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Anger provocation as a crisis intervention technique.

The author describes the use of anger provocation, a technique that encourages patients to express their repressed anger to a therapist who makes himself the target for their anger. He presents five case examples to illustrate the positive effects of the technique in crisis and emergency situations. Three of the patients were depressed and withdrawn, one was suffering from conversion hysteria, and one was a paranoid schizophrenic. The author cautions that the technique must be used with discretion only in those cases where the repression of anger is producing major incapacitating symptomatology, but where the anger is not the major source of disorganization.

Abreaction↗

Influence of the serotonin transporter promoter gene and shyness on children's cerebral responses to facial expressions.

BACKGROUND: Childhood shyness can predate social anxiety disorder and may be associated with biased discrimination of facial expressions of emotions. OBJECTIVE: To determine whether childhood shyness, or the serotonin transporter promoter polymorphism genotype, can predict participants' visual event-related potentials in response to expressions of children of similar ages. DESIGN: Study group drawn from an inception cohort of 149 subjects characterized 1 year before the present study by their degree of shyness. SETTING: Third- and fourth-grade schoolchildren. PARTICIPANTS: Forty-nine of the inception cohort children, randomly selected. MAIN OUTCOME MEASURES: Latencies and amplitudes of the N400 waveform in response to happy, neutral, and angry expressions. RESULTS: Shyness predicted significantly smaller N400 amplitudes in response to anger (at Pz: P < or = .04) and to a neutral expression (at Pz: P < or = .047). Shyness was significantly different across the 3 genotypes, the SS genotype being associated with higher shyness levels (analysis of variance: F(2,42) = 4.47, P < or = .02; Tukey honestly significant difference, SS vs LL, P < or = .01). An analysis of covariance showed that neither the type of expression nor the genotype per se influenced the N400 amplitudes, but a significant expression X genotype interaction was found (F(4,72) = 3.57, P < or = .01), sustained by the difference in amplitude of the SS and S carrier subjects compared with the LL subjects when exposed to the anger expression (Tukey honestly significant difference, P < or = .02). CONCLUSION: Children who manifest higher levels of shyness or have 1 or 2 copies of the short allele of the serotonin transporter promoter gene appear to have a different pattern of processing affective stimuli of interpersonal hostility.

Affect↗

Memory for facial expressions: the power of a smile.

Faces with expressions (happy, surprise, anger, fear) were presented at study. Memory for facial expressions was tested by presenting the same faces with neutral expressions and asking participants to determine the expression that had been displayed at study. In three experiments, happy expressions were remembered better than other expressions. The advantage of a happy face was observed even when faces were inverted (upside down) and even when the salient perceptual feature (broad grin) was controlled across conditions. These findings are couched in terms of source monitoring, in which memory for facial expressions reflects encoding of the dispositional context of a prior event.

Adult↗

Effects of emotion concepts on perceptual memory for emotional expressions.

Three experiments tested the hypothesis that explaining emotional expressions using specific emotion concepts at encoding biases perceptual memory for those expressions. In Experiment 1, participants viewed faces expressing blends of happiness and anger and created explanations of why the target people were expressing one of the two emotions, according to concepts provided by the experimenter. Later, participants attempted to identify the facial expressions in computer movies, in which the previously seen faces changed continuously from anger to happiness. Faces conceptualized in terms of anger were remembered as angrier than the same faces conceptualized in terms of happiness, regardless of whether the explanations were told aloud or imagined. Experiments 2 and 3 showed that explanation is necessary for the conceptual biases to emerge fully and extended the finding to anger-sad expressions, an emotion blend more common in real life.

Emotions↗

[Anger].

Anger is universal, its variations in the human species well documented. Under certain conditions, it can even work in our favor. Here, the author examines how we manage anger, its positive and negative aspects, as well as its manifestations--biological and in the form of bodily expressions. Through intellectualizing our anger, she says, we rationalize it. Yet when we act solely out of emotion, we increase our vulnerability. The author suggests appropriate means of expressing our anger and of accepting the anger of dying patients.

Anger↗

Adolescents' experiences of anger in a residential setting.

There is a substantial literature, covering a range of populations, looking at the phenomenon of anger and its expression. However, remarkably little is known about adolescent experiences of anger. The present study looks at adolescent anger within the confines of a residential establishment. Using a qualitative methodology to consider young peoples' own account of anger-provoking incidents, a description is given of typical settings, reactions, and outcomes in angry incidents. The implications of this information for both staff training and anger management programmes is explored.

Adolescent↗

Age, anger regulation and well-being.

