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Anger: an underappreciated destructive force in healthcare

  • Amos Grünebaum EMAIL logo , Renee McLeod-Sordjan , Susan Pollet , John Moreno , Eran Bornstein , Dawnette Lewis , Adi Katz , Ashley Warman , Joachim Dudenhausen und Frank Chervenak
Veröffentlicht/Copyright: 15. Mai 2023
Journal of Perinatal Medicine
Aus der Zeitschrift Journal of Perinatal Medicine Band 51 Heft 7

Abstract

Anger is an emotional state that occurs when unexpected things happen to or around oneself and is “an emotional state that varies in intensity from mild irritation to intense fury and rage.” It is defined as “a strong feeling of displeasure and usually of antagonism,” an emotion characterized by tension and hostility arising from frustration, real or imagined injury by another, or perceived injustice. It can manifest itself in behaviors designed to remove the object of the anger (e.g., determined action) or behaviors designed merely to express the emotion. For the Roman philosopher Seneca anger is not an uncontrollable, impulsive, or instinctive reaction. It is, rather, the cognitive assent that such initial reactions to the offending action or words are in fact unjustified. It is, rather, the cognitive assent that such initial reactions to the offending action or words are in fact unjustified. It seems that the year 2022 was a year when many Americans were plainly angry. “Why is everyone so angry?” the New York Times asked in the article “The Year We Lost It.” We believe that Seneca is correct in that anger is unacceptable. Anger is a negative emotion that must be controlled, and Seneca provides us with the tools to avoid and destroy anger. Health care professionals will be more effective, content, and happier if they learn more about Seneca’s writings about anger and implement his wisdom on anger from over 2000 years ago.

Keywords: aggression; anger; burnout; cesarean; Covid-19; cytokines; doctors; mindfulness; seneca; violence
Corresponding author: Amos Grünebaum, MD, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, 100 E 77th St, New York, NY, 10075, USA, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Not applicable.

  5. Ethical approval: Not applicable.

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Received: 2023-03-06
Accepted: 2023-04-15
Published Online: 2023-05-15
Published in Print: 2023-09-26

© 2023 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Reviews
  3. Covid-19 vaccination and pregnancy: a systematic review of maternal and neonatal outcomes
  4. Improvised bubble continuous positive airway pressure ventilation use in neonates in resource-limited settings: a systematic review and meta-analysis
  5. Opinion Papers
  6. Anger: an underappreciated destructive force in healthcare
  7. Severe maternal thrombocytopenia and prenatal invasive procedures: still a grey zone
  8. Commentary
  9. The care of the magic of life before and after its beginning
  10. Original Articles – Obstetrics
  11. The impact of trimester of COVID-19 infection on pregnancy outcomes after recovery
  12. Adverse outcomes and maternal complications in pregnant women with severe-critical COVID-19: a tertiary center experience
  13. Are bacteria, fungi, and archaea present in the midtrimester amniotic fluid?
  14. Bioavailability of the tumor necrosis factor alpha/regulated on activation, normal T cell expressed and secreted (RANTES) biosystem inside the gestational sac during the pre-immune stages of embryo development
  15. The role of the soluble fms-like tyrosine kinase-1/placental growth factor (sFlt-1/PIGF) – ratio in clinical practice in obstetrics: diagnostic and prognostic value
  16. Prenatal diagnosis of non-mosaic sex chromosome abnormalities: a 10-year experience from a tertiary referral center
  17. Prediction of lung maturity through quantitative ultrasound analysis of fetal lung texture in women with diabetes during pregnancy
  18. Evaluation of an artificial intelligent algorithm (Heartassist™) to automatically assess the quality of second trimester cardiac views: a prospective study
  19. Original Article – Fetus
  20. Fetal brain activity and the free energy principle
  21. Predictive value of ultrasound in prenatal diagnosis of hypospadias: hints for accurate diagnosis
  22. The effect of maternal diabetes on the expression of gamma-aminobutyric acid and metabotropic glutamate receptors in male newborn rats’ inferior colliculi
  23. Original Articles – Neonates
  24. Respiratory function monitoring during early resuscitation and prediction of outcomes in prematurely born infants
  25. Quality improvement sustainability to decrease utilization drift for therapeutic hypothermia in the NICU
  26. Short Communication
  27. Use of a pocket-device point-of-care ultrasound to assess cervical dilation in labor: correlation and patient experience
  28. Letters to the Editor
  29. Correspondence on “COVID-19 vaccination and pregnancy”
  30. Response to the letter to the editor regarding “Covid-19 vaccination and pregnancy: a systematic review of maternal and neonatal outcomes”
https://doi.org/10.1515/jpm-2023-0099
Schlagwörter für diesen Artikel
aggression; anger; burnout; cesarean; Covid-19; cytokines; doctors; mindfulness; seneca; violence

Artikel in diesem Heft

  1. Frontmatter
  2. Reviews
  3. Covid-19 vaccination and pregnancy: a systematic review of maternal and neonatal outcomes
  4. Improvised bubble continuous positive airway pressure ventilation use in neonates in resource-limited settings: a systematic review and meta-analysis
  5. Opinion Papers
  6. Anger: an underappreciated destructive force in healthcare
  7. Severe maternal thrombocytopenia and prenatal invasive procedures: still a grey zone
  8. Commentary
  9. The care of the magic of life before and after its beginning
  10. Original Articles – Obstetrics
  11. The impact of trimester of COVID-19 infection on pregnancy outcomes after recovery
  12. Adverse outcomes and maternal complications in pregnant women with severe-critical COVID-19: a tertiary center experience
  13. Are bacteria, fungi, and archaea present in the midtrimester amniotic fluid?
  14. Bioavailability of the tumor necrosis factor alpha/regulated on activation, normal T cell expressed and secreted (RANTES) biosystem inside the gestational sac during the pre-immune stages of embryo development
  15. The role of the soluble fms-like tyrosine kinase-1/placental growth factor (sFlt-1/PIGF) – ratio in clinical practice in obstetrics: diagnostic and prognostic value
  16. Prenatal diagnosis of non-mosaic sex chromosome abnormalities: a 10-year experience from a tertiary referral center
  17. Prediction of lung maturity through quantitative ultrasound analysis of fetal lung texture in women with diabetes during pregnancy
  18. Evaluation of an artificial intelligent algorithm (Heartassist™) to automatically assess the quality of second trimester cardiac views: a prospective study
  19. Original Article – Fetus
  20. Fetal brain activity and the free energy principle
  21. Predictive value of ultrasound in prenatal diagnosis of hypospadias: hints for accurate diagnosis
  22. The effect of maternal diabetes on the expression of gamma-aminobutyric acid and metabotropic glutamate receptors in male newborn rats’ inferior colliculi
  23. Original Articles – Neonates
  24. Respiratory function monitoring during early resuscitation and prediction of outcomes in prematurely born infants
  25. Quality improvement sustainability to decrease utilization drift for therapeutic hypothermia in the NICU
  26. Short Communication
  27. Use of a pocket-device point-of-care ultrasound to assess cervical dilation in labor: correlation and patient experience
  28. Letters to the Editor
  29. Correspondence on “COVID-19 vaccination and pregnancy”
  30. Response to the letter to the editor regarding “Covid-19 vaccination and pregnancy: a systematic review of maternal and neonatal outcomes”
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