Friday, December 19, 2008

in the end~ yea I'm being sceptical

the only person you can put ur trust and hope on is the person staring back at you when you stand in front of a mirror~ yourself

coz no matter how much you rely on people, and how much u think people cherish and value ur presence... they most probably are still thinking just about themselves~

we are selfish creatures~

maybe some people are just better off alone~

you can't be hurt if you don't connect with others~

coz sometimes the person whom you trust the most can hurt you~

and it hurts really badly~


take risk n be happy if the person is the right one~

or take risk and suffer if it isn't~

or hide away and don't take any risk~ but then where's life without risk?

cute sgt2

Controlling Anger -- Before It Controls You

We all know what anger is, and we've all felt it: whether as a fleeting annoyance or as full-fledged rage.

Anger is a completely normal, usually healthy, human emotion. But when it gets out of control and turns destructive, it can lead to problems—problems at work, in your personal relationships, and in the overall quality of your life. And it can make you feel as though you're at the mercy of an unpredictable and powerful emotion. This brochure is meant to help you understand and control anger.

What is Anger?

The Nature of Anger

Anger is "an emotional state that varies in intensity from mild irritation to intense fury and rage," according to Charles Spielberger, PhD, a psychologist who specializes in the study of anger. Like other emotions, it is accompanied by physiological and biological changes; when you get angry, your heart rate and blood pressure go up, as do the levels of your energy hormones, adrenaline, and noradrenaline.

Anger can be caused by both external and internal events. You could be angry at a specific person (Such as a coworker or supervisor) or event (a traffic jam, a canceled flight), or your anger could be caused by worrying or brooding about your personal problems. Memories of traumatic or enraging events can also trigger angry feelings.

Expressing Anger

The instinctive, natural way to express anger is to respond aggressively. Anger is a natural, adaptive response to threats; it inspires powerful, often aggressive, feelings and behaviors, which allow us to fight and to defend ourselves when we are attacked. A certain amount of anger, therefore, is necessary to our survival.

On the other hand, we can't physically lash out at every person or object that irritates or annoys us; laws, social norms, and common sense place limits on how far our anger can take us.

People use a variety of both conscious and unconscious processes to deal with their angry feelings. The three main approaches are expressing, suppressing, and calming. Expressing your angry feelings in an assertive—not aggressive—manner is the healthiest way to express anger. To do this, you have to learn how to make clear what your needs are, and how to get them met, without hurting others. Being assertive doesn't mean being pushy or demanding; it means being respectful of yourself and others.

Anger can be suppressed, and then converted or redirected. This happens when you hold in your anger, stop thinking about it, and focus on something positive. The aim is to inhibit or suppress your anger and convert it into more constructive behavior. The danger in this type of response is that if it isn't allowed outward expression, your anger can turn inward—on yourself. Anger turned inward may cause hypertension, high blood pressure, or depression.

Unexpressed anger can create other problems. It can lead to pathological expressions of anger, such as passive-aggressive behavior (getting back at people indirectly, without telling them why, rather than confronting them head-on) or a personality that seems perpetually cynical and hostile. People who are constantly putting others down, criticizing everything, and making cynical comments haven't learned how to constructively express their anger. Not surprisingly, they aren't likely to have many successful relationships.

Finally, you can calm down inside. This means not just controlling your outward behavior, but also controlling your internal responses, taking steps to lower your heart rate, calm yourself down, and let the feelings subside.

As Dr. Spielberger notes, "when none of these three techniques work, that's when someone—or something—is going to get hurt."

Anger Management

The goal of anger management is to reduce both your emotional feelings and the physiological arousal that anger causes. You can't get rid of, or avoid, the things or the people that enrage you, nor can you change them, but you can learn to control your reactions.

Are You Too Angry?

There are psychological tests that measure the intensity of angry feelings, how prone to anger you are, and how well you handle it. But chances are good that if you do have a problem with anger, you already know it. If you find yourself acting in ways that seem out of control and frightening, you might need help finding better ways to deal with this emotion.

