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Journal of Occupational Medicine:
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Assessment of Potential Violence in the Paranoid Worker

Boxer, Peter A. MD, MPH

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Abstract

: Violence in the workplace is sometimes a manifestation of an untreated psychiatric disorder. Paranoid personality disorder, paranoid schizophrenia, and delusional (paranoid) disorder are three psychiatric syndromes in which paranoid ideation is a prominent feature. While the vast majority of people with these conditions are not violent, paranoid workers can exhibit violent behavior as a reaction to beliefs that co-workers or supervisors are threatening or persecuting them. Three cases are described to illustrate the clinical presentation of these disorders and their management in an occupational setting.

(C)1993 The American College of Occupational and Environmental Medicine

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