8/3/2019 anger CWC (2)

1/30

Dr. C Mahadeo, Asc., MBBS, DSurg.

General Surgeon

GPHC

8/3/2019 anger CWC (2)

2/30

What is Anger? Difficult to define, but we all know what it is

A strong feeling of displeasure or hostility.

Latin root angere "to throttle, torment;" Currently, very little is known about the biological and

physiological aspects of anger

There is, however, a large amount of information

available on the causes of emotions in general

8/3/2019 anger CWC (2)

3/30

A Definition to make you AngryAnger is described as a negative phenomenological

experience that exists on a continuum in which thefrequency, intensity, and duration of the experience,along with expressive (i.e., subjective, physiological,interpretive, and behavioral) characteristics, oftenleads to significant impairment (e.g., Kassinove &Sukhodolsky, 1995; Kassinove & Tafrate 2002; Novaco,1975).

8/3/2019 anger CWC (2)

4/30

First TruthAnger is:

Real

Sometimes uncontrollable Causes physiological changes in the body

Causes mental changes

Disastrous consequences if uncontrolled

Murder Maiming

Arson etc.

8/3/2019 anger CWC (2)

5/30

Lies Gives a feeling of power

Self-Righteous

Command attention Makes subordinates obey commands

This is not cool!

Is this You?

8/3/2019 anger CWC (2)

6/30

Theories Explaining Anger Evolutionary

Thalamic

James-Lang Cognitive

These are all incomplete and lack certain components,however, we know how anger feels!!

8/3/2019 anger CWC (2)

7/30

Do you think she is Angry?

8/3/2019 anger CWC (2)

8/30

What do I do?Ask your self a few questions..

Who controls your anger?

Who can make you angry? Answer: ?

8/3/2019 anger CWC (2)

9/30

The Answer??

You!!

8/3/2019 anger CWC (2)

10/30

FactsAnger is not: a reflex

automatic

caused by others

Impossible to control

Anger is: a result of our thinking

a choice

controlled by your ownthinking

Can be sudden or slowonset

8/3/2019 anger CWC (2)

11/30

A-B Theory of Emotional Arousal

A BEvent e.g. Consequent EmotionSomebody pushes 1. Annoyancein line ahead of you 2. Anger3. Reaction

8/3/2019 anger CWC (2)

12/30

A-B-C Theory of Emotional Arousal

A B CEvent Beliefs EmotionSomeone pushes Inconsiderate 1.AnnoyanceIn the line ahead such a fool 2. Anger

3.Reaction

8/3/2019 anger CWC (2)

13/30

What can we do? Develop keys to anger control

Recognize that your thoughts control your anger;

Accepting that you alone can control your anger; Choosing how much and how long you want to be

angry;

Controlling your anger by controlling your thinking.

Develop a conscious meditative skill Recognizing when you are becoming angry

8/3/2019 anger CWC (2)

14/30

Anger ManagementSkills needed in dealing with your anger:

1. Identify a range of feelings including anger

2. Identify aggressive acts by self and others

3. Identify the potential consequences to self and

others from these aggressive acts4. Identify self-destructive behavior

5. Identify thoughts prior to aggressive acts

6. Identify internal cues to feelings of anger

7. Develop coping mechanisms for dealing withanger

8. Express anger without loss of control

8/3/2019 anger CWC (2)

15/30

Identifying Anger Triggers AVOID THESE TRIGGERS AS MUCH AS POSSIBLE

Embarrassment

Excitement

Disappointment

Jealousy Fear

Helpless

Sadness

Left-out/Not-credited for work Extreme unwarranted criticism

Allowing 3rdparty influence and others to steal yourhappiness

8/3/2019 anger CWC (2)

16/30

Learn methods of Control/ReasoningI am in charge of my own

feelings:

1. I own my feelings.

2. It is okay to feelangry.

3. Anger is part of being

human.4. I learn how to expressmy anger in helpful

ways.

8/3/2019 anger CWC (2)

17/30

What aggressive acts do we have?? Throw something Kick someone or something Get in someones face Shoving, grabbing, hitting Break something Call someone names

Give someone a dirty look Silent treatment Get others to gang up Spread rumors

8/3/2019 anger CWC (2)

18/30

What do I do??? I choose to feel good about myself through

expressing my feelings.

