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Updated: Jan 12, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
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When Protection Becomes Punishment

Rupi Legha1

  • 1Rupi Legha (antiracistmd@gmail.com) is a double-board-certified child, adolescent, and adult psychiatrist; an independent clinician scholar activist; and president of Antiracist MD, in Los Angeles, California. The author thanks Akima Aiken Brown, Nathalie Martinek, Wade Pickren, Carli Wargo, and Megan Lurvey for their constructive feedback, and Miriam Mack and Jasmine Sankofa for providing resources and insights related to the THRIVE Fund and Movement for Family Power. The names of the patient and family in this essay were changed to protect their privacy. To access the author's disclosures, click on the Details tab of the article online.

Health Affairs (Project Hope)
|November 3, 2025
PubMed

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