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 Section 4 
Measuring Anxiety-Related Driving
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 In the last section, we examined the role of self-esteem in Anger  Management and Anger Management clients and road rage:  anger; inappropriate goal-setting; and  replacing the source of self-esteem. In this section, I will discuss how to create a Larson Driving  Stress Profile for Anger Management clients who experience road rage.  Also, I will present a technique for driving  less stressfully entitled "An Enjoyable Driving Experience." ♦ Larson Driver Stress Questionnaire for Anger ManagementFirst, I ask my Anger Management clients to fill out the Larson  Driver Stress Questionnaire.  This  questionnaire divides its questions into four categories:  anger, impatience, competing, and punishing.  These are also the four most damaging attitudes  that cause accidents. I ask my clients  to read each scenario and rank them from 0 to 3.  Zero represented "Never true when I drive,"  one represented "It’s true for me only once in a while"; two represented "it’s  true for me, even if for a moment, often when I drive"; and three represented  "it’s true for me even for a moment every time I drive."
 
 The category "anger", included, but was not excluded to, the  following sample of scenarios:
 
  
    Get       angry at fast/slow drivers.
    Get       angry at drivers who cut me off.
    Get       angry at traffic jams.
    Get       angry at tailgaters.
    Get       angry at passenger. The category "impatience", included, but was not exclusive  to, the following sample of scenarios: 
  
    Impatient       at traffic jams.
    Impatient       at stoplights.
    Impatient       waiting for stoplight.
    Impatient       if behind schedule on a trip.
    Impatient       with pedestrians crossing the street. The category "competing" included but was not excluded to,  the following sample of scenarios: 
  
    Compete       with yourself (for time, schedule).
    Personalize       the competition with another driver.
    Challenge       other drivers. The last category, "Punishing" included, but was not  excluded to, the following sample of scenarios 
  
    "Punish"       bad drivers.
    Block       tailgaters who want to pass.
    Brake       suddenly to send a message to the other driver. For each category, which would, in its entirety, include 10  questions, a total of nine or higher indicated a high level of stress  associated with that particular emotion or attitude on the road.  If an Anger Management client scored a  combined total of 35 or higher, that client has a severe level of stress  associated with the road. ♦   Technique:  Enjoyable  Driving Experience, 5 Suggestions Thomas was a 35 year old Anger Management client of  mine.  I asked Thomas to take the Larson  Stress Questionnaire.  Thomas scored a 75  total, which indicated an extremely high level of stress on the road.  This meant that Thomas was at a high risk to  be involved in a road rage incident.   Thomas stated, "I don’t know what it is about me and driving, but  whenever I get into a car, somehow, something pisses me off.  I get mad and then I do things I later  regret."
 
 Because of Thomas' stress level,  I gave him the following List of Suggestions for "An Enjoyable Driving  Experience."  Thomas appeared somewhat  insightful and this list gave him a list of things that could help reduce his  stress while driving and make the overall experience much more enjoyable:
 
  
    Drive       to maximize sensory awareness.        Remember this principle:  the       more you speed, the less you experience where you are; the more you experience       where you are, the slower you go.        Find the optimum speed that allows you to reach your objective       without sacrificing sensation.
    Treat       yourself to beautiful and/or stimulating sounds.  Listen to the radio.
    Experience       the fun of driving with companions.        I particularly enjoy setting off on one- or two-hour journeys with       a friend.  Try not to let anything       interrupt you from enjoying the scenery or your conversation.  If you race or compete, you cannot fully       attend to the conversation or experience the pleasure and affection you       could feel as the dialogue ranges through many moods and ideas.
    Stock your favorite snacks in the car.        Most cars have trays for drinks.        Sipping a cup of coffee invites more leisurely ambiance, and the       taste sensation causes you to be more aware of other sensations too, like       hearing, seeing, and smelling.  Your       mind moves away from preoccupation with competing toward appreciation of       the immediate benefits of being alive. Think of your Thomas who is insightful.  Could your Anger Management client benefit  from driving more enjoyably?  Would  playing this section be beneficial in your next session?  We will discuss stress more thoroughly in the  next section. In this section, we discussed how to create a Larson Driving  Stress Profile for Anger Management clients who experience road rage.  Also, we presented a technique for driving  less stressfully entitled "An Enjoyable Driving Experience". In the next section, we will examine the effects of stress on Anger  Management clients:  increased irritability;  less control over impulses; and susceptibility to paranoia.  We will also include "The Larson Driver  Relaxation Breathing Exercise" to help stressed clients relax.Reviewed 2023
 Peer-Reviewed Journal Article References: Aston, E. R., Shannon, E. E., & Liguori, A. (2014). Anxiety, sedation, and simulated driving in binge drinkers. Psychology of Addictive Behaviors, 28(2), 359–366.
 
 Chin, B., Lindsay, E. K., Greco, C. M., Brown, K. W., Smyth, J. M., Wright, A. G. C., & Creswell, J. D. (2019). Psychological mechanisms driving stress resilience in mindfulness training: A randomized controlled trial. Health Psychology, 38(8), 759–768.
 
 Lutz, J., & Krahé, B. (2018). Inducing sadness reduces anger-driven aggressive behavior: A situational approach to aggression control. Psychology of Violence, 8(3), 358–366.
 
 Taylor, J. E., Sullman, M. J. M., & Stephens, A. N. (2020). Measuring anxiety-related avoidance with the Driving and Riding Avoidance Scale (DRAS). European Journal of Psychological Assessment, 36(1), 114–122.
 
 QUESTION 4
 What are the four categories to the Larson Driver  Stress Questionnaire for Anger Management clients? 
  To select and enter your answer go to .
 
 
 
 
 
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