TY - JOUR
T1 - Good (or bad) vibrations: clinical intuition in violence risk assessment
AU - Carroll, Andrew
PY - 2012
Y1 - 2012
N2 - Assessment and management of the risk of violence in psychiatry inevitably and appropriately draws on emotionally laden intuitive modes of thought, as well as deliberative analytic thinking. This article discusses the concept of intuition and proposes a brief set of guidelines, derived from work by the cognitive psychologist Robin Hogarth, by which intuitive thinking may be applied by clinicians when undertaking risk assessment work. The guidelines are: consider the learning structure relevant to the risk assessment task; use your own emotions as a source of data; impose circuit breakers such as cost-benefit analyses and validated structured risk assessment tools; and use a narrative approach to develop formulations. The guidelines are intended to provide a framework for ongoing reflective practice in assessing and managing risk
AB - Assessment and management of the risk of violence in psychiatry inevitably and appropriately draws on emotionally laden intuitive modes of thought, as well as deliberative analytic thinking. This article discusses the concept of intuition and proposes a brief set of guidelines, derived from work by the cognitive psychologist Robin Hogarth, by which intuitive thinking may be applied by clinicians when undertaking risk assessment work. The guidelines are: consider the learning structure relevant to the risk assessment task; use your own emotions as a source of data; impose circuit breakers such as cost-benefit analyses and validated structured risk assessment tools; and use a narrative approach to develop formulations. The guidelines are intended to provide a framework for ongoing reflective practice in assessing and managing risk
UR - http://apt.rcpsych.org/content/18/6/447.full.pdf
U2 - 10.1192/apt.bp.111.010025
DO - 10.1192/apt.bp.111.010025
M3 - Article
SN - 1355-5146
VL - 18
SP - 447
EP - 456
JO - Advances in Psychiatric Treatment
JF - Advances in Psychiatric Treatment
IS - 6
ER -