1. Anger/Aggression Management Nursing 202

2. Anger need not be a negative expression. Anger is a normal human emotion that, when handled appropriately and expressed assertively, can provide an individual with a positive force to solve problems and make decisions concerning life situations. Anger becomes a problem when it is not expressed and when it is expressed aggressively.

3. Anger * Anger is an emotional state that varies in intensity from mild irritation to intense fury and rage. Anger causes physiological changes (e.g., increased heart rate, blood pressure, and levels of biogenic amines. Anger is Not a primary emotion; learned Typically experienced as an automatic inner response to hurt, frustration, or fear A physiological arousal, instilling feelings of power and generating preparedness Significantly different from aggression Capable of being under personal control Anger has positive and negative functions

4. Aggression Is one way that individuals express anger Is a behavior that is intended to threaten or injure the victim�s security or self-esteem Can cause damage with words, fists, or weapons, but it is virtually always designed to punish.

5. Predisposing Factors to Anger and Aggression Role-modeling is one of the strongest forms of learning. Role models can be positive or negative. Earliest role models are the primary caregivers. As the child matures, role models can be celebrities or any other influential individual in the child�s life.

6. Operant Conditioning Operant conditioning occurs when a specific behavior is positively or negatively reinforced. A positive reinforcement is a response to the specific behavior that is pleasurable or produces the desired results. A negative reinforcement is a response to the specific behavior that prevents an undesirable result from occurring. Anger and aggression can be learned through operant conditioning.

7. Neurophysiological Disorders Several disorders of, or conditions within, the brain have been implicated in episodic aggression and violent behavior. They include Temporal or frontal lobe epilepsy Brain tumors Brain trauma Encephalitis

8. Aggressive behavior may have some correlation to alterations in brain chemicals. These include Hormonal dysfunctionassociated with hyperthyroidism Alterations in the neurotransmitters epinephrine, norepinephrine, dopamine, acetylcholine, and serotonin; these chemicals may play a role in facilitation or inhibition of aggression.

9. Socioeconomic Factors High rates of violence exist within the subculture of poverty in the United States. Poverty is thought to encourage aggression because of the associated deprivation, disruption of families, and unemployment.

10. Environmental Factors Several environmental factors have been associated with an increase in aggressive behavior. They include Physical crowding of people Discomfort associated with a moderate increase in environmental temperature Use of alcohol and some other drugs, particularly cocaine, amphetamines, hallucinogens, and minor tranquilizers/sedatives Availability of firearms

11. Characteristics of anger Anger can be identified by a cluster or characteristics that include Frowning Clenched fists Low-pitched words forced through clenched teeth Yelling and shouting