road rage disorder

[firsty]

http://www.cnn.com/2006/HEALTH/06/05/ro ... index.html

thats pretty funny, i thought road rage was caused by people driving like assholes.

CHICAGO, Illinois (AP) -- To you, that angry, horn-blasting tailgater is suffering from road rage. But doctors have another name for it -- intermittent explosive disorder -- and a new study suggests it is far more common than they realized, affecting up to 16 million Americans.

"People think it's bad behavior and that you just need an attitude adjustment, but what they don't know ... is that there's a biology and cognitive science to this," said Dr. Emil Coccaro, chairman of psychiatry at the University of Chicago's medical school.

Road rage, temper outbursts that involve throwing or breaking objects and even spousal abuse can sometimes be attributed to the disorder, though not everyone who does those things is afflicted.

By definition, intermittent explosive disorder involves multiple outbursts that are way out of proportion to the situation. These angry outbursts often include threats or aggressive actions and property damage. The disorder typically first appears in adolescence; in the study, the average age of onset was 14.

[abcrystcats]

Intermittent explosion #242:

What the hell is this??? Another diagnosis for perfectly NORMAL behavior???

[hester_prynne]

IED. Intermittent Explosion disorder.
Man, i got it bad.
(an that ain't good)
(yup)

Take today for instance. My day off. I decided to see what the ol media is up to and so turned on cnn while I drank my lazy day off morning coffee. There's ol George, sayin that we need a constitutional amendment that bans gay marriage.
Wha??????
My IED went off bigtime. POW! BLAM! POOF! GRRRRRRRRRR

Then they showed that Rummy Dummy visiting Vietnam.
What the hell????????
BAM SHAZAAM GOD GOD DAMN! It went off again.
I'm still pickin pieces of my self up off the couch. It was a bad one. Stella is tittering in her room over some new cuss word I made up that I can't even remember.....!
EGADS! I'VE GOT IT BADS.
Sigh.
IED eh?
So that's what this is!

I hope they come up with some medicine for it to cure me real soon....
maybe they already have!!!!!!!!


H

[mousey1]

When I see myself behind the wheel of an automobile I picture a wild-eyed sprong-haired monster with an itchy trigger finger just waiting to pounce on the next jerk-faced bum wad who cuts me off or tail-gates. I have a terrible hard-on for those who drive like they're on a race track or have a bad case of turtle nervosa...one's as bad as the other in my book...and this hard on is not in any way one of those feel good kinds...it's more like a two-edged dagger wielded in hate!

other than that though I'm gentle as a lamb.

Intermittent Explosion Disorder! I don't think I have it. I never explode I merely simmer and seethe simmer and seethe. I'm like those little things they put in turkeys to discern doneness...the only difference is my middle finger pops up and out and waves about as I spew forth some hot juices...but there's definitely a turkey about!

[Traveller13]

Cars are dangerous, and the state society is putting people in is making cars even more dangerous.
They're also very polluting.
I say give a big fat check to public transport. Electric buses for everyone.
(ok I have a car too, so what lol)



I don't get IED.
When tailgaters start making gestures hor honking me for respecting the speed limit, I like to slow down. Not because they're annoying me, but just because it's fun to watch them smouldering back at you behind their steering wheel "man, because of that git I can't do those extra 20mph & I'll arrive at the beach 4 minutes later".
Either that or I park on the curve for a sec so they can overtake, or as a last resort I slam on the brakes without warning (not too hard). Maybe it's a bit childish (and that last one can be dangerous, I make sure the driver's looking at me first) but security distances are important.

Apart from that no I don't automamatically label people as idiots when they almost run into me or something.
Okay so he might be an idiot.
But he also might be having an emergency following a very stressful day at work.
That one might be rushing one of his kids to hospital.
That one drives like shit, but maybe he's a surgeon and will save my life in 10 years.
Or mabe he'd driven 30 years without a single accident, 8 billion miles on over 15 countries, and after all that remarkably perfect driving damaged someone's fuselage in a parking manoeuvre, and it had to be mine.
(If that story there happened to me I'd be hysterical LOL)

I think that what makes drivers irritable is that any time, the space of a second, the situation can go from quietly listening to the radio to swerving in a ditch and end up with a broken leg and someone else's severed head on your lap. We're used to it because we drive every day at high speeds. With time the high speed becomes average, but instinctively we know that one stupid manoeuvre will cause a lot of trouble. If you think about something else at the same time, it can become quite stressful. The more you'll be stressed, the more you'll want to drive fast.

