Problem Anger in Psychotherapy: An Emotion-Focused Perspective on Hate, Rage, and Rejecting Anger

• Published in: Journal of contemporary psychotherapy 2013-06, Vol.43 (2), p.83-92
• Main Authors: Pascual-Leone, Antonio, Gilles, Phoenix, Singh, Terence, Andreescu, Cristina A.
• Format: Article
• Language: English
• Subjects: Anger; Clinical Psychology; Emotions; Medicine; Medicine & Public Health; Original Paper; Personality and Social Psychology; Psychiatry; Psychotherapy; Public Health; Taxonomy
• ISSN: 0022-0116; 1573-3564
• DOI: 10.1007/s10879-012-9214-8

This paper explores applies emotion-focused theory, for the first time, to the emotions of hate, rage, and destructive anger. The general case formulation proposed in this paper is that these emotions are always an elaboration of secondary anger. The body of the paper describes three clinical case formulations. First, problem anger is described in terms of an individual’s self-criticism. Second, we present a form of secondary anger, in which hostility and rage are reactive feelings to avoid more vulnerable (primary) experiences. An unfortunate example of this is has been described as a common underlying process in domestic violence. A alternate manifestation of secondary anger results from the deterioration of what may have initially been adaptive anger; thus, excessive arousal and the loss of meaning or focus that one’s anger embodied also leads to rage or destructive anger. Finally, the experience and expression of hate is described as a primary maladaptive and/or instrumental anger. This appears in-session particularly among those with certain personality disorders. The paper highlights implications for research and practice.