||Stop the Anger-Go-Round: Practical and Powerful Techniques For Taking Charge of Anger"
|Type of Activity:
Workshops & Seminars
Objective of Course / Workshop:
• Distinguish between “Expressive” and “Instrumental” anger expressions to assess prognosis.
• Describe major mechanisms of neuroplasticity.
• Assess psychiatric problems that underlie anger and medication options.
• Design an individualized treatment plan for hostility, aggression/abuse or “hidden/passive” anger.
• Identify and transform your clients’ unique pattern of anger arousal.
• Implement the “STOP” model (Nay, 2004) to quickly interrupt, defuse and redirect anger.
• Identify likely causes of setbacks and implement remedies.
|Course / Workshop Outline:
Introduction and Conceptualization
A. Anger, Conflict and Abuse: An Important Social and Family Problem-- An Overview
1. Anger and Violence: Important Considerations for the Clinician
2. Rational for a Cognitive-Behavioral Approach to Breaking the Cycle of Conflict.
B. Most Common Underlying Assumptions for Anger Treatment (Lawson, 2003)
C. "Faces" of Anger: From Passive to Active Aggression and Abuse
1. Ladder of Abuse (Nay, 2010)
2. Risk Factors to Estimate Probability of Abuse
E. Two Types of Aggression: "Expressive" and "Instrumental"--Implications for Treatment
F. Patterns of Conflict: approach-approach, approach-avoidance and avoidance-avoidance.
G. Implications for treatment.
ANGER ASSESSMENT: METHODS AND ISSUES
A. Nay's Multimodal Model of Assessment
B. Assessment: Strategies and Methodological Issues
1. Paper and Pencil Instruments
a. Conflict Tactics Scale
b. MMPI, MCMI and actuarial assessments
c. Novaco Anger Scale
d. Speilberger’s State/Trait Anger Scale (STAXI)
e. Nay’s Self-Assessment of Anger Questionnaire (SAQ)
f. Relationship Assessment Protocol (RAP)
g. Hare Psychopathy Checklist-2
2. Behavioural Observations: direct and analogues
3. Self-Monitoring Strategies: Rationale and Methods
a. Anger Profiles
b. Anger Incident Logs
ANGER IN MEDICAL AND PSYCHIATRIC DISORDERS
A. Role of Anger/Sympathetic Arousal in Disease
B. Medical Problems Exacerbated by Unresolved Anger
1. Cardiovascular Illness
3. Chronic Back Pain/Trigger Point Disorders
4. Musculoskeletal and Vascular Headache
5. Other Chronic Illnesses
C. Psychiatric Disorders
1. Attention Deficit/Hyperactivity Disorder (ADHD)
2. Mood Disorders: Major Depression and Bipolar Disorder
3. Anxiety Disorders: Role of Arousal in Disinhibiton
4. Thought Disorders
5. Alcoholism and Substance Abuse
6. Personality Disorders
7. Seizure and Neurological Injuries
8. Oppositional and Defiant Disorder (ODD)
9. Conduct Disorder (CD)
D. Referral for Medical/Psychiatric Evaluation
1. Medicines Useful in Anger Treatment
C. Anger and Aggression Directed at Health Professionals: Strategies and Guidelines for Safety
D. Referral for Anger Treatment: Issues and Strategies
Focus of Treatment
• Rationale for Individual, Conjoint or Group Intervention
• Ethical and Professional Issues
1. Who to Treat
2. Multiple Therapists
3. Modality of Intervention
• Treatment Contracts—Coping with Resistance
IV. ANGER AROUSAL MANAGEMENT
A. Understanding and Recognizing Anger
1. Three Phases of an Anger Episode
B. Identifying and Preparing for Anger Triggers
1. Three Categories of Expectations
C. Pinpointing Anger Early On
1. The Physiology of Arousal
2. Anger Scaling
2. Dampening: Signal Breathing and other Strategies
D. Identifying and Changing Thoughts that Fuel Anger
1. Cognitive Distortions Related to Anger Arousal
2. The Three Criteria to Challenge Self-talk
3. The Cognitive Restructuring Protocol (CRP)
4. The "STOP" Model: An Integration
5. Special Issues When Working With Adolescent
IV. SETTING AND REINFORCING BOUNDARIES/ COPING WITH PROVOCATION (Nay’s"A--E" model: Nay, 2010)
A. A: Personal Assessment
1. Relationship Assessment Protocol (RAP, Nay, 2010)
2. Daily Log
3. Assessing Expressions of Anger
c. negative labeling
4. Inappropriate Reactions to Partner/Child Anger Expression
B. B: Boundaries: Defining and Construction of
1. When Important Needs are Blocked--the Basis for Boundaries: Couples and Parents
2. Rules for Creating Boundaries That Are Behaviorally Specific
C. C: Creating Cognitions That Support New Boundaries
1. Unhelpful Beliefs and Cognitive Distortions that Fuel Inappropriate Reactions to Partner Anger
2. Challenging/replacing cognitions
