Medicine and Health Sciences Commons^™

Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella

Antioch University Dissertations & Theses

The literature on motherhood is dominated by topics on the roles of attachment, prenatal care, and childrearing. Research on the negative effects of motherhood is typically described in terms of postpartum depression (PPD) or postpartum mood disorder (PPMD). However, anger is a prominent component in motherhood, which may not be seen through the criteria of PPD or PPMD. Additionally, angry mothers conflict with the mythos of the Good Mother. In this phenomenological study, the thematic structure of mothers’ experience within the first year of their newborns’ life are examined. Data from interviews with seven women who were four to ten …

Law Library Blog (November 2020): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

An Approach To Neutrosophic Dialogue And A Response To Wef's Great Reset: How Dialogue Is Required In Order To Preserve Social Justice With Anger Management, Victor Christianto, Florentin Smarandache

Branch Mathematics and Statistics Faculty and Staff Publications

In recent debates, there are arguments on the role of anger in order to preserve social justice. For instance, in open democracy net, there is promoted phrase: "anger is the language of social justice." Others call for anger fueled with love (Sisonke Msimangs). Is that true? Is it achievable, the so-called "anger with love?"

Coping With Illness: Insight From The Bhagavad Gita, Bharti Kalra, Ameya Joshi, Sanjay Kalra, Vivekanand G. Shanbhag, Jyoti Kunwar, Yatan Pal Singh Balhara, Sandeep Chaudhary, Deepak Khandelwal, Sameer Aggarwal, Nanik Ram

Section of Diabetes, Endocrinology and Metabolism

The Shrimad Bhagavad Gita enlightens everyone on how to cope up with various situations in life. It uses the conversation between Lord Krishna and Arjuna to highlight initial negative coping mechanisms exhibited by the latter. It goes on to showcase positive coping skills suggested by Lord Krishna and implemented by Arjuna. The Bhagavad Gita, through this "case-based methodology," teaches us how to cope with a demanding situation. Diabetes is a lifestyle disease, which warrants a thorough change in one's lifestyle, including changes in basic activities such as diet and exercise. This brief communication utilizes the teachings of Bhagavad Gita to …

Neural Mechanisms Of The Rejection-Aggression Link, David S. Chester, Donald R. Lynam, Richard Milich, C. Nathan Dewall

Psychology Faculty Publications

Social rejection is a painful event that often increases aggression. However, the neural mechanisms of this rejection–aggression link remain unclear. A potential clue may be that rejected people often recruit the ventrolateral prefrontal cortex’s (VLPFC) self-regulatory processes to manage the pain of rejection. Using functional MRI, we replicated previous links between rejection and activity in the brain’s mentalizing network, social pain network and VLPFC. VLPFC recruitment during rejection was associated with greater activity in the brain’s reward network (i.e. the ventral striatum) when individuals were given an opportunity to retaliate. This retaliation-related striatal response was associated with greater levels of …

Examining The Correlation Between Acute Behavioral Manifestations Of Concussion And The Underlying Pathophysiology Of Chronic Traumatic Encephalopathy: A Pilot Study, M Byrd, C E. Dixon, B Lucke-Wold

Clinical and Translational Science Institute

Concussion in athletes can contribute to early neuropsychological changes that may be indicative of future neurodegenerative disease. One of the hallmark findings of chronic traumatic encephalopathy is anxiety and impulsive behavior that often develops early in the course of the disease. The behavioral dysfunction can be grouped into a broader category referred to as cognitive disruption. The current gold standard for diagnosing chronic neurodegeneration is post-mortem evaluation of tauopathy to identify neurofibrillary tau tangles in neurons. Few studies, however, have looked at clinical correlations between acute injury and chronic neurodegeneration in terms of behavior. This lack of focus towards translational …

The Rewarding Nature Of Provocation-Focused Rumination In Women With Borderline Personality Disorder: A Preliminary Fmri Investigation, Jessica R. Peters, David S. Chester, Erin C. Walsh, C. Nathan Dewall, Ruth A. Baer

Psychology Faculty Publications

Background: Understanding why individuals with borderline personality disorder (BPD) ruminate on prior provocations, despite its negative outcomes, is crucial to improving interventions. Provocation-focused rumination may be rewarding in the short term by amplifying anger and producing feelings of justification, validation, and increased energy, while reducing self-directed negative affect. If provocation-focused rumination is utilized regularly as a rewarding emotion regulation strategy, it could result in increased activation in reward-related neural regions. The present pilot study examined neural correlates of provocation-focused rumination, relative to other forms of thought, in BPD.

