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On the last track, we discussed anger and depression. The key points are intrapersonal dynamics and the vicious cycle of anger and depression.
On this track, we will discuss the Ventilation Trap. Two ideas we will consider are continued anger and acknowledging hostility.
#1 Continued Anger
For example, Tom, age 42, was court-ordered to attend anger management sessions. Tom stated, “I think that if I get mad, I should let it out. So, if someone gets under my skin, I tell them off. If someone really ticks me off, I go into a rage.” I asked Tom why he felt uncontrolled ventilation was the key to anger management. Tom felt that the best way to deal with anger was openly and forcefully, because it made him feel better. Also, he stated, “Telling people off is a good way to avoid ulcers.”
Four Questions Regarding Unrealistic Expectations
I asked Tom four questions regarding unrealistic expectations. As I list the four questions, decide if they apply to a client you may be treating.
#2 Acknowledging Hostility
Tom stated, “I was at the gas station yesterday waiting in line at the pump. Some guy was fumbling with the pump like he’d never seen one before. I yelled, ‘Hey, jerk! What the hell do you think you’re doing? Are you stupid? Get it together or get out of my way!’ The moron just looked at me blankly and kept on screwing around with the pump! I was about to get out of my car when the attendant showed up and helped the guy figure it out!”
I asked Tom how long he was sitting there being angry with the man at the pump before the attendant arrived. Tom stated, “About five or ten minutes. Then it took another five or ten minutes for him to finish pumping and pay. By the time I got to the pump, I’d wasted almost half an hour because of this prick.”
Cognitive Behavior Therapy Technique: The Four Question Challenge
a. The first question in the challenge is ‘What am I feeling?’ I stated, “Tom, when you feel the first hint of irritation, stop and ask yourself ‘What am I feeling?’ For instance, what were you feeling when you first became irritated at the pump yesterday.” Tom stated, “I started feeling late, then annoyed and frustrated.”
CBT 6-Step Systematic Desensitization Technique
First, I asked Tom to make a list of five anger-provoking situations. Tom chose stupid people as his hierarchy topic.
I asked Tom to continue this exercise until he could visualize all of the situations in his hierarchy without becoming angry.
Do you have a Tom that you could use the CBT Four Question Challenge or Systematic Desensitization techniques with? You might consider replaying this track and making notes on these techniques to implement with your client caught in a Ventilation Trap for your next session.
On this track, we discussed The Ventilation Trap. Two ideas we discussed were continued anger and acknowledging hostility.
Online Continuing Education QUESTION 14
This CD set has covered such topics as the five methods for handling anger, how feeling controlled causes anger, five myths that perpetuate anger, how other emotions create anger, intentions of anger displays, children and anger, rationalizations that perpetuate anger, assertiveness training, being accountable, combating trigger thoughts, alternatives to anger, positive response, the relationship between anger and depression, and the ventilation trap.
I hope you have found the information to be both practical and beneficial. We appreciate that you've chosen the Healthcare Training Institute at homestudycredit.com as a means for receiving your continuing education credit.
Other Home Study Courses we offer include: Treating Teen Self Mutilation; Treating Post Holiday Let-Down and Depression; Living with Secrets: Treating Childhood Sexual Trauma; Interventions for Anxiety Disorders with Children and Adults; and Balancing the Power Dynamic in the Therapeutic Relationship.
I wish you the best of luck in your practice. Thank you. Consider us for future home study needs at homestudycredit.com
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