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Hostility and Conflict as Antecedents of Arousal and Disease

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Biological and Psychological Factors in Cardiovascular Disease
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Abstract

A differential definition of “anger”, “hostility”, and “aggression” has escaped many a theorist or researcher — in part, probably, for good reason. The processes are often (but not always) interrelated and can be difficult to tease apart. One can, of course, argue that hostility would sensitize persons to certain kinds of information or would be likely to distort the meaning of incoming information. Anger would then be the outcome of a resulting perception, and aggression would be the obvious sequel to anger. However, even if these processes would function in this or some other simple fashion, they need hardly be sequential in a single direction. For that matter, hostility can result in anger, but anger, in turn, may produce or cue (reinforce, maintain, etc.) hostility. Anger may result in aggression, yet aggression, particularly when faced with counter-aggression from the target, may generate additional hostility and anger, and so forth. However, despite the difficulty of disentangling hostility, anger, and aggression, and despite the absence of a fixed sequence, we should try to achieve better and separate definitions of these concepts. Our understanding of the cognitive, emotional and behavioral processes that are involved can only be advanced if we communicate clearly which component we are considering — even when the resulting categorization may seem (or be) somewhat artificial. In this paper, the three concepts are considered and defined differentially — in part, because a specific focus on “hostility” (where possible) will be essential for present purposes.

2 The finding that hostility scores are quite stable across time would add additional credence to a view of hostility as a stylistic rather than a content variable (cf., for example, Shekelle et al. 1983).

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References

  • Baer PE, Collins FH, Bourenoff GC, Ketchel MF (1979) Assessing personality factors in essential hypertension with a brief self–report instrument. Psychosom Med 16: 321–330

    Google Scholar 

  • Barefoot JC, Dahlstrom WG, Williams RB (1983) Hostility, CHD incidence and total mortality: I. 25–year follow–up study of 255 physicians. Psychosom Med 45: 59–63

    PubMed  CAS  Google Scholar 

  • Baumann R, Ziprian H, Godicke W, Hartrodt W, Nauman E, Lauter J (1973) The influence of acute psychic stress situations on biochemical and vegetative parameters of essential hypertensives at the early state of the disease. Psychother Psychosom 22: 131–140

    Article  PubMed  CAS  Google Scholar 

  • Berkowitz L (1962) Aggression: a social psychological analysis. McGraw–Hill, New York

    Google Scholar 

  • Blumenthal JA, Williams RB, Kong Y, Schanberg SM, Thompson LW (1978) Type A behavior pattern and coronary atherosclerosis. Circulation 58: 634–639

    PubMed  CAS  Google Scholar 

  • Buss AJ (1961) The psychology of aggression. Wiley, New York

    Book  Google Scholar 

  • Cook WW, Medley DM (1954) Proposed hostility and pharisaic–virtue scales for the MMPI. J Appl Psychol 38: 414–418

    Article  Google Scholar 

  • Costa PT, Zonderman AB, McCrae RR, Williams RB (1985) Content and comprehensiveness in the MMPI: an item factor analysis in a normal adult sample. J Pers Soc Psychol 48: 925–933

    Article  Google Scholar 

  • Dembroski TM, MacDougall JM, Williams RB, Haney TL, Blumenthal JA (1985) Components of Type A, hostility, and anger–in: relationship to angiographic findings. Psychosom Med (to be published)

    Google Scholar 

  • Diamond EL (1982) The role of anger and hostility in essential hypertension and coronary heart disease. Psychol Bull 92: 410–433

    Article  PubMed  CAS  Google Scholar 

  • Durel LA, Krantz DS (1984) The possible effects of beta–adrenergic blocking drugs on behavioral and psychological concomitants of anger. In: Chesney MA, Goldston SE, Rosenman RH (eds) Anger and hostility in behavioral medicine. Hemisphere/McGraw–Hill, New York

    Google Scholar 

  • Elliott R (1969) Tonic heart rate: Experiments on the effects of collative variables lead to hypothesis about its motivational significance. J Pers Soc Psychol 12: 211–228

