Key points

Both bullies and victims can learn important social coping skills.

Some bullies show brain abnormalities.

There are personality differences between bullies and victims that influence their perception of situations.

A client, I’ll call her Kathy, arrived for her therapy session in distress. “I throw up every day before work now. When I hear his voice, I shake. I can’t sleep, and I’ve lost weight. This job is killing me!” she cried. Kathy worked for a bullying boss whose recent tirades escalated to an unbearable level. The last straw for Kathy occurred when her boss stomped up behind her and slammed a large report binder on her desk, startling her. “What is this CRAP!” he shouted. The loud noise, abruptness, and hostility of that event caused her to scream and run out of t

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