Recently a variety of behavioral treatments for maladaptive anger and aggression have been evaluated. The present article reviews 3 case reports and 5 controlled studies which assess the effectiveness of systematic desensitization as a treatment of anger-based problems. While each investigation offers some support for the effectiveness of desensitization, methodological flaws and conflicting patterns of results obscure interpretation of the findings. It is concluded that because the nature of anger and aggression responses is complex it may be more appropriate to utilize a more multifaceted assessment and treatment approach.
References
1.
AxA. F.The physiological differentiation between fear and anger in humans. Psychosomatic Medicine, 1953, 15, 433–442.
2.
BanduraA.Principles of behavior modification. New York: Holt, Rinehart & Winston, 1969.
3.
BanduraA.Aggression: a social learning analysis. Englewood Cliffs, NJ: Prentice-Hall, 1973.
4.
BootzinR.LickJ.Expectancies in therapy research: interpretive artifact or mediating mechanism. Journal of Consulting and Clinical Psychology, 1979, 47, 852–855.
5.
DworkinE. S.EfranJ. S.The angered: their susceptibility to varieties of humor. Journal of Personality and Social Psychology, 1967, 6, 233–236.
6.
EvansD. R.Specific aggression, arousal, and reciprocal inhibition therapy. Western Psychologist, 1971, 1, 125–130.
HerrellJ. M.Use of systematic desensitization to eliminate inappropriate anger. Proceedings of the 79th Annual Convention of the American Psychological Association, 1971, 6, 431–432.
10.
KazdinA. E.WilcoxonL. A.Systematic desensitization and non-specific treatment effects: a methodological evaluation. Psychological Bulletin, 1976, 83, 229–258.
11.
LangP. J.The application of psychophysiological methods to the study of psychotherapy and behavior modification. In BerginA. E.GarfieldL. L. (Eds.), Handbook of psychotherapy and behavior change. New York: Wiley, 1971. Pp. 75–125.
12.
LazarusA. A.Multi-modal behavior therapy. New York: Springer, 1976.
13.
NovacoR. W.The functions and regulation of the arousal of anger. American Journal of Psychiatry, 1976, 133, 1124–1128. (a)
14.
NovacoR. W.Treatment of chronic anger through cognitive and relaxation controls. Journal of Consulting and Clinical Psychology, 1976, 44, 681. (b)
15.
NovacoR. W.Stress inoculation: a cognitive therapy for anger and its application to a case of depression. Journal of Consulting and Clinical Psychology, 1977, 45, 600–608.
16.
NovacoR. W.Anger and coping with stress: cognitive-behavioral interventions. In ForeytJ. P.RathjenE. D. (Eds.), Cognitive-behavior therapy: research and application. New York: Plenum, 1978. Pp. 135–173.
17.
O'DonnellC. R.WorellL.Motor and cognitive relaxation in the desensitization of anger. Behavior Research and Therapy, 1973, 11, 473–481.
18.
PaulG. L.Insight versus desensitization in psychotherapy: an experiment in anxiety reduction. Stanford, CA: Stanford Press, 1966.
19.
RimmD. C.DeGrootJ. C.BoordP.HeimanJ.DillowP. V.Systematic desensitization of an anger response. Behavior Research and Therapy, 1971, 9, 273–280.
20.
RimmD. C.HillG. A.BrownN. N.StuartJ. E.Group-assertive training in the treatment of expression of inappropriate anger. Psychological Reports, 1974, 34, 791–798.
21.
RothenbergA.On anger. American Journal of Psychiatry, 1971, 128, 454–460.
22.
SingerD. L.Aggression arousal, hostile humor, catharsis. Personality and Social Psychology Monograph Supplement, 1968, 8, 1–14.
23.
SmithR.The use of humor in the counterconditioning of anger responses: a case study. Behavior Therapy, 1973, 4, 576–580.
24.
Von BenkenE. A.Clinical reduction of anger and aggression by systematic desensitization: the relation of anger to fear. (Doctoral dissertation, Univer. of Cincinnati, 1977) Dissertation Abstracts International, 1977, 38, 2388B–2389B. (Univer. Microfilms No. 77–23, 249).
25.
WarrenR.KurlycheckR.Treatment of maladaptive anger and aggression: catharsis vs behavior therapy. Corrective and Social Psychiatry, 1981, 27, 135–139.
26.
WolpeJ.The practice of behavior therapy. (2nd ed.) New York: Pergamon, 1973.
