Abstract
This chapter adopts the psychoevolutionary position that anger, like any emotion, is part of a repertoire for handling various adaptational demands. However, it is explained that anger can become maladaptive in terms of the current conceptualization of what constitutes a psychological disorder. In such instances, the treatment options range from philosophico-religious approaches to standalone techniques. Shadowing recent trends in psychotherapy, a case is made for the integration of techniques to regulate anger. As shown, these are sequentially ordered according to phases for prevention, intervention, and postvention of anger. This parallels the course of anger from its onset, through its progression, to its resolution. As illustrated, the prevention phase is primarily behavioral, the intervention phase centers around cognitive strategies, and the postvention phase invokes affective therapies. The resulting cognitive–behavioral affective therapy (CBAT) is programmatic in the additional sense that there is a built-in contingency with which techniques are used. CBAT is more expansive in scope than CBT and in step with the current renaissance of affect as a topic of study within psychology and other disciplines. Preliminary empirical data are reported on the outcome of this program. The large effect sizes obtained are supportive of the absolute and relative efficacy of CBAT in regulating anger. Further research is encouraged for the implementation and evaluation of this integrative program in diverse populations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision (DSM-IV-TR). Washington, DC: American Psychiatric Publishing.
Augsburger, D. (1986). An existential approach to anger management training. Journal of Psychology and Christianity, 5, 25–29.
Bankart, C. P. (2006). Treating anger with wisdom and compassion: A Buddhist approach. In E. L. Feindler (Ed.), Anger related disorders: A practitioner’s guide to comparative treatments (pp. 231–255). New York: Springer.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities.
Beck, R. & Fernandez, E. (1998a). Cognitive-behavioral self-regulation of the frequency, duration, and intensity of anger. Journal of Psychopathology and Behavioral Assessment, 20, 217–229.
Beck, R. & Fernandez, E. (1998b). Cognitive-Behavioral Therapy in the treatment of anger: A meta-analysis. Cognitive Therapy and Research, 22, 63–74.
Ben-Zur, H. & Breznitz, S. (1991). What makes people angry: Dimensions of anger evoking events. Journal of Research in Personality, 25, 1–22.
Bunt, L. & Pavlicevic, M. (2004). Music and emotion: Perspectives from music therapy. In P. N. Juslin & J. A. Sloboda (Eds.), Music and emotion: Theory and research. New York: Oxford University Press.
Bushman, B. J. (2002). Does venting anger feed or extinguish the flame? Catharsis, rumination, distraction, anger and aggressive responding. Personality and Social Psychology Bulletin, 28, 724–731.
Cannon, W. B. (1929). Bodily changes in pain, hunger, fear, and rage (2nd ed.). New York: Appleton.
Carver, C. S. & Harmon-Jones, E. (2009). Anger is an approach-related affect: Evidence and implications. Psychological Bulletin, 135, 183–204.
Castonguay, L. G. & Goldfried, M. R. (1994). Psychotherapy integration: An idea whose time has come. Applied and Preventive Psychology, 3, 159–172.
Clement, P. W. (1986). Behavioral approaches to anger management training. Journal of Psychology and Christianity, 5, 41–49.
Conoley, C., Conoley, J., McConnell, J. A., & Kimzey, C. E. (1983). The effect of the ABC’s of rational emotive therapy and the empty-chair technique of Gestalt therapy on anger reduction. Psychotherapy: Theory, Research and Practice, 20, 112–117.
Currie, M. (2004). Doing anger differently: A group percussion therapy for angry adolescent boys. International Journal of Group Psychotherapy, 54, 275–294.
Day, A., Howells, K., Mohr, P., Schall, E., & Gerace, A. (2008). The development of CBT programmes for anger: The role of interventions to promote perspective-taking skills. Behavioural and Cognitive Psychotherapy, 36, 299–312.
Day, A., Howells, K., Nakata, M., Davey, L., Wanganeen, R., & De Santolo, J. (2006). The development of culturally appropriate anger management programs for indigenous people in Australian prison settings. International Journal of Offender Rehabilitation and Comparative Criminology, 50, 520–539.
