dr.s.p.kandapola arachchige consultant psychiatrist
TRANSCRIPT
Dr.S.P.Kandapola Arachchige
Consultant Psychiatrist
Anger leads to……
Violence Murders Suicides
Accidents Substance
Anger (Temper, Rage, Hatrance)
Anger is an emotion characterized by antagonism toward someone or something you feel has deliberately done you wrong.
Anger• Anger is a normal healthy emotion we all
experience.
• It is unpleasant to self and others.
• Most of the times anger control you instead of you control it.
• When anger gets out of control it causes problems.
Anger
Anger is a repetitive process and it worsen with time.
If it does not control it will be a habit, affects other cognitions and become
a bad personality.
Anger can be caused by some stimuli.
External stimuli
* Others* Objects* Events
Internal stimuli
* Thoughts* Memories* Images
Determinants of anger
Age Gender
Personality Illness
Frustration Environment
Response to Anger
1. Physical health
Hormones-Adrenalin Nor adrenalin Cortisol Diseases- Heart, DM, Cholesterol, BP, Immunity, Insomnia , Headache
Response to Anger
2. Mental Health
Poor attention and concentration. Clouding of thinking. Poor memory. Unhappiness worrying thoughts. Restlessness and agitation. Irritability. Anxiety and depression.
Response to Anger
3. Social Health
Family, work place, extended society.Relationship Problems.Criticism.Bad reputation.Poor trust.Poor respect.Poor success.Poor quality of life.
Anger ↓↓
Reduce life span and prone for
early deaths.
Psychology
When a living being having an any kind of repetitive experience that leads to a
relatively permanent changes in behaviour or knowledge as a result of that
particular experience. Called
LEARNING
Main determinants of Learning
Environment. Conditioning.
Reinforcement.
Anger and impulsivity is a learning process determined by,
Environment, Conditioning, Reinforcement.
LearningClassical conditioning Operant conditioning
Classical conditioning
Operant conditioning
Neurobiology of Learning
Neuroplasticity
NeuroplasticityRefers to changes in neural
pathways and synapses due to changes in behaviours, thinking,
emotions, environment etc.
Can occur in various levels from cellular to large scale like cortical
mapping.
Neuroplasticity
Modification of existing neuronal circuits and formation of new
circuits.
Neuronal changes related to maturation and physical changes
are not Learning.
Neuroplasticity
Brain- Mapping
Strategies to control Anger
1. Relaxation.2. Distraction.3. Cognitive re structuring.4. Problem solving.5. Better communication.6. Changing environment. Avoidence, finding alternatives.
Management of Anger
Reverse the maladaptive learning.↓
Repetitive experience of reverse (good) thoughts and behaviours.
↓Rdeuce anger due to conditioning with
good thoughts.
Anger management
Reverse conditioning can be combine with
Mindful Therapy
Mindful TherapyMost popular and effective psychotherapy
today.
Keep awareness of mind and thoughts and this will help to keep mind still.
↓Reduce stress, sorrow, anger etc.
