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Anger, depression, and anxiety following heroin withdrawal.

Residents in a detoxification/motivation program for drug users provided speech samples just after detoxification and again 5 weeks later. Content analysis scales were used to obtain scores for Hostility (Inward, Outward, and Ambivalent), Cognitive Anxiety, Pawn, Origin, and Sociality. Comparisons were made with scores from a previous sample of students, unemployed people, and drug users. At the end of the program there were significant positive changes in all scores except those for Hostility Outward and Pawn. Of particular interest was the anger expressed just after detoxification and maintained at a significantly high level during the following weeks. This suggests a need for drug-treatment programs to include specific anger-management interventions.

Adaptation, Psychological↗

[The effects of media violence on aggression: focus on the role of anger evoked by provocation].

This study investigated the effects of anger evoked by earlier provocation on cognition, emotion, and aggressive behavior after being exposed to media violence. Sixty male undergraduates participated in the experiment. Before viewing one of three videos (either highly violent, violent with high entertainment, or nonviolent), half of the subjects were provoked by a confederate posing as another subject. Subjects' heart rates and eyeblink rates were recorded while viewing the video. After viewing the video, subjects described their thoughts that occurred while watching the video and rated their affective reactions toward the video. Finally, subjects' aggressive behavior toward the confederate was measured. Results of covariance structure analysis suggested that (a) anger evoked by provocation and high level of violence in videos additively elicited negative cognition and affect, which further facilitated aggressive behavior, and (b) high level of entertainment in videos elicited positive cognition and affect, which alleviated negative cognition and affect.

Affect↗

Anger as the root cause of malpractice claims.

The virtually unrelenting stress of practicing medicine in the United States today is undoubtedly exerting powerful negative effects on the mood and, by implication, the effectiveness of American plastic surgeons. The author points out that anger is at the root of malpractice claims and offers physicians advice on how to prepare their patients for the realities of plastic surgery. By creating an atmosphere of trust and partnership, physicians can relieve their patients' anxieties and diffuse their anger.

Anger↗

A dance in anger: physician responses to changes in practice.

Although "managed care" means different things to different people, it has become an icon for health care change and is commonly cited as the principle cause for the physician's lament. Successful leaders are finding ways to address the signs, symptoms, and causes of the physician grief reaction to the tumultuous marketplace changes affecting how they view themselves as professionals and how they practice medicine. Health care CEOs continue to place the search for solutions, physician-hospital integration, and the alignment of system and physician incentives as their number one strategic priority. This article reviews common sources of anger and identifies potential solutions. Strategies for dealing with the anger include: (1) recognizing the issues, causes, signs, and symptoms; (2) restoring balance and power; (3) developing new economic partnerships; (4) managing the organizational culture; and (5) educating one another and developing leadership.

Anger↗

Stalking perpetrators and psychological maltreatment of partners: anger-jealousy, attachment insecurity, need for control, and break-up context.

Two studies of the correlates of self-reported courtship persistence, stalking-like behaviors following a relationship break-up, and psychological maltreatment of partners were conducted in samples of male (N = 46 and 93) and female (N = 123 and 110) college students. Approximately 40% (38.5% and 44.6%) engaged in at least one stalking behavior following a break-up. A total of 10.7% (study 1) and 7.6% (study 2) engaged in 6 or more stalking behaviors. Stalking was significantly related to psychological maltreatment of the partner (PMP) prior to the break-up. Being the recipient of the breakup was associated with feelings of anger, jealousy and obsessiveness and with higher levels of courtship persistence, and stalking. A replicated path model showed that anxious attachment and need for control were related to PMP and that need for control had a direct contribution to stalking. For anxious attachment, its connection to stalking was indirect, mediated by the degree of anger-jealousy over the break-up.

Adult↗

Genetics of testosterone and the aggression-hostility-anger (AHA) syndrome: a study of middle-aged male twins.

The aim of this study was to determine the genetic contribution to the variation in testosterone and the aggression-hostility-anger (AHA) syndrome in middle-aged twins. Moreover, the relation between testosterone and this syndrome, and possible common genetic mechanisms were investigated. Towards this end, blood samples were collected at two time points; the AHA syndrome was measured using three questionnaires: the Buss-Durkee Hostility Inventory with seven subscales, the Jenkins Activity Survey and the Spielberger State-Trait Anger Scale. The results showed substantial heritabilities for testosterone (approximately 60%) and moderate to fair heritabilities for the nine measures of the AHA syndrome (23-53%). The best fitting model for testosterone at two time points included a small age component and additive genetic and unique environmental factors, while a multivariate analysis of the nine AHA subscales resulted in an independent pathway model with two common additive genetic and two common unique environmental factors. No correlation between the common genetic factor influencing testosterone and the AHA subscales was found. We did, however, detect a negative correlation between the common environmental factor underlying testosterone and both common environmental factors influencing the nine AHA subscales, which may reflect a tendency for testosterone levels to rise and hostility to drop (or vice versa) after repeatedly experiencing success (or failure).

Adult↗

Positively channeling workplace anger and anxiety. Part II.

Emotions are powerful, free resources for businesses. Just as employee enthusiasm is essential for superior productivity, anger can be harvested for peak performance. An array of psychological and physiological tools have been described to empower employees so they may constructively handle their anger, anxiety, and stress. These tools can be used to reduce health care and workers' compensation costs while creating an effective workplace in which angry outbursts or passive aggressive behavior is rare. Methods for de-escalating angry responses have also been described. Using these techniques can help ensure a nonviolent workplace while inducing a cooperative environment for problem solving and lowering the frustrations of employees.

Adaptation, Psychological↗

Turning workplace anger and anxiety into peak performance. Strategies for enhancing employee health and productivity.

