Anger Management in the News

 
Sunday, February 29, 2004

ANGER management

Story By Peter Sanders, Daily Breeze | Photo By Scott Varley, Daily Breeze | Illustration By Tom Sorensen, Daily Breeze

John Elder seems an unlikely person to illustrate examples of workplace anger.

The 43-year-old anger management counselor exudes a calmness projected by his quiet manner and the small yin-yang earring that peeks from behind his long brown hair.

He sits in a chair and relates the story of a screaming match between an employee and his boss that became so heated, the nearly 500-person calling center came to a standstill to watch the argument.

Although the fight didn't end in violence and the valued sales employee kept his job, the company -- a major Torrance corporation -- sent the man to anger management training.

The training is an increasingly popular tool for companies trying to help employees cope with workplace anger, according to consultants and company representatives.

George Anderson has witnessed this change, seeing his employee-anger related business increase. Anderson is a trained psychotherapist and founder and president of Anderson & Anderson, an anger management firm with an office in Lawndale, where Elder leads his groups.

"Things really changed after 9-11, and we saw an overwhelming number of referrals," said Anderson, 65, in a recent interview at his Brentwood-area headquarters. "Companies and organizations started to recognize there was a need for this kind of service and that it could be truly beneficial."

Hard data on anger in the workplace is thin, and experts acknowledge the field is still fairly new when applied to the work setting.

As a concept, anger management training was popularized -- although in a highly fictionalized way -- in the recent Adam Sandler and Jack Nicholson film "Anger Management."

But Anderson, who served as an adviser for the film, says that criminal and family courts have been sending people to anger management training for years.

"About 40 percent of my business comes from court-ordered referrals," he said. "In the last few years people convicted of road rage, simple battery and other offenses have been sent to counseling as a way to take the burden off the courts."

Los Angeles Superior Court Judge Roy Paul specializes in family law and has been sending people to anger management counseling for years. He said the training can be applied to many different settings.

"A lot of people don't cope with anger properly," Paul said by telephone from his office. "A well-managed class can teach somebody to recognize their conduct and alter it into acceptable behavior.

"That training can be brought into any arena where one's behavior is not constructive or healthy," he said.

Anderson's classes typically teach participants how to recognize their anger and then use relaxation methods to calm themselves.

Employees referred to Anderson usually attend 10 counseling sessions, often as a contingent requirement for continued employment.

Depending on the situation, sometimes the company covers the expense and sometimes it comes out of the employee's pocket, Anderson said.

Another of Anderson's primary functions is training facilitators nationwide who can either enact programs within their corporations or at consulting services that contract with companies.

The U.S. Postal Service, frequently the butt of many workplace anger jokes and a few outbursts of workplace-related violence, recently decided to train its in-house facilitators and disperse them to facilities nationwide.

An official with the Postal Service's National Center for Employee Development in Norman, Okla., confirmed that a contract had been signed with Anderson's firm, but would not comment on the record, saying that the program was in its trial phase.

Once an initial batch of facilitators had been trained, the Postal Service would evaluate the program's effectiveness, the official said. He noted there was no specific push for the implementation of the course, saying only that like any large corporation, the Postal Service has many employees who deal with stressful situations.

Although companies are understandably reluctant to discuss anger in the workplace, many companies have systems already in place to deal with it.

At Torrance-based Toyota Motor Sales USA, employees have access to assistance and counseling services paid for by the company.

"Toyota is very concerned with the well-being of its associates," spokeswoman Diana DiJosephs said. "Our Associate Support and Assistance Program is a confidential resource for resolving personal and work-related issues."

The employee assistance program Toyota contracts with also can refer employees to a separate anger management service that will design one-on-one training programs for employees and managers, DiJosephs said.

In other industries, where anger is a daily issue, workers are trained before the fact.

Tow truck drivers, for instance, tend to get more than the usual share of frustration and vitriol flung at them.

Jeff Hunter, executive director of the Palm Springs-based California Tow Truck Association, said members of his group receive customer relations training, which includes managing angry motorists.

"Things are taken out on tow truck drivers by customers. Customers aren't mad at them, but are angry at the situation," Hunter said. Drivers are trained how to defuse the situation and hopefully keep their own stress levels down.

Where anger management falls into the realm of treatment and its proper place in the workplace remains murky.

The Arlington Va.-based American Psychiatric Association, which represents 35,000 doctors, has not taken an official position on the issue, but anger is not typically considered a medical condition, so it usually falls out of the scope of medically trained psychiatrists.

Similarly, the American Psychological Association in Washington, D.C. , would not take an official position for the record. However, in the past it has stated anger management programs may be beneficial.

Dr. Richard Driscoll, a Knoxville, Tenn., psychologist, believes that anger in the workplace has increased as society's views about expressing emotions have changed.

"Today's society places a greater emphasis on expressing your feelings, while a generation ago the emphasis was always on controlling your feelings," he said by telephone from his Knoxville practice.

"The upside is we are freer to say what's on our minds. The downside is what we say can often be extremely hurtful and cause a stressful situation," Driscoll said.

The key to managing workplace anger, both Driscoll and Anderson believe, lies in training executives and managers.

George Anderson offers individual counseling sessions under the euphemism "Executive Coaching." He routinely coaches movie studio executives, esteemed university professors and Fortune 500 CEOs.

"Controlling your anger and your emotion is a skill," Anderson says. "It's amazing to see the change in the entire work environment if someone at the top is able to do business in a calmer and more controlled manner."

Major companies also have employed stress management, sometimes known as "Emotional Intelligence," into their corporate training programs and research.

Technology giant Corning, in conjunction with the National Institute for Occupational Safety and Health, recently conducted a wide-ranging study using the company's holistic stress management program, according to a study published by the company.

In the 12-week study, about 3,000 Corning employees nationwide met in group sessions to discuss personal and workplace stress, and learned techniques to cope with their stress and anger.

The company also provided discounted health club memberships and yoga and tai chi classes. An evaluation of the 12-week study revealed that most of the employees' workplace stress declined significantly, although the study did not include solid numerical data showing the change.

Driscoll believes this is a first step in the right step. "Management skill level in America is getting better," he said. "But that doesn't always mean it is a less angry workplace."

Publish Date:February 29, 2004

Taking Control of Anger

By Martin Miller
Los Angeles Times

On a recent Saturday morning, four people have come to an introductory anger management class offered by Anderson & Anderson in Los Angeles.

One of them, Renee Moncito, operates a family services agency where tensions can run high. She says she is looking for ways she and her staff can cope with stress. "You have to stay in a 'help' mode," she says.

