We describe a typology of regulatory deficits associated with anger in combat-related posttraumatic stress disorder (PTSD). Cognitive, arousal, and behavioral domain deficits in anger regulation were observed clinically in PTSD patients with high levels of anger who were participating in a multi-year trial of a structured anger treatment. We also describe a category of patients whose anger type we have termed "ball of rage." These patients exhibit regulatory deficits in all three domains of anger regulation. We offer a conceptual framework to advance the understanding of anger associated with PTSD and to guide its effective treatment.

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The results of a national survey of psychologists, randomly selected from the National Register of Health Service Providers in Psychology, reveal that 22% of psychologists have experienced a patient's suicide. This event has a personal and professional impact. Of the psychologists who experienced a patient's suicide, 49% reported intrusive symptoms of stress in the weeks after the suicide; those symptoms are comparable with those of people for whom the impact of parental loss was severe enough to lead them to seek treatment. Implications for the training and practice of psychologists are discussed. Most psychologists who are involved in patient care are concerned about the possibility that a patient will commit suicide during the course of treatment. Many psychologists CLAUDE M. CHEMTOB received his PhD from the University of Michigan in 1980. He currently serves as Research and Development Coordinator and Chief of the Day Treatment Center at the Veterans Administration in Honolulu. He is Associate Clinical Professor of Psychology, Psychiatry, and Public Health at the University of Hawaii. He has a long-standing interest in researching and treating posttraumatic stress disorder (PTSD) and is the principal investigator of a Veterans Administration-funded research program on cognitive dysfunction in PTSD. ROGER S. HAMADA received his PhD from the University of Hawaii in 1987. He is currently a research associate at the Veterans Administration Research Lab in Honolulu. His research interests are in the areas of PTSD and pediatric health psychology. GORDON BAUER received his PhD from the University of Hawaii in 1986. He is a research scientist at the Veterans Administration in Honolulu and at the Kewalo Basin Marine Mammal Lab and is

School-based community-wide screening followed by psychosocial intervention seems to effectively identify and reduce children's disaster-related trauma symptoms and may facilitate psychological recovery. While group and individual treatments did not differ in efficacy, fewer children dropped out of the group treatment. This approach may be applicable to screening and treating children exposed to a variety of large-scale disasters.