Lecture 19: Anger

Question 1

What is anger

Answer 1

• one of basic emotions
• first negative emotion to develop in baby
  
  • emerges from 4 months
  • to someone by 7 months
• animal overlap

Question 2

is anger the most commonly occurring negative emotion

Answer 2

yes, even when including for mild anger

- more than fear, anxiety, sadness

Question 3

what are the damages of anger

Answer 3

• DV
• assault
• murder, rape
• risk of hypertension, heart related disease
• interfers with judgment, problem solving, negotiating
• angry-aggressive driving
• affects relationships

Question 4

what is anger responsible of

Answer 4

neuroticism partner effect, over and above depression and anxiety

Question 5

comorbidity?

Answer 5

• high levels of comorbid drug and alcohol (over 50%)
• distant 2nd place anxiety disorders
• depression + dysthymia (about 15%)
• bipolar (5%)

Question 6

are majority of angry people depressed?

Answer 6

no, v little

Question 7

Is there anger in DSM-5?

Answer 7

no, but listed as possible symptom of:

• mania
• major depressive disorder
• premenstrual dysphoric disorder
• posttraumatic stress disorder
• GAD
• Axis-2 disorders

Question 8

what are the Axis-2 disorders

Answer 8

• borderline (intense anger)
• antisocial (irritable, aggressive)
• paranoid (grudge, unforgiving)
  PDs that are most frequent in angry people

Question 9

is anger a disorder?

Answer 9

not stated anywhere in DSM

• not specific
• no real disorder

Question 10

DSM-5: intermittent explosive disorder

Answer 10

A. Recurrent beh. outbursts–> showing failure to control aggressive impulses as either:
1. verbal outbursts, physical aggression that doesn’t result in damage (twice weekly for 3 months)
2. beh. outbursts that result in damage (3 times in 12 months)
B. Aggression disproportionate to occasion
C. Outbursts not planned, not done to get tangible stuff like money
D. Outbursts cause distress
E. Needs to be at least 6 yrs
F. Not better explained by another disorder

Question 11

intermittent explosive disorder

Answer 11

• commonly diagnosed to people w/ anger issues –> even w/o aggression
• aggression disorder, NOT anger disorder
• wouldn’t apply to v angry who isn’t aggressive
• emphasis on aggression in academic community

Question 12

aggression in IED is caused by

Answer 12

general impulse-control problem

Question 13

what did DSM fail to include for IED?

Answer 13

• doesn’t include angry person who have occasional outbursts, or express in nonverbal way
• most IEDs stop outbursts with police, bosses– doesn’t capture method in madness

Question 14

angry aggression

Answer 14

serves purpose= operate on world

- causes differences in power, intimidation, money)

Question 15

aggression develops through…

Answer 15

operant learning
Ex.
- parents w/ children–> compliance
- husbands w/ wife–> power, sex

Question 16

Disruptive Modd Dysregulation Disorder

Answer 16

A. Severe recurrent temper outbursts–> out of proportion to situation
B. Inconsistent w/ developmental level
C. Occur on avg 3 or more times weekly
D. Mood between outbursts= always irritable or angry most of day / nearly everyday= observable by others (ex. parents, teachers)

Question 17

why is anger so neglected?

Answer 17

• avoid therapy
• don’t want to confront it
• because of history of beh. theories (which edit out emotional component)
• freudian theories–> explain anger as secondary symptom

Question 18

what are exs. of anger fallacies and treatment implications

Answer 18

• venting= useful
• low self esteem= treated as depression
• anger is biological, physical= relaxation
• anger is impulsive problem= self-instructional training
• anger is jut mask for anxiety= treated as anxiety
• anger is classically conditioned= repeated experience