Self-control method to reduce aggressive behavior (hitting) in schizophrenia patient

Authors

  • Kresna Hadi Soetjipto Universitas Muhammadiyah Malang
  • Cahyaning Suryaningrum Universitas Muhammadiyah Malang

DOI:

https://doi.org/10.22219/procedia.v13i2.35961

Keywords:

Aggressive behavior, family, psychoeducation, schizophrenia, self-control

Abstract

Schizophrenia, classified under psychotic disorders in the DSM-5-TR, is identified by the presence of two or more out of five symptoms. This intervention targets both the subject and her family. The intervention aims to reduce hitting behavior in the subject. The aim for the family is to enhance their understanding of schizophrenia and the subject’s aggressive behavior and to increase family support for the subject. The subject is a 35-year-old woman. Assessment methods included clinical interviews, observation, psychological tests such as the Wood Worth Questionnaire, Wechsler Adult Intelligence Scale, Graphic Tests, WHO Disability Assessment Schedule 2.0, and document studies (medical records). Intervention techniques used self-control methods for the subject and psychoeducation for the family. The results of this intervention indicated that the self-control method was effective in addressing the issue of hitting behavior in the subject with schizophrenia. Psychoeducation provided to the family successfully improved their understanding of the subject’s condition and increased their knowledge of the support they can offer to the subject.

Skizofrenia, yang diklasifikasikan sebagai gangguan psikotik dalam DSM-5-TR, diidentifikasi dengan adanya dua atau lebih dari lima gejala. Intervensi ini menargetkan subjek dan keluarganya. Intervensi ini bertujuan untuk mengurangi perilaku memukul pada subjek. Tujuan bagi keluarga adalah untuk meningkatkan pemahaman mereka tentang skizofrenia dan perilaku agresif subjek dan untuk meningkatkan dukungan keluarga bagi subjek. Subjek adalah seorang wanita berusia 35 tahun. Metode penilaian mencakup wawancara klinis, observasi, tes psikologis seperti Kuesioner Wood Worth, Skala Kecerdasan Dewasa Wechsler, Tes Grafis, Jadwal Penilaian Disabilitas WHO 2.0, dan studi dokumen (catatan medis). Teknik intervensi menggunakan metode pengendalian diri untuk subjek dan psikoedukasi untuk keluarga. Hasil intervensi ini menunjukkan bahwa metode pengendalian diri efektif dalam mengatasi masalah perilaku memukul pada subjek dengan skizofrenia. Psikoedukasi yang diberikan kepada keluarga berhasil meningkatkan pemahaman mereka tentang kondisi subjek dan menambah pengetahuan mereka tentang dukungan yang dapat mereka berikan kepada subjek.

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References

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th-TR ed.). American Psychiatric Association.

Bjorlykhaug, K. I., Karlsson, B., Hesook, S. K., & Kleppe, L. C. (2022). Social support and recovery from mental health problems: a scoping review. Nordic Social Work Research, 12(5), 666–697. https://doi.org/10.1080/2156857X.2020.1868553

Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Journal of Personality and Social Psychology, 63(3), 1–3. https://doi.org/10.1007/978-3-319-28099-8 809-1

Can, S. Y., & Budak, F. K. (2024). The effect of cognitive behavioural therapy–based psychoeducation on medication adherence and aggression in individuals diagnosed with schizophrenia: An experimental study. Journal of Psychiatric and Mental Health Nursing, 445–456. https://doi.org/10.1111/jpm.13127

Chester, D. S. (2023). Aggression as successful self-control. Social and Personality Psychology Compass, 18(2). https://doi.org/10.1111/spc3.12832

Ciurbea, F., Leban, U., & Rada, C. (2022). Out of control: Teenagers, self-control, and risky behaviors. Anthropological Researches and Studies, 12(1), 30–62. https://doi.org/https://doi.org/10.26758/12.1.4

Correll, C. U., Detraux, J., De Lepeleire, J., & De Hert, M. (2015). Effects of antipsychotics, antidepressants and mood stabilizers on risk for physical diseases in people with schizophrenia, depression and bipolar disorder. World Psychiatry, 14(2), 119–136. https://doi.org/https://doi.org/10.1002/wps.20204

Dennisen, J. J. A., Thomaes, S., & Bushman, B. J. (2017). Self-regulation and aggression: Aggression-provoking cues, individual differences, and self-control strategies. Routledge International Handbook of Self-Control in Health and Well-Being, 330–339.

Feist, J., & Feist, G. (2019). Teori kepribadian. Salemba Humanika. Feltham, C. (1999). Controversies in psychotherapy and counselling. Sage. http://digital.casalini.it/9780857022004

Fitriani, N., Keliat, B., & Wardani, I. Y. (2021). The effects of cognitive behavior therapy and social skill training among schizophrenia with risk of violent behavior. Open Access Macedonian Journal of Medical Sciences, 9(T5), 35–39. https://doi.org/10.3889/OAMJMS.2021.7846

Girasek, H., Nagy, V. A., Fekete, S., Ungvari, G. S., & Gazdag, G. (2022). Prevalence and correlates of aggressive behavior in psychiatric inpatient populations. World Journal of Psychiatry, 12(1), 1–23. https://doi.org/10.5498/wjp.v12.i1.1

