1. Dr.S.P.Kandapola Arachchige
Consultant Psychiatrist

3. Violence Murders Suicides Accidents Substance
Anger leads to……
Violence
Murders
Suicides
Accidents
Substance

9. Anger (Temper, Rage, Hatrance)
Anger is an emotion characterized by antagonism toward someone or something you feel has deliberately done you wrong.

10. Anger Anger is a normal healthy emotion we all experience.
It is unpleasant to self and others.
Most of the times anger control you instead of you control it.
When anger gets out of control it causes problems.

11. Anger is a repetitive process and it worsen with time.
If it does not control it will be a habit, affects other cognitions and become a bad personality.

12. Anger can be caused by some stimuli.
External stimuli
* Others
* Objects
* Events
Internal stimuli * Thoughts * Memories * Images

13. Age Gender Personality Illness Frustration Environment
Determinants of anger
Age
Gender
Personality
Illness
Frustration
Environment

14. Response to Anger 1. Physical health Hormones-Adrenalin Nor adrenalin
Cortisol
Diseases- Heart, DM, Cholesterol, BP,
Immunity, Insomnia , Headache

15. Response to Anger 2. Mental Health Poor attention and concentration.
Clouding of thinking.
Poor memory.
Unhappiness worrying thoughts.
Restlessness and agitation.
Irritability.
Anxiety and depression.

16. Response to Anger 3. Social Health
Family, work place, extended society.
Relationship Problems.
Criticism.
Bad reputation.
Poor trust.
Poor respect.
Poor success.
Poor quality of life.

17. Reduce life span and prone for early deaths.
Anger ↓ ↓
Reduce life span and prone for
early deaths.

18. Psychology
When a living being having an any kind of repetitive experience that leads to a relatively permanent changes in behaviour or knowledge as a result of that particular experience.
Called
LEARNING

19. Main determinants of Learning
Environment.
Conditioning.
Reinforcement.

20. Anger and impulsivity is a learning process determined by, Environment, Conditioning, Reinforcement.

21. Learning
Classical conditioning
Operant conditioning

22. Classical conditioning

23. Operant conditioning

24. Neurobiology of Learning
Neuroplasticity

25. Neuroplasticity
Refers to changes in neural pathways and synapses due to changes in behaviours, thinking, emotions, environment etc.
Can occur in various levels from cellular to large scale like cortical mapping.

26. Neuroplasticity
Modification of existing neuronal circuits and formation of new circuits.
Neuronal changes related to maturation and physical changes are not Learning.

27. Neuroplasticity

28. Brain- Mapping

29. Strategies to control Anger
Relaxation.
Distraction.
Cognitive re structuring.
Problem solving.
Better communication.
Changing environment.
Avoidence, finding alternatives.

30. Management of Anger Reverse the maladaptive learning. ↓
Repetitive experience of reverse (good) thoughts and behaviours.
Rdeuce anger due to conditioning with good thoughts.

31. Reverse conditioning can be combine with Mindful Therapy
Anger management
Reverse conditioning can be combine with
Mindful Therapy

32. Mindful Therapy Most popular and effective psychotherapy today.
Keep awareness of mind and thoughts and this will help to keep mind still. ↓
Reduce stress, sorrow, anger etc.

33. Practical point of view….
Meditation of Loving kindness.

34. සබ්බේ සත්තා භවන්තු සුඛිතත්ථා සියළු සත්ත්වයෝ සුවපත් වෙත්වා

35. කරණීය මෙත්ත සූත්‍රය

36. lrKSh fu;a; iQ;%h’’’’’
ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’
01’ hula lsrSfï Yla;sfhka hqla; nj ^ ilafl`&
02’ iDcq nj” wjxl nj ^ WcQp’’’’&
lrKSh fu;a; iQ;%h’’’’’
^fu;a jeãu&
03’ ukdj iDcq nj” w;sYhska wjxl nj ^ iQcQp’’’&
04’ lSlre nj” myiqfjka hula ta;a;+ .ekaúh yels nj ^ iqjp’’’’&
05’ uD¦ .;s we;s nj^ uq¦&

37. lrKSh fu;a; iQ;%h’’’’’
ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’
06’ ksy;udkS nj ^ wk;sudkS’’’&
07’ ,o fohska i;=gqùu ^ ika;=Épfl`p&
lrKSh fu;a; iQ;%h’’’’’
^fu;a jeãu&
08’ myiqfjka fm`Ikh l, yels ^ iqNfr`p’’’&
09’ lghq;= nyq, fkdùu^ wmamlsÉfp`P&
10’ ir, nj ^ i,a, jql jq;a;S’’’&

38. lrKSh fu;a; iQ;%h’’’’’
ffu;%S jvkafkl= ;=, ;sìh hq;= .=KO¹u’’’’’
11’ ikaiqka b¬rka we;s nj ^ ika;skaøska;sfh`p&
12’ kqjKe;s nj ^ ksmfl`p&
lrKSh fu;a; iQ;%h’’’’’
^fu;a jeãu&
13’ f.dfr`iq yeisrSï ke;s nj ^ wmam.ífn`’’’&
14’ mjq flfrys fkdwe,Su ^ l=f,aiq wkkq.soafo`&
15’ kqjKe;shkaf.ka fodia weiSug is¦jk lsis¦ fohla fkdlsrSu ^ kp Lqoaox iudpf¹ lsxÑfhak ú{af{`mf¹ Wmjfohshx’’’&