Deffenbacher, J. L., McNamara, K., Stark, R. S., & Sabadell, P. M. (1990). A combination of cognitive, relaxation, and behavioral coping skills in the reduction of general anger. Journal of College Student Development, 31, 351–358.
Deffenbacher, J. L. & Stark, R. S. (1992). Relaxation and cognitive-relaxation treatments of general anger. Journal of Counseling Psychology, 39, 158–167.
Deffenbacher, J. L., Story, D. A., Stark, R. S., Hogg, J. A., & Brandon, A. D. (1987). Cognitive-relaxation and social skills interventions in the treatment of anger. Journal of Counseling Psychology, 34, 171–176.
DiGuiseppe, R. & Tafrate, R. C. (2003). Anger treatment for adults: A meta-analytic review. Clinical Psychology: Science and Practice, 10, 70–84.
Drabman, R. S., Jarvie, G. J., & Archbold, J. (1976). The use and misuse of extinction in classroom behavioral programs. Psychology in the Schools, 13, 470–476.
Dua, J. K. & Swinden, M. L. (1992). Effectiveness of negative-thought-reduction, meditation, and placebo training treatment in reducing anger. Scandinavian Journal of Psychology, 33, 135–146.
Duckworth, M. P. & Mercer, V. (2006). Assertiveness training. In J. E. Fisher & W. T. O’Donohue (Eds.), Practitioner’s guide to evidence-based psychotherapy (pp. 80–92). New York, NY: Springer Science + Business Media.
Ellis, A. & Dryden, W. (1997). The practice of rational emotive therapy (2nd ed.). New York: Springer.
Fernandez, E. (1999). Integrating therapeutic techniques: The case of anger. The First Mid-Atlantic Conference, Society for Psychotherapy Research, Baltimore.
Fernandez, E. (2001). Sequential integration of cognitive-behavioral and experiential techniques for regulating anger. Workshop conducted at the Annual Conference of the Society for the Exploration of Psychotherapy Integration, Santiago, Chile.
Fernandez, E. (2002). Anxiety, depression, and anger in pain: Research findings and clinical options. Dallas, TX: Advanced Psychological Resources.
Fernandez, E. (2003a). Anger regulation in adolescence. In T. Gullotta & M. Bloom (Eds.), Encyclopedia of primary prevention and health promotion (pp. 195–199). New York: Kluwer Academic/Plenum Publishers.
Fernandez, E. (2003b). Anger regulation in childhood. In T. Gullotta & M. Bloom(Eds.), Encyclopedia of Primary Prevention and Health Promotion (pp. 190–195). New York: Kluwer Academic/Plenum Publishers.
Fernandez, E. (2008). The angry personality: A representation on six dimensions of anger expression. In G. J. Boyle, D. Matthews & D. Saklofske (Eds.), International handbook of personality theory and testing: Vol. 1: Personality theories and models (pp. 402–419). London: Sage.
Fernandez, E. & Beck, R. (2001). Cognitive-behavioral self-intervention versus self-monitoring of anger: Effects on anger frequency, duration, and intensity. Behavioural and Cognitive Psychotherapy, 29, 345–356.
Fernandez, E. & Kerns, R. D. (2008). Anxiety, depression, and anger: The core of negative affect in medical populations. In G. J. Boyle, D. Matthews & D. Saklofske (Eds.), International Handbook of Personality Theory and Testing: Vol. 1: Personality Theories and Models (pp. 659–676). London: Sage.
Fernandez, E. & Scott, S. (2009). Anger treatment in chemically-dependent inpatients: Evaluation of phase effects and gender. Behavioural and Cognitive Psychotherapy, 37, 431–447.
Fernandez, E. & Turk, D. C. (1995). The scope and significance of anger in the experience of chronic pain. Pain, 61, 165–175.
Fischetti, B. A. (2001). Use of play therapy for anger management in the school setting. In Drewes, A. A., Carey, L. J., & Schaefer, C. E. (Eds.), School-based play therapy (pp. 238–255). Hoboken, NJ: Wiley
Garfield, S. L. (1995). Psychotherapy: An eclectic-integrative approach. New York: Wiley.