One thing I truly don't appreciate about some angry drivers though, is what happens in a crash. The first reaction, even before worrying about wether everyone's ok or alive, or even whose fault it is, is look-what-you-did-to-my-car-you-bastard. As if cars were more important than people.
And even if the issue isn't the car but that the angry driver almost died because of that accident, I honestly doubt that the other driver did it on purpose. I'd also think he'd be very aware of it because he almost died too, and could even feel extremely guilty for almost killing someone out of lack of attention (that's judeo-christian values for ya :p). Yelling at them and suing them won't knock any sense into them (you know as they're adults & all) but'll knock them senseless, and even make them so anxious about driving safe that they could end up having even more accidents.

I think it's natural and healthy to release stress, but releasing stress by feeding it to others when everyone's zooming at 100kph isn't responsible behaviour.

[Traveller13]

What the hell is this??? Another diagnosis for perfectly NORMAL behavior???

What is normal behaviour? (I've been asking myself that one for ages)

Also, I believe Freud's the one who said "Present me to a normal person and I'll cure him"

Besides, don't react too loudly or you might awaken the 2 mighty gods involved in this analysis: biology(°) and cognitive behaviour(°°).

I guess what it boils down to is about being able to control your anger instead of being it's puppet.

P.S:sorry about the footnotes, I've been standing in line for too long and felt like doing something silly.

===============================================
(°):the god of biology was born around 1830, with Darwinism. Before that period, studying the internal workings of animals, let alone humans, was considered a heretic act, for life's statute as one of God's miracles was only to be witnessed, and not to be understood.
As science became more and more popular amongst Christian-orientated countries, biology became a very trusted reference, even for people who don't or didn't study biology.
Some christian movements, however, want to use biology to prove the existence of God, or at least balance some ideas that they view as impossible, like Darwinism, with biological proof.
For more details, see http://www.paradise-engineering.com/heav19.htm.

(°°):The God of cognitive therapy is less known than the God of biology. Many science believers are afraid of this god because he forces people to look at an image of their true selves, wether they like it or not. Thus, they prefer to pretend that such a god does not exist.
There are some believers, however, even though in this particular religious branch there are several different movements, because cognitive therapy is still a recent religion(^)
According to Wikipedia, "Cognitive therapy or cognitive behavior therapy is a kind of psychotherapy used to treat depression, anxiety disorders, phobias, and other forms of mental disorder.

It involves recognizing unhelpful patterns of thinking and reacting, then modifying or replacing these with more realistic or helpful ones. Its practitioners hold that typically clinical depression is associated with (although not necessarily caused by) negatively biased thinking and irrational thoughts. Cognitive therapy is often used in conjunction with mood stabilizing medications to treat bipolar disorder. Its application in treating schizophrenia along with medication and family therapy is recognized by the NICE guidelines [...] within the British NHS(').
A related approach, Cognitive Analytic Therapy, can be regarded as a form of integrative therapy, integrating insights of both psychodynamic (especially Kleinian) therapy [note: this too illustrates the diversity of beliefs surrounding this particular god; see footnote (^)] with a broad cognitive approach to therapy."

"With thoughts stipulated as being the cause of emotions rather than vice-versa, cognitive therapists reverse the causal order more generally used by psychotherapists. Therefore the therapy is to identify those irrational or maladaptive thoughts that lead to negative emotion and identify what it is about them that is irrational or just not helpful; this is done in an effort to reject the distorted thoughts and replace them with more realistic alternative thoughts.