Method: Functional magnetic resonance imaging (fMRI) was utilized to examine this theory …

Characteristics Of Repetitive Thought Associated With Borderline Personality Features: A Multimodal Investigation Of Ruminative Content And Style, Jessica R. Peters, Tory A. Eisenlohr-Moul, Brian T. Upton, Nina A. Talavera, Jacob J. Folsom, Ruth A. Baer

Psychology Faculty Publications

Increased ruminative style of thought has been well documented in borderline personality disorder (BPD); however, less is known about how the content of rumination relates to domains of BPD features. Relationships between forms of rumination and BPD features were examined in an undergraduate sample with a wide range of BPD features. Participants completed self-report measures of rumination and a free-writing task about their repetitive thought. Rumination on specific themes, including anger rumination, depressive brooding, rumination on interpersonal situations, anxious rumination, and stress-reactive rumination were significantly associated with most BPD features after controlling for general rumination. Coded writing samples suggested that …

Ehlers-Danlos Syndrome Hypermobility Type Is Associated With Rheumatic Diseases, Kyla R. Rodgers, Jiang Gui, Mary Beth P. Dinulos, Richard C. Chou

Dartmouth Scholarship

We retrospectively analyzed electronic medical records of patients with Ehlers-Danlos Syndrome hypermobility type (HEDS), including demographic information, workup, rheumatological diagnoses in order to determine its association with rheumatological conditions. HEDS Patients were stratified according to level of workup received (no additional work (physical exam only) = NWU, limited workup = LWU, comprehensive workup = CWU)). HEDS patients were predominantly female (21:4, F:M). The percentage of patients with at least one rheumatological condition was significantly correlated with level of workup (NWU, 9.2%; LWU, 33.3%, CWU, 67.1%; p-value < 0.0001). The HLA-B27 antigen was more prevalent (p-value < 2.2 × 10 –8 ) in the CWU HEDS patients (23.9%) than in the general population of the United States (6.1%). HEDS with CWU were associated with more rheumatological conditions (i.e. psoriasis, ankylosing spondylitis, rheumatoid arthritis, fibromyalgia) than those with NWU or LWU. In conclusion, HEDS is associated with complicated rheumatological conditions, which are uncovered by comprehensive workup. These conditions require different clinical management strategies than HEDS, and left untreated could contribute to the pain or even physical disability (i.e. joint erosions) in HEDS patients. While the mechanisms underlying these associations are unknown, it is important that all HEDS patients receive adequate workup to ensure a complete clinical understanding for the best care strategy possible.

Anger And Hostility As Primary Externalizing Features Of Depression In College Men, Matthew Genuchi

Psychological Sciences Faculty Publications and Presentations

Some have suggested that Major Depressive Disorder diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) may not capture the full range of depressive symptoms of some men who adhere to hegemonic masculine gender role norms. The purpose of this study was to examine the ability of several proposed externalizing variables to predict masculine depression in a sample of men (n = 169). A stepwise multiple regression process was used, in which three models were analyzed. The analysis indicated that hostility and anger were the only variables predictive of masculine depressive symptoms. Additional implications for clinical …

An Examination Of The Relationship Between Childhood Abuse, Anger And Violent Behavior Among A Sample Of Sex Offenders, Stephanie R. Ramirez, Elizabeth L. Jeglic, Cynthia Calkins

Publications and Research

Background: Increasing attention has focused on the emotional dysregulation that can result from adverse childhood experiences among those who commit sexually violent crimes. While studies confirm a relationship between child maltreatment and anger the research is limited and it is unclear how anger and child maltreatment effect the use of violence during the commission of the sex crime.