Gregg, L., Calam, R., Drake, R. J., Wolfenden, L., & Paul, J. L. (2021). Expressed emotion and attributions in parents with schizophrenia. Frontiers in Psychiatry, 12, 1–9. https://doi.org/10.3389/fpsyt.2021.799626

Harvey, P. D., & Isner, E. C. (2020). Cognition, social cognition, and functional capacity in early-onset schizophrenia. Child and

Adolescent Psychiatric Clinics, 29(1), 171–182. https://doi.org/10.1016/j.chc.2019.08.008

Hikmat, R., Yosep, I., Aisyah, P. S., & Utomo, S. F. P. (2025). Forgiveness therapy to reduce violent behavior in individuals with schizophrenia: A case study. OBM Neurobiology, 9(1). https://doi.org/10.21926/obm.neurobiol.2501281

Huesmann, R. L. (2013). Aggressive behavior. Springer Science & Business Media.

Khair, Z. (2016). Kontrol diri untuk mereduksi perilaku marah. Procedia: Studi Kasus Dan Intervensi Psikologi, 4(2). https://doi.org/https://doi.org/10.22219/procedia.v4i2.16240

Madjid, A. N., Aswar, & Tajuddin, A. (2022). Effects of self-control ability in pressing aggressive behavior. Psikologia: Jurnal Psikologi, 6(1), 1–11. https://doi.org/https://doi.org/10.21070/psikologia.v6i1.1210

Maharani, M. (2021). Schedulling activity untuk meningkatkan aktivitas sehari-hari penderita skizofrenia. Procedia: Studi Kasus Dan Intervensi Psikologi, 9(3), 100–106. https://doi.org/10.22219/procedia.v9i3.16458

Matulessy, A., Prasetyo, Y., & Maharani, R. T. (2018). The relationship between self-control with aggressive behavior. Proceedings of the 3rd International Conference on Psychology in Health, Educational, Social, and Organizational Settings - ICP-HESOS, 340–344. https://doi.org/10.5220/0008589103400344

Mucci, A., Galderisi, S., Gibertoni, D., Rossi, A., Rocca, P., Bertolino, A., Aguglia, E., Amore, M., Bellomo, A., Biondi, M., Blasi, G., Brasso, C., Bucci, P., Carpiniello, B., Cuomo, A., Dell’Osso, L., Giordano, G. M., Marchesi, C., Monteleone, P., . . . Psychoses, I. N. for R. on. (2021). Factors associated with real-life functioning in persons with schizophrenia in a 4-year follow-up study of the Italian network for research on psychoses. JAMA Psychiatry, 78(5), 550–559. https://doi.org/10.1001/jamapsychiatry.2020.4614

Novaco, R. W. (1975). Anger control: The development and evaluation of an experimental treatment. Lexington.

Nurani, P. (2020). Anger management untuk mengontrol dorongan rasa marah pada pasien skizofrenia. Procedia: Studi Kasus Dan Intervensi Psikologi, 8(3), 127–134. https://doi.org/10.22219/procedia.v8i3.14305

Pear, J., & Martin, G. (2019). Behavior modification: What it is and how to do it. Routledge. https://doi.org/10.1007/978-1-4419-

1428-6

Rosa-Alc ´azar, ´A., Parada-Navas, J. L., Garc´ıa-Hern ´andez, M. D., Mart´ınez-Murillo, S., Olivares-Olivares, P. J., & Rosa-Alc ´azar, A. I. (2021). Coping strategies, anxiety and depression in ocd and schizophrenia: Changes during covid-19. Brain Sciences, 11(7), 926. https://doi.org/10.3390/brainsci11070926

Skinner, B. F. (1953). Science and human behavior. Classics Of Medicine Library Division Of Gryphon Editions.

Tyas, D. S. (2023). Mengontrol perilaku marah pada penderita skizofrenia dengan anger management. Procedia: Studi Kasus Dan Intervensi Psikologi, 11(1), 25–30. https://doi.org/10.22219/procedia.v11i1.23601

Utami, N. (2022). The Art of Self Talk-ing. Elex Media Komputindo.

Verdolini, N., Borr `as, R., Sparacino, G., Garriga, M., Sagu ´e-Vilavella, M., Madero, S., Palacios-Garr ´an, R., Serra, M., Forte, M. F., Salagre, E., Aedo, A., Salgado-Pineda, P., Salvatierra, I. M., S ´anchez Gistau, V., Pomarol-Clotet, E., Ramos-Quiroga, J. A., Carvalho, A. F., Garcia-Rizo, C., Undurraga, J., . . . Amoretti, S. (2022). Prodromal phase: Differences in prodromal symptoms, risk factors and markers of vulnerability in first episode mania versus first episode psychosis with onset in late adolescence or adulthood. Acta Psychiatrica Scandinavica, 146(1), 36–50. https://doi.org/10.1111/acps.13415

Wang, J., Mann, F., Lloyd-Evans, B., Ma, R., & Johnson, S. (2018). Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. BMC Psychiatry, 18(1), 156. https://doi.org/10.1186/s12888-018-1736-5

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Published

2025-06-30

How to Cite

Soetjipto, K. H., & Suryaningrum, C. (2025). Self-control method to reduce aggressive behavior (hitting) in schizophrenia patient. Procedia : Studi Kasus Dan Intervensi Psikologi, 13(2), 150–158. https://doi.org/10.22219/procedia.v13i2.35961