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.
The study was based on a national face-to-face survey of 9,282 U.S. adults who answered diagnostic questionnaires in 2001-03. It was funded by the National Institute of Mental Health.
About 5 percent to 7 percent of the nationally representative sample had had the disorder, which would equal up to 16 million Americans. That is higher than better-known mental illnesses such as schizophrenia and bipolar disorder, Coccaro said.
The average number of lifetime attacks per person was 43, resulting in $1,359 in property damage per person. About 4 percent had suffered recent attacks.
The findings were released Monday in the June issue of the Archives of General Psychiatry.
The findings show the little-studied disorder is much more common than previously thought, said lead author Ronald Kessler, a health care policy professor at Harvard Medical School.
"It is news to a lot of people even who are specialists in mental health services that such a large proportion of the population has these clinically significant anger attacks," Kessler said.
Four a couple of decades, intermittent explosive disorder, or IED, has been included in the manual psychiatrists use to diagnose mental illness, though with slightly different names and criteria. That has contributed to misunderstanding and underappreciation of the disorder, said Coccaro, a study co-author.
Coccaro said the disorder involves inadequate production or functioning of serotonin, a mood-regulating and behavior-inhibiting brain chemical. Treatment with antidepressants, including those that target serotonin receptors in the brain, is often helpful, along with behavior therapy akin to anger management, Coccaro said.
Most sufferers in the study had other emotional disorders or drug or alcohol problems and had gotten treatment for them, but only 28 percent had ever received treatment for anger.
"This is a well-designed, large-scale, face-to-face study with interesting and useful results," said Dr. David Fassler, a psychiatry professor at the University of Vermont. "The findings also confirm that for most people, the difficulties associated with the disorder begin during childhood or adolescence, and they often have a profound and ongoing impact on the person's life."
Jennifer Hartstein, a psychologist at Montefiore Medical Center in New York, said she had just diagnosed the disorder in a 16-year-old boy.
"In most situations, he is relatively affable, calm and very responsible," she said. But in stressful situations at home, he "explodes and tears apart his room, throws things at other people" to the point that his parents have called the police.
Hartstein said the study is important because many people are not aware of the disorder.
― nicky lo-fi (nicky lo-fi), Tuesday, 6 June 2006 17:01 (nineteen years ago)
― nicky lo-fi (nicky lo-fi), Tuesday, 6 June 2006 17:02 (nineteen years ago)
― nicky lo-fi (nicky lo-fi), Tuesday, 6 June 2006 17:03 (nineteen years ago)
― mummy wrapped in bacon (nickalicious), Tuesday, 6 June 2006 17:05 (nineteen years ago)
― remy (x Jeremy), Tuesday, 6 June 2006 17:06 (nineteen years ago)
― nicky lo-fi (nicky lo-fi), Tuesday, 6 June 2006 17:08 (nineteen years ago)
Oh god, the Americans, they just medicalise everything, don't they?
― harmonic generator, haircuts are for losers (kate), Tuesday, 6 June 2006 17:08 (nineteen years ago)
― matlewis (matlewis), Tuesday, 6 June 2006 17:09 (nineteen years ago)
― Courtney Gidts (ex machina), Tuesday, 6 June 2006 17:10 (nineteen years ago)
― Shakey Mo Collier (Shakey Mo Collier), Tuesday, 6 June 2006 17:14 (nineteen years ago)
― mummy wrapped in LOL (nickalicious), Tuesday, 6 June 2006 17:36 (nineteen years ago)
― luna (luna.c), Tuesday, 6 June 2006 18:03 (nineteen years ago)
― Miss Misery xox (MissMiseryTX), Tuesday, 6 June 2006 18:09 (nineteen years ago)
― luna (luna.c), Tuesday, 6 June 2006 18:23 (nineteen years ago)
― Eisbär (llamasfur), Tuesday, 6 June 2006 19:33 (nineteen years ago)
― gear (gear), Tuesday, 6 June 2006 19:35 (nineteen years ago)
― pleased to mitya (mitya), Tuesday, 6 June 2006 20:42 (nineteen years ago)
"I suffer from Intermittent Explosive Disorder. BACK THE FUCK OFF!"