Methods: This study examined the relationship between childhood maltreatment, anger and violent behavior by reviewing the records of 571 adult male offenders convicted of sexual assault or child molestation. The aims of the present study were to 1) examine differences in anger …

The Role Of Anger Rumination And Autism Spectrum Disorder– Linked Perseveration In The Experience Of Aggression In The General Population, Cara E. Pugliese, Matthew S. Fritz, Susan W. White

Department of Educational Psychology: Faculty Publications

This study (a) examined the role of anger rumination as a mediator of the relation between social anxiety and the experience of anger, hostility, and aggression, in the general population, and (b) evaluated the degree to which the presence of autism spectrum disorder characteristics moderates the indirect influence of anger rumination. We then explored whether social cognition and perseveration characteristic of autism spectrum disorder uniquely accounted for the predicted moderation. In this survey study of young adults (n = 948), anger rumination mediated the relation between social anxiety and hostility, as well as verbal and physical aggression, as predicted. Greater …

A Narrative Study Of Emotions Associated With Negative Childhood Experiences Reported In The Adult Attachment Interview, Lynne Hartman

Antioch University Dissertations & Theses

Attachment patterns, which tend to be stable over time, are passed from one generation to the next. Secure attachment has been linked to adaptive social functioning and has been identified as a protective factor against mental illness. The parents’ state of mind with regard to attachment—as measured with the Adult Attachment Interview (AAI) (Main, Goldwyn, & Hesse, 2002)—predicts the attachment classification for the infant in Ainsworth’s Strange Situation Procedure (Ainsworth, Blehar, Waters, & Wall, 1978). Earned-secure individuals have overcome negative childhood experiences to achieve a secure state of mind in adulthood. Earned security, like continuous security, strongly predicts infant security …

The Interplay Of Trait Anger, Childhood Physical Abuse, And Alcohol Consumption In Predicting Intimate Partner Aggression, Rosalita C. Maldonado, Laura E. Watkins, David Dilillo

Department of Psychology: Faculty Publications

The current study examined three well-established risk factors for intimate partner aggression (IPA) within Finkel and Eckhardt’s I³ model, including two impellance factors—trait anger and childhood physical abuse history—and the disinhibiting factor of alcohol consumption. Participants were 236 male and female college students in a committed heterosexual dating relationship who completed a battery of self-report measures assessing childhood physical abuse, trait anger, alcohol consumption, and IPA perpetration. Results revealed a significant three-way interaction showing that as the disinhibition factor alcohol consumption increased, the interaction of the two impelling factors, trait anger and childhood physical abuse, became increasingly more positive. …

Effects Of Anger Awareness And Expression Training Versus Relaxation Training On Headaches: A Randomized Trial, Olga Slavin-Spenny, Mark A. Lumley, Elyse R. Thakur, Dana C. Nevedal, Alaa M Hijazi

Psychology Faculty Research Publications

Background and purpose: Stress contributes to headaches, and effective interventions for headaches routinely include relaxation training (RT) to directly reduce negative emotions and arousal. Yet, suppressing negative emotions, particularly anger, appears to augment pain, and experimental studies suggest that expressing anger may reduce pain. Therefore, we developed and tested anger awareness and expression training (AAET) on people with headaches.

Methods: Young adults with headaches (N = 147) were randomized to AAET, RT, or a wait-list control. We assessed affect during sessions, and process and outcome variables at baseline and 4 weeks after treatment.

