Abstract
From the previous trial for type A behavior modification by educational counselling, the author proved some effects in reduction of type A behavior. But in patients who were administrators with high scored type A, the type A modification was remarkably difficult. Many type A patients have workaholic tendency and malcognitions about their behavior and life-style caused by hidden excessive anxiety, irritability and hostility.
The author reported 2 successful cases (one postinfarction angina, another vasospastic angina) in cognitive-behavioral therapy. Cognitive therapy was performed, at first step, by the detection of patient's hidden feelings (anxiety, irritability and hostility) and malcognition about behavior and life-style, then, by the investigation how to diminish them. For cognitive therapy, it was beneficial to repeat behavioral counselling and to make social support in job environmental surroundings and in family.
This cognitive-behavioral intervention can improve the quality of life of patients and may become more reasonable, more useful method for type A modification.
