Preventing ViolenceBMJ 2001; 323 doi: https://doi.org/10.1136/bmj.323.7307.289 (Published 04 August 2001) Cite this as: BMJ 2001;323:289
- Gwen Adshead, consultant psychiatrist and psychotherapist
- Traumatic Stress Clinic, UCL/Middlesex and Broadmoor Hospital
Thames and Hudson, £6.99, pp 144
ISBN 0 500 28278 1
Jim Gilligan knows something about violence. For 25 years, he has been directing provision of psychiatric care to inmates of Massachusetts prisons. He advises presidents and prime ministers; he influences policy and educates others. So when Jim Gilligan says he knows how to prevent (or at least reduce) violence, you want to listen.
Dr Gilligan has a number of radical ideas. He argues that traditional approaches to violence prevention, which emphasise punishment, actually make violence worse; and the more severe the punishment, the worse the violence grows. Violence is more likely where there is a culture of shame. Key risk factors for shame include …