39. ffu;%S jvkafka ldgo @ “iífí i;a;d Njka;= iqLs;;a;d” ^ ishÆ i;a;ajfh`&
01’ flf,ia ksid ;efjk”ief,k” ìfhka isák yd flf,iqka kid oeuQ i;a;ajfh` ^fha flaÑ mdKN+;;a:s :id jd idjrd jd wkjfiaid’’’’&
02’ os.= YrSr”flá YrSr”uOHu m%udK YrSr”l=vd YrSr we;s i;a;ajfh`’’ ’^ oS.djdfha uyka;djd ucAcsudriai ldkqll;+,d &
03’ weig fmfkk” fkdfmfkk YrSr we;s i;a;ajfh`’’ ’^ osÜGd jd fhaj woaosÜGd’’’&
04’ ¦r iy ,. fjfik ^ fhap ¦f¹ jika;s wú¦f¹ &
05’bm¦kq bmoSug n,d isák ^N+;d jd iïnfõiSjd’’’&

40. ffu;%S jvkafka flfia o @
01’ lsisfjl= ;j;a flfkla fkd/jáh hq;=h’ my;a fldg fkdie,lsh hq;=h”oafõYfhka fy` .eàï j,ska ;j wfhl=f.a ¦l fkdme;sh hq;=h’
^kmfr` mrx ksl=ífí; {d;s ‘’’’’’Ñkx lxÖ
LHdfr`ikd má. i{a{d {d{a{u{a{xiai ¦laL ñÉfphsh’’&
02’ ujla ;u tlu mq;= osú mqrd rlskakdfia ish÷ i;=ka fj; wmrsudkj fu;a jeäh hq;=h’
^ ud;d h:d kshx mq;a;x’’’ &

41. ffu;%S jvkafka flfia o @
03’ wmrsudk úYajfha Wv”hg”;sria”jgrjqï hk iuia:h ;=, lsis¦ foaY iSud ndOl j,ska f;drj ;rylrejka i;=rka hk fío j,ska f;drj ish÷ i;=ka fj; wmrsudkj fu;a jeäh hq;=h’
^ fu;a;xp iín f,`liañx’’’’&
04’ fï i|yd iQodkïj jdäù muKla fkdj isàu” ys|Su weúoSu yd os.dù isàu hk ish÷ brshõ j,oS l, hq;=h’
^ ;sÜGx prx ksiskafk`jd ihdfk`jd hdj;iai
ú.; ñoafO`’’’&

42. ^ ta;x i;sx wosÜfGhsh n%yau fï;x úydrx boudyq’’’’&
wjika m%;sM,h
fufia iuia; úYajh ;=, i;=re ñ;=re ish÷ i;a;ajhka fj; ffokslj iEu fudfyd;lu iEu brshõjlu isg ffu;%S jeãu ;=,ska n%yau úydr fyj;a fY%IaG ^n%yaufhl=g iudk & cSú;hla njg m;afõ
^ ta;x i;sx wosÜfGhsh n%yau fï;x úydrx boudyq’’’’&

43. kys cd;= .ín fihshx mqkf¹;S:s’”
“ osÜGsxp wkqm.ïuYS,jd
oiaifkak iïmkafk`
ldfïiQ úffkhsh f.aox
kys cd;= .ín fihshx mqkf¹;S:s’”
YS,fhka hqla;j fuu Ndjkdfjys fhfok mqoa.,hd ish÷ oDIaGska ¦re fldg ;%s ,laIKh ksjerosj oelSfuka “ ldudYdjka ¦re fldg kej; ujq l=il Wmam;a;shla lrd fkd meñfka’

44. ffu;%S Ndjkdfõ wkqyia’’’’’
01’ iqjfia kskaog hhs’
02’ iqjfia msìfohs’
03’ kmqre isysk fkdolshs’
04’ ñksiqkag m%sh fõ
05’ wukqIHhkag m%sh fõ’
06’ foúhka wdrlaId lrhs’
07’ ji úi”wdhqO” .sks wdos wk;=re j,ska je,fla’
08’ uqyqK meyem;a fõ’
09’ u;l Yla;sh jeäfõ’
10’ isysuq,d fkdù urKhg m;afõ
11’ urKska miq nU f,dj WmoS’

45. kys cd;s .ín fihshx mqkf¹;S:s’”
“ osÜGsxp wkqm.ïuYS,jd
oiaifkak iïmkafk`
ldfïiQ úffkhsh f.aox
kys cd;s .ín fihshx mqkf¹;S:s’”
- f;rejka irKhs’’’
YS,fhka hqla;j fuu Ndjkdfjys fhfok mqoa.,hd ish÷ oDIaGska ¦re fldg ;%s ,laIKh ksjerosj oelSfuka “ ldudYdjka ¦re fldg kej; ujq l=il Wmam;a;shla lrd fkd meñfka’

46. Thank You