Cognitive behavioural group anger management for out-patients: a retrospective study

This study proposes that anger as the "forgotten emotion" (DiGiuseppe 1994), can cause distress and hardship for the individual who experiences dysfunctional anger in the form of high levels of intensity, duration and rapid onset as well as causing distress to those who observe or are victims of the behavioural responses to anger It is very difficult to calculate the cost of dysfunctional anger to an individuals physical well being and relationships, or to society in general. The author suggests the costs are immense. With this in mind anger management training has gradually emerged in differing forms and from different psychotherapeutic alliances. However, very little outcome data is available to clinicians which may highlight the benefits or deficits of such programmes. To this aim, and using Novaco's (1994) model of anger the author has attempted to address this issue. Twenty three subjects (Ss) attended for screening assessment six group treatment sessions and a three month follow-up session of anger management based on Cognitive Behavioural approaches. The groups were small in number of between 3-6 Ss. All the Ss were from the out-patient, primary care setting, and none of them were compulsory required to attend the sessions. Quantitative data was collected using the 1994 Novaco Anger Scale, (NAS), and scientifically analysed. Qualitative data was collected using a semi-structured post treatment interview, and some of the comments are discussed. The quantitative data showed significant gains across all measures from pre to post treatment. No gains were made during the period spent (3-6 months) on the waiting list. The results and findings are discussed in relation to therapeutic value and service planning.