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Questions: 1. What are the five keys to helping a parent manage a child’s anger? 2. What are four rationalizations that perpetuate anger? 3. What can be five steps in Assertiveness Training through Role-Playing? 4. What are four concepts you might consider regarding implementing behavioral change in your anger management client? 5. What are the two categories of trigger thoughts? 6. What are three alternatives to anger? 7. What are two types of positive responses to anger? 8. What are two key points considering anger and depression? 9. What are two ideas concerning The Ventilation Trap?

Answers: A. They are: select an incident, role-play with another group member, have the client visualize the situation once more, have the client role play the situation twice with the other group member, and encourage the client. B. Analyzing accusations, acknowledging imperfections, and teaching others. C. Continued anger and acknowledging hostility. D. Judgment based on personal rules and blame placement E. "My past is too painful, forgiveness is too good, why should I try when no one else does, and anger is a familiar habit". F. Active and Questioning G. Intrapersonal dynamics and the vicious cycle of anger and depression. H. Don’t be threatened by your child’s anger, let choices and consequences shape the child, don’t preach, don’t major in the minors, and share your own experiences. I. Setting goals, making amends, choosing positive communication, and being authentic.

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Questions: 10. In the Peñas-Lledó study, how did external anger expression in both genders relate to binge eating and impulsivity? 11. What are two hypotheses concerning the mechanism of action between coping styles and the risk of depression? 12. Building on the long-studied relation between anger and depression, what does the data in Goodwin’s study seem to provide? 13. What was the relationship discovered in Felitti's study between four or more "adverse childhood experiences" (ACE) and various destructive behaviors? 14. In the case study, how does John react to being frequently sedated or given medication via intramuscular injection while being restrained? 15. Based on psychiatric diagnostic findings and clinical observations, what did Khantzian hypothesize concerning specific psychopharmacologic preferences of opiate addicts and cocaine abusers? 16. According to the Aharonovich study, what were the STAXI, or anger, differences between cocaine, heroin, and marijuana patients? 17. What three results did the Ramírez study data show concerning culture and anger? 18. How did Dykeman's study results suggest that brief exposure to anger management may be insufficient for youth with a history of conduct problems?

Answers: A.  Two hypotheses are 1) specific modes of interpreting positive and negative events are differentially depressogenic and result in lifestyles that accommodate either the positive or the negative perspective, and 2) there are neuroendocrine or neurobiological substrates associated with emotion-focused coping that increase the risk of depression through neurochemical changes or pathways B.  (a) aggression resulted from the individual’s disposition (b) anger proneness was not significantly different in the two European samples, but was significantly higher among the Japanese and low­est among the Spanish (c) gender differences in aggression proneness were not significant in any of the samples; anger was higher among the males than among the females only in the Dutch sample C.  Gordon's data provides evidence to suggest that the gender difference in depression, i.e. female youths were more likely to report feelings of depression, may be contributed to by differences in behaviors used to cope with feelings of anger, such as the female tendency to be more contemplative and the male to fight physically D. Brief exposure to anger management may be insufficient since the data demonstrate that an eight week intervention program may be more successful in treating the situational aspects of anger expression than treating the underlying dispositions of anger expression. E. According to Felitti's study, when people experienced four or more ACE they had a 4–24-fold increased risk of alcoholism, drug abuse, depression and suicide attempt; a 2–4-fold increased risk of smoking, of poor self-rated health, of having had more than 50 sexual partners, and of sexually transmitted disease; and a 1.5-fold increased risk of being physically inactive or having severe obesity. F. External expression of anger was related to binge eating regardless of gender, but was associated with different facets of impulsivity for males and females. G. John reacted by perpetuating his anger because he believed that no one understood or cared how he felt and he began to physically threaten staff. H. There were no significant overall differences between cocaine, heroin, and marijuana patients on any of the anger scales. I. Khantzian hypothesized that opiate addicts suffering from aggression are attracted to the drug for its anti-aggressive effects, while cocaine abusers suffering from depression seek to alleviate this feeling with the stimulating effects of the drug.