Clinicians Ought to View Anger Contextually

1993 ◽  
Vol 10 (4) ◽  
pp. 208-218 ◽  
Author(s):  
Raymond W. Novaco

Constructions of the experiential sources of anger, both in ordinary language accounts and in scientific studies, are characterised by a proximity bias. Anger is commonly represented as being due to acute, proximate occurrences. However, anger can be alternatively understood to be a product of contextual conditions, which may involve distal or ambient determinants. The themes of embeddedness, interrelatedness, and transformationality, derived from the contextual perspective of Stokols in environmental psychology, are presented for the understanding of anger as pertinent to clinical concerns and as heuristics for anger management interventions.

2018 ◽  
Vol 17 (2) ◽  
pp. 27
Author(s):  
McKenzie Seaton, LAT, ATC, MSRT Student ◽  
Victoria DeFazio, CTRS ◽  
Heather R. Porter, PhD, CTRS

The purpose of this systematic review is to examine the efficacy of anger management interventions for individuals with traumatic brain injury (TBI). A total of 4,178 articles were identified of which six met the inclusion criteria. Anger management interventions included TBI education, anger education, emotional recognition, support, and maintenance of an anger log. Data were collected on eight outcomes (trait anger, anger expression-out, anger control, self-reported aggressiveness, anger recognition strategies, well-being, self-reported anger, and treatment satisfaction) with mixed findings. Suggestions for recreational therapy practice are provided. Further research is needed, particularly for the pediatric and adolescent TBI population.


2004 ◽  
Vol 1 (1) ◽  
pp. 47-56 ◽  
Author(s):  
John E. Lochman ◽  
Nicole R. Palardy ◽  
Heather K. McElroy ◽  
Nancy Phillips ◽  
Khiela J. Holmes

2019 ◽  
Author(s):  
Margaret-Anne Mackintosh ◽  
Carolyn J Greene ◽  
Lisa H Glassman ◽  
Emy A Willis ◽  
Kim M Schaper ◽  
...  

BACKGROUND Dysregulated anger as part of posttraumatic stress disorder (PTSD) can disrupt interpersonal functioning and negatively impact mental and physical health. However, many individuals are not able or willing to access clinic-based services. Self-management interventions, such as web-based programs, can reach those who need treatment but are not obtaining care from clinics. OBJECTIVE This paper describes a pilot study investigating a self-directed web-based anger management intervention, combined with brief clinician-level support, for veterans. METHODS The Anger and Irritability Management Skills (AIMS) course is an eight-session cognitive-behavioral program. This intervention was augmented with weekly phone-based coaching to enhance treatment engagement. Six males living on the Hawaiian Islands enrolled in the study. RESULTS Results broadly supported the feasibility, efficacy, and usability of the AIMS intervention with briefing coaching. Four of the six (67%) participants completed the study. Three of these four (75%) demonstrated statistically significant reductions in anger symptoms. AIMS received high usability ratings. Participants reported phone coaching to be helpful in completing the intervention and learning anger management skills. Individuals who terminated treatment early had higher anger and mental health scores at baseline compared to those who completed the intervention. CONCLUSIONS The AIMS intervention with brief clinician-level coaching performed well across several indicators, including feasibility, usability, treatment engagement, and initial efficacy. Results highlight the utility of self-management interventions along the continuum of care. CLINICALTRIAL pilot study


2020 ◽  
Author(s):  
Maggi Mackintosh

BACKGROUND Dysregulated anger as part of posttraumatic stress disorder (PTSD) can disrupt interpersonal functioning and negatively impact mental and physical health. However, many individuals are not able or willing to access clinic-based services. Self-management interventions, such as web-based programs, OBJECTIVE This paper describes a pilot study investigating a self-directed web-based anger management intervention, combined with brief clinician-level support, for veterans.can reach those who need treatment but are not obtaining care from clinics. METHODS The Anger and Irritability Management Skills (AIMS) course is an eight-session cognitive-behavioral program. This intervention was augmented with weekly phone-based coaching to enhance treatment engagement. Six males living on the Hawaiian Islands enrolled in the study. RESULTS Results broadly supported the feasibility, efficacy, and usability of the AIMS intervention with briefing coaching. Four of the six (67%) participants completed the study. Three of these four (75%) demonstrated statistically significant reductions in anger symptoms. AIMS received high usability ratings. Participants reported phone coaching to be helpful in completing the intervention and learning anger management skills. Individuals who terminated treatment early had higher anger and mental health scores at baseline compared to those who completed the intervention. CONCLUSIONS The AIMS intervention with brief clinician-level coaching performed well across several indicators, including feasibility, usability, treatment engagement, and initial efficacy. Results highlight the utility of self-management interventions along the continuum of care.


1995 ◽  
Vol 58 (10) ◽  
pp. 427-431 ◽  
Author(s):  
Helen O'Neill

Many occupational therapists working in the field of mental health are now using anger management interventions as an Integral part of the treatment offered. The challenges of anger and aggression have become particularly topical because of the recent legislative changes in the provision of care of mentally Ill people. Research shows that anger is a predictor of aggression, so a method of assessing high levels of anger must in turn help to illustrate one of the risk factors of aggression. Part 1 of this article draws attention to the assessment of anger, introduces a newly developed measure — the Novaco Anger Scale, and offers a user's perspective based on a recent study.


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