Emotions are expressed one way or another.  They are either expressed directly, or indirectly.  In graduate school, they teach that the cathartic theory of Freud is completely incorrect with respect to anger.  In other words, they teach that expressing anger always increases anger problems.  While they are right for people who have genuine problems with managing their anger, they are incorrect for people who “over manage” their anger.  Some people learn that anger is dangerous, prohibited, wrong, and should not be expressed in any direct way.  As I said before, they way that people express their anger is largely learned. 

People who overmanage their anger tend to be anxious, and/or experience a number of physical difficulties (pain, headaches, worries, obsessive thoughts, compulsions).  One of the roles of anxiety is inhibition.  It inhibits aggressive impulses.  I have seen a number of people become socially anxious as they begin to manage their anger more appropriately.  This social anxiety serves a positive purpose, and that is to inhibit the expression of anger.  People may experience several years of social anxiety as they learn different ways to express themselves appropriately.   I don’t try to take this away when it occurs, because I recognize the beneficial purpose.  That is, inhibiting agression.  A person often has to learn how to express themselves in appropriate ways in order to overcome a significant anxiety disorder. 

That said, when a person feels anxious, there is often an unconscious anger component.   When this component is identified, the person no longer feels anxious.  The fact of the matter is, a person cannot feel anxious and angry at the same time.  They are incompatible emotions.  The idea of cathasis was around before Freud, but I will focus on the the famous case explored by Breuer and Freud…Anna O. 

It was eleven years later that Breuer and his assistant, Sigmund Freud, wrote a book on hysteria. In it they explained their theory: Every hysteria is the result of a traumatic experience, one that cannot be integrated into the person’s understanding of the world. The emotions appropriate to the trauma are not expressed in any direct fashion, but do not simply evaporate: They express themselves in behaviors that in a weak, vague way offer a response to the trauma. These symptoms are, in other words, meaningful. When the client can be made aware of the meanings of his or her symptoms (through hypnosis, for example) then the unexpressed emotions are released and so no longer need to express themselves as symptoms. It is analogous to lancing a boil or draining an infection. (1)

Now, what I have found is catharsis only works with repressed emotion.  Those emotions that are blocked from awareness.  This doesn’t work with people who have insufficient repression (aggressive individuals).  This works with individuals who inhibit or block awareness of their emotions.  Academic researchers have overgeneralized from research that show that for angry individuals expressing anger…they become more angry and practiced at expressing their anger.  However, in my experience, cartharsis applied to emotions that are blocked from awareness through repression….it resolves the symptom. 

Most often, people need to learn that it is ok to say “no” and to express that they are angry.  This is for people that have learned that anger is unacceptable.  Once they learn this, there is often a reduction of anxiety and psychophysiological complaints that take the place of the expression of anger. 

(1).  Retrieved from wikipedia (http://webspace.ship.edu/cgboer/freud.html).