation -- 5. Develop Scenarios of Violence -- 6. Develop a Case Management Plan Based on Scenarios -- 7. Develop Conclusory Opinions About Violence Risk -- Summary -- Questions for Further Discussion -- Part 2: Treatment of Dangerousness -- Chapter 8: Learning to Listen -- Chapter Highlights -- Case Study: Paul, a Teenager Who Is Angry and Alone -- Developing Active Listening Skills -- Forming Connection to Others -- Learning to Share and Being Heard -- Avoiding Objectification -- Summary -- Questions for Further Discussion -- Chapter 9: Understanding Their Story -- Chapter Highlights -- Case Study: Dan, an Abused and Broken College Freshman -- Learning Their Stories -- Externalizing the Story -- Mapping the Story.

Engaging in Their Story -- Summary -- Questions for Further Discussion -- Chapter 10: Learning to Think Differently -- Chapter Highlights -- Case Study: Matt, a Paranoid and Anxious Young Man -- Identifying and Managing Triggers -- Catching Irrational Thoughts -- Finding Alternative Explanations -- Managing Anger -- Making a Plan and Sticking to It -- Goal Setting -- Mental Rehearsal -- Self-Talk -- Arousal Control -- Summary -- Questions for Further Discussion -- Chapter 11: Taking It Step by Step -- Chapter Highlights -- Case Study: Kelly, an Impulsive and Violent Teenager -- Motivational Interviewing -- Expression of Empathy -- Avoidance of Argumentation -- Rolling With Resistance -- Development of Discrepancy -- Support for Self-Efficacy -- Change Theory -- Precontemplation -- Contemplation -- Preparation for Action -- Action -- Maintenance and Relapse Prevention -- Practicing Patience -- Redefining Failure -- Summary -- Questions for Further Discussion -- Chapter 12: Searching for Meaning -- Chapter Highlights -- Case Study: Caleb, a Lone Wolf -- Wrestling With Freedom, Death, Isolation, and Meaninglessness -- Freedom -- Death -- Isolation -- Meaninglessness -- Empowering the Client -- Practical Application -- The Empty Chair -- Internal Dialogue -- Exaggeration -- Staying With the Feeling -- Summary -- Questions for Further Discussion -- Chapter 13: Case Studies Treatment Summary -- Chapter Highlights -- Stacie's Treatment -- Dustin's Treatment -- Thoughts on Liability for Assessment and Treatment of Violence -- Returning to Issues of Diversity and Rapport -- Summary -- Questions for Further Discussion -- Appendix A: On-Campus Risk Assessment Informed Consent -- Eligibility -- Initial Interview -- Meeting -- Confidentiality -- Record Storage -- Testing Data -- Email -- Student Rights and Responsibilities.

Appendix B: Off-Campus Provider Questions -- Appendix C: The Structured Interview for Violence Risk Assessment (SIVRA-35) -- Risk and Threat Assessment -- SIVRA Administration -- SIVRA-35 Items -- Appendix D: ATAP "Risk Assessment Guideline Elements for Violence: Considerations for Assessing the Risk of Future Violent Behavior" -- ATAP Risk Assessment Guideline Elements for Violence Committee -- Risk Assessment Guideline Elements for Violence: Considerations for Assessing the Risk of Future Violent Behavior -- Appendix E: Reality Therapy WDEP Worksheet -- Appendix F: An Existential Exercise -- Use -- Method -- Discussion Afterward -- References -- Index -- Technical Support -- End User License Agreement.