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Manipulation: description, identification and ambiguity.

L Bowers1

  • 1St Bartholomew School of Nursing & Midwifery, City University, London, UK.

Journal of Psychiatric and Mental Health Nursing
|May 21, 2003
PubMed
Summary
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This study clarifies the definition and identification of manipulative behaviors in personality-disordered patients. It provides guidance for clinicians to avoid over- or under-identifying manipulation in psychiatric settings.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Forensic Nursing

Background:

  • The term "manipulation" is frequently used to describe difficult behaviors in personality-disordered patients but lacks a clear definition and established management strategies.
  • Existing literature offers limited guidance on the definition, identification, and clinical management of manipulative behaviors in both inpatient and outpatient settings.

Purpose of the Study:

  • To define and identify manipulative behaviors in clinical practice.
  • To provide a more precise definition of manipulation based on empirical work.
  • To guide clinical management strategies for manipulative behaviors in psychiatric settings.

Main Methods:

  • Review of clinical and research literature on manipulation.
  • Empirical work with nurses in forensic settings to identify behaviors professionals label as manipulative.

Related Experiment Videos

  • Analysis of the social and moral dimensions of judging manipulative behavior.

    • Main Results:

    • Recent empirical work has clarified the range of behaviors professionals consider "manipulative."
    • A more precise definition of manipulation is proposed.
    • Social judgments of manipulation are ambiguous, involving moral evaluation and partial evidence of deception.

    Conclusions:

    • Clinicians must be aware of the ambiguity in identifying manipulative behaviors.
    • Professionals should guard against both over-identifying (seeing manipulation everywhere) and under-identifying (being blind to its presence) manipulation.
    • A cautious approach requires maintaining awareness of both possibilities to moderate clinical judgment.