Glass, C. R., Arnkoff, D. B., & Rodriquez, B. F. (1998). An overview of directions in psychotherapy integration research. Journal of Psychotherapy Integration, 8, 187–209.
Greenberg, L. S. & Goldman, R. N. (2008). Emotion-focused couples therapy: The dynamics of emotion, love, and power (pp. 351–364). Washington, DC, USA: American Psychological Association.
Heinrichs, D. J. (1987). A psychoanalytic approach to anger management training. Journal of Psychology and Christianity, 5, 12–24.
Herd, V. & Fernandez, E. (2005). The Efficacy of Integrative CBAT in regulating maladaptive anger. The 21st Annual Meeting of the Society for the Integration of Psychotherapy. Toronto, Canada.
Holmes, J., & Bateman, A. (Eds.). (2002). Integration in psychotherapy: Models and methods. New York: Oxford University Press.
Keltner, D., Haidt, J. & Shiota, M.N. (2006). Social functionalism and the evolution of emotions. In M. Schaller, J.A. Simpson & D.T. Kenrick (Eds.), Evolution and social psychology (pp. 115–142). Madison, CT: Psychosocial Press.
Knafo, D. & Moscovitz, S. (2006). Psychoanalytic treatment of anger and aggression. In E. L.Feindler (Ed.), Anger related disorders: A practitioner’s guide to comparative treatments (pp. 97–114). New York: Springer.
Korotitsch, W. J. & Nelson-Gray, R. O. (1999). An overview of self-monitoring research in assessment and treatment. Psychological Assessment, 11, 415–425.
Lazarus, A. A. (1967). In support of technical eclecticism. Psychological Reports, 21, 415–416.
Levine, M. (2000). The positive psychology of Buddhism and Yoga: Paths to a mature happiness: With a special application to handling anger. Mahwah, NJ: Lawrence Erlbaum.
Liebmann, M. (2008). Art therapy and anger. London, England: Jessica Kingsley Publishers.
Lochman, J. E. & Lenhart, L. A. (1993). Anger coping intervention for aggressive children: conceptual models and outcome effects. Clinical Psychology Review, 13, 785–805.
London, P. (1988). Metamorphosis in psychotherapy: Slouching toward integration. Journal of Integrative and Eclectic Psychotherapy, 7, 3–12.
Mahoney, M. J. (1991). Human change processes: The scientific foundations of psychotherapy. New York: Basic Books.
Malchiodi, C. A. (2005). Art therapy. In C. A. Malchiodi (Eds.), Expressive therapies (pp. 16–45). New York, NY, US: Guilford Press.
May, R. (1958). Contributions of existential psychotherapy. In R. May, E. Angel & H. E. Ellenberger (Eds.), Existence: A new dimension in psychiatry and psychology (pp. 37–92). New York: Basic Books.
McCallie, M. S., Blum, C. M., & Hood, C. J. (2006). Progressive Muscle Relaxation. Journal of Human Behavior in the Social Environment, 13, 51–66.
Meeker, A. M. (1985). “Empty Lizzie”: Using the expressive arts as a tool for dealing with anger. The Pointer, 29, 31–34.
Meichenbaum, D. H. (1975). Stress inoculation training. New York: Pergamon.
Moreno, J. L. (1946). Psychodrama (2nd ed, Vol. 1). New York: Beacon House.
Morrison, G. M. & Sandowicz, M. (1994). Importance of social skills in the prevention and intervention of anger and aggression. In M. J. Furlong, D. C. Smith (Eds.), Anger, hostility, and aggression: Assessment, prevention, and intervention strategies for youth (pp. 345–392). Brandon, VT: Clinical Psychology Publishing Co.
Nezu, C. M., Nezu, A. M., & Arean, P. (1991). Assertiveness and problem-solving training for mildly mentally retarded persons with dual diagnoses. Research in Developmental Disabilities, , 12, 371–386.
Norcross, J. C., & Goldfried, M. R. (Eds.). (2005). Handbook of psychotherapy integration (2nd ed). New York: Oxford University Press.
Novaco, R. W. (1975). Anger control: The development and evaluation of an experimental treatment. Lexington, MA: D.C. Health.