D. D: Denial of Rewards
1. Identifying Unwitting Rewards for Other's Anger Behaviors
Conflict Resolution/Collaborative Communication
A. Preparation to Communicate: Using Sherrod Miller’s “Awareness Wheel”
B. Expressing Boundaries
1. Active Listening
2. "I" Message Communication of Needs
C. Ten Powerful Defusing Conflict Strategies
D. Assertive Problem Solving to Reduce Conflict
E. Collaborative Problem-solving to Reduce Conflict: Illustrations for Couples and Unique Issues with Adolescents
D. Staying the Course
A. Coping With Expected Setbacks
1. Not Enough Practice
2. The “Five Ss”
3. Reassessing Expectations
4. Unresolved Resentment: Defining Rational Conditions of Resolution
|Course / Workshop content:
||This highly focused program has been designed to add the latest cognitive-behavioral and short-term anger intervention strategies to your repertoires. You will learn to apply a powerful range of innovative anger management techniques in your work with adults, youth, couples and families.
• Anger Profiling: Assessing five “faces” of anger, anger triggers, self-talk that fuels anger and patterns of anger expression
• Mental Health Disorders and Medical Conditions That Fuel Anger.
• New Cognitive-Behavioural treatment strategies to challenge anger-inducing thinking
• Anger Scaling: linking level of arousal to new coping actions
• New problem-solving and collaborative communication skills for couples and families impacted by anger
• 10 proven techniques to quickly defuse provocative behavior
Robert Nay is one of world’s leading experts on the treatment of anger. A prolific author of two best-selling books, numerous journal articles and textbooks, Dr. Nay will provide you with a program full of practical, hands-on strategies. Dr. Nay is an expert clinician who has trained thousands of professionals internationally. A sought after expert, he has trained such organizations as American Health Institute, CIA, National Security Agency, numerous clinical and professional groups, universities and agencies, to name the few.
This isn’t just another anger management seminar. You will learn the very latest skills and techniques that will diffuse anger and provide lasting change in your clients. Dr. Nay will provide proven strategies that will work with your most difficult clients.
• Teach rapid reframing of threatening perceptions and personalization’s
• The complex interrelationship between substance abuse and anger
• Imagery, visualization, and relaxation techniques
• Proven methods for identifying and altering irrational theories and beliefs
• When and how to integrate anger management strategies with family therapy
• Dealing with misdirected anger
|Presenter / Provider:
||Robert Nay (PhD) / TATRA Training Services
||PhD in Clinical Psychology
||W. Robert Nay, Ph.D.is Clinical Associate Professor at Georgetown University School of Medicine and in private practice in McLean, Virginia and Annapolis, Maryland.
Dr. Nay has written two graduate textbooks, numerous invited chapters and articles in professional journals and served as associate editor of the academic journal Behavior Therapy. He has trained over 4,000 mental health professionals in cognitive-behavioral therapy (CBT) approaches to anger management and relationship issues.
He has spent the last 30 years working with individuals, couples, parents and families to better regulate their anger and to effectively manage relationship conflicts. Based on available research, hundreds of hours of work with individuals, couples and families and the training he has provided to mental health professionals professionals, Dr. Nay has developed a practical and effective program to address anger and conflict, alter anger-instigating beliefs and thinking, set new personal boundaries for acceptable behaviors and to teach collaborative problem-solving while defusing new conflicts before they can take root. His program is described in his new book Taking Charge of Anger: Six Steps to Asserting Yourself Without Losing Control: Second Edition (Guilford Press, 2012) and his recent book Overcoming Anger in Your Relationship: How to Break the Cycle of Arguments, Put-Downs and Stony Silences (Guilford Press, 2010). Dr. Nay is a sought after speaker, has often appeared on television and in national media and writes a relationship blog for Psychology Toda in the USA.