Emotion regulation has been argued to be an important factor in well-being. The current study investigated the effects of adult aging on emotional expression, emotional control and rumination about emotional events, focusing on an emotion which is particularly important in social interaction: anger. Measures of anger regulation and well-being were obtained in a sample of 286 adults aged between 18 and 88. Older adults expressed anger outwardly less often, and reported more inner control of anger using calming strategies compared to their younger counterparts. These age differences were not explained by variance in social desirability of responding. Age improvements in negative affect and anxiety were partly explained by age differences in anger regulation suggesting an important role for anger management in good mental health amongst older adults. Further, age improvements in quality of life were explained by variance in anger regulation indicating that improved management of emotions with age is an important factor in maintaining well-being in old age.

Adolescent↗

Exogenous cortisol shifts a motivated bias from fear to anger in spatial working memory for facial expressions.

Studies assessing processing of facial expressions have established that cortisol levels, emotional traits, and affective disorders predict selective responding to these motivationally relevant stimuli in expression specific manners. For instance, increased attentional processing of fearful faces (attentional bias for fearful faces) is associated with fear and anxiety and diminishes after administration of the anxiolytic hormone testosterone. Conversely, attentional bias for angry faces has been associated with higher levels of approach motivation (e.g. anger) and testosterone, but lower levels of cortisol. This negative relation between cortisol levels and bias for angry faces was also seen in a test of biased working memory performance. However, previous research suggests that exogenous glucocorticoids acutely decrease fearful and inhibited behavior and increase aggressiveness. Hypothesizing from these findings, the present study tested this spatial working memory for faces of various emotional expressions (neutral, happy, fearful, and angry) after double-blind, placebo-controlled administration of 40 mg cortisol in 18 healthy young men. It was predicted that cortisol would acutely attenuate memory bias for fearful expressions while increasing memory bias for angry expressions, in effect creating a shift in biased motivated memory from fear to anger. Results largely confirmed the hypotheses. This is the first causal evidence that cortisol differentially regulates spatial working memory for different facial expressions. Possible biological mechanisms are discussed.

Adolescent↗

Deficits in recognition of emotional facial expression are still present in alcoholics after mid- to long-term abstinence.

OBJECTIVE: Emotional facial expression (EFE) decoding skills play a key role in interpersonal relationships. Decoding errors have been described in several pathological conditions, including alcoholism. The aim of this study was to investigate whether EFE decoding skill deficits persist after abstention from alcohol of at least 2 months. METHOD: Alcoholic patients abstinent for at least 2 months (n = 25) were compared with 25 recently detoxified patients and with 25 normal controls matched for age, gender and educational level. Subjects were presented with 40 photographs of facial expressions portraying happiness, anger, sadness, disgust and fear. Each emotion was displayed with neutral, mild, moderate and strong emotional intensity. Each facial expression was judged successively on eight scales labeled happiness, sadness, fear, anger, disgust, surprise, shame and contempt. For each scale, subjects rated the estimated intensity level. A complementary scale assessed the self-estimated difficulty in performing the task. RESULTS: Recently detoxified alcoholics were significantly less accurate than controls, making more EFE labeling errors and overestimating the intensity of the portrayed emotions. Deficits in decoding accuracy for anger and disgust were present in mid- to long-term abstinent patients; intensity overestimation was present in the former and absent in the latter. CONCLUSIONS: Deficits in decoding accuracy for anger and disgust, and to a lesser degree sadness, persist with an abstinence of 2 months and beyond. Right frontotemporal regions and cingulate could be implicated. These deficits may contribute to the social skills deficits frequently encountered in alcoholic patients.

Adult↗

Dynamics of facial expression: recognition of facial actions and their temporal segments from face profile image sequences.

Automatic analysis of human facial expression is a challenging problem with many applications. Most of the existing automated systems for facial expression analysis attempt to recognize a few prototypic emotional expressions, such as anger and happiness. Instead of representing another approach to machine analysis of prototypic facial expressions of emotion, the method presented in this paper attempts to handle a large range of human facial behavior by recognizing facial muscle actions that produce expressions. Virtually all of the existing vision systems for facial muscle action detection deal only with frontal-view face images and cannot handle temporal dynamics of facial actions. In this paper, we present a system for automatic recognition of facial action units (AUs) and their temporal models from long, profile-view face image sequences. We exploit particle filtering to track 15 facial points in an input face-profile sequence, and we introduce facial-action-dynamics recognition from continuous video input using temporal rules. The algorithm performs both automatic segmentation of an input video into facial expressions pictured and recognition of temporal segments (i.e., onset, apex, offset) of 27 AUs occurring alone or in a combination in the input face-profile video. A recognition rate of 87% is achieved.