― Abbadavid Berman (Hurting), Tuesday, 6 June 2006 20:47 (nineteen years ago)
― Paul in Santa Cruz (Paul in Santa Cruz), Wednesday, 7 June 2006 02:16 (nineteen years ago)
yah those fucking americans! what are they thinking!??! (arn't you american???)
― chaki (chaki), Wednesday, 7 June 2006 02:18 (nineteen years ago)
I know it sounds like Intermittent Explosove Diahorreah :/
Surely chucking a tanty is just er... chucking a tanty? For which, Remy OTMFM.
― Trayce (trayce), Wednesday, 7 June 2006 02:23 (nineteen years ago)
― j blount (papa la bas), Wednesday, 7 June 2006 02:54 (nineteen years ago)
― Dan I. (Dan I.), Wednesday, 7 June 2006 03:07 (nineteen years ago)
(I am being nice to Kate now, but I think its pretty funny that she lets everyone assume she is an actual Britisher)
― lord pooperton (ex machina), Wednesday, 7 June 2006 03:28 (nineteen years ago)
― miele kitty (miele), Wednesday, 7 June 2006 03:58 (nineteen years ago)
― gypsy mothra (gypsy mothra), Wednesday, 7 June 2006 05:27 (nineteen years ago)
― Eisbär (llamasfur), Wednesday, 7 June 2006 06:17 (nineteen years ago)
― kingfish doesn't live here anymore (kingfish 2.0), Wednesday, 7 June 2006 06:18 (nineteen years ago)
― suzy (suzy), Wednesday, 7 June 2006 07:32 (nineteen years ago)
UNTRUE
― lord pooperton (ex machina), Wednesday, 7 June 2006 13:36 (nineteen years ago)
So what exactly is the difference between those two things? I mean, Jesus, I'd hate to see the kind of bad behavior that doesn't have any cognitive science involved -- it would have to be some kind of pure free-floating evil.
― nabisco (nabisco), Wednesday, 7 June 2006 14:07 (nineteen years ago)
― ken c (ken c), Wednesday, 7 June 2006 14:16 (nineteen years ago)
Right at the point where the whole thing's over and then the kid feels a sudden need to defend his mother's honor.
― nabisco (nabisco), Wednesday, 7 June 2006 14:26 (nineteen years ago)
― Thermo Thinwall (Thermo Thinwall), Wednesday, 7 June 2006 14:30 (nineteen years ago)
"why the fuck are you warning me now?"
― ken c (ken c), Wednesday, 7 June 2006 14:31 (nineteen years ago)
― teh_kit has 21 friends (g-kit), Wednesday, 7 June 2006 14:39 (nineteen years ago)
― ken c (ken c), Wednesday, 7 June 2006 14:48 (nineteen years ago)
― Thomas Tallis (Tommy), Wednesday, 7 June 2006 15:07 (nineteen years ago)
― Allyzay Rofflesbot (allyzay), Wednesday, 7 June 2006 15:09 (nineteen years ago)
xpost well for sure that would be awesome, I rather wish people would carry their I-already-now-more-than-experts stuff to their natural conclusions
MANUAL: First, plug the television's power cord into a wall outlet.OWNER OF NEW TV: These fuckers think they know everything, I'm plugging the cord into this delicious cheese sandwich
― Thomas Tallis (Tommy), Wednesday, 7 June 2006 15:11 (nineteen years ago)
― Thomas Tallis (Tommy), Wednesday, 7 June 2006 15:12 (nineteen years ago)
― Thermo Thinwall (Thermo Thinwall), Wednesday, 7 June 2006 15:18 (nineteen years ago)
― Thomas Tallis (Tommy), Wednesday, 7 June 2006 15:22 (nineteen years ago)
― Thermo Thinwall (Thermo Thinwall), Wednesday, 7 June 2006 15:29 (nineteen years ago)
― Thomas Tallis (Tommy), Wednesday, 7 June 2006 16:02 (nineteen years ago)
Plus there's something deeper here, including (a) the fact that it doesn't seem so newsworthy to discover that there are cognitive and biological process involved in sudden rage, EXCEPT for the fact that (b) we're all familiar and uncomfortable with the way that pointing out those cognitive and biological processes is the precursor to things like blunt marketing attempts at medicating them and attempts to use them as mitigating circumstances in criminal trials and so on.