Television producer Carol Trussell says she has witnessed her share of screaming -- and even fistfights -- on Hollywood sets, and hopes to learn how to improve the workplace atmosphere. "I've had several employees, good employees, who have come to me and said, 'Sorry, I'm leaving. I'm not going to take this. I don't care how much you pay me,'" she says.

Another of the students -- a young husband and new father -- says his wife urged him to seek help after he erupted in anger at her when she put their toddler to sleep for a nap without a diaper. "I've been told I'm a mean person," he says, his head bowed. "I'm very hard on people who don't see things my way," adds the man, who asked that his name not be used. "I know what the solution is, but I can't seem to do it [when I'm angry]."

Tens of thousands of people in this country are channeled into similar anger management classes -- whose aim is to teach people to handle hot emotions without losing control -- every year by long-suffering spouses, the judicial system and workplace officials. And those figures are expected to rise. Every time a celebrity, from boxer Mike Tyson to actress Shannen Doherty, has been ordered to attend anger management classes, many instructors say they have noticed an uptick in clients.

Last year's "Anger Management," a film that co-starred Jack Nicholson -- who in real life smashed a car windshield with a golf club during a traffic dispute -- heightened anger management's national profile. In fact, instructors say, the comedy helped remove some of the shame angry clients had in asking for help.

"It's part of the zeitgeist," says Redford Williams, director of behavioral medicine at Duke University Medical Center in Durham, N.C.

In recent years, more business and governmental organizations have enlisted anger management services not only to treat hotheaded employees but also to stave off problems. Federal postal workers, state prison guards and business leaders have taken workshops and seminars. Some medical schools, such as the University of Miami's, put medical students through training to help them better cope with their own -- and their patients' -- anger.

Judges across the country use the programs as a means to ease overcrowding in prisons and jails, and unclog courtroom calendars, says Pam Hollenhorst, associate director of the Institute of Legal Studies at the University of Wisconsin in Madison, who led one of the few comprehensive studies of anger management research.

Anger management classes lay out how to deal with anger and can vary quite a bit. But most share basic principles of psychology -- understanding, identifying and learning to control angry emotions and employing relaxation techniques to minimize physiological responses to anger.

Most classes, usually led by instructors with backgrounds in social work or counseling, help students decide what is worth getting angry over and what isn't. When anger is appropriate, the classes guide students in how to behave assertively, not aggressively and destructively -- to get what they want. Programs may last from 10 weeks to almost a year and cost from $150 to about $1,000. In part because of the rise in popularity of such classes, no local, state or national standards govern what should be taught or who is qualified to teach.

There also is scant research about whether anger management programs work. The American Psychological Association, which is based in Washington, D.C., and represents psychologists, has said such programs can be beneficial. But the American Psychiatric Association, an Arlington, Va.-based group of 35,000 physicians, has not taken an official position.

"We don't really know enough about what type of anger management program is best, or for whom it works, under what circumstances or for how long," Hollenhorst says."There are as many ways to approach [anger management] as there are people," says W. Doyle Gentry, a clinical psychologist and director of the Institute for Anger Free Living in Lynchburg, Va. "And it's created a lot of confusing, even bizarre, methods that can't be taken seriously. I mean, if they ask you to beat a mattress with a tennis racquet [to work out your anger], it's not going to do you any good."

Another factor is that many people who go through anger management training probably have other conditions, such as bipolar disorder or substance abuse problems, that would predispose them to aggressive behavior, says Dr. Darrel A. Regier, director of research at the psychiatric association.

Other critics contend that dozens of hours of anger management cannot miraculously change years of negative behavior, particularly if the person returns to the same environment.

Advocates agree that one key area of research must be resolved: Does anger management help those who are placed in such programs involuntarily? Although no figures are available, anecdotal evidence indicates a majority go to classes grudgingly or unwillingly, as a means to avoid fines, jail time or loss of employment.

"If you get a guy who is saying, 'I don't have a problem, the world just needs to get off my back,' he's probably not going to change," says Jerry Deffenbacher, a professor of psychology at Colorado State University who studies anger and anger management. He is working with the federal Centers for Disease Control and Prevention in Atlanta to study what types of programs might be effective for drivers who have road rage.

Denial of anger isn't the only indication people might be having trouble. In addition to obvious clues -- excessive drinking, physical fights, hair-trigger tempers -- psychologists say high levels of anger over time can cause physical illness, including headaches and upset stomachs.

Psychologists quickly add that feeling or showing anger doesn't necessarily mean it's time to enroll. Anger is a natural, even healthy, response to certain situations.

Although there's no consensus on when someone should seek anger management treatment, experts say people whose tempers erupt daily or alienate family, friends or co-workers usually are good candidates. Constant, silent stewing also is widely regarded as a sign it is time to seek help.

The Los Angeles Times is a Tribune Co. newspaper.

 

Cool it

Outbursts of rage land plenty of people in prison, and daily life behind bars provides many more opportunities to lose your temper. Whch makes it the ideal place to get to grips with the often scoffed-at anger management course. Does it work? Zoe Williams follows the progress of five Pentonville inmates to find out.

Zoe Williams
Saturday November 15, 2003
The Guardian

Anger management is the least celebrated branch of the cognitive therapy tree; its main reputation is as a quasi-scientific means of controlling stroppy supermodels who've shouted at the stylist once too often. Naomi Campbell, I mean - not all supermodels are like this. Unlike cognitive training for anxiety and depression, with which it shares all the same principles and most of the same techniques, this tends to be the kind of therapy to which you are referred by an institution, rather than deciding upon yourself. I can't with complete certainty say why, but ultimately anger, unless it manifests itself in violence, is not thought of as a mental disorder that adversely affects the quality of your life. It's just put down as a filthy temper. And if it does express itself as violence, then, sooner or later, you're going to end up in prison.

Consequently, the best place to see an anger management course is in prison, and probably the best prison is Pentonville, the first British establishment to adopt the Canadian-devised Calm course (Controlling Anger and Learning to Manage it). The governor, Gareth Davies, is a kind of patrician liberal (he is patrician in the sense that he keeps Churchill speeches about prisons on his wall; liberal in the sense that Churchill was pretty liberal, prison-wise). His central interests are in making prison less agreeable for the so-called "career" offender, the lifelong criminal who sees occasional custody as an unavoidable hazard; and in making prison more productive for the spontaneous criminal, the offender who's wound up incarcerated for an offence (usually a violent one) that was unplanned and could have been avoided with the application of simple techniques for self-control.

