UNDERSTANDING AND MANAGING ANGER

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UNDERSTANDING AND UNDERSTANDING AND MANAGING ANGER MANAGING ANGER Cyndie Franklin Cyndie Franklin Northeast Iowa Family Northeast Iowa Family Medicine Residency Medicine Residency June 26, 2013 June 26, 2013

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UNDERSTANDING AND MANAGING ANGER. Cyndie Franklin Northeast Iowa Family Medicine Residency June 26, 2013. Anger. . . is an emotional, affective, antagonistic response to a situation. Typically, anger is experienced when someone is. . . blocked frustrated abused neglected. - PowerPoint PPT Presentation

Transcript of UNDERSTANDING AND MANAGING ANGER

Page 1: UNDERSTANDING AND MANAGING ANGER

UNDERSTANDING AND UNDERSTANDING AND MANAGING ANGERMANAGING ANGER

Cyndie FranklinCyndie FranklinNortheast Iowa Family Northeast Iowa Family

Medicine ResidencyMedicine ResidencyJune 26, 2013June 26, 2013

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Anger. . .Anger. . .

is an emotional, affective, is an emotional, affective, antagonistic response to a antagonistic response to a

situation.situation.

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Typically, anger is Typically, anger is experienced when experienced when

someone is. . .someone is. . . blockedblocked frustratedfrustrated abused abused neglectedneglected

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No situation or person can No situation or person can “make” us angry.“make” us angry.

Our anger is directly related Our anger is directly related to our perceptions of to our perceptions of

situations, persons and situations, persons and events.events.

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Sometimes anger masks Sometimes anger masks other feelings.other feelings.

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Sometimes other emotions Sometimes other emotions mask anger.mask anger.

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How we recognize, label How we recognize, label and express our feelings is and express our feelings is

largely learned. largely learned.

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Unhealthy ways of dealing Unhealthy ways of dealing with anger can be with anger can be

unlearned and healthy unlearned and healthy behaviors substituted.behaviors substituted.

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Recognizing, labeling and Recognizing, labeling and expressing anger in a expressing anger in a

healthy way is vital to our healthy way is vital to our mental health. mental health.

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In and of itself, anger is a In and of itself, anger is a healthy emotion;healthy emotion;

Where we typically get into Where we typically get into trouble is trouble is howhow we express our we express our

angry feelings.angry feelings.

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Anger is healthy when:Anger is healthy when: It is treated as a normal part of lifeIt is treated as a normal part of life It is an accurate signal of real problems It is an accurate signal of real problems

in a person’s lifein a person’s life It is expressed in moderation so there is It is expressed in moderation so there is

no loss of controlno loss of control It is clearly stated in ways that others It is clearly stated in ways that others

can understandcan understand It is temporary. It can be relinquished It is temporary. It can be relinquished

once an issue is resolved. once an issue is resolved.

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Ways of Expressing AngerWays of Expressing Anger PassivePassive AggressiveAggressive Passive-AggressivePassive-Aggressive AsssertiveAsssertive

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Positive Aspects of AngerPositive Aspects of Anger Anger can give us strength and Anger can give us strength and

determinationdetermination Anger tells us that something is Anger tells us that something is

wrong that needs to be resolvedwrong that needs to be resolved Anger can be a helpful way to Anger can be a helpful way to

express tension and communicate express tension and communicate negative feelingsnegative feelings

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Negative Aspects of AngerNegative Aspects of Anger Anger interferes with our ability to Anger interferes with our ability to

think clearly and inclines us to act think clearly and inclines us to act impulsivelyimpulsively

Anger is physically upsettingAnger is physically upsetting Anger is an antagonistic response that Anger is an antagonistic response that

can lead to actions that harm otherscan lead to actions that harm others Anger is unproductive in solving Anger is unproductive in solving

complex problemscomplex problems

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There is a biological basis There is a biological basis to emotion, in general, to emotion, in general,

and anger, in particular. and anger, in particular.