Algorithms↗

Death and football: an analysis of men's talk about emotions.

This study is concerned with men's talk about emotions and with how emotion discourses function in the construction and negotiation of masculine ways of doing emotions and of consonant masculine subject positions. A sample group of 16 men, who were recruited from two social contexts in England, participated in focus groups on 'men and emotions'. Group discussions were transcribed and analysed using discourse analysis. Participants drew upon a range of discursive resources in constructing masculine emotional behaviour and negotiating masculine subject positions. They constructed men as emotional beings, but only within specific, rule-governed contexts, and cited death, a football match and a nightclub scenario as prototypical contexts for the permissible/understandable expression of grief, joy and anger, respectively. However, in the nightclub scenario, the men distanced themselves from the expression of anger as violence, whilst maintaining a masculine subject position. These discursive practices are discussed in terms of the possibilities for effecting change in men's emotional lives.

Adolescent↗

The facilitative effect of facial expression on the self-generation of emotion.

Twenty-seven female undergraduates completed three tasks: (1) feel four emotions (happiness, sadness, anger, peacefulness); (2) express these emotions, without trying to feel them; and (3) feel and express clearly these four emotions. During each trial subjects pressed a button to indicate when they had reached the required state, and the latency from emotion cue to button press was measured. Heart rate, skin conductance and EMG from four facial sites (brow, cheek, jaw and mouth) were recorded for 15 s before and after the button press and during a baseline period prior to each trial. Self-reports were obtained after each trial. Facial EMG and patterns of autonomic arousal differentiated among the four emotions within each task. Shorter self-generation latency in the Feel-and-Show versus the Feel condition indicated the facilitative effect of facial expression on the self-generation of emotion. Furthermore, the presence of autonomic changes and self-reported affect in the Show condition supports the sufficiency version of the facial feedback hypothesis. The self-generation method employed as an emotion elicitor was shown to reliably induce emotional reactions and is proposed as a useful technique for the elicitation of various emotional states in the laboratory.

Adult↗

Bullying girls - changes after brief strategic family therapy: a randomized, prospective, controlled trial with one-year follow-up.

BACKGROUND: Many girls bully others. They are conspicuous because of their risk-taking behavior, increased anger, problematic interpersonal relationships and poor quality of life. Our aim was to determine the efficacy of brief strategic family therapy (BSFT) for bullying-related behavior, anger reduction, improvement of interpersonal relationships, and improvement of health-related quality of life in girls who bully, and to find out whether their expressive aggression correlates with their distinctive psychological features. METHODS: 40 bullying girls were recruited from the general population: 20 were randomly selected for 3 months of BSFT. Follow-up took place 12 months after the therapy had ended. The results of treatment were examined using the Adolescents' Risk-taking Behavior Scale (ARBS), the State-Trait Anger Expression Inventory (STAXI), the Inventory of Interpersonal Problems (IIP-D), and the SF-36 Health Survey (SF-36). RESULTS: In comparison with the control group (CG) (according to the intent-to-treat principle), bullying behavior in the BSFT group was reduced (BSFT-G from n = 20 to n = 6; CG from n = 20 to n = 18, p = 0.05) and statistically significant changes in all risk-taking behaviors (ARBS), on most STAXI, IIP-D, and SF-36 scales were observed after BSFT. The reduction in expressive aggression (Anger-Out scale of the STAXI) correlated with the reduction on several scales of the ARBS, IIP-D, and SF-36. Follow-up a year later showed relatively stable events. CONCLUSIONS: Our findings suggest that bullying girls suffer from psychological and social problems which may be reduced by the use of BSFT. Expressive aggression in girls appears to correlate with several types of risk-taking behavior and interpersonal problems, as well as with health-related quality of life.

Adolescent↗

Elevated blood pressure and personality: a meta-analytic review.

A meta-analysis of 295 relevant effect sizes obtained from 25,469 participants confirmed expectations that elevated blood pressure (BP) and essential hypertension (EH) would be associated with lower affect expression but with more negative affectivity and defensiveness. The strongest associations occurred for defensiveness and measures of anger and affect expression linked to an interpersonal context(s). However, a number of other factors also were found to moderate associations of BP with personality measures, including awareness of BP status, gender, occupation, and diastolic versus systolic BP assessment. Given these moderators, the authors conclude that a traditional view of personality causing EH is untenable and that, not incorporating multifactorial, synergistic approaches is likely to obscure associations of personality-behavior with EH.

Adult↗

The grief experienced by spousal caregivers of dementia patients: the role of place of care of patient and gender of caregiver.