Now, as I've said, anger-management principles are simply those of cognitive therapy. These are probably terribly familiar to anyone who's ever taken up regular therapy and got bored with slagging off their parents, but to recap: feelings come from thoughts, they do not arrive by themselves. Once this has been accepted, the thoughts can be identified - the distorted thoughts can be righted, and the feelings will cease to arrive. The tenets of cognitive behavioural therapy (CBT) are given the shorthand: thoughts-feelings, impact-action. There are three core mistakes at the root of all distorted thinking (these were identified by Albert Ellis, the 1950s "grandfather" of cognitive therapy and a major influence on Aaron Beck, the "father") - "I must do well"; "You must treat me well"; "The world must be easy." Once these assumptions have been excised, the aberrant thoughts and behaviour can be quelled.

The methodology and theory behind CBT are essentially practical - this is not about delving into anyone's childhood, or laying old events to rest, or anything else typically associated with talking cures. It is not, in short, the kind of therapy a brigadier (say) would call "stuff and nonsense" - the only real controversy there's been around the issue was that voiced by Noam Chomsky, in 1977: "Behaviourist therapy is pretty empty as an intellectual pursuit ... [but] in schools and prisons ... it provides a palatable ideology for the application of techniques of coercion." In other words, this therapy teaches people how to operate in society without causing trouble and, in the interests of so doing, teaches them not to strive for fairness, or justice, not to assume that "the world must be easy".

This is not necessarily the right way to proceed, from a political or philosophical point of view. Take as an example one statement on a psychometric test that prisoners have to fill in: "If I had had a better education, I would have a good job, and wouldn't need to commit crime" (prisoners who "agree strongly" have distorted thinking). Sure, it's kind of nonsense, since plenty of people don't commit crime, regardless of A-levels. But, on the other hand, it is the case that you don't find many people with degrees in prisons, and it's not because they have better morals (not as far as I know). Essentially, you have to train people not to think like this, since it will prevent them from addressing their offending behaviour. But from a wider perspective, someone has to think like this, otherwise there is no impetus for social change.

Anyway, I followed five offenders through a Calm course in Pentonville. On balance, I'd say that Chomsky's view of "coercion" is right, but that the benefit to prisoners is so extraordinary that it scuppers these reservations. One prisoner, in particular, who might as well have had reoffender tattooed on his forehead at the start of his sentence, admitted later on that he'd been spending all his spare time planning crimes to recoup the "earnings" he'd lost in prison and, after 10 weeks of Calm, was a different person. Maybe he was making that up for the parole hearing, but, if so, he's such a fine and perceptive actor that he's plain wasted in drug-dealing. Besides him, I'd say that one of them was never fully persuaded of his need to change; one was never going to change as much as he needed to, for all the courses in the world; and two weren't all that communicative with me, but the psychologists liked them.

Mark was an attempted arsonist in his late 40s. He'd served most of a four-year term for an offence that slightly changed texture every time you spoke to him. In each version, he was in a pub and had an argument with the landlord, who kicked him out. As he was being ejected, he threatened to burn the place down. Sometimes, he claims to have changed his mind on the way to the petrol station; other times, he's bought the petrol, abandoned it and been arrested on his way home; the truth is (and he will sometimes agree with this) that he was arrested with a can of petrol on his way back to the pub.

When I first meet him, Mark has missed one week of the course, having wounded his hand spectacularly by punching a wall. So far, he's the perfect subject for anger management - prone to spontaneous, manifestly self-destructive bursts of rage, and full of delusional notions about where they come from. He has some cockeyed theories, among them that he has a psychic ability not to feel pain down one side of his body, so long as he decides not to. Sometimes, he tells you complete nonsense - he was in the Foreign Legion, only they kicked him out because his skin was too fair and he kept getting sunburnt; his parents were blown up by the IRA, and his mother's head landed in his lap. Other times, he comes out with this very clear, unmelodramatic, melancholy picture of himself, and of how other people see him. "Whenever I read anything in the paper about a guy who's done something or other, and his neighbours are calling him a loner, and nobody in his job really knew him, and nobody could tell you what he did with his time - I think, I'm like that. I think I'll always end up in some sort of trouble. I don't think I'll ever get along with people."

Rodney is in his mid-30s, and is also coming to the end of his sentence. He's in for GBH - as far as he's concerned, it was a one-off event, and he's never had a problem with aggression before or since. He is self-assured, fastidious about his words and his clothes (harder than it sounds when your uniform is a tracksuit of the old school), articulate, persuasive - he reiterates his relatively non-aggressive nature every time I see him. It really gets on Simon Vallance's nerves (Simon is the course leader and a prison officer). "You say that," Simon eventually intercedes, "but you're in here, aren't you? You wouldn't be in here if you had no problem with anger." "I made one mistake. Everyone can make one mistake."

In fact, a lot of prison officers agree with this line, just in passing - that it's an accident of the stars, who happens to be outside a pub, on what particular night, when which particular fight breaks out. They're very "there but for the grace of God ..." Like the police, a lot of prison officers are ex-army - the police like to make out that they had to go into prisons because they weren't good enough for law enforcement. I think they're just not judgmental enough.

Rodney's back story is that he spent 20 years as a karaoke guy, who went round pubs with the machine. "I had every single bit of racist abuse you can get; I have been called everything under the sun that you can call a black man. And then it was just this one guy, following me around, saying this thing, over and over again ..." He never wavered from the line that, otherwise, he was a fairly placid individual. On the one hand, this is a classic example of the distorted thinking that anger management exists to overturn; on the other hand, as I say, he was very convincing - maybe there are some stresses that would drive anyone to violence. (Having said that, I never found out the full extent of the offence - the victim said Rodney had glassed him, and that's what he was sentenced on. Rodney said he'd just punched him.)

Adrian was in for a drugs offence, which wasn't an anger-management issue. But over the course of his term, he had notched up 68 extra days for outbursts of fury. This, technically, made him an inappropriate referral - "Calm is not intended for offenders who have a poor institutional history of anger and aggressive behaviour alone. The programme is aimed at those whose anger or poor emotional control lead to a criminal offence" (my italics). That said, he was the gold-star of the group. By about the third session, he'd noticed a change of behaviour in himself that he says he didn't really plan, it just happened. "Before," he said, "I used to go everywhere with a sharpened pencil. If people called me 'teaboy', or anything, I'd have a sharpened pencil. Now I only ever take a pencil if I'm going to a lesson. Sometimes, I take a pen." Teaboy is what people get called when they're on tea duty for the officers - it's a good job, allowing prisoners great freedom of movement, and unlimited access to the phone. However, communicating with officers, which you have to if you're going to find out how they want their tea, is the third worst thing you can do in prison, above grassing and having committed a sex offence with a child. So it's a bit of a mixed bag, and other prisoners, er, call them teaboy.