Results: On process measures, …

Impulsivity Like Traits And Risky Driving Behaviors Among College Students, Matthew R. Pearson, Elaine M. Murphy, Ashley N. Doane

Psychology Faculty Publications

The present study examined the predictive effects of five impulsivity-like traits (Premeditation, Perseverance, Sensation Seeking, Negative Urgency, and Positive Urgency) on driving outcomes (driving errors, driving lapses, driving violations, cell phone driving, traffic citations, and traffic collisions). With a convenience sample of 266 college student drivers, we found that each of the impulsivity-like traits was related to multiple risky driving outcomes. Positive Urgency (tendency to act impulsively when experiencing negative affect) was the most robust predictor of risky driving outcomes. Positive Urgency is a relatively newly conceptualized impulsivity-like trait that was not examined in the driving literature previously, suggesting a …

Pegylated Interferon 2a And 2b In Combination With Ribavirin For The Treatment Of Chronic Hepatitis C In Hiv Infected Patients., Ravinder Dhillon, Simona Rossi, Steven K Herrine

Department of Medicine Faculty Papers

Coinfection with hepatitis C virus (HCV) and HIV is an increasingly recognized clinical dilemma, particularly since the advent of highly active antiretroviral therapy. Several studies of this population have demonstrated both more rapid progression of liver disease and poorer overall prognosis compared to HCV monoinfected patients. Consensus guidelines, based primarily on the results of 4 major randomized trials, recommend treatment with peginterferon and ribavirin for 48 weeks in coinfected patients. However, this current standard of care is associated with lower response rates to therapy than those seen in monoinfected patients. Important predictors of response include HCV genotype, pretreatment HCV RNA …

Violence On Campus: Practical Recommendations For Legal Educators, H. Smith, Sandra Thomas, C.M. Parker

Faculty Publications and Other Works -- Nursing

Recent rampage killings compel greater attention to anger and violence on the college campus. In each of these tragic mass murders, vengeful individuals sought to address perceived grievances against faculty and/or other employees of the university. In each of these situations, numerous clues of impending violence were evident. Sadly, however, in each of these cases the schools failed to take preventive actions. While prediction of violent behavior will never be an exact science, universities must begin to enact violence prevention strategies. Maintaining an attitude that 'this couldn't happen here' hampers the necessary education of faculty, staff, and security personnel.

Our …

Men's Health And Psychosocial Issues Affecting Men, Sandra Thomas

Faculty Publications and Other Works -- Nursing

Contemporary scholars are calling on men to rethink "the male deal." As Samuels describes it, "In the male deal, the little boy, at around the age of 3 or 4. strikes a bargain with the social world in which he lives. If he will turn away from soft things, feminine things, maternal things...then the world will reward his gender certainty by giving him all the goodies in its possession." But the "deal" can have damaging effects, as shown in the studies reviewed in this article. Clinicians can help men to rethink the restrictions of the "male deal" so that they …

Men's Anger: A Phenomenological Exploration Of Its Meaning In A Middle Class Sample Of American Men, Sandra Thomas

Faculty Publications and Other Works -- Nursing

This study explored the meaning of men's anger, using the methodology of eidetic (descriptive) phenomenology. A community sample of 19 middle-class American men, ranging in age from 20 to 50 years, participated in audiotaped interviews. Two prominent themes, right versus wrong and being controlled versus having control, were contextualized by the world in which masculinity has been socially constructed and emotion is regulated accordingly. Interwoven throughout anger narratives were descriptors of the intense physical arousal felt within the body. Time was an important contextual ground for men's anger experience, with sharp contrasts drawn between anger then and now. Findings suggest …

Age Differences In Anger Frequency, Intensity, And Expression, Sandra Thomas

Faculty Publications and Other Works -- Nursing

BACKGROUND: Although research consistently indicates harmful effects of mismanaged anger, little attention has been given to age differences in the experience and expression of this emotion. It is plausible that, with age and experience, people have less intense anger or learn to manage it more constructively.

OBJECTIVE: The purpose of this project was to examine age differences in anger frequency, intensity, and expression in a nonclinical sample of students, faculty, and staff who participated in a health fair at a large southeastern university.

STUDY DESIGN: This descriptive study involved a predominantly white sample, ranging in age from 18 to 76 …

Teaching Healthy Anger Management, Sandra Thomas

Faculty Publications and Other Works -- Nursing

TOPIC. Teaching anger management in the community.