A comparison of the grief responses of spousal caregivers who cared for their demented partners at home with those who provided ongoing nursing home care, together with an examination of gender differences, is reported here. Four psychological states of grief were examined: anxiety, sadness, anger, and guilt. Sixty spousal caregivers participated in the study: thirty husbands and thirty wives, with equal numbers of home and nursing home caregivers. Content analysis scales were scored to assess the four psychological states. A self-rating, adjective mood scale was also used as a secondary measure of those states. A personal construct model of spousal caregivers' bereavement for their demented partners was developed and provided the two hypotheses about differences in grieving. As predicted, nursing home caregivers expressed significantly higher levels of sadness and guilt than home caregivers. Against prediction, home caregivers expressed significantly more anger than nursing home caregivers. Home caregiving wives were found to be the most angry cohort. Also, as predicted, caregiving wives expressed significantly higher levels of anxiety, sadness, and anger than caregiving husbands. The results of the content analysis scales were confirmed by the secondary measure, but the former measure proved more powerful for detecting statistically significant differences. The inclusion of severity of the patients' dementia, and the spiritually and age of the spousal caregivers as covariates in the statistical analyses showed place of care and gender of caregiver to remain the most powerful predictors of the four psychological states of grief.

Aged↗

Recognition of emotional facial expressions in attention-deficit hyperactivity disorder.

In ADHD, impaired interpersonal relationships have been documented. They have been hypothesized to be secondary to impairment of receptive nonverbal language. Recognition of emotional facial expressions is an important aspect of receptive nonverbal language, and it has been demonstrated to be central to organization of emotional and social behavior. This study investigated the identification of facial expression of four emotions (joy, anger, disgust, and sadness) in a group of 30 children aged 7-12 years who met the DSM-IV criteria for ADHD disorder of the predominantly hyperactive-impulsive type and have no comorbid mental retardation, specific learning difficulties, developmental coordination disorder, pervasive developmental disorders, conduct disorder, bipolar disorder, or substance abuse, and in 30 matched unimpaired control children. The test used includes 16 validated photographs depicting these emotions in varying intensities constructed by morphing. Children with ADHD exhibited a general deficit in decoding emotional facial expressions, with specific deficit in identifying anger and sadness. Self-rating of the task difficulty revealed lack of awareness of decoding errors in the ADHD group as compared with control subjects. Within the ADHD group, there was a significant correlation between interpersonal problems and emotional facial expression decoding impairment, which was more marked for anger expressions. These results suggest suboptimal nonverbal decoding abilities in ADHD that may have important implications for therapy.

Attention Deficit Disorder with Hyperactivity↗

Under assault: the experience of work-related anger in female registered nurses.

This article is Part I of a three part article. Part I describes work-related experiences of anger of female registered professional nurses (N = 9) who participated in phenomenological interviews. Participants ranged in age from 29 to 56 and had practiced nursing for a period of 7 to 34 years. Nurses described being "under assault" in a hostile environment. Military metaphors and similes permeated all the interviews. Subtheme of "under assault" included scapegoating, disrespectful treatment, and lack of support. Anger was a weapon used by the nurse to defend or advocate for patients or self, as well as to attack doctors, peers, patients, and self. Factors within the self such as control versus powerlessness influenced nurses' anger experience and expression. Infighting within the profession prevents mobilization of resources to confront the larger issues of healthcare reform. Nurses must reframe anger as a constructive means of empowerment, rather than a weapon to defend against assault. Part II addresses anger experiences of male registered nurses, and Part III provides recommendations for channeling anger constructively.

Adaptation, Psychological↗

Partly dissociable neural substrates for recognizing basic emotions: a critical review.

Facial expressions are powerful non-verbal displays of emotion which signal valence information to others and constitute an important communicative element in social interaction. Six basic emotional expressions (fear, disgust, anger, surprise, happiness, and sadness) have been shown to be universal in their performance and perception. Recently, a growing number of clinical and functional imaging studies have aimed at identifying partly dissociable neural subsystems for recognizing basic emotions. Convincing results have been obtained for fearful and disgusted facial expressions only. Empirical evidence for a specialized neural representation of anger, surprise, sadness, or happiness is more limited, primarily due to lack of clinical cases with selective impairments in recognizing these emotions. In functional imaging research, the detection of dissociable neural responses requires direct comparisons of signal changes associated with the perception of different emotions, which are often not provided. Only recently has evidence been obtained that the recruitment of emotion-specific neural subsystems may be closely linked to characteristic facial features of single expressions such as the eye region for fearful faces. Investigations into the neural systems underlying the processing of such diagnostic cues for each of the six basic emotions may be helpful to further elucidate their neural representation.

Brain↗