Professional Documents
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CLASSIFICATION OF STRESS
POSITIVE STRESS NEGATIVE STRESS ACUTE STRESS CHRONIC STRESS
DEATH OF A SPOUSE DIVORCE MARITAL SEPARATION IMPRISONMENT DEATH OF A CLOSE RELATIVE PERSONAL INJURY OR ILLNESS MARRIAGE FIRED FROM A JOB MARITAL RECONCILIATION RETIREMENT ILLNESS OF A RELATIVE PREGNANCY SEXUAL PROBLEMS BIRTH OR ADOPTION BUSINESS READJUSTMENT
Continued
16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30.
Change in financial status Death of a close friend Change to different work Increased arguments with spouse Mortgage or loan for major purchase Foreclosure on mortgage or loan Change in job responsibilities Child leaving home Problems with in-laws Outstanding personal achievement Spouse begins or stops work Begin or end school Change in living conditions Changing personal habits Problems with your boss
Continued
31. CHANGE IN WORK 32. HOURS/CONDITIONS 33. CHANGE IN RESIDENCE OR SCHOOL RECREATION 34. CHURCH OR SOCIAL ACTIVITIES 35. MORTGAGE OR LOAN 36. CHANGE IN SLEEPING HABITS 37. CHANGE IN FAMILY GATHERINGS 38. CHANGE IN EATING HABITS 39. VACATION 40. ANY FESTIVALS 41. MINOR LAW VIOLATION
SYMPTOMS OF STRESS
Behavioral symptoms Physical symptoms
BEHAVIORAL SYMPTOMS
TOO MUCH SLEEP (HYPERSOMNIA) OR TOO LITTLE SLEEP (INSOMNIA) NIGHTMARES NERVOUS HABITS LIKE NAILBITING OR FOOT-TAPPING DECREASED SEX DRIVE TEETH GRINDING IRRITABILITY OR IMPATIENCE CRYING OVER MINOR INCIDENTS DREADING GOING TO WORK OR OTHER ACTIVITIES
PHYSICAL SYMPTOMS
MIGRAINE OR TENSION HEADACHES DIGESTIVE PROBLEMS LIKE HEARTBURN OR DIARRHEA SHALLOW BREATHING OR SIGHING COLD OR SWEATY PALMS JAW PAIN, NECK PAIN,SHOULDER PAIN
Decreased psychomotor reactivity and coordination Attention deficit Disorganization of thought Negative self-esteem Diminished sense of meaning in life Lack of control/need for too much control Negative self-statements and negative evaluation of experience
Retirement
Retirement can be stressful because retired people have lost opportunities for social interaction and an important part of their identity. They may miss the power and influence they once hand, the structure and routines of a job, and the feeling of being useful and competent (Bohm & Rodin, 1985). In addition retired people often live on low incomes, which again produces stress.
Life transitions
Life transitions tend to be stressful (Moos and Schaefer, 1986). Changing from one phase to another in life is called a transition; examples include: Starting school Moving home Reaching puberty Starting college, especially away from home Starting a career Getting married
Commentary
There are methodological and ethical criticisms that can be made of Langer and Rodins study. The sample was very limited (elderly Americans living in a particular care home). On the other hand, Langer and Rodin took care to avoid demand characteristics by not informing the residents, nurses or research assistants (who collected the data) of the purpose of the study. Controlled experiments on the damaging effects of stress in human beings can be very unethical.
Commentary
In this case, Langer and Rodin would argue that they did not harm anyones health, but actually improved it for those residents who were given a greater sense of control. On the other hand, when the experiment was over, we do not know whether the situation reverted to what it had been before, and it may be that being given a sense of control for three weeks, then having it removed again, did more harm than good in the long term.
Commentary
There are clear implications of this study for the way people are treated in residential homes. There is also a lesson to be learnt when developing therapy to help people suffering from extreme stress. If it is true that a low sense of personal control (that is, having a very external locus of control) can lead to stress, then in cases where this applies it may be beneficial for therapy to focus on shifting peoples locus of control from external to internal.
Child abuse
The stress caused by long-lasting psychological effects of sexual abuse in childhood has been found to increase the likelihood of certain diseases in old age. Women who were assaulted in their teens appeared to run greater risk of developing arthritis and breast cancer in later life, while Male victims are more likely to develop diseases of the thyroid than men who were not abused as children. 1,300 elderly middle-class participants were studied 12% of the women and 5% of the men reported unwanted sexual contact for childhood.
Child abuse
Breast cancer and arthritis were relatively common amongst participants who had suffered sexual abuse; the more sustained the abuse the higher the risk of developing the diseases. However those abused were less likely to suffer from hypertension, but this was probably due to survivor bias, in other words, people with hypertension tend to die younger, so do not feature in studies of elderly people. Stein and BarrettConnor (2000).
Environmental stress
Crowded conditions can be stressful for three reasons: 1. Lack of control over interpersonal interaction, as when other people can overhear your conversation. 2. The restricted ability to move about freely or reduced access to resources, such as seats. 3. Intrusion into personal space (Sarafino, 1987).
Environmental stress
People exposed to hazardous substances in their environment worry for years about what will happen to them (Baum, 1988). People who lived near the three mile Island power plant in Pennsylvania, where a nuclear accident had happened suffered more stress more than a year after the accident than other residents near a similar facility (Fleming et al., 1982).
Other factors
Other factors Event
negative - Divorce (-ve), Marriage (+ve) Controllable or predictable ambiguous - not sure what is happening. e.g. stuck on underground train without being informed.
Lundberg (1976)
Using urine samples Commuters on crowded trains more stressed than in empty trains but those that had been on the train since the start, showed less stress, even though they had been exposed to the crowded condition longer. Being able to choose seat, control the situation, reduced the stress.