    Article  PubMed  CAS  Google Scholar 

  • Frankenhaeuser M (1980) Psychobiological aspects of life stress. Coping and health. Plenum, New York

    Google Scholar 

  • Frankenhaeuser M (1982) The sympathetic-adrenal and pituitary-adrenal response to challenge: comparison between the sexes. In: Dembroski TM, Schmidt TH, Blumchen G (eds) Biobehavioral bases of coronary heart disease. Karger, Basel

    Google Scholar 

  • Friedman M, St George S, Byers SO, Rosenman RH (1960) Excretion of catecholamines, 17-ketosteroids, 17-hydroxycorticoids, and 5-hydroxyindole in men exhibiting a particular behavior pattern ( A) associated with high incidence of clinical coronary artery disease. J Clin Invest 39: 758–764

    Google Scholar 

  • Glass DC (1977) Behavior patterns, stress, and coronary disease. Erlbaum, Hillsdale

    Google Scholar 

  • Glass DC, Contrada RJ (1982) Type A behavior and catecholamines: A critical review. In: Lake CR, Ziegler M (eds) Norepinephrine: clinical aspects. Williams and Wilkins, Baltimore

    Google Scholar 

  • Goldstein IB (1981) Assessment of hypertension. In: ProkopCK, Bradley LA (eds) Medical psychology: contributions to behavioral medicine. Academic, New York

    Google Scholar 

  • Gutmann MC, Benson H (1971) Interaction of environmental factors and systemic arterial blood pressure: a review. Medicine 50: 543–553

    Article  PubMed  CAS  Google Scholar 

  • Harburg E, Blakelock EH, Roeper PJ (1979) Resentful and reflective coping with arbitrary authority and blood pressure: Detroit. Psychosom Med 41: 189–202

    Google Scholar 

  • Harlan WR, Oberman A, Mitchell RE, Graybiel A (1967) Constitutional and environmental factors related to serum–lipid and lipoprotein levels. Ann Intern Med 66: 540–555

    PubMed  CAS  Google Scholar 

  • Harrell JP (1980) Psychological factors and hypertension: a status report. Psychol Bull 87: 482–501

    Article  PubMed  CAS  Google Scholar 

  • Hokanson JE, Burgess M, Cohen MF (1963) Effects of displaced aggression on systolic blood pressure. J Abnorm Soc Psychol 67: 214–218

    Article  CAS  Google Scholar 

  • Jenkins CD (1978) A comparative review of the interview and questionnaire methods in the assessment of the coronary–prone behavior pattern. In: Dembroski TM, Weiss SM, Shields JL, Haynes SG, Feinleib M (eds) Coronary-prone behavior. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Jenkins CD, Zyzanski SJ, Rosenman RH (1971) Progress toward validation of a computer scored test for the Type A coronary prone behavior pattern. Psychosom Med 33: 193–202

    PubMed  CAS  Google Scholar 

  • Johnson JH, Butcher JN, Null C, Johnson KN (1984) A replicated item level factor analysis of the MMPI. J Pers Social Psychol 47: 105–114

    Article  CAS  Google Scholar 

  • Klaiber EL, Broverman DM, Haffajee CI, Hochman JS, Sacks GM, Dalen JE (1982) Serumestrogen levels in men with acute myocardial infarction. Am J Med 73: 872–881

    Article  PubMed  CAS  Google Scholar 

  • Light KC, Obrist PA (1980) Cardiovascular response to stress: Effects of opportunity to avoid, shock experience and performance feedback. Psychophysiology 17: 243–252

    Google Scholar 

  • Lorimer AR, MacFarlane PW, Provan G, Duffy T, Lawrie TDV (1971) Blood pressure and catecholamine response to ‘stress’ in normotensive and hypertensive subjects. Cardiovasc Res 5: 169–173

