Domestic violence and panic attacks – common neural mechanisms?

Abstract

Purpose. This paper combines material from domestic violence, animal aggression and neuropsychology research to construct a model to account for some domestic violence offending. The basic hypothesis is that some incidents of domestic violence can be understood in terms of the operation of primitive defence mechanisms, which are also implicated in panic attack. Perceptions of threat from an intimate partner could potentially trigger these same neuronal circuits thus releasing violent and emotionally charged responses at the spouse. Arguments . The hypothesis is based on: the marked anatomical/physiological overlap of the neural substrates underlying defensive aggression and those implicated in panic attack, reports of panic attack‐like symptoms experienced by perpetrators during domestic violence assaults, experimental evidence that demonstrates that standard physiological challenges can elicit panic/anger attacks in some domestic violence offenders (). Conclusions . Panic/anger attack represents inappropriate activation of affective defensive responses due to inappropriate control of critical midbrain sites by the amygdala and/or prefrontal cortex. Panic attacks could be potentially suppressed by increasing the capacity of the prefrontal cortex to inhibit the midbrain affective defence mechanisms. However, learnt associations between stimuli and panic responses are difficult to extinguish and panic responses typically show sensitization overtime. The same may be true of the behaviour of domestic violence offenders. There is a need to establish the typology of the subgroup of offenders who perpetrate panic attack related domestic violence.

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