Why Are Some People More Angry Than Others?

According to Jerry Deffenbacher, PhD, a psychologist who specializes in anger management, some people really are more "hotheaded" than others are; they get angry more easily and more intensely than the average person does. There are also those who don't show their anger in loud spectacular ways but are chronically irritable and grumpy. Easily angered people don't always curse and throw things; sometimes they withdraw socially, sulk, or get physically ill.

People who are easily angered generally have what some psychologists call a low tolerance for frustration, meaning simply that they feel that they should not have to be subjected to frustration, inconvenience, or annoyance. They can't take things in stride, and they're particularly infuriated if the situation seems somehow unjust: for example, being corrected for a minor mistake.

What makes these people this way? A number of things. One cause may be genetic or physiological: There is evidence that some children are born irritable, touchy, and easily angered, and that these signs are present from a very early age. Another may be sociocultural. Anger is often regarded as negative; we're taught that it's all right to express anxiety, depression, or other emotions but not to express anger. As a result, we don't learn how to handle it or channel it constructively.

Research has also found that family background plays a role. Typically, people who are easily angered come from families that are disruptive, chaotic, and not skilled at emotional communications.

Is It Good To "Let it All Hang Out?"

Psychologists now say that this is a dangerous myth. Some people use this theory as a license to hurt others. Research has found that "letting it rip" with anger actually escalates anger and aggression and does nothing to help you (or the person you're angry with) resolve the situation.

It's best to find out what it is that triggers your anger, and then to develop strategies to keep those triggers from tipping you over the edge.

Strategies To Keep Anger At Bay


Simple relaxation tools, such as deep breathing and relaxing imagery, can help calm down angry feelings. There are books and courses that can teach you relaxation techniques, and once you learn the techniques, you can call upon them in any situation. If you are involved in a relationship where both partners are hot-tempered, it might be a good idea for both of you to learn these techniques.

Some simple steps you can try:

  • Breathe deeply, from your diaphragm; breathing from your chest won't relax you. Picture your breath coming up from your "gut."
  • Slowly repeat a calm word or phrase such as "relax," "take it easy." Repeat it to yourself while breathing deeply.
  • Use imagery; visualize a relaxing experience, from either your memory or your imagination.
  • Nonstrenuous, slow yoga-like exercises can relax your muscles and make you feel much calmer.

Practice these techniques daily. Learn to use them automatically when you're in a tense situation.

Cognitive Restructuring

Simply put, this means changing the way you think. Angry people tend to curse, swear, or speak in highly colorful terms that reflect their inner thoughts. When you're angry, your thinking can get very exaggerated and overly dramatic. Try replacing these thoughts with more rational ones. For instance, instead of telling yourself, "oh, it's awful, it's terrible, everything's ruined," tell yourself, "it's frustrating, and it's understandable that I'm upset about it, but it's not the end of the world and getting angry is not going to fix it anyhow."

Be careful of words like "never" or "always" when talking about yourself or someone else. "This !&*%@ machine never works," or "you're always forgetting things" are not just inaccurate, they also serve to make you feel that your anger is justified and that there's no way to solve the problem. They also alienate and humiliate people who might otherwise be willing to work with you on a solution.

Remind yourself that getting angry is not going to fix anything, that it won't make you feel better (and may actually make you feel worse).

Logic defeats anger, because anger, even when it's justified, can quickly become irrational. So use cold hard logic on yourself. Remind yourself that the world is "not out to get you," you're just experiencing some of the rough spots of daily life. Do this each time you feel anger getting the best of you, and it'll help you get a more balanced perspective. Angry people tend to demand things: fairness, appreciation, agreement, willingness to do things their way. Everyone wants these things, and we are all hurt and disappointed when we don't get them, but angry people demand them, and when their demands aren't met, their disappointment becomes anger. As part of their cognitive restructuring, angry people need to become aware of their demanding nature and translate their expectations into desires. In other words, saying, "I would like" something is healthier than saying, "I demand" or "I must have" something. When you're unable to get what you want, you will experience the normal reactions—frustration, disappointment, hurt—but not anger. Some angry people use this anger as a way to avoid feeling hurt, but that doesn't mean the hurt goes away.