Cognitive therapy is not an overnight process. Even after patients have learned to recognise when and where their thought processes are going awry, it can take months of concerted effort to replace an irrational thought with a more reasonable one. With patience and a good therapist, however, cognitive therapy can be a valuable tool in recovery."


For more information, check out http://www.nyicbt.org/, or the worrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrk of John Winston Bush, chairman and executive director at NYI/CBT

(^):According to the U.S.-based National Association of Cognitive-Behavioral Therapists, "There are several approaches to cognitive-behavioral therapy, including Rational Emotive Behavior Therapy, Rational Behavior Therapy, Rational Living Therapy, Cognitive Therapy, and Dialectic Behavior Therapy."

('):here is an exhaustive list of fields of devotion to cognitive therapy, as done by David Solomon of Brown Medical School:

1. Principal Investigator, "Valproate in Combination with Lithium Carbonate
for the Maintenance Treatment of Bipolar Patients at High Risk for
Recurrence," Young Investigator Award, 1992-94, National Alliance for
Research on Schizophrenia and Depression, $60,000

2. Co-Principal Investigator, "Valproate in Combination with Lithium
Carbonate for the Maintenance Treatment of Bipolar Patients at High Risk for
Recurrence," 1992-94, Abbott Laboratories, $10,000

3. Investigator, "Family Treatment of Bipolar Disorder," R01 MH48171, Ivan
Miller, Principal Investigator, 9/1/92-2/28/99, National Institute of Mental
Health, $2,196,753

4. Investigator, "A Phase II, Multicenter, Randomized, Parallel-Group, Double-
Blind, Dose-Finding Study of 3 Different Doses of Roxindole vs. Placebo in
Outpatients with Major Depression," Martin B. Keller, Principal Investigator,
6/93-7/94, EM Industries, $93,492

5. Investigator, "Double-Blind Parallel Comparison of Sertraline and
Imipramine in Outpatients with Chronic Major Depression," Martin B.
Keller, Principal Investigator, 4/1/93-3/30/97, Pfizer, $600,000

6. Investigator, "Double-blind Parallel Comparison of Sertraline and
Imipramine in Outpatients with Concurrent DSM-III-R Major Depression
and Dysthymia," Martin B. Keller, Principal Investigator, 4/1/93-3/30/97,
Pfizer, $600,000

7. Investigator, "Fluoxetine vs. Sertraline and Paroxetine in Major Depression:
Comparison of Discontinuation/Emergent Signs and Symptoms," Gabor
Keitner, Principal Investigator, 9/1/96-9/1/97, Eli Lilly, $146,973

8. Investigator, "A Multi-Center Study Comparing the Safety and Efficacy of
Nefazodone HCl to Cognitive Behavioral Therapy – Chronic Depression
(CBT-CD) and Combined Nefazodone HCl and CBT-CD for the Acute,
Continuation, and Maintenance Treatment of Chronic Forms of Depression,"
Martin B. Keller, Principal Investigator, 6/1/96-5/31/99, Bristol Myers Squibb,
$798,000

9. Investigator, "Thyroxine Treatment of the Neurocognitive Side Effects of
Lithium," Independent Investigator Award, Robert Stern, Principal
Investigator, 1997-99, National Alliance for Research on Schizophrenia and
Depression, $92,592

10. Investigator, "Multicenter, Placebo-Controlled Study of Relapse Prevention by
Long-Term Treatment with Remeron in Outpatients with Major Depressive
Episode," Martin B. Keller, Principal Investigator, 9/97-3/99, Organon,
$217,000

11. Principal Investigator, "Lithium plus Valproate for Treatment of Bipolar
Disorder," Department Research Award, 1998-99, Department of Psychiatry
and Human Behavior, Brown University, $11,583

12. Investigator, "Olanzapine versus Placebo in the Treatment of Bipolar
Disorder, Manic or Mixed," Gabor Keitner, Principal Investigator, 2/98-6/99,
Eli Lilly, $279,187

13. Investigator, "Efficacy of a Family Telephone Intervention for Stroke," R01
NS37840, Ivan Miller, Principal Investigator, 9/1/98-8/30/03, National Institute of Neurological Disorders and Stroke, $2,540,523

