Monday, 1 April 2013

Types of anger and how we express them



From personal experience I can name a number of ways I have expressed anger.  I like to think of myself as a fairly calm, adaptable and laid back person, but my anger can range from the extreme anger where I feel totally out of control, to ranting to my friends, waking up in the middle of the night ranting in my head or just simple irritation with my children.  How much of this is ‘normal’? Is any of this causing me problems? Why does it matter?

Anger can be seen on a scale – from out of control, red mist rage, to minor irritation.  In fact there is a Clinical anger Scale (Snell, 1995) which is used to measure anger. Anger is a problem when it hurts you or people around you. It isn’t the anger that’s the problem, it’s how you deal with it.  This is when it comes down to the kind of reaction you have – how the anger is expressed or kept inside.



It seems we tend to view anger as a ‘bad’ emotion – one we shouldn’t feel or worse still, shouldn’t express. It may be because we don’t like to lose control, or that ‘nice’ people don’t get angry, that we may be disapproved of, or for many other reasons.

Obviously anger outbursts which are physical in any way either to yourself, others or something physical (like the wall) do need attention, but just as damaging is the kind of anger which we contain and try to ignore.  This is the kind of anger which causes you to rant to your friends about the unfairness of it and your negative feelings towards those involved in the argument with you.  Its also the anger which wakes you up in the middle of the night whilst your head rants on “….and another thing…..” whilst you play put the conversation the way you would like but in reality feel you can’t.

Also on the anger scale is frustration.  This is unspoken anger and can in turn lead to maliciousness, resentment or vengeful feelings.  Most commonly this is on a minor scale – for example your partner didn’t put the bin out, so you don’t make him a cup of coffee when you get one for yourself etc.  This can grow over time if we don’t take steps to address it.

Ultimately why does any of this matter? In recognising your anger, how you express it – or don’t express it, allows you to self-reflect on your actions and emotions.  This helps you to recognise situations and people which cause you stress, feelings of anger, injustice, powerlessness and so on.  Once recognised, you can actually begin to do something about it.

Additionally It is now recognised that unresolved anger can lead to physical health problems including high blood pressure, heart attacks, depression, digestive problems and cold and flu (NHS), so the more you can process your anger and not supress it, the better the outcome for your physical health.
 

References
NHS (2011) How to control your anger.  Available online: http://www.nhs.uk/Conditions/stress-anxiety-depression/Pages/controlling-anger.aspx

Snell, W (1995) The clinical anger scale.  Available at: http://www4.semo.edu/snell/scales/CAS.htm

Anger and insulin resistance

Anger has a physiological effects on our body, not just emotional:

One of the hormones released during anger is adrenaline.  This is one of the hormones involved in the ‘fight or flight’ response and it acts to convert glycogen stores in the body to glucose for action in case of danger or for energy for strenuous running. 
However, adrenaline is also released by the brain when it detects low sugar levels in the brain.  The brain can only burn glucose to function (whereas other cells in the body can burn fat as an energy supply if glucose levels are low).  Normally the slow-acting hormone glucagon signals the body to convert glycogen into glucose – whereas adrenaline is acts extremely quickly to liberate glucose.  As levels of glucose in the blood rise, the pancreas then releases insulin to tell the cells of the body to burn glucose.  The insulin receptors on the cells then tell the cell to use glucose.
So why is this a problem?

If we eat a high-sugar diet over a prolonged period of time, we keep exposing our body to wildly fluctuating sugar levels.  This is because many foods give up their glucose very quickly and give us high blood sugar levels followed by a slump which we try to compensate by eating high sugar foods again.  This is a destructive cycle which can lead to spikes in insulin release (to combat the high sugars) with a sudden crash in sugars (hypoglycaemia) leading to adrenaline release to provide the brain with sufficient glucose.  Overtime, this leads to insulin resistance which exacerbates the problem further still. This is a precursor of type 2 diabetes (Hypoglycaemic Health Association).
There are a number of studies which are connecting violent behaviour or anger outbursts with hypoglycaemia (Journal of Orthomolecular Medicine).  This is a problem in the body with handling sugar levels and is linked to insulin resistance (Hypoglycaemic Health Association).

Alcohol makes hypoglycaemia worse since alcohol lowers blood sugar (hence the ‘munchies’ when we have had too much to drink!) and the correspondence between alcohol and anger/violence (Diabetes.co.uk, Hypoglycaemic Health Association).

Allergies have also been linked to hypoglycaemic syndrome. Many common allergenic foods also lead to hypoglycaemia, as well as substances such as coffee (caffeine) and tobacco (nicotine). These all stimulate adrenaline production (Hypoglycaemic Health Association, How Stuff Works).

In summary, eat a well-balanced diet (preferably balancing slow release and fast releasing foods according to the rules of the Glycaemic Index), stop smoking (you know it’s bad for you!) and lower your intake of alcohol and coffee to help balance your blood sugar levels.

 

References
BBC (2011) Anger Management. Available at: http://www.bbc.co.uk/health/emotional_health/mental_health/coping_angermanagement.shtml

Diabetes.co.uk (2012) Diabetes and hypoglycaemia.  Available at: http://www.diabetes.co.uk/Diabetes-and-Hypoglycaemia.html

How Stuff Works (2012) How Nicotine works.  Available at: http://www.howstuffworks.com/nicotine3.htm

Hypoglycaemic Health Association (2011) Anger management: nutrition and psychotherapy.  Available at: http://www.hypoglycemia.asn.au/2011/anger-management-nutrition-and-psychotherapy/