    Article  PubMed  CAS  Google Scholar 

  • Luria MH, Johnson MW, Pego R, Seuc CA, Manubens SJ, Wieland MR, Wieland RG (1982) Relationship between sex hormones, myocardial infarction, and occlusive coronary disease. Arch Intern Med 142: 42–44

    Article  PubMed  CAS  Google Scholar 

  • Manuck SB, Polefrone JM (1984) Behavioral factors in hypertension: cardiovascular responsivity, anger, and social competence. In: Chesney MA, Goldston SE, Rosenman RH (eds) Anger and hostility in behavioral and cardiovascular disorders. Hemisphere/McGraw–Hill, New York

    Google Scholar 

  • Matthews KA, Glass DC, Rosenman RH, Bortner RW (1977) Competitive drive, pattern A, and coronary heart disease: a further analysis of some data from the Western Collaborative Group Study. J Chronic Dis 30: 489–498

    Article  PubMed  CAS  Google Scholar 

  • McKegney FP, Williams RB (1967) Psychological aspects of hypertension II: The differential influence of interview variables on blood pressure. Am J Psychiatry 123: 1539–1545

    Google Scholar 

  • Nestel PJ (1969) Blood pressure and catecholamine excretion after mental stress in labile hypertension. Lancet 1: 692–694

    Article  PubMed  CAS  Google Scholar 

  • Nixon PGF (1976) The human function curve. Practitioner 217:765–771, 935–944

    Google Scholar 

  • Nixon PBB, Bethel JN (1974) Preinfarction ill health. Am J Cardiol 33: 446–449

    Article  PubMed  CAS  Google Scholar 

  • Obrist PA (1976) The cardiovascular-behavioral interaction — as it appears today. Psychophysiology 13: 95–107

    Article  PubMed  CAS  Google Scholar 

  • Obrist PA (1981) Cardiovascular psychophysiology: a perspective. Plenum, New York

    Google Scholar 

  • Ostfeld AM, Lebovits BZ, Shekelle RB, Paul O (1964) A prospective study of the relationship between personality and coronary heart disease. J Chronic Dis 17: 265–276

    Article  Google Scholar 

  • Ray JJ, Bozek R (1980) Dissecting the A–B personality type. Br J Med Psychol 53: 181–186

    Article  PubMed  CAS  Google Scholar 

  • Rosenman RH (1978) The interview method of assessment of the coronary-prone behavior pattern. In: Dembroski TM, Weiss SM, Shields JL (eds) Coronary prone behavior. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Rosenman RH (1984) Health consequences of anger and implications for treatment. In: Chesney MA, Goldston SE, Rosenman RH (eds) Anger and hostility in behavioral and cardiovascular disorders. Hemisphere/McGraw-Hill, New York

    Google Scholar 

  • Rosenman RH, Chesney MA (1982) Stress, Type A behavior and coronary disease. In: Goldberger L, Breznitz S (eds) The handbook of stress: theoretical and clinical aspects. MacMillan, New York

    Google Scholar 

  • Rosenman RH, Friedman M, Straus R, Wurm M, Kositchek R, Hahn W, Werthessen NT (1964) A predictive study of coronary heart disease: the Western Collaborative Group Study. JAMA 189: 15–22

    PubMed  CAS  Google Scholar 

  • Schachter S, Singer JE (1962) Cognitive, social, and physiological determinants of emotional state. Psychol Rev 69: 379–399

    Article  PubMed  CAS  Google Scholar 

  • Schroder HM, Streufert S (1963) The measurement of four systems of personality structure varying in level of abstractness: sentence completion method. ONR Technical Report 11, Princeton University

    Google Scholar 

  • Schroder HM, Driver JM, Streufert S (1967) Human information processing. Holt, Rinehart and Winston, New York

    Google Scholar 

  • Schwartz GE, Weinberger DA, Singer JA (1981) Cardiovascular differentiation of happiness, sadness, anger and fear following imagery and exercise. Psychosom Med 43: 343–364

