• Login
    View Item 
    •   Home
    • Nottinghamshire Healthcare NHS Foundation Trust
    • Settings
    • Prisons and Other Secure Settings
    • Secure Settings
    • View Item
    •   Home
    • Nottinghamshire Healthcare NHS Foundation Trust
    • Settings
    • Prisons and Other Secure Settings
    • Secure Settings
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of EMERCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjectsProfilesView

    My Account

    LoginRegister

    Links

    About EMERPoliciesDerbyshire Community Health Services NHS Foundation TrustLeicester Partnership TrustNHS Nottingham and Nottinghamshire CCGNottinghamshire Healthcare NHS Foundation TrustNottingham University Hospitals NHS TrustSherwood Forest Hospitals NHS Foundation TrustUniversity Hospitals of Derby and Burton NHS Foundation TrustUniversity Hospitals Of Leicester NHS TrustOther Resources

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Not everything is as it seems: RO DBT and overcontrolled disorders in forensic settings

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Author
    Hamilton, Laura
    Bacon, Lee
    Longfellow, Emma
    Tennant, Allison
    Keyword
    Behaviour therapy
    Self-control
    High security facilities
    Date
    2018
    
    Metadata
    Show full item record
    Publisher's URL
    http://www.abct.org/docs/PastIssue/41n3.pdf
    Abstract
    On the night of Sunday, October 1, 2017, 64-year-old Stephen Paddock of Mesquite, Nevada, opened fire on a crowd of concert-goers at the Route 91 Harvest music festival on the Las Vegas Strip in Nevada, leaving 58 people dead and 851 injured. About an hour after Paddock fired his last shot, he was found dead in his hotel room from a self-inflicted gunshot wound. Despite perpetuating the deadliest mass shooting committed by an individual in the United States, police investigators reported that Paddock had no prior criminal record that would indicate he was dangerous. Plus, the shooting was carefully planned (e.g., researching SWAT tactics, renting other hotel rooms overlooking outdoor concerts, and investigating potential targets in other cities). Paddock was twice divorced and single at the time of the shooting, with no known children. His ex-wife described him as intelligent and great with numbers. His doctors described him as "odd" and showing "little emotion". To date his motive remains unknown. Contrary to common assumptions that all (or most) violent acts stem from poor impulse control, emotion dysregulation, and low distress tolerance (i.e. undercontrol), both prior and emerging research has identified an overcontrolled violent offender subtype, for whom acts of violence are rare but seem to be disproportionately more violent and planned compared to undercontrolled offenders. For example, the Congressional Research Service (CRS; Bjelopera, Bagalman, Caldwell, Finklea, & McCallion, 2013) recently released a report that described the most common characteristics and behaviors likely to be seen in perpetrators of public mass shootings based on interviews and data from 78 public mass shootings in the U.S. since 1983. Findings revealed that most perpetrators act alone and carefully planned in advance (see similarities in the description of the Las Vegas shooter above). They reported pervasive feelings of social persecution and ostracism-and were described by others as a loner. Rumination about real or imagined rejections, envy, bitterness, resentment, and revenge were common (CRS; Bjelopera et al., 2013). The Las Vegas gunman (Paddock) described above appears to fit much of this profile. Yet, our understanding of the overcontrolled violent offender and the type of violence associated with moral certitude, excessive inhibitory control, planning ahead, envy, bitterness, and desires for revenge remains poorly understood. The aim of this paper is to outline how recent research in forensic settings may provide a potential way forward to the conundrum posed by the Las Vegas gunman and other violent offenders sharing similar overcontrolled characteristics. The paper outlines how we have used RO DBT to reexamine the diagnostic features of incarcerated offenders and also describes the developmental trajectory our team experienced implementing RO DBT in a maximum-security forensic hospital.
    Citation
    Hamilton, L., Bacon, L., Longfellow, E. & Tennant, A. (2018). Not everything is as it seems: RO DBT and overcontrolled disorders in forensic settings. The Behavior Therapist, 41 (3), pp.157-160.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/11597
    Collections
    Secure Settings

    entitlement

     
    DSpace software (copyright © 2002 - 2025)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.