TY - JOUR PY - 2020// TI - Cognitive-affective drivers of fixation in threat assessment JO - Behavioral sciences and the law A1 - Meloy, J. Reid A1 - Rahman, Tahir SP - ePub EP - ePub VL - ePub IS - ePub N2 - Pathological fixation - preoccupation with a person or a cause that is accompanied by deterioration in social and occupational functioning - has been found to precede most cases of targeted violence. It is clinically observed and theorized to have three different cognitive-affective drivers: delusion, obsession, or extreme overvalued belief. Each driver is explained, and case examples are provided in the context of threat assessment. Extreme overvalued belief as a new concept is discussed in detail, both its historical provenance and its demarcation from delusions and obsessions. Threat management for each separate cognitive-affective driver is briefly summarized, based upon current clinical findings and research. Emphasis is placed upon understanding both the categorical and dimensional nature (intensity) of these cognitive-affective drivers, and suggested guidelines are offered for the assessment of such in a clinical examination by a forensic psychiatrist or psychologist.
Language: en
LA - en SN - 0735-3936 UR - http://dx.doi.org/10.1002/bsl.2486 ID - ref1 ER -