Problem Solving

Sometimes, our anger and frustration are caused by very real and inescapable problems in our lives. Not all anger is misplaced, and often it's a healthy, natural response to these difficulties. There is also a cultural belief that every problem has a solution, and it adds to our frustration to find out that this isn't always the case. The best attitude to bring to such a situation, then, is not to focus on finding the solution, but rather on how you handle and face the problem.

Make a plan, and check your progress along the way. Resolve to give it your best, but also not to punish yourself if an answer doesn't come right away. If you can approach it with your best intentions and efforts and make a serious attempt to face it head-on, you will be less likely to lose patience and fall into all-or-nothing thinking, even if the problem does not get solved right away.

Better Communication

Angry people tend to jump to—and act on—conclusions, and some of those conclusions can be very inaccurate. The first thing to do if you're in a heated discussion is slow down and think through your responses. Don't say the first thing that comes into your head, but slow down and think carefully about what you want to say. At the same time, listen carefully to what the other person is saying and take your time before answering.

Listen, too, to what is underlying the anger. For instance, you like a certain amount of freedom and personal space, and your "significant other" wants more connection and closeness. If he or she starts complaining about your activities, don't retaliate by painting your partner as a jailer, a warden, or an albatross around your neck.

It's natural to get defensive when you're criticized, but don't fight back. Instead, listen to what's underlying the words: the message that this person might feel neglected and unloved. It may take a lot of patient questioning on your part, and it may require some breathing space, but don't let your anger—or a partner's—let a discussion spin out of control. Keeping your cool can keep the situation from becoming a disastrous one.

Using Humor

"Silly humor" can help defuse rage in a number of ways. For one thing, it can help you get a more balanced perspective. When you get angry and call someone a name or refer to them in some imaginative phrase, stop and picture what that word would literally look like. If you're at work and you think of a coworker as a "dirtbag" or a "single-cell life form," for example, picture a large bag full of dirt (or an amoeba) sitting at your colleague's desk, talking on the phone, going to meetings. Do this whenever a name comes into your head about another person. If you can, draw a picture of what the actual thing might look like. This will take a lot of the edge off your fury; and humor can always be relied on to help unknot a tense situation.

The underlying message of highly angry people, Dr. Deffenbacher says, is "things oughta go my way!" Angry people tend to feel that they are morally right, that any blocking or changing of their plans is an unbearable indignity and that they should NOT have to suffer this way. Maybe other people do, but not them!

When you feel that urge, he suggests, picture yourself as a god or goddess, a supreme ruler, who owns the streets and stores and office space, striding alone and having your way in all situations while others defer to you. The more detail you can get into your imaginary scenes, the more chances you have to realize that maybe you are being unreasonable; you'll also realize how unimportant the things you're angry about really are. There are two cautions in using humor. First, don't try to just "laugh off" your problems; rather, use humor to help yourself face them more constructively. Second, don't give in to harsh, sarcastic humor; that's just another form of unhealthy anger expression.

What these techniques have in common is a refusal to take yourself too seriously. Anger is a serious emotion, but it's often accompanied by ideas that, if examined, can make you laugh.

Changing Your Environment

Sometimes it's our immediate surroundings that give us cause for irritation and fury. Problems and responsibilities can weigh on you and make you feel angry at the "trap" you seem to have fallen into and all the people and things that form that trap.

Give yourself a break. Make sure you have some "personal time" scheduled for times of the day that you know are particularly stressful. One example is the working mother who has a standing rule that when she comes home from work, for the first 15 minutes "nobody talks to Mom unless the house is on fire." After this brief quiet time, she feels better prepared to handle demands from her kids without blowing up at them.

Some Other Tips for Easing Up on Yourself

Timing: If you and your spouse tend to fight when you discuss things at night—perhaps you're tired, or distracted, or maybe it's just habit—try changing the times when you talk about important matters so these talks don't turn into arguments.

