1. the dangers of hostility percentage dead 119 men with hostility scores greater than the median (13) 136 with scores at or less than the median 16/119= 13.4% dead 3/136= 2.2% dead Barefoot JC et al Hostility, CHD incidence, and total mortality: a 25-year follow-up study of 255 physicians Psychosom Med 1983;45:59-63 death rates in 255 medical graduates:

2. the dangers of hostility  Barefoot JC, Dahlstrom WG & Williams RB Hostility, CHD incidence, and total mortality: a 25-year follow-up study of 255 physicians Psychosomatic Medicine 1983;45:59-63  Williams RB et al The health consequences of hostility in Chesney MA & Rosenman RH (eds) Anger and hostility in cardiovascular and behavioural disorders Washington: Hemisphere Publishing Corporation, 1985  Booth-Kewley S & Friedman H S Psychological predictors of heart disease: a quantitative review Psychol Bulletin 1987;101:343-62  Barefoot JC et al Suspiciousness, health and mortality: a follow-up study of 500 older adults Psychosom Med 1987;49:450-7  Friedman H S & Booth-Kewley S The "disease-prone personality": a meta- analytic view of the construct American Psychol 1987;42:539-55  Koskenvuo M, Kaprio J, et al Hostility as a risk factor for mortality and ischaemic heart disease in men Psychosom Med 1988;50:330-40  Leff J, Berkowitz R, et al A trial of family therapy versus a relatives' group for schizophrenia: 2-year follow up Br J Psychiatry 1990;157:571-7

3. emotional states: powerful effects Rein G et al The physiological and psychological effects of compassion and anger J Adv Med 1995;8:87-105  30 subjects who had already completed a course in stress management training  15 min rest then 5 min focus around the heart area while inducing an “emotional state”  either care and compassion towards someone or recall of angry/frustrating experiences a study in psychoneuroimmunology:

4. S-IgA, mood & symptom changes values marked with a * are all statistically significant total mood score was calculated by multiplying emotional intensity (0=very weak; 10=very strong) by the % of time during the 5 minute exercise that the emotion was felt - the mean score in a preliminary study was 510 +/- 251.

5. relationships & wellbeing: research  Argyle M The psychology of happiness London: Routledge, 1987  Barnett PA et al Psychosocial functioning & depression: distinguishing among antecedents, concomitants, & consequences Psychol Bull 1988;104:97-126  House JS et al Social relationships & health Science 1988;241:540-5  Silove D et al Perceptions of general and specific therapist behaviors J Nerv Ment Dis 1990;178:292-9  Brown GW et al Self-esteem and depression: II & III Soc Psychiatry Psychiat Epidemiol 1990;25:225-34 & 235-43  Hickie I et al Perceived interpersonal risk factors of non-endogenous depression Psychol Med 1991;21:399-412  Csikszentmihalyi M Flow: the psychology of happiness London: Rider, 1992  Goleman D Emotional intelligence: why it can matter more than IQ London: Bloomsbury, 1996

6. life’s voyage: what keeps us afloat!  the construction materials - genetics, aptitudes  how the boat was built - early life experiences  major events on the voyage - significant life events  the other boats around us - social support, relationships  quality of our seamanship - appropriate coping skills if some areas are weak it’s all the more important to be strong in the others

7. the practice till the final session full standard exercise plus optional “goodwill” practice: Use the full standard autogenic training exercise as you have doing in the last few weeks. Whenever you feel it would be helpful add on the “goodwill” practice or a variant that has the same sort of intention. every day: You are now experienced enough to experiment for yourself to find out how long and how frequent your practice should be. Once or twice a day suits many people. Continue as well to work with brief re-centering exercises through- out the day. Try too choosing a specific activity such as walking, washing, eating etc to use as an semi-formal awareness challenge each week till next time.