Assessment & Research

The type A behavior pattern, hostility, and interpersonal skill.

Watkins et al. (1988) · Behavior modification 1988
★ The Verdict

Check hostility, not just Type A style, when adults struggle with anger expression.

✓ Read this if BCBAs who assess or treat adult social-skill or anger issues in clinic or day-program settings.
✗ Skip if Clinicians who only work with young children or non-verbal populations.

01Research in Context

01

What this study did

Sievert et al. (1988) watched adults act out short social scenes in a lab. They sorted each person as Type A or Type B, then split them again by high or low hostility.

Trained observers scored how well each adult showed anger and general people skills during the role-plays.

02

What they found

Type A adults were better at overall social skills but worse at showing anger in a useful way. High-hostile adults, whether Type A or B, had the lowest social-skill scores.

Hostility level predicted anger problems better than Type A label alone.

03

How this fits with other research

Malagodi et al. (1989) later taught adolescents in a group home to control anger. Their six-week package cut aggression for most kids, showing anger skills can be trained.

Annable et al. (1979) ran lab role-plays too. They warned that small demand cues can shift scores, so keep tasks simple and consistent.

Elsmore et al. (1994) trained graduate students to show warm, affective adult-child skills. Their BST results line up with L et al.—skill deficits show up in lab tasks and can be fixed with practice.

04

Why it matters

If you assess adults for anger or social-skill problems, score hostility first. Type A drive alone is not enough to flag risk. Use short role-play clips, keep demand cues low, and target hostility-linked anger expression in your treatment plan. Add drills like thought-stopping and brief relaxation to give clients a clear replacement for explosive anger.

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Add one 5-minute anger-expression role-play to your intake and score hostility level before writing goals.

02At a glance

Intervention
not applicable
Design
other
Population
not specified
Finding
mixed

03Original abstract

The present study assessed the anger expression and general conversational skill of Type As and Bs in role-play scenes reflecting typical natural environment situations. In addition, the study assessed skill differences among hostile and nonhostile subgroups of Type As and Bs. Observers and confederates rated subjects' interpersonal skill during challenging and nonchallenging interactions. Type As expressed anger less appropriately than Bs in challenging situations, but displayed greater overall social skill and made significantly more interesting conversational partners than Type Bs across conditions. In general, nonhostile Type As and Bs received better skill ratings than the hostile groups. The relationship of interpersonal skill to physical health, the utility of classifications derived from current Type A assessment methods, and the potential efficacy of treatments targeting interpersonal skill deficits such as those apparent here are discussed.

Behavior modification, 1988 · doi:10.1177/01454455880123001