― nabisco (nabisco), Wednesday, 7 June 2006 16:11 (nineteen years ago)
― nabisco (nabisco), Wednesday, 7 June 2006 16:13 (nineteen years ago)
my bad then, but upthread it really looks like a lot of armchair science
have pity. we are the victims here, people.so, what medication can i take for being a hothead then?!?Surely chucking a tanty is just er... chucking a tanty? For which, Remy OTMFM.medical defence of assholism, c/d
― Thomas Tallis (Tommy), Wednesday, 7 June 2006 16:19 (nineteen years ago)
― and what (ooo), Wednesday, 7 June 2006 16:22 (nineteen years ago)
― and what (ooo), Wednesday, 7 June 2006 16:23 (nineteen years ago)
Any of you remember the 80s trend of freeway shootings that the media overpublicized for a while in a "That's the wacky U.S. for ya!" kinda way, which only escalated random freeway shootings?
Or was this just an L.A. thing?
― ((((((DOPplur)))n)))u))))tttt (donut), Wednesday, 7 June 2006 16:28 (nineteen years ago)
I had a tortured sentence trying to draw this connection but was afraid of getting called insane!
― Thomas Tallis (Tommy), Wednesday, 7 June 2006 16:29 (nineteen years ago)
― suzy (suzy), Wednesday, 7 June 2006 17:09 (nineteen years ago)
so, what medication can i take for being a hothead then?!? = joke about how every diagnosable problem is a new and exciting pharmaceutical-sales market
Surely chucking a tanty is just er... chucking a tanty? = question about whether understanding the cognitive/biological basis of being an asshole in any way changes the fact that it's still being-an-asshole
medical defence of assholism, c/d = ditto above (and there's whatever slight chance this argument will soon enough be had again when someone kills someone in the heat of the moment and then pleads not guilty by reason of Intermittent Explosive Disorder)
― nabisco (nabisco), Wednesday, 7 June 2006 17:22 (nineteen years ago)
― lord pooperton (ex machina), Wednesday, 7 June 2006 17:31 (nineteen years ago)
Go figure.
I do actually know novelists who make a living off what they do. Of course, they live in China, where apparently you can live for a month on the money it takes your average writer to get drunk for one afternoon. Or Brighton, where you can't, but it's cheaper to stay drunken for longer.
I do think that the expectation of a book-deal is crippling to a writer. Both HSA and his mum seem to take this attitude. Both of them very much by rights (DNA and otherwise) should write books, but HSA always claims that he won't do it without an accepted pitch and an advance, because he doesn't want to waste the investment of his time. (And he gets cross at me for not doing anything with the novels I've written.) Novel-writing requires a great deal of up-front investment, both in time and in experience. The people I know who have been successful at it are the ones who have hung around for years on the dole finishing their novels at their leisure. Journalists seem to be so busy pitching that they don't have the time to sit down and write something for the pure pleasure of doing it.
The journalists I've always liked the best were the ones that dragged their own lives into it. Which is, technically, very bad journalism. But these journalists are better at dragging their own lives into their fiction. Perhaps.
HSA's mum was 2 hours late picking HSA up to go off to Wiltshire, so at last, finally, I get to go shopping. Hurrah!
-- Super-Kate (masonicboo...), April 29th, 2004.
― lord pooperton (fuck off suzie) (ex machina), Wednesday, 7 June 2006 17:37 (nineteen years ago)
There was an abandonned country club near the house that I grew up in, as well. That was cool - especially the drained swimming pool.
-- Lapdog Shoesnog (masonicboo...), April 30th, 2005.
― lord pooperton (fuck off suzie) (ex machina), Wednesday, 7 June 2006 17:38 (nineteen years ago)
I don't think the study itself is bunk so much as the way it will presumably be used to excuse assholes who can't control their tempers. Like that study last year that said that slightly overweight people live longer. Well goddamn, get me some donuts.
