Chapter 11: Anger, Aggression, and Hostility

Vocabulary flashcards covering the definitions, behavioral phases, neurobiological factors, and clinical management strategies for anger and aggression based on the lecture transcript.

Anger

A normal human emotion consisting of a strong, uncomfortable emotional response to a real or perceived provocation, often resulting from frustration, hurt, or fear.

Hostility (Verbal Aggression)

Behavior expressed through verbal abuse, lack of cooperation, violation of rules, or threatening behavior intended to intimidate or cause emotional harm.

Physical Aggression

Behavior involving attacking or injuring another person or destroying property, meant to harm, punish, or force compliance.

Triggering Phase

The first phase of an aggressive incident that initiates the aggressive response.

Escalation Phase

The second phase of an aggressive incident characterized by an increasing loss of control.

Crisis Phase

The phase involving a loss of emotional and physical control where staff must take charge for safety reasons, requiring a physician's order and $4$ to $6$ trained staff members for restraints.

Recovery Phase

The phase where the client is regaining control and is encouraged to talk about triggers and explore alternatives to aggressive behavior.

Post-crisis Phase

The final phase of an aggressive incident involving reconciliation, returning to normal function, and removal from restraint or seclusion.

Assertive Communication

A technique using "I statements" to express feelings specific to a situation, which helps lead to productive problem-solving and can be cathartic.

Intermittent Explosive Disorder (IED)

A rare psychiatric diagnosis involving episodes of aggressive impulses, such as serious assaults or destruction of property, that are disproportionate to the provocation.

Acting Out

An immature defense mechanism used to deal with emotional conflicts or stressors through verbal or physical aggression to provide temporary relief from helplessness.

Serotonin

A neurotransmitter that plays an inhibitory role in aggressive behavior; lower levels are associated with increased aggressive behaviors.

Dopamine and Norepinephrine

Neurotransmitters that, when increased, can increase impulsive behavior.

Anger syndrome seen in Korea

A culture-bound syndrome predominantly seen in females, characterized by specific physical and emotional symptoms.

Atypical Antipsychotics

Medications found to be more effective than conventional antipsychotics for treating aggressive behavior associated with psychosis.

Jayco ($2008$)

The organization that established that intimidating and disruptive behaviors can undermine safety, lead to errors, and decrease patient satisfaction.

Benzotriptune

A medication mentioned requiring careful assessment for extrapyramidal side effects when used in the context of treating aggressive clients.

Lithium

A medication used for aggression associated with bipolar disorder, conduct disorders, and intellectual development disorders.