Traditional corporate approaches toward anger and anxiety in the workplace have ignored or exacerbated the problem. Human emotions are not only essential for job performance, they are a free resource that can be harnessed in ethical ways to enhance job productivity. Most of the causes and costs of workplace anger and anxiety can be prevented. In an ideal workplace, employees are internally motivated and self regulating because they are hired with care, placed in jobs serving them as well as the company, and supported with the required resources to accomplish their jobs. When companies treat employees with dignity and make efforts to empower them, employee self confidence and performance grows. Occupational and environmental health nurses are in positions to alter dysfunctional aspects of corporate culture while simultaneously working with individual employees who are angry or anxious. Successful companies are those that nurture their workers while achieving their mission. They treat employees with dignity and respect while challenging them to reach their full potential.

Anger↗

Handling anger in the teacher-student relationship.

Educators across the nation are voicing concern about increases in student incivility, anger, and violence. This article explores causes, manifestations, and consequences of nursing students' anger. Recommendations are offered to faculty for dealing with angry and potentially violent students.

Anger↗

Four- and six-month-old infants' visual responses to joy, anger, and neutral expressions.

24 infants, 12 4-month-olds and 12 6-month-olds, were repeatedly shown slides of 3 facial expressions. The expressions were previously judged by obervers to be indicators of joy, anger, and no emotion, respectively. The duration of the first visual fixation to each presentation of the slides was monitored for each subject. The data indicated that the infants looked at the joy expression significantly more than at either the anger or neutral expressions. The results suggest that infants are capable of discriminating emotion expressions earlier in their development than previous studies have implied.

Anger↗

Anger: the mismanaged emotion.

Mismanaged anger is a significant problem in health care settings. Research-based information is presented on the angry emotionality that nurses frequently encounter. Gender differences in anger are examined. Strategies are presented for dealing with angry patients, physicians, and colleagues.

Adaptation, Psychological↗

Relationships of stressors, strain, and anger to caregiver assaults.

Nursing assistants (NAs) working in nursing homes are at risk for nonfatal workplace violence. The aims of this study were to describe the context in which assaults occur and to identify characteristics of the NAs related to the incidence of assaults. One hundred and thirty eight subjects participated. NAs completed a demographic and employment survey, the Occupational Stress Inventory and the State Trait Anger Expression Inventory-2, and recorded information on an Assault Log for 80 hours of work. The mean number of assaults per NA was 4.69 (range 0-67). Significant relationships were found among incidence of assaults and staffing ratios, age, occupational strain, occupational role stressors, and anger. Results provide new and useful information when planning violence prevention programs for caregivers in nursing homes.

Adolescent↗

Anger: the mismanaged emotion.

Mismanaged anger is a significant problem in health care settings. Research-based information is presented on the angry emotionality that nurses frequently encounter. Gender differences in anger are examined. Strategies are presented for dealing with angry patients, physicians, and colleagues.

Anger↗

Racial discrimination-induced anger and alcohol use among black adolescents.

This study explored whether a relationship exists between anger among Black adolescents that has been provoked by racial discrimination, and alcohol consumption. Participants consisted of 134 Black adolescents from 14 to 18 years of age, residing in northeast Texas. All participants were administered a questionnaire measuring whether and the extent to which they might be dependent upon alcohol, a background information questionnaire which included questions about their drinking pattern, and a measure designed to assess the extent to which they feel angry either because they had been discriminated against or observed other Blacks being discriminated against or observed other Blacks being discriminated against in various situations. Only gender was found to be predictive of scores on the dependency scale. However gender, age, and racial discrimination anger scores were found to be predictive of the amount of alcohol consumed by the participants. Some implications for theory, research, and intervention are suggested.

Adolescent↗

Anger in the operating room.

In the microcosm of the operating room, where all actions and feelings appear intensified, anger can quickly become a significant obstacle to efficient functioning. The ability to therapeutically respond to angry feelings is an important skill for the OR manager. A manager who can respond to another's anger with a cool emotional tone, who can select when and where to express angry feelings, and who can deliberately solve a problem will be respected as a manager as well as a leader whose example should be followed.

Anger↗

Anger control.

Anger is a poorly understood but very common emotion. When it is misdirected or uncontrolled it becomes dangerous. An analysis of anger and a treatment paradigm is presented, and we outline a research project in which we are using the approach with a group of mentally handicapped adults.

Aggression↗

Managing anger in palliative care.

Anger is a commonly encountered emotion in the cancer setting. Understanding its origin is vital but the practitioner needs to facilitate more than the ventilation of feelings; some change in attitude, the provision of social support and the promotion of adaptive coping need to be generated. The perceived unfairness of illness and death commonly underpins anger in the patient with cancer. Management strategies are discussed.

Adaptation, Psychological↗

[The influence of neuroleptics on the emotional anger reaction in animals].

In experimental observations the reaction of anger in cats was tested under the effects of psychotropic drugs. They were inhibited by chlopromazine and trifluoperazine. An even stronger effect on the emotional and in addition on the reaction of aggression is produced by haloperidol. By electrical and chemical stimulation of the anterior section of the hypothalamus and the central substantia grisea the evoked fit of emotion, as regards the vegetative and motor manifestations is repressed by all three preparations; but not as regards the specific components of the anger reaction, like growling and spitting. In further experiments chlorpromazine, trifluoperazine and haloperidol were injected into the nucleus amygdalae and in the nucleus caudatus. This resulted in a pronounced tropism in the amygdaloid nucleus, and a lesser tropism in the nucleus caudatus with the neuroleptica of the phenothiazine type. Haloperidol, on the other hand, did not effect the activity of the nucleus amygdalae and creates an obvious tropism in the nucleus caudatus.

Aggression↗