― DAVE, for #1 Hits of yesterday and today! (dave225.3), Wednesday, 7 June 2006 17:45 (nineteen years ago)
― Tracey Hand (tracerhand), Wednesday, 7 June 2006 17:48 (nineteen years ago)
― lord pooperton (ex machina), Wednesday, 7 June 2006 17:53 (nineteen years ago)
― and what (ooo), Wednesday, 7 June 2006 17:54 (nineteen years ago)
― chaki (chaki), Wednesday, 7 June 2006 18:44 (nineteen years ago)
haha
― lord pooperton (ex machina), Wednesday, 7 June 2006 18:47 (nineteen years ago)
i don't know if peoples' reactions are anti-science, or more a reaction to a longstanding american tendency to over-medicate or to come up with pills for things that don't strike most folks as needing medication. then there's also (justified) cynicism of the medical establishment -- and, by extension, pharmaceutical companies -- to make money off of all of this.
― Eisbär (llamasfur), Wednesday, 7 June 2006 18:51 (nineteen years ago)
have pity. we are the victims here, people.
Well I think that was a partial joke that had nothing to do with the 'science' of the study. Sometimes you have to either joke about it a little, or curl up in a corner and cry. There is no solution. We have over 20,000 murders in the USA every year. You walk down the street, and make eye contact with a brother or sister that you don't know, and sometimes you do get a "what the fuck are you looking at!?" Being angry, or hard, or on gaurd, is just about more socially acceptable now than it is to be polite. Posting the capsule summary of the study was just an excuse for bringing up the topic.
― nicky lo-fi (nicky lo-fi), Thursday, 8 June 2006 03:46 (nineteen years ago)
You really are a cunt, Ethan.
― Trayce (trayce), Thursday, 8 June 2006 03:55 (nineteen years ago)
― Allyzay Rofflesbot (allyzay), Thursday, 8 June 2006 15:05 (nineteen years ago)
― lord pooperton (ex machina), Thursday, 8 June 2006 15:25 (nineteen years ago)
― Tuomas (Tuomas), Thursday, 8 June 2006 15:42 (nineteen years ago)
Motorcycle road rage.
― № 1 (libcrypt), Thursday, 30 October 2008 17:08 (sixteen years ago)
Dude got off his cycle at a light and started smashing his helmet into my passenger window.
What happened after you ran him over?
― Ned Raggett, Thursday, 30 October 2008 17:09 (sixteen years ago)
Was it Joe The Plumber? Will you tell him John McCain is looking for him?
― Mr. Que, Thursday, 30 October 2008 17:11 (sixteen years ago)
I called 911 and filed a report. No running dude over.
― № 1 (libcrypt), Thursday, 30 October 2008 17:14 (sixteen years ago)
He looked like Joe the Dot-Com Exec more than Joe the Plumber. White, 40-45, tiny spectacles. Prob biking 'cause of mid-life crisis, etc.
― № 1 (libcrypt), Thursday, 30 October 2008 17:16 (sixteen years ago)
What'd you do to piss him off?
― Rock Hardy, Thursday, 30 October 2008 17:19 (sixteen years ago)
that really sucks, by the way
― Mr. Que, Thursday, 30 October 2008 17:21 (sixteen years ago)
I dunno what I did to piss him off, honestly. He probably thought I cut him off, but I didn't even notice him in traffic until he started pulling in front of me no matter which lane I'd change to.
― № 1 (libcrypt), Thursday, 30 October 2008 19:53 (sixteen years ago)
get his plates?
― omar little, Thursday, 30 October 2008 20:00 (sixteen years ago)
http://farm2.static.flickr.com/1318/1454031202_59a042826c_o.jpgSUP
― sexyDancer, Thursday, 30 October 2008 20:15 (sixteen years ago)
I did get his plates, yea. The cop ID'd him and said he was just gonna give him a phone call and tell the dude to be more polite in the future.
― № 1 (libcrypt), Thursday, 30 October 2008 20:28 (sixteen years ago)
"intermittent explosive disorder" really sounds like it should be describing flatulence
― Black Seinfeld (HI DERE), Thursday, 30 October 2008 20:31 (sixteen years ago)