Novaco, R. W. (1977). Stress inoculation: A cognitive therapy for anger and its application to a case of depression. Journal of Consulting and Clinical Psychology, 45, 600–608.
Ollech, D. (1992). Adolescent assertiveness and social skills training: A clinical handbook (pp. 151–164). New York: Springer.
O’Leary, E. (2006). The need for integration. In E. O’Leary & M. Murphy (Eds.), New approaches to integration in psychotherapy (pp. 3–11). New York: Routledge/Taylor & Francis Group.
Pennebaker, J. W. & Seagal, J. D. (1999). Forming a story: The health benefits of narrative. Journal of Clinical Psychology, 55, 1243–1254.
Pennebaker, J. W. & Stone, L. (2004). Translating traumatic experiences into language: Implications for child abuse and long-term health. In L. J. Koenig, L. S. Doll, A. O’Leary & W. Pequegnat (Eds.), From child sexual abuse to adult sexual risk: Trauma, revictimization, and intervention (pp. 201–216). Washington, DC: American Psychological Association.
Perls, F. S. (1973). The Gestalt approach. Palo Alto, CA: Science and Behavior Books.
Pica, M., Engel, S. D., & Welches, P. (2003). An experiential approach to the inpatient anger management group. International Journal of Group Psychotherapy, 53, 177–200.
Potegal, M. & Davidson, R. J. (1997). Young children’s post-tantrum affiliation with their parents. Aggressive Behavior. Special Issue: Appeasement and reconciliation, 23, 329–341.
Prochaska, J. O. & Norcross, J. C. (2003). Systems of psychotherapy: A transtheoretical analysis (5th ed.). Belmont, CA: Wadworth.
Reeder, D. M. (1991). Cognitive therapy of anger management: Theoretical and practical considerations. Archives of Psychiatric Nursing, 3, 147–150.
Rimm, D. C., deGroot, J. C., Boord, P., Heiman, J., & Dillow, P. V. (1971). Systematic desensitization of an anger response. Behaviour Research and Therapy, 9, 273–280.
Safran, J. D. & Messer, S. B. (1997). Psychotherapy integration: A postmodern critique. Clinical Psychology: Science and Practice, 4, 140–152.
Smith, M. L. & Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. American Psychologist, 32, 752–760.
Spielberger, C. D. (1988). Manual for the state-trait anger expression inventory (STAXI). Odessa, FL: Psychological Assessment Resources, Inc. (PAR).
Stafford, C. H. (1986). A biblical approach to anger management training. Journal of Psychology and Christianity, 5, 5–11.
Stemmler, G., Aue, T., & Wacker, J. (2007). Anger and fear: Separable effects of emotion and motivational direction on somatovisceral responses. International Journal of Psychophysiology, 66, 141–153.
Stratton, G. M. (1923). The unangry religions: Taoism, Vishnuism, Buddhism, Jainism. In G. M. Stratton (Ed.), Anger: Its religious and moral significance (pp. 96–118). New York, NY, US: MacMillan.
Stricker, G., & Gold, J. (Eds.). (2006). A casebook of psychotherapy integration. Washington, DC: American Psychological Association.
Sukhodolsky, D. G., Kassinove, H., & Gorman, B. S. (2004). Cognitive-behavioral therapy for anger in children and adolescents: meta-analysis. Aggression and Violent Behavior, 9, 247–269.
White, M. & Epston, D. (1989). Literate means to therapeutic ends. Adelaide, SA, Australia: Dulwich Centre Publications.
Worchel, S., Cooper, J., Goethals, G.R., & Olson, J.M. (2000). Social psychology. Belmont, CA: Wadsworth/Thomson Learning.
Yamaguchi, H. (1996). The expression of anger and aggression in daily life. Japanese Journal of Experimental Social Psychology, 36, 273–286.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Fernandez, E. (2010). Toward an Integrative Psychotherapy for Maladaptive Anger. In: Potegal, M., Stemmler, G., Spielberger, C. (eds) International Handbook of Anger. Springer, New York, NY. https://doi.org/10.1007/978-0-387-89676-2_28
Download citation
DOI: https://doi.org/10.1007/978-0-387-89676-2_28
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-89675-5
Online ISBN: 978-0-387-89676-2
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)