“…A common paradigm is the distinction between anger-in (suppressed or unexpressed anger), anger-out (displaced anger or hostility), and anger-discuss (optimal anger expression). The consequences of suppressed anger appear to be destructive, including suicide (Apter et al, 1989), impaired interpersonal relationships (Holt, 1970;Mace, 1976), heart disease (Haynes & Feinleib, 1980), and high blood pressure (Harburg et al, 1973), whereas anger-out has been associated with the use of projection and denial (Apter et al, 1989), increased aggression (Berkowitz, 1970), a greater number of health problems (E. H. Johnson & Broman, 1987), and depression (Maiuro, Cahn, Vitaliano, Wagner, & Zegree, 1988). Frazier (1995) suggested that anger expression, in and of itself, is not useful for the individual without the discovery of frustrations that lie behind it.…”