Avoidance: If your child's chaotic room makes you furious every time you walk by it, shut the door. Don't make yourself look at what infuriates you. Don't say, "well, my child should clean up the room so I won't have to be angry!" That's not the point. The point is to keep yourself calm.

Finding alternatives: If your daily commute through traffic leaves you in a state of rage and frustration, give yourself a project—learn or map out a different route, one that's less congested or more scenic. Or find another alternative, such as a bus or commuter train.

Do You Need Counseling?

If you feel that your anger is really out of control, if it is having an impact on your relationships and on important parts of your life, you might consider counseling to learn how to handle it better. A psychologist or other licensed mental health professional can work with you in developing a range of techniques for changing your thinking and your behavior.

When you talk to a prospective therapist, tell her or him that you have problems with anger that you want to work on, and ask about his or her approach to anger management. Make sure this isn't only a course of action designed to "put you in touch with your feelings and express them"—that may be precisely what your problem is. With counseling, psychologists say, a highly angry person can move closer to a middle range of anger in about 8 to 10 weeks, depending on the circumstances and the techniques used.

What About Assertiveness Training?

It's true that angry people need to learn to become assertive (rather than aggressive), but most books and courses on developing assertiveness are aimed at people who don't feel enough anger. These people are more passive and acquiescent than the average person; they tend to let others walk all over them. That isn't something that most angry people do. Still, these books can contain some useful tactics to use in frustrating situations.

Remember, you can't eliminate anger—and it wouldn't be a good idea if you could. In spite of all your efforts, things will happen that will cause you anger; and sometimes it will be justifiable anger. Life will be filled with frustration, pain, loss, and the unpredictable actions of others. You can't change that; but you can change the way you let such events affect you. Controlling your angry responses can keep them from making you even more unhappy in the long run.

taken from:

Friday, December 12, 2008

1 out of... 15?

yesterday was the last day of school for the first term... by assuming that my 5 years of study will consist of 3 terms annually, there should be ummm..... 14? (trying to stress that i've not been crunching numbers for quite) 15 terms altogether... so that's one out of 15.

to me, the first is always one of the hardest. it's because of the adaptations required to get to the (at least) minimal required pace to keep on surviving. and overcoming the emotional distress... i'm aware that the workload will be increasing exponentially from now on, and my assumption that the first term as the hardest one could probably be proven wrong~

"yes i studied hard for the exam, ask my housemates"

moving on to the EMQ** exam. as the final holiday "present" for us, we had an exam on the last day. the best part is the fact that there's another test (an MCQ this time) on the first day of next term. it's just another conspiracy to impose in our minds that there's no "free" time for us medic students. i think they get sheer enjoyment by making us think about the exam all-holiday long~ not to mention the double essay to be handed in in the 2nd week~ procrastination kills!!!

anyways, the so-called "exam" was done in a very trusting environment, as we got to seat in groups of 5. i found it pretty hard to prevent myself from peeking at other people's answer as we were literally sitting right next to each other XD.

we then had a feedback session after the exam, on the same day. i think it should be called "did u answer correctly or not?" session as it was the disscussion session for the test we just took. if i remembered my answers correctly, i think i did quite well (maybe because i kept on peeking to other people's paper? who knows XD).

so i got to start my holiday with a wwwwwwwwwwiiiiiiiiiiiiddddddddddddeeeeeeeeeeeeeeeee smile on my face (i.e. d^_____________________^b ), but bearing in mind that there's another paper after the holiday~

" uhh, yeah. the other day i was playing with my pal's iPhone and found this very cute pic of a white cat with very BIG eyes (not this one, duuhh). so i downloaded it without even asking for permission XD, can't help it~ the power that cats have over me, just so overwhelming~"

that's that! best of luck to those with impending exam~ work hard... and don't forget to pray harder~


Extended matching items/questions (EMI or EMQ) are a written examination format similar multiple choice questions but with one key difference, that they test knowledge in a far more applied, in depth, sense.