Sean was the only lifer in the group - he was in for murder, and had mainly taken the Calm course because he'd already done Enhanced Thinking Skills and found it very helpful. (ETS is the standard cognitive training all prisoners get - it's mostly about problem solving, attitudes to criminality and basic cognitive skills.) He didn't want to be interviewed for this piece, but agreed to have his picture taken. And Leon dropped out of Calm after two sessions, since his main problems were with addiction, and addicts have to be referred to drug programmes before anything else. Prison is not by any stretch the best place to go to come off drugs. In the words of John Hardwick, "Don't do drugs, because if you do drugs you'll go to prison, and drugs are really expensive in prison."

Apart from the fact that Adrian's aggression seemed to have surfaced inside prison, rather than outside, all the prisoners represented the ideal profile for an anger-management course. None of them was really a serious, constantly reoffending career criminal - anger-driven offenders tend not to be, since it's spontaneous, not a career decision. None of them was serving time for using violence instrumentally (that is, bouncers and gangsters, people who use aggression as a means to an end, rather than as an expression of anger). None of them was psychotic. The problems with trying to teach cognitive skills to psychotics are many, but sometimes the outcome is comically bad, as vividly illustrated in a story Simon remembered from a previous ETS course. "The worst one was when they sorted out a grass - basically, this guy was a grass, so they'd knocked him out and poured boiling water on his face and all over his neck. And then, when he'd woken up, he'd started screaming, but there was nobody around him to get in trouble for it. And the guy who did it later said he was actually really pleased he'd done ETS, because otherwise he'd have tried to do him in front of everybody, and he'd never have been able to do so much damage."

I spoke to the group before and after each session - I didn't sit in. Debbie Marsh and Ian Whitaker, forensic psychologist and prison officer tutor respectively, described the shape of the course. The first section is aimed at alerting the angry to the ways in which they could recognise their feelings of rage before losing control. The angry prisoner, in the interminable psychometric testing done at the start of the course, will agree strongly with statements such as "My anger is caused by what other people do"; "Once I get angry it's impossible for me to control myself"; "I have a fiery temper"; "I fly off the handle"; "I feel like I'm about to explode." His firm belief will be there was nothing he could have done to prevent his outburst.

Once the therapist points out the physiological changes that occur at the outset of rage (sweaty palms, faster heartbeat), these function as proof that the uncontrollable fury didn't just possess him, it built up from more wieldy emotions. When he's identified these, he can be called upon to locate the thoughts that triggered them; he can now address the thoughts, and see whether or not they're reasonable - mostly, they won't be, or there will be some way of rationalising them that prevents an escalation to blind rage.

Debbie Marsh says this is the most dramatic bit of the course. "Most groups are turned as soon as we start doing the arousal stuff. They're sitting there going, 'Oh my God, that's how I can tell I'm getting angry, because my heartbeat's going and my hands are sweating', and as soon as they see the physical cues kicking in, that's it for them - they're on board, they're active, they're completely gobsmacked by the idea that they can control it themselves." Results from the Focus On Violence course at Foston Hall women's prison shows that female prisoners tend towards depression at this point, as they revise all the aggressive behaviour of their past and realise that they could have controlled it, that it was all their own fault. Sure, male prisoners don't like it, either, but depression doesn't seem to follow on so much. "Obviously, it's hard," Debbie says, "because they've spent their lives blaming situations, other people, and all of a sudden they've got irrefutable proof - 'It's me. All my life I've wound myself up.' When they get to that point, you've got to be really quick to come in behind them and say, 'Well, if you created it, you can control it.' You have to give them a sense of their own power."

This is where some standard techniques, some of them recognisable from anti-panic attack systems, are introduced. It's no great surprise that anger and panic share approaches, according to Ian Crane, Simon's co-teacher of this group. "With anger, jealousy, anxiety, elation, whatever, it's very hard to differentiate between them, because the physical cues are exactly the same," he says. "When you're anxious, you're sweating, you're clenching your fists, you've got a knot in your stomach. When you're angry, it's exactly the same. So how can we tell the difference? Through our thoughts. What thoughts brought us there, and what were the distortions?"

Isn't elation good? Once in a while? "No, as daft as it seems, intense happiness can lead these guys into exactly the same situations that anger can. It can lead all of us like that. You get carried away by euphoria, you think you're superhuman." Debbie illustrates with some thoughts on love: "It's like the saying, 'Love is blind' - it stops you thinking rationally. We want them always to be thinking. If you're thinking, you're in control of yourself." It's when emotions are too intense, for too long and too often, that there's a problem, Ian concludes sagely. It's not the stuff high drama is made of but, as everyone keeps coming back to, where did high drama get you? It got you in here.

The basics are as follows: thought-stopping - which does exactly that, puts a halt on negative thoughts that are getting out of control and directs them elsewhere - fogging (learning to hear criticism without absorbing it), broken-record, negative assertion and negative inquiry (all assertiveness techniques). Most of them work best in conjunction with one or more of the others, and all of them will only work with constant practice, in real situations, not just in role-plays with psychologists who are only pretending to be annoying. Luckily, if you're looking for situations of heart-stopping frustration and rage on a day-to-day basis, prison is just the place.

So they're all given these work sheets, split into columns such as Situation/Physical Cues/Thoughts Experienced/Action Taken, and they spend as much of their week as keenness and bad situations allow reporting these incidences of rage. Minute but constant annoyances abound - being told to do two opposite things by two people of equal authority (not on purpose; it just seems to happen quite a lot), waiting an hour for the phone, having to go on a tea break when you're not thirsty. Mark describes an argument between two officers, neither of whom wanted to do some unspecified task - they kept sending him to tell the other one to do it. "I was piggy in the middle. And I want to say, 'When you two kids have sorted yourselves out, come back and let me know,' but I felt as if I was being used. It was a confrontation between two officers - it shouldn't have been anything to do with me." Now, this sounds like anger management, but the way Mark is talking, it's actually the opposite - the more he's remembering it, the more pissed off he's getting and the more ways he can think of in which they wronged him. In his parole hearing, he's told that he still has a problem with brooding - he replays situations in his mind, which makes him liable to hit out at someone who just happens to walk past and look at him funny. In fact, he's still thinking about those officers by the time of his parole hearing, and about the time he punched the wall; but he never stops trying to find a way to deal rationally with these events.

