P1: FPX/FZI P2: FVI
Psychiatric Quarterly [psaq] PH015-294625 March 29, 2001 22:2 Style ﬁle version Nov. 19th, 1999
Psychiatric Quarterly, Vol. 72, No. 2, 2001
BIPOLAR DISORDER AND VIOLENCE
Theodore B. Feldmann, M.D.
Violent behavior presents many social, legal, and clinical problems. A num-
ber of models have been developed to explain violence, representing a variety
academic disciplines and theoretical orientations. Unfortunately none of these
approaches have led to a comprehensive understanding of violence and aggres-
sion. The issue of violence is particularly perplexing in connection with the role
of psychiatric disorders as contributing factors. Several psychiatric conditions,
including bipolar disorder, have been implicated with increased rates of vio-
lent behavior. This paper examines various models of violence, inﬂuences on
violent behavior, and violence associated with psychiatric disorders. Particular
attention is devoted to the connection between bipolar disorder and violence.
KEY WORDS: bipolar disorder; violence; aggression; demographics of violence; predic-
tion of violence.
The understanding of violent behavior presents many challenges for
psychiatrists. Models to explain violent behavior have reﬂected a vari-
ety of theoretical orientations and have all been inﬂuenced by social and
cultural variables. Biological views have focused on genetic or constitu-
tional inferiority, body type, studies of twins and adoptees, chromosomal
Theodore B. Feldmann, M.D., is with the Department of Psychiatry & Behavioral Sci-
ences, University of Louisville School of Medicine.
Address correspondence to Theodore B. Feldmann, M.D., Department of Psychiatry &
Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY 40292.
2001 Human Sciences Press, Inc.