European Stars and Stripes (Newspaper) - September 18, 1990, Darmstadt, Hesse                                By Daniel Goleman new York times he was a scientist but he was acting strangely a said or. Stuart Yudofsky a psychiatrist who consulted on the Many Scase. Quot at work when something did t go right he would scream and threaten his coworkers. At Home if his 4-year-old spilled some food at the table head get so mad at her he d punch holes in the Walls with his fist. It was completely out of  for several years the scientist was treated by a series of psychotherapists who urged him to examine his childhood for deep seated conflicts that might explain his rages. Then a psychiatrist prescribed a sedative. Nothing helped. Finally the scientist was referred to a neurologist who traced the beginning of the violent outbursts to an Auto Accident in which the scientist had received a severe head injury. When the scientist was treated with prop nolo a medication used to control blood pressure his rages stopped. The scientists Case exemplifies a new Advance in understanding explosive anger that the most common cause is brain injury or neurological disease and that there Are now medications that can control it far More effectively than can the approaches most commonly used by psychiatrists. But researchers say that despite the Advance in understanding the causes of violent rage too Little attention is being paid to people who suffer from such attacks and that As a result they receive inadequate care. Quot the brain basis for violent rage often goes unrecognized and a great Many patients with the problem Are being Given improper care Quot said Yudofsky understanding chairman of the department of psychiatry at the University of Chicago medical school. Quot this has been a huge unsolved problem for  the rage resulting from neurological impairment is distinct from Ordinary anger. It is a sudden and unpredictable storm of overwhelming fury that is triggered by a trivial event and that builds into an explosion in an instant. It serves no purpose for the person who is swept away and typically leaves remorse and embarrassment in its Wake. The work on rage bears great significance for several groups like the estimated 4 million people in the United states with alzheimer s disease. Studies have found that about a third of alzheimer a patients have uncontrollable rages. Inability to handle the patients outbursts of rage is the single most common reason Given by families of alzheimer a patients for sending them to nursing Homes or hospitals. Apart from those with alzheimer a disease 1 million americans suffer brain injuries each year from strokes tutors or blows to the head 180,000 of them Are injured in Auto accidents. Some degree of constant irritability or explosive aggression occurs in As Many As 70 percent of those who suffer serious brain injury studies have shown. For those working with such patients in hospitals dealing with outbursts of anger is troubling and frightening. The research May also offer insights into some criminal violence two studies involving a total of 29 murderers on death Row in at least four states found that almost All had a serious brain injury that May have triggered their violence. Quot explosive rage is very common since it can be a symptom of any malady that destroys brain cells Quot said Yudofsky. Quot and i suspect brain damage is by far the most frequent cause of these violent outbursts though no one has exact  experts caution that there Are Many cases of explosive rage that cannot be explained by brain damage. Quot there Are a Large group of people with brain damage who do not have explosive rage and a sizable group of people with rage who have no brain injury Quot said or. Gary Tucker chairman of the psychiatry department at the University of Washington medical school. Even so brain damage is increasingly being recognized As a cause of the problem. Or. Louis j. West chairman of the psychiatry department at the medical school of the University of California at los Angeles said Quot the number of cases where brain damage explains an explosive rage is not so Small As we used to  in some studies up to 70 percent of those with outbursts of rage were found to have neurological damage. A University of Pennsylvania study of 286 psychiatric patients prone to unprovoked attacks of rage found that 94 percent had some kind of brain damage. The causes ranged from head injuries and stroke to encephalitis and alzheimer s disease. A Gill or. Japa  a it improve your Vocos a. In a. 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It z o it it 3 to m Cut of o o 7s % o m Cut and stripes bookstores stars and stripes bookstores tuesday september 18,1990 the stars and stripes a a a Page 17