Rodney, being so placid, uses up very few worksheets. Adrian uses up loads - he was educated in Jamaica and has the incredibly neat, copperplate handwriting that the famously strict schooling there bestows. "I want to stab him in the eye," he writes, in flawless italics. "I want to kill him." Action taken? A mixture of fogging and thought-stopping. About four sessions in, Adrian's situation has changed markedly - crucially, he has stopped arguing with his girlfriend. He used to fight with her every time they spoke, and he used to beat her up before he got sent to prison. Their argument was always the same - he'd call the house, she wouldn't be there; he'd think, I have only one chance to phone, now I'm going to have to call her mobile, she knows I can't afford to call her mobile, she's doing it on purpose; then he'd call her mobile and she wouldn't be there, either; he'd think, she's left it at home because she's having an affair (he describes this with such mournful frustration that I'm getting angry with the woman myself, even though he's the one who's in prison and she's looking after three kids and can go where she likes); then he'd call the house again and she'd pick up, having missed it the first time because, whatever, she was upstairs. All it takes is for him to think, "Maybe she's upstairs", before he has all the other thoughts, and that's a screaming row they haven't had. But you need a lot of worksheets to get to "Maybe she's upstairs".

Giving up aggression is, at the final count, a lot like giving up smoking - you can accept that your life would be better without it and you can train yourself to a point where it's not a knee-jerk reaction, but you can't deny that it did have something going for it while it lasted. Aggressive people, when they're not in prison, do get their own way a lot of the time - relinquishing violence means accepting that you can't control other people. Clearly, everything's easier before you accept this. Ian Whitaker gives this example: "The classic case was a prisoner who felt that his partner was going to leave him. So, he knew he was responsible for his own anger, and he'd accepted that, but he also had to deal with the fact that where's it written that she can't leave you? She can. He can try as hard as he likes to change his behaviour completely, and she's still got every right to go. He'd always controlled her with his anger; even from prison, the pure threat of violence was enough to keep her at home. Whereas now, he'd got past his anger, but it left him with nothing to control her with. You can't control someone with assertiveness. And we don't have any miracle cures. We can't change any of their circumstances. And we certainly can't change the fact that they're in prison, and that's a good time for their partners to have affairs."

So, given that anger has things in common with addiction, a fair amount of the course is given over to relapse prevention. In the final session, everyone obviously thinks they won't relapse, but the prevention module is as much about not getting demoralised by one relapse as it is about not relapsing at all. Mark and Adrian are explaining why they'll never get into a fight again. "I hate to say it," Mark starts, "but in this day and age, nobody fights on a one-to-one basis. It's all gangs of eight. You think it's just one, and then you come out of the toilet, or whatever, and he's got six of his mates with him." Adrian agrees, "That's true, it's all gang-related. It's a system. You can't have a one-to-one fight with someone, he'll always get his mates, and they'll find the best place and the best time to attack. So it gets that there's no justification to fight." Even a guaranteed one-to-one Mark's dubious about: "OK, you might have just hit him once or just pushed him out of the way, but say he falls and bangs his head on the edge of the table, or on the edge of a kerb, or ... whatever, and that person dies, then the long-term consequence is you coming back to prison for a life sentence."

It's not a very moral business, managing anger - there's a section on the course about victim issues and envisaging the full reach of the life you may have ruined, but mostly it's about very pragmatic strategies for not ending up back in prison. The best way not to come back to prison is to make sure that everything you do is something you've consciously decided to do. If this has consequences for the greater social good, then that's good, too.

I undervalued Mark's achievements all the way through, it turns out, since his parole officer is astonished by the progress he's made: "He really worried me when I first met him. I thought this was a Broadmoor case, I never thought I'd be finding him somewhere to live so soon." Debbie said she thought he'd need fairly close watching and the parole officer replied, "Yes, I'm pleased we've found a hostel above the main parole office. I don't know how happy they'll be about having an arsonist, but there we go."

Adrian is the psychologists' favourite, though. "You were excellent, you really were," Debbie started. "We couldn't fault you, and we try to fault everybody," Simon continued. Adrian looked sheepish. I don't know, maybe I'm mad, maybe I imagined this, but I thought his landing officer had tears in his eyes. Adrian no longer smokes dope, and says, "I can look at myself in the mirror easier now." He doesn't get into any fights, and he doesn't fight with his girlfriend on the phone. He's been quietly supportive to the others in the group. Debbie says after he leaves, "He really is excellent. I'd trust him to do my bathroom." (He's a decorator, besides being a drug-dealer.) Until about two-thirds of the way through the course, he confesses that he'd been planning how best to retrieve the goods and time stolen from him by society - when he was arrested, the police fashioned some absurd scale (he says) to calculate his earnings, and then seized this amount in goods and money after he was convicted. He'd figured out how much society owed him by applying the police's earnings-scale to the time he'd spent in prison, and was intending to thieve or drug-deal exactly that amount in revenge, before he went back to his regular business of, erm, drug-dealing. "I'm not going to do that now. I'm very calm. I've got no plans like that."

Calm may have no moral agenda, it certainly has no interest in stopping people smoking dope (as far as I could make out), but anger is a defining interest - your future is defined by revenge strategies; your social life and addictions are determined by the need for a respite from all the strategising. Just like anxiety, it governs your life.

Rodney wasn't up for parole yet, but on the last day, just before the relapse session, he was having an argument with some other guy who wasn't doing Calm but was doing a course next door. Rodney was in a definite state of non-agreement, but wasn't going to burst any blood vessels over it, like the other guy was. The issue, as I found out from a third person, by no means a reliable one, was this: the blood-vessel guy was on kitchen duty with Rodney (another attractive job, better in some ways than teaboy, because nobody calls you teaboy). Blood-vessels and his associate had got caught cooking crack in the microwave, and now the whole detail (including Rodney) had been kicked off kitchen duty. Anyone would be annoyed by that - most people would be more annoyed than Rodney. Maybe he was, as he said, a placid person who got pushed too far one time. Maybe the whole crack story was cooked up for my amusement. I never got to the bottom of that (he clammed up a bit towards the end of the course). But Mark and Adrian were not the same when they left Pentonville as they were when they came in. It may be full of a thousand daily frustrations but, if you feel like it, you can get a lot more out of incarceration than GCSEs

· Some names have been changed.

