Assertiveness Training & Management of Emotional Aggression

Self Assessment Can you appreciate the good work of your colleague? Are you comfortable starting a conversation with a stranger at a party? Do you express your true feelings to boss, spouse, friend or others when your rights are violated? Can you accept criticism without being defensive? 9/18/2018 mullersworkshop_blessy

Assertiveness Quiz Answer the questions honestly. They will help you gain some insights about your current level of assertiveness.  Assign a number to each item using this scale:  Always     5     4     3    2     1     Never  9/18/2018 mullersworkshop_blessy

HOW ASSERTIVE ARE YOU? Score Category Behaviour ≥ 60 consistently assertive handle most situations well 45-60 fairly assertive Assertive in some situations, need improvement 30-45 Seem to be assertive, but nonassertive or aggressive in reality You may want to change some perceptions and practice new behaviors in order to handle things much more assertively in the future 15-30 Nonassertive Need to practice and allow yourself time to grow and change 9/18/2018 mullersworkshop_blessy

Assertiveness Definition Assertiveness is the ability to express your emotions and needs without violating others rights and in the same time without being aggressive. 9/18/2018 mullersworkshop_blessy

Why am I not assertive? Your decision! Assertiveness is not something that is inherited. Lack of assertiveness is only rooted to the way of dealing with others you got used to. You just step on yourself in order to make others feel happy or in order to avoid being rejected. To become assertive, only one thing is required…….. Your decision! 9/18/2018 mullersworkshop_blessy

Assertive Rights To have your own values, beliefs, opinions, and emotions. To justify or refuse to justify your actions to others. To put yourself first, sometimes. To express yourself and to say, "no," “I don't know," “I don't understand," or even “I don't care." 9/18/2018 mullersworkshop_blessy

Assertive Rights Contd…. To take the time you need to formulate your ideas before expressing them. To make mistakes and accept the responsibility for the same. To stand up for yourself and for what you want. To be treated with respect. To set your own priorities. To change your mind. 9/18/2018 mullersworkshop_blessy

What will be the choice of your behavior in the following situation? Your ward in-charge is asking you to extend your night duty to one more week. 9/18/2018 mullersworkshop_blessy

Behavioral Response Patterns 1.Nonassertive 2. Assertive 3. Aggressive 4. Passive-Aggressive 9/18/2018 mullersworkshop_blessy

Nonassertive Behaviour Behaviorual Characteristics Passive Does not express true feelings Self depreciating Denies own rights Goals To please others, To be liked by others Feelings Anxious Hurt Disappointed with self Angry & Resentful Compensations Able to avoid unpleasant situations & confrontations with others Outcomes Goals not met; others meet their goals at their expense Development of anger Feels violated and manipulated 9/18/2018 mullersworkshop_blessy

Assertive Behaviuor Behaviorual Characteristics Stand up for own rights Protects the rights of others Honest Direct & Appropriate Goals To communicated effectively To be respected by others Feelings Confident Successful Proud Self respecting Compensations Increased self confidence, self respect &respect for others Satisfying interpersonal relationships Outcomes Goals met Desires most often fulfilled while defending own rights as well as others 9/18/2018 mullersworkshop_blessy

Aggressive Behaviour Behaviorual Characteristics Violates rights of others Expresses feelings dishonestly & inappropriately Goals To dominate To humiliate others Feelings Self righteous Controlling Superior Compensations Release of anger Increased feeling of power and superiority Outcomes Goals may be met but at the expense of others Others feel hurt and vengeful 9/18/2018 mullersworkshop_blessy

Passive-Aggressive Behavior Behaviorual Characteristics Defends own rights with passive resistance Critical & Sarcastic Often expresses opposite of true feelings Goals To dominate through retaliation Feelings Anger Resentment Manipulated Controlled Compensations Feels self righteous and in control Outcomes Goals not met; nor others’ due to retaliatory nature 9/18/2018 mullersworkshop_blessy

Behavioural Components of Assertiveness Eye Contact Body Posture Physical Contact Gestures 9/18/2018 mullersworkshop_blessy

Behavioural Components of Assertiveness Contd… Facial expression Voice Fluency Timing 9/18/2018 mullersworkshop_blessy

Behavioural Components of Assertiveness Contd… Listening Thoughts Content 9/18/2018 mullersworkshop_blessy

Techniques to promote Assertiveness Stand up for human rights Assume responsibility for statements Respond as a broken record Agree assertively Inquire assertively 9/18/2018 mullersworkshop_blessy

Techniques to promote Assertiveness Contd… Shift from content to process Know the facts Clouding Defusing 9/18/2018 mullersworkshop_blessy

Techniques to promote Assertiveness Contd… Be Direct “Own” your message Ask for feedback Stop apologizing all the time 9/18/2018 mullersworkshop_blessy

Techniques to promote Assertiveness Contd… Learn to take a compliment Don’t be self depreciating Act confident even if you don’t feel confident Prepare and use good open questions. Have faith that your own abilities Read inspirational things that reinforce your faith in proper values 9/18/2018 mullersworkshop_blessy

anticipate - other people's behaviour Delaying Assertively Responding Assertively with Irony anticipate - other people's behaviour Re-condition and practice your own new reactions to aggression 9/18/2018 mullersworkshop_blessy

Aggression Aggression is defined as a behaviour characterized by the intention of inflicting unpleasant stimulation on another individual. 9/18/2018 mullersworkshop_blessy

Types of Aggression Emotional aggression: with the main intention of harming someone Instrumental aggression: with some other objective, such as to obtain something rewarding Direct aggression: Verbal or physical aggression Indirect aggression: Inflicting harm in covert ways 9/18/2018 mullersworkshop_blessy

Risk factors for Aggression Frustration Anger Aggressive cues Alcohol Heat 9/18/2018 mullersworkshop_blessy

Risk factors for Aggression among Psychiatric Patients H/o Violence H/o Aggression H/o Aggression in family of origin Substance Abuse Paranoia/Hostility Impulsivity Agitation Sensorium 9/18/2018 mullersworkshop_blessy

Management of Aggression Preventive Strategies Anticipatory Strategies Containment Strategies 9/18/2018 mullersworkshop_blessy

Preventive Strategies Assessment Self Awareness Patient Education Assertiveness Training 9/18/2018 mullersworkshop_blessy

Patient Education Help the patient to identify anger Permit to express angry feelings Practice expression of anger Apply the expression of anger to a real situation(Provide positive feedback) Identify alternative ways to express anger Confrontation with a person who is the source of anger. 9/18/2018 mullersworkshop_blessy

Anticipatory Strategies Communication Environmental Change Behavioural Actions Psychopharmacology 9/18/2018 mullersworkshop_blessy

Containment Strategies Crisis Management Seclusion Restraints 9/18/2018 mullersworkshop_blessy

“Man must evolve for all human conflict is a method which rejects revenge, aggression and retaliation. the foundation of such a method is love!” Martin Luther King Jr. 9/18/2018 mullersworkshop_blessy

Thank You 9/18/2018 mullersworkshop_blessy