I express angry feelings in ways that arefair to others and me.

I use fairness with judgment

I attempt full emotional control when Irecognize that I am angry

8/3/2019 anger CWC (2)

19/30

The more I learn to take care of my angerthe more powerful I become.

1. I need to control what I do with my anger.

2.I control how I let my anger out.

3.I practice cooling off.

4.I watch my thoughts.

8/3/2019 anger CWC (2)

20/30

Other Methods of control Finding ways to stay calm and collected:

1. Get exercise every day.

2. Eat right.3. Get enough sleep.

4. Learn to relax.

5. Know your feelings.

6. Write about those feelings.

8/3/2019 anger CWC (2)

21/30

Suppose I am losing control?? Think of the consequences of your action as follows:

Physical harm to others or self e.g. suicide

Destruction of property e.g. burn the house Loss of family/friends e.g divorce or murder

Loss of job

Loss of social privilegesGoing to jail

Getting a bad reputation

8/3/2019 anger CWC (2)

22/30

What can make me lose control?Anything that dulls my senses loss of reason

ALCOHOL: all types

NARCOTICS: cocaine, crack

HALLUCINOGENS: marijuana, ganja STIMULANTS: amphetamine, ecstasy

LOCATION: being in the wrong place at the wrong time

ASSOCIATION: being in the wrong company you

become ensnared in the vices STUPIDITY AND SELF DESTRUCTIVE TENDENCIES

e.g. negative talk, blaming others, reckless driving,promiscuity.

8/3/2019 anger CWC (2)

23/30

Universal SolutionsAccept responsibility for your actions

Stop blaming others

Carefully think about the situation prior to reaction

Learn to recognize internal feelings of anger andcontrol them e.g. grinding teeth, clenching fists etc

Understand that anger may need to be vented so find away of releasing it responsibly e.g. discussion

Know of the things that pushes your buttons; avoidthem

THINK CAREFULLY!!!

8/3/2019 anger CWC (2)

24/30

Summarize a situation THINK CAREFULLY!!!

Calm yourself

Find possible solutions

Evaluate them carefully

Pick the best solution Institute the necessary change(s)

Exercise extreme respect and regard for others if youhave to diffuse a situation; be FAIR in judgment.

Congratulate yourself on a job well done.

8/3/2019 anger CWC (2)

25/30

Is this only talk? No!!!!

There is evidence that anger is the root of almost allstressful and violent events

Publications in the journals of Occupational health and safety

British journal of Psychiatry

American journal of Psychiatry etc.

Himalyan and Patanjali yoga system

All books on Hindu Philosophy

Daily newspapers

C E N H dli

8/3/2019 anger CWC (2)

26/30

Current Events: News Headlines

Man kills wife and attempts to hang self at Tain

Man chops wife and commits suicide Man chops wife and mother-in-law

Wife dies at home husband arrested, suspected foul play(husband alcoholic) [Canjie Berbice]

Magistrate Tejnarine Ramroop pulled no punchesyesterday as he blamed excessive alcohol and drug use onthe many cases of domestic violence in Berbice

Man from Rampoor charged for malicious wounding ofwoman [KN, July 28]

Man drowns 2 children after argument with wife and thenhangs self in Essequibo

ETC.

What do these cases all have in common???

8/3/2019 anger CWC (2)

27/30

AnswerAlcohol was involved in all cases

All were Hindus!!

8/3/2019 anger CWC (2)

28/30

PARTICIPATION IN EMOTION

CONTROL SESSION

sangas tesuupajaayate

sangaat sanjaayate kaamahkaamaat krodho 'bhijaayate (BG. 2:62)

While contemplating the objects of the senses, a person

develops attachment for them, and from suchattachment lust develops, and from lust anger arises.

8/3/2019 anger CWC (2)

29/30

krodhaad bhavati sammohah

sammohaat smrti-vibhramahsmrti-bhramsaad buddhi-naaso

buddhi-naasaat pranasyati (BG. 2:63)

From anger, complete delusion arises, and fromdelusion bewilderment of memory. When memory isbewildered, intelligence is lost, and when intelligence

is lost one falls down again into the material pool.

8/3/2019 anger CWC (2)

30/30