 

Managing your ANGER

Saturday, June 8, 2002

By Alex Rocha

Angry teen-agers oftentimes become angry adults.

And the 10-member team at Total Self Insight, a new Merced business, knows Merced County doesn't need more angry adults.

So Total Self Insight is dedicated to helping young people, and adults, manage their anger and make better choices in their lives.

The business, which opened on May 1, is headed by Valerie and Shannon Anthony, mother and daughter who are committed to helping teen-agers and adults in need of anger management.

Valerie says, "Our goal is to have individuals develop an understanding of self and to make better life choices by successful completion of our program."

The idea of running a private business has always been in the back of Valerie's mind. She currently works as a mental health social worker, running a dual-diagnosis program at an outpatient clinic in Modesto. But that will end Aug. 1.

She now works one day per week at Total Self Insight, and Shannon works the rest of the week.

Shannon, 24, is studying for her associate of arts degree in addiction studies at Merced College, and she will be facilitating the anger management group sessions for teen-agers.

When business is in full swing, the Anthonys will offer workshop-style sessions with 10 people each. There will be groups of teen-agers and groups of adults. Workshops will also be offered in domestic violence issues. Male- and female-only sessions will also be offered.

Valerie said there is a lack of anger management programs in Merced, and the idea of starting one came when she stumbled across Anderson and Anderson, a Southern California-based program, on the Internet.

Valerie and Tony Slaton, a Total Self Insight co-worker, attended an Anderson and Anderson seminar about one year ago and learned a nationally recognized anger management model.

The model, established by George Anderson, now a close friend of Valerie's, uses a series of workbooks that puts participants in control of their progress.

The workbook that Total Self Insight will use is titled "Gaining Control of Ourselves." It focuses on understanding why anger can control people's lives and explains how to reduce and redirect the stress that causes the anger.

The workbook, as well as the group sessions, will be offered in Hmong, Laotian and Spanish.

Shannon Anthony says, "Anger is usually just a mask to hide other emotions, such as disrespect and frustration."

The model also provides alternatives to violent outbursts and abusive behavior through lessons that challenge old and inappropriate ways of expressing anger.

Valerie says that anger is a learned emotion that can be "unlearned."

The groups Shannon will facilitate will also help teen-agers understand the different types of relationships they form with adults, including parents, teachers and police.

She says, "Those are the really vital relationships that help establish who they are going to be as adults."

The workbook is written in contemporary teen-aged lingo, and Shannon says it's easy for teen-agers to understand.

After a little more than 30 days in business, Total Self Insight has two teen-agers who are receiving individual help until more clients sign-up and one adult who was referred from Merced County Mental Health Services.

A 13-year-old client is already making progress.

Valerie started his sessions by telling him a "newborn baby" theory. She said that as a baby, he learned to cry and become angry to get what he wants, and he became a teen-ager who does the same thing. She told him, "We're going to learn how to switch that off."

And she says, "That hooked him 100 percent."

The courses are 16 weeks long and strive to put most of the work in the clients' hands. Shannon says, "We focus on personal responsibility... . Kids lose sight of that."


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Treating Anger for Profit - Los Angeles Times
Courts: Many judges order offenders to take courses to control their tempers. But there are no standards for such classes and teachers may have no training in the field.

By ANNA GORMAN, TIMES STAFF WRITER

Sandra Whatley threw a soda at a police officer who stopped her for jaywalking. Kazutoshi Yakota brawled with a fellow college student over a woman. Moheb Helmy got into a shouting match with his mother and yelled at the cop who came to break it up.

The explosions landed all three in Los Angeles courtrooms--and as a result, in anger management classes. At the weekly sessions that are part of their sentences, they discuss their outbursts and describe their feelings in their anger control workbooks. The aim is to learn how to reduce rage by taking timeouts, breathing deeply and using such phrases as "I did wrong" rather than "When will you ever learn?"

Criminal and traffic court judges in California are increasingly using such programs to punish--and treat--defendants convicted of battery, road rage and disturbing the peace. Anger management classes, however, are not certified or monitored by state or local agencies. With the exception of Orange County, there are no court-approved lists of programs or guidelines on class length, curriculum or teacher qualifications. In fact, some teachers have no training at all.

"Anybody can set up a program, call it anger management and hope to get court referrals," said Los Angeles County Superior Court Judge Peter Meeka. "You keep your fingers crossed and hope they are doing a good job."

Anger management classes are an offshoot of domestic violence programs, which are subject to legislative standards, including required levels of training and experience for teachers. Meeka, who spent five years presiding over a domestic violence court, said he would support statewide legislation to apply the same standards to anger management classes.

An advisory committee of the Judicial Council of California is reviewing the use of court-mandated anger management classes statewide.

Aside from the lack of standards, there are virtually no data on whether the classes actually help reduce recidivism. Because statistics are unavailable on how many people are being sentenced to anger management, authorities cannot gauge whether the programs work.

Skeptics say it's nearly impossible to change people who are angry by nature. Supporters maintain that willing participants learn useful techniques to calm themselves.

"These people are still in the terrible twos, even if they are 45 years old," said Sandra Cox, an anger management teacher and executive director of the Coalition of Mental Health Professionals in South-Central Los Angeles. "The classes give them positive ways to channel their anger rather than acting out violently."

University of Wisconsin researcher Pamela Hollenhorst, who has reviewed studies of anger management programs throughout the country, said classes help some minor offenders but do not work for most violent criminals or as the sole treatment for spousal abusers.

"Anger management is sort of a Band-Aid approach," said Hollenhorst, assistant director of the university's Institute for Legal Studies. "It doesn't address the underlying problems."

Critics cite Eric Harris and Dylan Klebold as extreme examples of anger management failures. Before the teens opened fire on fellow students at Columbine High School in Colorado, they had been ordered by a court to attend anger management classes for breaking into a van and stealing electronic equipment.

Some Judges Like the Idea

Though road, air and workplace rage are hardly new behaviors, psychologists and judges finally started identifying them as common problems in the late 1990s.

Some judges see the classes as an ideal sentence for first-time offenders convicted in bar brawls or fistfights with fellow motorists. Those judges say classes can help teach defendants how to keep their emotions in check, as well as ease crowded jails and clogged court calendars.

Defendants are typically sentenced to from 10 to 52 weekly classes as a condition of probation or as an alternative to time behind bars.

Because there are no approved lists, defendants must find their own classes, often by surfing the Internet. Probation officers keep a list of agencies that offer approved batterers' programs and might also provide anger classes.