PURPOSE. To describe anger management and offer guidelines for assessing potential participants and teaching healthy behaviors.

SOURCES. Drawing from the literature, more than 10 years of quantitative and qualitative studies by our research team, and 5 years of experience in conducting anger management groups, the author presents basic principles of teaching anger management. A model is described for a 4-week group for women.

CONCLUSIONS. Anger management has wide applicability to a variety of constituencies for both primary and secondary prevention. Advanced practice psychiatric nurses are well-qualified to provide this psychoeducational intervention.

The View From The Edge Of The Cauldron, Sandra Thomas

Faculty Publications and Other Works -- Nursing

No abstract provided.

Linking Childhood Sexual Abuse And Abusive Parenting: The Mediating Role Of Maternal Anger, David Dilillo, George C. Tremblay, Lizette Peterson

Department of Psychology: Faculty Publications

Objective: This study had two primary objectives: First, to examine the association between childhood sexual abuse (CSA) and later parenting characteristics, particularly physical abuse potential, and second, to explore maternal anger as a mediator of the relationship between CSA and adult physical abuse potential.

Method: Utilized a community sample of low SES participants that included 138 mothers classified as having experienced CSA, and a comparison group of 152 non-sexually abused mothers. Parenting variables examined included the mothers' physical abuse potential, nurturance toward their children, unrealistic developmental expectations of children, as well as frequencies of spanking and general punishment. Data was …

Taking A Triage Approach To Nurses' Anger, Sandra Thomas

Faculty Publications and Other Works -- Nursing

No abstract provided.

Extrapunitive And Intropunitive Anger Of Hiv Caregivers: Nursing Implications, Kenneth D. Phillips, S.P. Thomas

Faculty Publications and Other Works -- Nursing

The purpose of this qualitative study was to investigate the anger of individuals who have provided direct patient care to loved ones who are living with or who have died from AIDS. The sample consisted of eight individuals who are currently involved in an AIDS service organization in northeast Tennessee. Data were collected using semistructured taped interviews. At the beginning of the study, two group interviews were conducted. Subsequently, each of the participants was interviewed privately. Extrapunitive and intropunitive anger were predominant themes in each of the interviews. Participants also reported ways of coping with their anger. Nurses can suggest …

Relationships Among Perceived Stress, Trait Anger, Modes Of Anger Expression And Health Status Of College Men And Women, Sandra Thomas, R.L. Williams

Faculty Publications and Other Works -- Nursing

Relationships among perceived stress, trait anger (general propensity to become angry), modes of anger expression, and health status were examined in a sample of 720 college students, using Caplan's conceptualization of stress as the study's framework. Propensity toward anger was assessed by the 10-item form of the Trait Anger Scale (Spielberger et al.), modes of anger expression were assessed by the Framingham Anger Scales, perceived stress was operationalized by the Perceived Stress Scale (Cohen, Kamarck, and Mermelstein), and current health status was assessed by Ware's 9-item Current Health Scale. As hypothesized, stress was a positive correlate of trait anger and …

Anger Symptomatology, Stress Reactivity, And Health Status Of Mid-Life Women, Sandra Thomas

Faculty Publications and Other Works -- Nursing

This study examined psychological, behavioral, environmental, and sociodemographic predictors of health status in 87 mid-life women participating in a longitudinal investigation. Correlates of good health were found to be an optimistic disposition, internal locus of control, education, income, employment outside the home, moderate exercise, and adequate sleep. Variables negatively related to health were stress, external locus of control, packyears of smoking, post-menopausal status, body mass index, and anger symptomatology. Age and social support variables were not related to health status, nor were the anger-in, anger-out, and anger-discuss modes of expressing anger. The regression model accounted for 56% of the variance …

Dr. Huston's Lecture Introductory To The Course On Materia Medica, &C. In Jefferson Medical College, November 5, 1846., Robert M. Huston, Md

Jefferson Medical College Opening Addresses

No abstract provided.