It is often used in medical education and other healthcare subject areas to test diagnostic reasoning. (grabbed from Wikipedia)

Thursday, December 11, 2008

malam test~

**Tribute to Mr Remy and his brand new CANON SLR camera... I do not out these pictures~ I merely stole them from him... ha3

The following pictures may be unappropriate and could causes uneasiness. Please do not scroll down if you have a weak heart, eating, or pregnant as the pictures may cause spontaneous puking and/or spontaneous abortion.

The writer is not to be held responsible for consequences of failing to heed this advice.

sume org bertungkus lumus menyumbat, menelan, dan memakan lecture notes dan worksession. sok ade test, 1st official test. agak2 akulah, kalau time blaja nih bole kuar letrik2 sket... mmg dah thunderstorm kat umah nih smlm... hehe.

6 org dak medic~ hehe... tetibe ade sorang nih datang bawak SLR barunye. lalu menyen"snap" org2 yg sedang bertungkus- lumus tadi~ hehe.

Auni: meluruskan 2 jari dan membengkokkan 3 yang lain~ cara menhafal yang berkesan

Hazman dan aku yg tgh pening2

nope... not a studying medic geek @@. just my phone~

Fer: Maintain macho~ Cuba untuk tidak senyum... takut ramai lak nnti yang pengsan bile tgk gamba nie~

Mukhlis: Buat2 senyum wpon tgh bercelaru ngan term2 yg byk~

apsal gambar nih x centre? haha... sbb tersalah pilih time upload....

me and my partner in crime at Leeds~ haha


happy that the exam's over. but the worst is yet to come. the first day of next term is the "real" nightmare, MCQ covering almost all the topics I've learnt so far. but for now, let's enjoy the holidays, shall we?

without me noticing it myself, i've "accidentally" stuffed my holiday one month holiday with activities~ plan up to today~ liverpool-ireland-back to leeds. scotland-back to leeds. then london-swiss-london-back to leeds. then most probably manchester~

wishing myself good luck for the MCQ paper. think i'll need it... haha :P

Friday, December 5, 2008

The Creepy Piano~ [some lessons learned :D]

There's this piano at the dining room (also the kitchen) of our house. Our landlord left it there, I'm not really sure why... Maybe he just got nowhere else to place it and finds it convenient to make our house as a makeshift "warehouse".

All 7 of us cannot play the piano well enough, but I'm pretty sure that all of us know the basic (that what's needed to make sounds out of it is by pressing on the keys XD). Occasionally we do get a visitor who had piano lessons, and can play it well...

That aside... There's this one night. I was "studying" alone in my very one "study room", also become my 2nd bedroom in some nights. OK2... It's actually the living room, but I've been lurking around to "study" as the exam is coming around in a few weeks' time. This room is adjacent to the kitchen, where the piano is...

It was around 3 or 4 am I think, when i suddenly heard someone "playing the piano". It sounded very nice~ "but, noone can play the piano like that", I thought. My heart started racing... I was alone... early in the morning... what should I do???

"The person kept on playing", it sounded so perfect... like a pro... I decided to peek into the kitchen... So i gathered all my courage and put a facade of bravery, and went out of my "study" room. With trembling hand, I grabbed the kitchen's door handle. I muttered Bismillahirrahmanirrahim and swung the door open~

I woke up with my heart racing. My laptop on the table is still on, playing Maxim's tracks. I was on the sofa. My spectacles and some papers I was reading earlier were on the floor in front of the sofa... Serve me right for:
1. Not turning off my laptop b4 sleeping
2. Not setting aside the "studying" to sleep when it's time to sleep.

well, that's it. I'd like to make it clear that the story is the improvised version of what I can vaguely remember :D. I would also like to clarify that I used the " " for study because my definition of that word is NOT as in the dictionary~


study : occasional reading of some random pieces of paper while facebooking, listening to songs or music, watching cartoons or videos online, playing games, chatting, talking (if someone's willing to sacrifice his study time to waste time with me).

(excerpt from: Munzir's unreliable Dictionary, 1th Edition)
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