Practical point of view….
Meditation of Loving kindness.
සබ්බේබ් සත්තා� භවන්තුසුඛිතාත්ථා�
සියළු සත්ත්වබේය� සුවපත්බේවත්ව�
කරණීය බේ�ත්තාසූතා�ය
lrKSh fu;a; iQ;%h’’’’’^fu;a jeãu&
ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’01’ hula lsrSfï Yla;sfhka hqla; nj ^ ilafl`&
02’ iDcq nj” wjxl nj ^ WcQp’’’’&
03’ ukdj iDcq nj” w;sYhska wjxl nj ^ iQcQp’’’&
04’ lSlre nj” myiqfjka hula ta;a;+ .ekaúh yels nj ^ iqjp’’’’&
05’ uD¦ .;s we;s nj^ uq¦&
lrKSh fu;a; iQ;%h’’’’’^fu;a jeãu&
06’ ksy;udkS nj ^ wk;sudkS’’’&
07’ ,o fohska i;=gqùu ^ ika;=Épfl`p&
08’ myiqfjka fm`Ikh l, yels ^ iqNfr`p’’’&
09’ lghq;= nyq, fkdùu^ wmamlsÉfp`P&
10’ ir, nj ^ i,a, jql jq;a;S’’’&
ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’
lrKSh fu;a; iQ;%h’’’’’^fu;a jeãu&
11’ ikaiqka b¬rka we;s nj ^ ika;skaøska;sfh`p&12’ kqjKe;s nj ^ ksmfl`p&
13’ f.dfr`iq yeisrSï ke;s nj ^ wmam.ífn`’’’&
14’ mjq flfrys fkdwe,Su ^ l=f,aiq wkkq.soafo`&
15’ kqjKe;shkaf.ka fodia weiSug is¦jk lsis¦ fohla fkdlsrSu ^ kp Lqoaox iudpf¹ lsxÑfhak ú{af{`mf¹ Wmjfohshx’’’&
ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’
ffu;%S jvkafka ldgo @“iífí i;a;d Njka;= iqLs;;a;d” ^ ishÆ i;a;ajfh`&
01’ flf,ia ksid ;efjk”ief,k” ìfhka isák yd flf,iqka kid oeuQ i;a;ajfh` ^fha flaÑ mdKN+;;a:s :id jd idjrd jd wkjfiaid’’’’&
02’ os.= YrSr”flá YrSr”uOHu m%udK YrSr”l=vd YrSr we;s i;a;ajfh`’’ ’^ oS.djdfha uyka;djd ucAcsudriai ldkqll;+,d &
03’ weig fmfkk” fkdfmfkk YrSr we;s i;a;ajfh`’’ ’^ osÜGd jd fhaj woaosÜGd’’’&
04’ ¦r iy ,. fjfik ^ fhap ¦f¹ jika;s wú¦f¹ &
05’bm¦kq bmoSug n,d isák ^N+;d jd iïnfõiSjd’’’&
ffu;%S jvkafka flfia o @
01’ lsisfjl= ;j;a flfkla fkd/jáh hq;=h’ my;a fldg fkdie,lsh hq;=h”oafõYfhka fy` .eàï j,ska ;j wfhl=f.a ¦l fkdme;sh hq;=h’ ^kmfr` mrx ksl=ífí; {d;s ‘’’’’’Ñkx lxÖLHdfr`ikd má. i{a{d {d{a{u{a{xiai ¦laL ñÉfphsh’’&
02’ ujla ;u tlu mq;= osú mqrd rlskakdfia ish÷ i;=ka fj; wmrsudkj fu;a jeäh hq;=h’^ ud;d h:d kshx mq;a;x’’’ &
ffu;%S jvkafka flfia o @
03’ wmrsudk úYajfha Wv”hg”;sria”jgrjqï hk iuia:h ;=, lsis¦ foaY iSud ndOl j,ska f;drj ;rylrejka i;=rka hk fío j,ska f;drj ish÷ i;=ka fj; wmrsudkj fu;a jeäh hq;=h’^ fu;a;xp iín f,`liañx’’’’&
04’ fï i|yd iQodkïj jdäù muKla fkdj isàu” ys|Su weúoSu yd os.dù isàu hk ish÷ brshõ j,oS l, hq;=h’^ ;sÜGx prx ksiskafk`jd ihdfk`jd hdj;iai ú.; ñoafO`’’’&
wjika m%;sM,h
fufia iuia; úYajh ;=, i;=re ñ;=re ish÷ i;a;ajhka fj; ffokslj iEu fudfyd;lu iEu
brshõjlu isg ffu;%S jeãu ;=,ska n%yau úydr
fyj;a fY%IaG ^n%yaufhl=g iudk & cSú;hla njg m;afõ^ ta;x i;sx wosÜfGhsh n
%yau fï;x úydrx boudyq’’’’&
“ osÜGsxp wkqm.ïuYS,jd oiaifkak iïmkafk` ldfïiQ úffkhsh f.aox
kys cd;= .ín fihshx mqkf¹;S:s’”
ffu;%S Ndjkdfõ wkqyia’’’’’01’ iqjfia kskaog hhs’
02’ iqjfia msìfohs’
03’ kmqre isysk fkdolshs’
04’ ñksiqkag m%sh fõ
05’ wukqIHhkag m%sh fõ’
06’ foúhka wdrlaId lrhs’
07’ ji úi”wdhqO” .sks wdos wk;=re j,ska je,fla’
08’ uqyqK meyem;a fõ’
09’ u;l Yla;sh jeäfõ’
10’ isysuq,d fkdù urKhg m;afõ
11’ urKska miq nU f,dj WmoS’
“ osÜGsxp wkqm.ïuYS,jd oiaifkak iïmkafk` ldfïiQ úffkhsh f.aox
kys cd;s .ín fihshx mqkf¹;S:s’”
- f;rejka irKhs’’’
Thank You