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Most researchers believe Most researchers believe the limbic system is the limbic system is

responsible for mediating responsible for mediating the experience of anger.the experience of anger.

It may also play a critical role It may also play a critical role in the expression of anger. in the expression of anger.

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The limbic structures The limbic structures seem to be clearly seem to be clearly

involved with involved with aggressive/violent aggressive/violent

behavior.behavior.

Stimulation, removal or Stimulation, removal or infection of these areas leads infection of these areas leads

to marked alterations in to marked alterations in behavior on this continuum.behavior on this continuum.

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Major and minor Major and minor neurological impairments neurological impairments

are more likely in are more likely in individuals with a history individuals with a history of violent or aggressive of violent or aggressive

behavior.behavior.

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Unhealthy anger (violence Unhealthy anger (violence or aggression) has or aggression) has

multiple causes in addition multiple causes in addition to biological factors.to biological factors.

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Some of those causes Some of those causes include:include:

Childhood traumaChildhood trauma Personality Personality

disordersdisorders Dysfunctional Dysfunctional

family dynamicsfamily dynamics Socio-Cultural and Socio-Cultural and

gender factorsgender factors TemperamentTemperament

Poor role models Poor role models for anger for anger expressionexpression

Mood disordersMood disorders Chronic Health Chronic Health

problemsproblems Substance AbuseSubstance Abuse External factorsExternal factors Internal factorsInternal factors

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When is anger a problem?When is anger a problem? When it is too frequent.When it is too frequent. When it is too intense.When it is too intense. When it lasts too long.When it lasts too long. When it leads to aggression.When it leads to aggression.

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Dealing With AngerDealing With Anger

When done effectively, anger When done effectively, anger control does control does notnot mean mean

bottling it up or keeping a bottling it up or keeping a tight lid on it.tight lid on it.

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Anger management Anger management will will involve several involve several components:components:

Learning how not to get angry in Learning how not to get angry in the first place.the first place.

Keeping anger at a moderate level Keeping anger at a moderate level of intensity and expressing it of intensity and expressing it constructively.constructively.

Using strategies to change Using strategies to change problem situations.problem situations.

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You must become an You must become an “expert” about your “expert” about your

personal anger reactions.personal anger reactions.

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Inappropriate Ways of Inappropriate Ways of Dealing with Interpersonal Dealing with Interpersonal

AngerAnger Aggressive BehaviorAggressive Behavior Passive -aggressive behaviorPassive -aggressive behavior PassivePassive DisplacementDisplacement ScapegoatingScapegoating

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A useful way of dealing A useful way of dealing with interpersonal anger is with interpersonal anger is

to use the assertive to use the assertive model.model.

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The assertive model The assertive model involves:involves:

Identifying the specific behavior of Identifying the specific behavior of the other person that has upset you.the other person that has upset you.

Decide if the issue/behavior is worth Decide if the issue/behavior is worth fighting about.fighting about.

Pick a time . Express your intention Pick a time . Express your intention to discuss/fight.to discuss/fight.

Express your viewpoint using an Express your viewpoint using an assertive model of feedback.assertive model of feedback.

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An Example of the An Example of the assertive model would be:assertive model would be:

WhenWhen: “When you buy expensive : “When you buy expensive items using our savings,. . .”items using our savings,. . .”

The effects are:The effects are: “I feel discounted “I feel discounted and angry.”and angry.”

I would prefer:I would prefer: “I would like for you “I would like for you to consult me on your intention to to consult me on your intention to spend more than $100 from our spend more than $100 from our savings.”savings.”

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Intense anger may require Intense anger may require additional approaches.additional approaches.

Psychopharmacological treatmentPsychopharmacological treatment Cognitive re-structuringCognitive re-structuring Behavioral techniquesBehavioral techniques Address depression or other Address depression or other

problems that are being masked problems that are being masked by anger/rageby anger/rage

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