    PubMed  CAS  Google Scholar 

  • Shapiro AP, Moutsos SE, Krifcher E (1963) Patterns of pressor responses to noxious stimuli in normal, hypertensive and diabetic subjects. J Clin Invest 42: 1890–1898

    Article  PubMed  CAS  Google Scholar 

  • Shekelle RB, Gayle M, Ostfeld AM, Paul O (1983) Hostility, risk of coronary heart disease, and mortality. Psychosom Med 45: 109–114

    PubMed  CAS  Google Scholar 

  • Siegel JM (1984) The measurement of anger as a multidimensional construct. In: Chesney MA, Goldston SE, Rosenmann RH (eds) Anger and hostility in behavioral and cardiovascular disorders. Hemisphere/McGraw-Hill, New York

    Google Scholar 

  • Spielberger CD, Jacobs G, Russel S, Crane R (1983) Assessment of anger: The state-trait anger scale. In: Butcher JN, Spielberger CD (eds) Advances in Personality Assessment, vol 2. Hemisphere/McGraw-Hill, New York

    Google Scholar 

  • Spielberger CD, Johnson EH, Russell SF, Crane RJ, Jacobs GA, Worden TJ (1984) The experience and expression of anger. In: Chesney MA, Goldston SE, Rosenman RH (eds) Anger and hostility in behavioral medicine. Hemisphere/McGraw-Hill, New York

    Google Scholar 

  • Streufert S (1984) The dilemma of excellence: how strategic decision–making can kill you. Int Management 39: 36–40

    Google Scholar 

  • Streufert S, Streufert SC (1978) Behavior in the complex environment. Winston, Washington DC ( Wiley, New York )

    Google Scholar 

  • Streufert S, Swezey R (1986) Complexity, Managers and Organizations. Academic, New York

    Google Scholar 

  • Streufert S, Streufert SC, Dembroski TM, MacDougall JM (1979) Complexity, coronary prone behavior and physiological response. In: Osborne DJ, Gruneberg MM, Eiser JR (eds) Research in psychology and medicine, vol 1. Academic, London, pp 206–218

    Google Scholar 

  • Streufert S, Streufert SC, Denson AL, Lewis J, Henderson R, Shields JL (1984) Differential effects of work related stressors on cardiovascular responsivity. Stress Anxiety 9: 191–203

    Google Scholar 

  • Thailer SA, Friedman R, Harshfield GA, Kleinert HD, Pickering TG (1982) Analysis of behavioral interactions in blood pressure variability. Presented at meeting of the Association for Advance–ment of Behavior Therapy, Los Angeles, 19–21 November, 1982

    Google Scholar 

  • Uzunova AD, Ramey ER, Ramwell PW (1978) Gonadal hormones and pathogenesis of occlusive arterial thrombosis. Am J Physiol 234: 454–459

    Google Scholar 

  • Weiner H (1977) Psychobiology and human disease. Elsevier North Holland, New York

    Google Scholar 

  • Williams RB (1975) Physiological mechanisms underlying the association between psychological factors and coronary disease. In: Gentry WD, Williams RB (eds) Psychological aspects of myocardial infarction and coronary care. Mosby, St Louis

    Google Scholar 

  • Williams RB, Lane JD, Kuhn CM, Melosh W, White AD, Schanberg SM (1982) Type A behavior and elevated physiological and neuroendocrine responses to cognitive tasks. Science 218: 483–485

    Article  PubMed  Google Scholar 

  • Williams RB, Barefoot JC, Shekelle RB (1984) The health consequences of hostility. In: Chesney MA, Goldston SE, Rosenman RH (eds) Anger, hostility and behavioral medicine. Hemi–sphere/McGraw–Hill, New York

    Google Scholar 

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Streufert, S., Pogash, R.M. (1986). Hostility and Conflict as Antecedents of Arousal and Disease. In: Schmidt, T.H., Dembroski, T.M., Blümchen, G. (eds) Biological and Psychological Factors in Cardiovascular Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71234-0_11

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  • DOI: https://doi.org/10.1007/978-3-642-71234-0_11

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