In recent years, several celebrities who pleaded no contest to criminal charges in connection with temper flare-ups have been ordered by judges to attend anger management classes. Actress Shannen Doherty hurled a beer bottle at a car window outside a West Hollywood bar; rapper Tone Loc smashed a woman's car with a baseball bat in Los Angeles; boxer Mike Tyson struck two drivers after a traffic accident in Maryland.

"It's sort of this self-feeding frenzy," Hollenhorst said. "It gets a lot more publicity every time an athlete or a movie star gets sent to anger management."

The number of referrals further increased with a road rage law that took effect in January. The state law, written by Assemblyman Herb Wesson (D-Culver City), gives judges the authority to order defendants to complete a "court-approved anger management or 'road rage' course" in addition to suspending their driving privileges. Wesson, however, admitted recently that he was not aware that court-approved programs don't exist in most counties.

Wesson said he will talk to members of the Assembly Judiciary Committee about setting statewide standards. "If you don't have these things in place, it could lead to abuses," he said.

Los Angeles Superior Court Commissioner Roberta Kyman estimates she has sentenced more than 200 defendants to anger management classes over the last four years. She advised them to choose a class from the approved list and report back after finishing. Until late August, she didn't realize there was no such list.

No Standards, Many Differences

With no standards, classes differ widely in length, format and curricula. Some programs resemble therapy groups, while others teach specific skills in a classroom setting. Teachers' qualifications also vary. Some have doctorates in psychology and others do not even have a college degree.

Sharon Hartwig studied music and theater for two years at a community college and spent 1 1/2 years as a social services counselor before starting an anger management class recently at Joint Efforts Inc., a San Pedro nonprofit agency that serves low-income families.

In preparation, she attended a one-day seminar taught by a fellow teacher and wrote a manual of policies and procedures.

Some say any standards are unnecessary because many anger management teachers already lead domestic violence courses and have met the state requirements to do so.

Cox, the South-Central Los Angeles anger management teacher, insists that her clients benefit, even if it takes them a while to get the message. She said the courses also help participants lower their blood pressure or stop the progression of diabetes or heart disease.

"We know it works," said Cox, who has a doctorate in social psychology. "They block us for three to four months. Once they let that guard down, they start hearing us. And they start telling us, 'I heard your voice telling me to check my anger.' "

David Davies, a bureau chief with Los Angeles County Probation, said all his department can do is keep tabs on whether defendants attend class. They give the Probation Department certificates of completion, which the department passes along to the court.

In Orange County, probation officials took the initiative four years ago by preparing guidelines for courses and identifying teachers qualified to deal with volatile clients. The Probation Department conducts annual reviews.

The 10-week Orange County courses cost up to $50 a week and last 90 minutes each. Instructors focus on the telltale signs of potentially violent anger: upset stomach, clenched fists, dry mouth. Then they provide tips on how students can tame their tempers.

Colorado State University psychology professor Jerry Deffenbacher, who has studied anger management, said programs work only if the participants want help. Even then, he said, the classes may help lower their anger but won't turn them into pacifists.

Each Week, a New Skill

On a recent Tuesday night in Brentwood, Whatley the jaywalker, Yakota the college student and Helmy the shouter sat in a circle holding their workbooks, "Gaining Control of Ourselves." Each week, George Anderson or one of his fellow teachers covers a new skill: Active listening. Identifying high-risk situations. Controlling negative emotions.

This week: Communicating effectively.

The participants took turns introducing themselves, telling why they got referred to the class and what they could have done differently to prevent getting arrested. Then they watched a video about communication styles and practiced ways to express anger and frustration without provoking a fight.

Anderson described the pretend situation: You've cooked a nice meal and your partner comes home two hours late and the food is ruined. His students' responses--though a bit formal--hit the mark: I feel hurt when you come home late for dinner because it makes me feel like you don't value our time together.

Moheb Helmy, 22, said his rage consumes him and he is constantly slamming doors, cursing and fighting with his family. "I have so much anger," he said. "I would love to change because it hurts everybody around me."

Helmy, who has been ordered by a judge to attend 12 weeks of classes, said the skills he is learning seem logical. "But when it comes time to do it, I forget it all," he said.

Anderson, a clinical social worker and former UCLA lecturer, has been teaching anger management for three years and currently has about 200 students at four Los Angeles locations. "I don't know if it works or not," he said. "But anger management teaches practical skills. I think if they come for a long period of time, they'll benefit."

Some clients come voluntarily, but most are required to attend and aren't happy about it. Inevitably, a few bring along an attitude: I don't have a problem. I don't need to be here.

Sandra Whatley, a native Texan with a self-described temper problem, had those exact feelings when she first started the class. She thought the police officer needed anger management more than she did.

But during a year of classes, Whatley said, she has realized that she has to take take some responsibility for getting arrested. Now, she leaves her workbook open on her dresser to remind her to take a deep breath when she is about to explode.

"I've had an aggressive personality my whole life," said Whatley, 40. "It's in my blood. I need this. But I cannot even begin to tell you I have toned myself down."


Letting the Anger Seep Out
The unprecedented nature of the Sept. 11 attacks fuels hostility, experts say. Rather than being a state of reckless confusion,
rage fuels the will to fight for survival.

By BENEDICT CAREY, Times Health Writer

The wide eyes and swollen features, the twitching around the mouth: Anger may be the most frightening of our elemental emotions. Yet many Americans have felt it deeply since Sept. 11 and say the sensation has intruded on their thoughts, affected their relationships and remained surprisingly strong, even months after the events.

"The feeling goes so deep inside, I don't know if the word 'anger' even covers it," said Joyce Glenn, 50, a Roman Catholic lay minister and peace activist in Omaha.

Marian Gaston, 30, a public defender in San Diego, recognizes the feeling. While talking with her husband about U.S. goals in Afghanistan, she heard herself say: "I don't care what the goals are, I'm ready to go slit (Osama bin Laden's) throat myself." She shuddered at the recollection. "I don't think I have ever said anything like that."

In interviews during the last several weeks, dozens of counselors, psychiatrists and clergy across the country said they were seeing evidence of increased anger among clients, friends and neighbors.

"We have seen enormous anger response throughout our whole system," said James Pruett, executive director of Methodist Counseling and Consultation Services, which runs 18 clinics in the Charlotte, N.C., area. "People are angry that their lives are disrupted, they're angry when they have to travel, angry at their bosses." The vast majority connect their anger to the Sept. 11 terrorist attacks on the World Trade Center and the Pentagon, and the aftermath.