14. Investigator, "An Eight Week, Multicenter, Parallel-Group, Double-Blind,
Placebo-Controlled Study of St. John's Wort in Outpatients with DSM-IV
Major Depression," Martin B. Keller, Principal Investigator, 9/1/98-8/31/99, Vanderbilt University and Pfizer, $138,300

15. Investigator, "Open Trial of St. John's Wort in the Treatment of Subsyndromal Depression," Ivan Miller, Principal Investigator, 1998-1999, Lifespan, $10,000

16. Investigator, "Integrative Group Treatment for Depression," R21 MH59791 Ivan Miller, Principal Investigator, 4/99-3/02, NIMH, $298,084

17. Investigator, "An Open-Label Randomized Assessment of the Efficacy and
Tolerability Venlafaxine Extended Release in Serotonin-Selective Reuptake
Inhibitor (SSRI) Failure Patients with Major Depression," Gabor Keitner,
Principal Investigator, 6/99-6/00, Wyeth-Ayerst Laboratories, $87,000

18. Investigator, "A Double-Blind Study of Two Doses of LL-759274 versus
Paroxetine Hydrochloride and Placebo in the Treatment of Outpatients with
Major Depressive Disorder," Gabor Keitner, Principal Investigator, 6/99-6/00,
Merck & Co., $221,000

19. Investigator, "Antidepressant Treatment to Reduce HIV Risk Among Injection Drug Users," R01 MH61141, Michael Stein, Principal Investigator, 9/30/99-8/31/03, NIMH $1,169,268

20. Investigator, "The Use of Mirtazapine in Reducing SSRI-Induced Sexual Side
Effects," Gabor Keitner, Principal Investigator, 3/1/00 –current, Yale
University and Organon, $198,000

21. Investigator, "Clinical Trial of Donepezil HCl (Aricept) in Diminishing
Cognitive Impairment Associated with Electroconvulsive Therapy," Robert A. Stern, Principal Investigator, 7/1/00-6/30/02, Pfizer, $136,068

22. Investigator, "Combined Treatment for Depressed Inpatients," R01 MH58866, Ivan Miller, Principal Investigator, 2/15/00-3/1/05, NIMH, $3,289,792

23. Co-investigator, "Antidepressant Treatment to Reduce HIV Risk Among Injection Drug Users," R01 MH61141, Michael Stein, Principal Investigator, 9/28/99-9/27/03, NIMH $1,815,221

24. Co-investigator, "Antidepressant Treatment to Maintain Risk Reduction Among Injection Drug Users," R01 MH62719, Michael Stein, Principal Investigator, 9/30/00-8/31/05, NIMH $2,284,149

25. Co-Principal Investigator, "Collaborative Depression Study," 2R10
MH25478-24, Martin Keller, Principal Investigator, 7/1/98-6/30/03, National
Institute of Mental Health

26. Co-Principal Investigator, "Collaborative Depression Study (no cost extension),"
2R10 MH25478-29, Martin Keller, Principal Investigator, 7/1/03-6/30/04,
National Institute of Mental Health

27. Co-Principal Investigator, "Collaborative Depression Study," 2R10
MH25478-29A2, Martin Keller, Principal Investigator, 7/1/04-6/30/09, National
Institute of Mental Health

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[firsty]

there would be no road rage if people knew how to drive.

there was a headline yesterday that SUVs are involved in more reverse gear accidents than smaller cars. no shit. people dont respect their blind spots, dont know how to maneuver their own vehicles, dont understand traffic laws, rules of the road.

where i live, a person is likely to slam on their brakes in lane in order to let someone turn left in front of them. this kind of idiotic politeness causes accidents.

it's not intermittent rage disorder, it's intermittent idiot disorder. people have a tendency to become idiots at random intervals, causing seemingly random bursts of frustration.

of course, you still have the idiots with crossbows and concealed guns in their backseats, ready to take out their anger in brutal ways.

my advice: take the bus.

