Therapy for Anger.ppt

Therapy for Anger Chap 21 Introduction The treatment of anger-based disorders Purpose Describe the further development of a cognitive behavior therapy: stress inoculation Apply to a hospitalized depressive with anger problem Prior application: Anxiety, Pain Method Treatment Procedure Cognitive Preparation Skill Acquisition and Rehearsal Application Practice Method Treatment Procedure Cognitive Preparation Shared language system Introduce rationale of the treatment approach Instruction manual: nature functions of anger Method Treatment Procedure Skill Acquisition and Rehearsal Alternative view situations of provocation Cognitive: task orientation self-instruction Affective: relaxation skills sense of humor Behavioral goals: effective communication of feelings task-oriented, problem-solving action Method Treatment Procedure Application Practice Exposed to manageable doses of anger stimuli Imaginal, then role-playing inductions Hierarchy of anger situations Method Case History Subject’s work situation Symptoms Hospitalization Reaction to stressful situations Previous treatment Method Dependent Measures Behavior rating by clinical psychologist with 9 years of postdoctoral Dichotomous ratings Expression of anger: 14項行為描述 (Antagonism-upset) Constructive coping: 8項行為描述 Scaled ratings (8-point scale) Relaxed Demonstrated anger Restrained anger Method Dependent Measures Self-monitored ratings 7-point scale Frequency of anger Degree of arousal Degree of management 住院時期: 只測週末回家時 出院之後: 每天測量 結果 Figure 1 Figure 2 問題 Single-subject design in clinical studies 該有的特殊考慮？ 為何必須提供完整的 case history？ 該研究如何確認實驗處理的效果？ 該研究的 baseline 較短，為何如此設計？有何利弊得失？ * * *