Anger Flashcards
Anger is often reported as the most _______ emotion
common
When would anger become abnormal?
When it’s too much, for too long, that it’s compromising functioning, causing significant distress, or in response to things not culturally sanctioned
People are seeking mental health services for anger as much as they are for _______ and ______
depression, anxiety
Anger is associated with/risk factor for…
- hypertension/heart problems
- adversely affects relationships
- crimes - murder, rape, domestic violence
- interferes with judgement - risk bx - traffic incidences
What is anger co-morbid with?
50% Substance Abuse
30% Anxiety
15% Depression
5% Bipolar
So, 70% of angry individuals NOT anxious, and 85% NOT depressed
Where is anger found in the DSM?
Mania, PTSD, GAD, MDD, Personality disorders (Borderline, anti-social)
Intermittent Explosive Disorder. Criterion A:
Recurrent behavioural outbursts representing a failure
to control aggressive impulses as manifested by
either:
(1) Verbal outbursts, or physical aggression that does not
result in damage or injury, twice weekly (on average)
for at least three months;
OR
(2) Behavioural outbursts that do result in damage
and/or injury, three times in 12 months
Intermittent Explosive Disorder. Criteria B, C, D:
B. Anger is disproportionate to the provokation
C. Outbursts are not pre-meditated or committed for a certain objective (aka impulsive, not for power, money, etc)
D. Cause distress/imparment
The issue with IED being an anger disorder is that…?
It is an aggression disorder, not an anger disorder. Commonly focuses on outward displays of anger, not inward ones. And suggests that there is an issue with impulse control - but often it is not.
The differences in affective anger and instrumental anger in the DSM are very blurred. What is the difference between these two?
Affective anger - emotional/reactive - fight off police
Instrumental anger - deliberate/intentioned - hit man
The affective anger and instrumental anger distinction can be seen as a ______ _______. This is because most, if not all, anger is seen to be for achieving some ______.
false dichotomy, purpose.
Name some purposes for anger
compliance, threat, intimidation, power, free stuff, etc
Anger in the DSM could also be diagnosed as ______ ______ disorder or ______ ______ _______ disorder but both of these are mainly for children
Oppositional Defiant Disorder
Disruptive Mood Dysregulation Disorder
So in sum, then, if you are an angry adult, but are not
especially violent or impulsive (_____), don’t commit
defiant or malicious acts against authority (____), and
haven’t been a perennial brat since childhood
(______), then you do not have a problem, according
to ______
IED
ODD
DMDD
DSM-5
Anger is excessively misdiagnosed, misunderstood, underserviced, underresearched and undertaught. True or false?
true
