Mindfulness-based and Cognitive-behavior Therapy for Anger

316 Pages·2015·3.58 MB·English

Philadelphia College of Osteopathic Medicine
DigitalCommons@PCOM
PCOM Psychology Dissertations Student Dissertations, Theses and Papers
2007
Mindfulness-based and Cognitive-behavior
Therapy for Anger-management : an Integrated
Approach
Jeffrey R. Kelly
Philadelphia College of Osteopathic Medicine, [email protected]
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Kelly, Jeffrey R., "Mindfulness-based and Cognitive-behavior Therapy for Anger-management : an Integrated Approach" (2007).
PCOM Psychology Dissertations.Paper 68.
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PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
DEPARTMENT OF PSYCHOLOGY
Dissertation Approval
This is to certify that the thesis presented to us by Jeffrey Kelly on the 30th day of
May, 2006, in partial fulfillment of the requirements for the degree of Doctor of
Psychology, has been examined and is acceptable in both scholarship and literary
quality.
Committee Members' Signatures:

Diane Smallwood, Psy.D. , Chairperson

George McCloskey, Ph.D.

Vincent R. Stranges, Ph.D

Robert A. DiTomasso, Ph.D., ABPP, Chair, Department of Psychology
111
Acknowledgements
I would like to express my gratitude and appreciation to Dr. Diane
Smallwood for her encouragement, guidance, and time with this dissertation
project. The interest and enthusiasm she had for this project was the catalyst that
kept this work moving forward. I would like to thank Dr. George McCloskey for
the guidance, insight, and time he dedicated to this dissertation project. I would
like to thank Dr. Rosemary Mennutti for giving me the opportunity to continue
my educational career in the Doctor of Psychology in School Psychology program
at the Philadelphia College of Osteopathic Medicine. I would like to thank Dr.
Vincent Stranges for time and guidance he dedicated to this dissertation project.
His mentoring since I started in the field of school psychology has helped me
become the professional I am today. His contributions to the development of
beginning psychologists and to the field of psychology should be commended.
Finally, I would like to express my thanks and indebtedness to my parents, Jeffrey
and Rose Kelly, without parenting and support n~ne of this would have been
possible.
iv
Abstract
This monograph presents an anger-management treatment manual utilizing
mindfulness and cognitive-behavior approaches. This program was implemented
and evaluated in accordance with Chen's (2005) recommendations for program
evaluation. This study employed a single-subject design with a high-school aged
individual. Post-session and post-program evaluation forms from the subject and
program facilitator, along with pre- and post-program measures in the form of
State-Trait Anger Expression Inventory (STAXI) scores, discipline records, and
survey/assessment questionnaires from the parent and a teacher were obtained.
The Mindfulness-Based and Cognitive-Behavioral Therapy for Anger­
Management program manual received positive ratings for the structure of the
sessions, for the content in sessions, for the usefulness of the manual in
implementing activities and exercises, and for the suggested readings indicated
throughout the manual. Outcome measures for the participant suggested
improvements in personal and social functioning. The current study suggests that
the integration of mindfulness-based and cognitive-behavioral approaches to treat
adolescents with anger-related difficulties is a promising intervention approach
that warrants further research.
v
Table of Contents
Chapter One 1
Introduction 1
Statement of the Problem 1
Purpose of the Study 2

Rationale for this Study 3

Anticipated Results 4

Chapter Two 6

Literature Review 6

~ff 6

Anger Assessment 7

Operational Definition of Anger-Management 11

Anger-Management 12

Cognitive-Behavioral Therapy and Anger-Management 15

Multicultural Issues Within Anger-Management 24

Ethical Issues in Anger-Management 26

Mindfulness 28

Mindfulness-Based Therapy 29

Chapter Three 41

Mcthod 41

Design 41

Participant
42

Materials 43
vi
Facilitator Training 50
Measures 52
Consent Forms 55
Procedure 56

Analysis 58

Chapter Four 60

Results 60

State-Trait Anger Expression Inventory 60

Discipline Refenals 62

Pre-Intervention Survey and Questionnaire-Parent 63

Post-Intervention Survey and Questionnaire-Parent 64

Pre-Intervention Survey-Teacher 65

Post-Intervention Survey-Teacher 67

Session One 68

Session Two 70

Session Three 72

Session Four 74

Session Five 77

Session Six 79

Session Seven
81
Session Eight 83
Session Nine 86
Session Ten 88
vii
Post-Program Evaluation Forms 90
Chapter Five 94
Discussion 94
The Participant 94
Mindfulness-Based and Cognitive-Behavior Therapy
for Anger-Management Program 97
Limitations 102
Future Research 104
Conclusion 106
References 108
Appendix A
The Mindfulness-Based and Cognitive-Behavior Therapy
For Anger-Management Manual 118
Appendix B
The Mindfulness-Based and Cognitive-Behavior Therapy
For Anger-Management Manual (Revised) 181
Appendix C
Post-Session Evaluation Form-Participant 246
Appendix D
Post-Session Evaluation Form-Facilitator 263
Appendix E
Post-Program Evaluation Form-Participant 282
Vlll
Appendix F
Post-Program Evaluation Form-Facilitator 284
Appendix G
Pre-Intervention Survey and Questionnaire-Parent 286
Appendix H
Post-Intervention Survey and Questionnaire-Parent 288
Appendix I
Pre-Intervention Survey-Teacher 289
Appendix J
Post-Intervention Survey-Teacher 290
Appendix K
Informed Consent Form 291
Appendix L
Student Assent Form 297
Appendix M
Recruitment Letter-School 299
Appendix N
Recruitment Letter-Guardian/Student 301
ix
List of Tables
Table 1
PrelPost-Program Scores on the State-Trait Anger
Expression Inventory 61
Table 2
Parent Pre/Post-Intervention Surveys and Questionnaires 66
Table 3
Teacher Pre/Post-Intervention Surveys 68
Table 4
Session One Post-Session Evaluation Forms 69
Table 5
Session Two Post-Session Evaluation Forms 71
Table 6
Session Three Post-Session Evaluation Forms 73
Table 7
Session Four Post-Session Evaluation Forms 75
Table 8
Session Five Post-Session Evaluation Forms 78
Table 9
Session Six Post-Session Evaluation Forms 80
Table 10
Session Seven Post-Session Evaluation Forms 82