Public displays of anger have been numerous: hate crimes against Arab Americans, the spectacle of New York firefighters cursing terrorists on TV, the tremor in the voices of President Bush and other leaders after the attacks. But therapists say most of this passion is playing out in private, in conversations about military strategy and ethics, in arguments among friends, in outbursts after the evening news--eruptions directed at anyone from the Taliban to the U.S. military command to the anchorman.

"I've had couples come in, and the woman says, 'He's been pounding around the house, talking about bombing things, and I'm scared,' " said Dr. William Callahan, an Irvine psychiatrist who was an Air Force flight surgeon and specializes in anger issues.

Callahan's office has fielded dozens of calls in recent weeks from people whose anxiety and grief are mingled with rising levels of fury. "It's amazing how many people are terrified by their own anger because they feel they'll lose control and act on it. But it's important to know that anger is a normal response. It's protective, and feeling it deeply does not mean you are going to lose control."

Contrary to some common depictions, anger is not a state of reckless confusion. In its raw form, it is a sensation of power and clarity that gives us the will and energy to fight for our lives. The body goes on full alert: Levels of "fight-or-flight" hormones such as adrenaline spike, the heart rate quickens, blood rushes to the muscles.

"All senses are heightened, vision is clearer, colors are sharper," Callahan said. "It has none of the fuzziness that anxiety or stress cause. Anger is a motivator. It wants us to act."

Scant Research on the Emotion

How we will act as a result of the anger triggered by Sept. 11 is difficult for mental health researchers to predict, because there's little scientific research to draw on. Anger can be fleeting, and it often is accompanied by a welter of emotions that are nearly impossible to measure: anxiety, fear, grief.

What experts do know is that hostility often is associated with drug use, binge drinking and some mood disorders, including anxiety.

Fits of anger also can knock recovering alcoholics, drug users and smokers off the wagon, according to health professionals. "People tend to make use of such substances as mood regulators, trying to regulate negative moods, and anger is certainly one of those," said June Tangney, a psychologist who studies anger response at George Mason University in Fairfax, Va.

In the months after the 1995 bombing of the Alfred P. Murrah Federal Building in Oklahoma City, a survey found that 44% of residents there reported feeling angry "very often, fairly often or some of the time," compared with 35% of those surveyed in Indianapolis, a city of similar size and population distant from the crime.

Compared with the people in Indiana, smokers and drinkers in Oklahoma City were twice as likely to drink and smoke more after the bombing. The rate at which people took up smoking for the first time was four times higher in Oklahoma City.

Already, substance abuse clinics in the New York metropolitan area are reporting increased demand for services and heightened irritability among clients, said Dr. H. Westley Clark, director of the Center for Substance Abuse Treatment, a federal agency that funds U.S. treatment clinics.

"We expect to see this increased demand across the country," he said. "The fact of the matter is that terrorism can strike anywhere now. This is not like an earthquake or a tornado, which lasts a few seconds or minutes and then it's over."

The unprecedented nature of the attacks is what makes thoughts of lashing out so urgent, trauma experts say. The attacks in New York and near Washington, and the anthrax scare that has followed, were not an act of war by one state against another, as was the case at Pearl Harbor. Nor were they an attack on U.S. military forces, such as the bombing of the Marine barracks in Beirut in 1983 or the attack on the destroyer Cole last year in the Yemeni port city of Aden. And unlike the Oklahoma City bombing, the attacks were not an isolated crime after which the perpetrators were quickly caught.

Rather, they seemed to come from nowhere--from the sky, in the mail--creating the sense of vulnerability that often drives people to frustration and fury.

"This is an entirely new phenomenon, as far as I can tell, and my worry is that, if it goes on and on, people will just say 'Enough!' and act out," said Dr. Fred Gusman, director of the education division of the National Center for Post-Traumatic Stress Disorder in Palo Alto. "I don't think we'll be able to know what the effects are for a couple of years."

Meanwhile, millions of Americans are changing their lives to accommodate a sensation far more powerful than they are accustomed to.

"The sight of those people jumping from the towers because they'd rather fall than be burned . . . I just can't get it out of my head," said Jack Copas, 47, a Methodist minister and lifelong pacifist in Totowa, N.J. He said that since Sept. 11 he has been more furious than ever before in his life. "I keep asking: Why didn't they attack at night--when the buildings weren't full?"

Copas' anger has prompted him to reassess friendships. One longtime friend, a Christian fundamentalist, recently remarked that the attacks were a great wake-up call from God. "He said, 'We need to get right with Jesus.' When he said that to me, I became incensed. I said: 'This is God? God did this?' "

Copas broke off the relationship. His differences with his friend probably were there all along, he suspects, but the response to the attack brought them to the surface.

Gaston, the public defender, has put her anger to practical use. She has been exploring the CIA's Internet site to see if there is some way she can help in the war on terrorism.

"It makes me laugh," she said. "I don't speak any foreign languages; I certainly wouldn't blend in, and all along I'm thinking, 'What on Earth am I doing looking at a (Web) site of people I've been opposed to all my life?' "

For Glenn, the Catholic peace activist in Nebraska, the turmoil of recent months has prompted a rethinking of the principles that have defined her life.

"When it's a matter of self-preservation, I think we need to ask ourselves when it's OK to harm others," she said. While Glenn has not abandoned her commitment to peace, she says she won't march in local demonstrations against the operation in Afghanistan.

"If I'm going to stand somewhere with a sign that says, 'peace now,' I want it to say: 'stop using planes as weapons; stop using anthrax--peace now.' If there's a madman shooting people in McDonald's, do we have a rally outside saying, 'peace now'?"

A Counterbalance of Shame

Struggling with the emotion in these ways is far better than trying to ignore it, psychologists say. What often prevents us from acknowledging the depth of our anger, they say, is an equally powerful counterbalance: shame. Revenge fantasies evoke feelings of shame; they seem to reveal an underlying depravity, even mental instability.

"People feel much more comfortable grieving deeply than expressing anger," said Robert W. Cromey, a former therapist who is rector of Trinity Episcopal Church in San Francisco. "I think the grief that people are pouring out now is deeply related to anger. It's much more acceptable in our society to be sad than to be really mad."

Yet having Rambo-like visions after Sept. 11 does not imply anything about a person's moral character, mental health researchers say.

"There's part of me that wants to go over (to Afghanistan) and pick up a gun and start killing people," Gaston said. "But I think it's important that we not let this attack turn us into something we don't want to be. On a personal level, I don't want to be the person wearing a T-shirt showing Osama bin Laden with a target. . . . It seems to trivialize the whole thing."