[stilltrucking]

my advice: take the bus.

That is dam good advice firsty.

Traveller13 I would highly recommend a book called The Art Of Zen Driving. What good is your zazen if you are slamming on your brakes in traffic. Take my word for it, just like the old west where there was always someone faster on the draw, there is always someone a little more stupid, a little more insane than you.

No body more stupid then truck drivers.

Running through the desert in Arizonia on Halloween night a big Oldsmobile convertible passed me. It had a very strange paint job. Gray primer with a white spray-painted sharks mouth on the front fender. He went by me and pulled back in my lane and slowed down to 55. The speed limit was sixty-five which is what I was doing when he passed me. I eased back out in the hammer lane and passed and eased on back over when I was clear of him and picked up my speed to sixty-five again. He passed me again and got in front of me and slowed down again. I passed him, He passed me.... I passed him and he passed me. We played that game for a couple of miles and he must have got bored cause I was no fun. So he found a new friend to play with. An Exxon gasoline tanker truck in front of me` He passed the tanker and slowed down. The tanker passed him and then slammed on his brakes. The Oldsmobile passed the tanker and got in front of him and slammed on his breaks. I mean he practically stopped dead in the road. The tanker truck was a set of California doubles. That driver had to come down so hard on his brakes that smoke was pouring from the wheels and the trailers almost jack knifed. Yeah nobody more stupid then truck drivers.

As for the cognitive therapy I have an old friend who is a psychiatrist; he takes an eclectic approach. No one therapy just what ever works? He practices a gonzo style of medicine. He tells the truth. He got in trouble once for not prescribing drugs for a woman who was having a so-called panic attack. She had COPD, she was on oxygen but she would turn it off when she wanted to smoke another cigarette. The nurse called him in to write the Rx. But he told the patient that she was not having a panic attack, it was fear, and fear was all she had going for herself.

btw
I wish you would give me another shot at the bot thingy. It would make a great writing challenge.

I have my blood sugar under control, I am not so grouchy. Man LSD is nothing compared to sugar.

[firsty]

one time my cousin and me got into a fight with a truckdriver at a seedy strip club, and when he went into his cab for a gun we took off faster than superman. i try to stay out of truck drivers' bizniss now. once, one tried to run me off the road in the rain. the reason, i found out later, is that truck drivers believe that the interstates were built for them, which i guess they were, 55 yrs ago. but they believe they literally own the road. there is nothing funnier than a dead humorist in his flattened volkswagen, and i've got no interest in demonstrating that. i stay away from truck drivers. but if you get them at the right time, you can break in their cabs and come away with some kickass pharmaceuticals.

[abcrystcats]

Do I get mad behind the wheel? Yeah, sometimes. But I usually pull to the right when someone behind me thinks I am going too slow.

I have been known to flip off people, however. A truck driver cut me off. I flipped him. Some guy behind me was cursing and honking and acting like I was going too SLOW and was being a road hog. What? Huh? I was going the speed of traffic, and was in the middle, not the left, lane. When he passed me, flipping me off as he did so, I responded in kind.

What I usually do is mutter sarcasm to myself: "Did you know that thing comes with a GAS pedal?"

[Doreen Peri]

Clay looked at me like I had completely flipped a few weeks ago. Why? 'Cause I guess I had. lol

I'm usually a pretty patient driver and I drive defensively. I sorta surprised myself when I got sooooo angry!

I was turning left into a parking lane and this guy pulled out right in front of me. He saw me. I know he saw me because our eyes met... but he didn't yield me the right of way.. he just pulled on out and positioned his car toward mine forcing me to either back up into vehicles moving behind me OR sit there and scream at him... "What the FUCK are you doing? I have nowhere to go!! BACK UP!!!"... so I chose the latter.

Eventually, he pulled back into the space he had so rudely come out of and I was able to go forward. You should have seen the look in his eyes... and Clay's eyes (Clay was in the passenger seat in the front).

They both looked like they'd seen a madwoman!

Yeah, 'cause I was MAD alright!!!!

mwahahahaha!