Ambiguity
Ambiguity can cause stress. Two types of ambiguity are: 1.Role ambiguity 2.Harm ambiguity.
Role ambiguity
Role ambiguity can occur in the workplace, for instance when there are no clear guidelines, standards for performance and no clear consequences. Role ambiguity is stressful because people are uncertain about what actions and decisions to make.
Harm ambiguity
Harm ambiguity occurs when people are not sure what to do to avoid harm. Stress will depend upon the person's personality, beliefs and general experience (Lazarus and Folkman, 1984). A person who is seriously ill and has no clear information might draw hope from this ambiguity, believing that they will get well. Another person in the same situation may believe that people are deliberately giving ambiguous information because the prognosis is poor.
Controllability
Controllability is another factor that will affect the perception of stress. People tend to appraise uncontrollable events as being more stressful than controllable events (Miller, 1979). There are two types of control: 1.Behavioural 2.Cognitive.
Controllability
Behavioural control means performing some action. For example, being unable to take a tablet for a headache will make experiencing a headache less stressful. In the case of cognitive control, we can affect the impact of the events by using some mental strategy, such as distraction or by developing a plan to overcome the problem.
ALARM REACTION
RESISTANCE OR ADAPTATION
EXHAUSTION
ALARM REACTION
MUSCLES TENSE HEART BEATS FASTER THE BREATHING AND PERSPIRATION INCREASES THE EYES DILATE THE STOMACH MAY CLENCH
RESISTANCE OR ADAPTATION
FATIGUE CONCENTRATION LAPSES
IRRITABILITY AND LETHARGY
EXHAUSTION
DECREASED STRESS TOLERANCE PROGRESSIVE MENTAL AND PHYSICAL EXHAUSTION ILLNESS AND COLLAPSE
Evaluation of GAS
A problem for GAS is that some stressors elicit a stronger emotional response than others do. The theory does not take account of psychosocial processes. A sudden increase in temperature, for example, would produce more emotion than a gradual increase.
Evaluation of GAS
Another problem for GAS is that cognitive appraisal is not taken account of. A study by Katherine Tennes and Maria Kreye (1985) found that intelligent schoolchildren experienced more stress on the day of an exam than unintelligent schoolchildren. Cortisol levels were measured in urine samples taken on regular school days and on days when tests were given. Intelligence test scores were obtained from school records. The results suggest that brighter children are more concerned about academic achievement.
Evaluation of GAS
To summarise, the GAS incorrectly assumes that all stressors produce the same physiological reactions and fails to take account of psychosocial factors in stress. Even so the GAS is basically a valid model of stress.
Appraisal
G. A. S.
Primary Appraisal: Is Stressor Negative? Can be negative if it involves harm or loss, threat, or challenge (chance to grow). Yes No
No Stress
Secondary Appraisal: Can I Control the Situation? If coping resources are adequate, then consider options: problem-focused or emotion-focused coping strategies.
Cognitive appraisal
Lazarus and Folkman (1984) propose a model that emphases the transactional nature of stress. Stress is a two way process; the environment produces stressors and the individual finds ways to deal with these. Cognitive appraisal is a mental process by which people assessed two factors: 1. Whether a demand threatens their well being 2. Whether a person considers that they have the resources to meet the demand of the stressor
Cognitive appraisal
There are two types of appraisal: 1.Primary 2.Secondary.
Primary appraisal
During the primary appraisal stage a person will be seeking answers as to the meaning of the situation with regard to their well being. One of three types of appraisals could be made: 1.It is irrelevant 2.It is good (benign-positive) 3.It is stressful.
Primary appraisal
Imagine there was a snow blizzard. You might consider that the blizzard would not affect you, as you do not have to go to work the following day. You might consider the blizzard a blessing because this means that your college exam would be postponed or you can go skiing! The situation could be stressful because you have few supplies and you need to get to the shops and driving would be hazardous.
Primary appraisal
Further appraisal is made with regard to 3 implications: 1.Harm-loss 2.Threat 3.Challenge.
Harm-loss
Harm-loss refers to the amount of damage that has already occurred. There may have been an injury. The seriousness of this injury could be exaggerated producing a lot of stress.
Threat
Threat is the expectation of future harm, for example the fear of losing one's job and income. Much stress depends on appraisals that involve harm-loss and threat.
Challenge
Challenge is a way of viewing the stress in a positive way. The stress of a higherlevel job could be seen as an opportunity to expand skills, demonstrate ability, and make more money.
Primary appraisal
The stress transaction can be vicarious. Empathising with others who are in stress. An example of vicarious stress is a study, which involved showing college-student subjects a film, called "Sub-incision" (Speisman et al, 1964). The film showed a right of passage for young adolescent boys in a primitive society in which the underside of the penis is cut deeply from the tip to the scrotum using a sharp stone.
Primary appraisal
The subjects were divided into four groups. One group saw the film with no sound. Another group heard a soundtrack with a "trauma" narrative emphasising the pain, danger, and primitiveness of the operation. A third group heard a "denial" narration that denied the pain and potential harm to the boys, describing them as willing participants in a joyful occasion who "look forward to the happy conclusion of the ceremony."
Primary appraisal
The fourth group heard a " scientific" narration that encouraged viewers to watch in a detached manner-for example, the narrator commented, "as you can see, the operation is formal and the surgical technique, while crude, is very carefully followed." Physiological and self-report measures of stress were taken. The physiological measure was of the heart rate during the viewing of the film. The self-report measures were questionnaires that evaluated feelings of stress immediately after the film was shown.
Primary appraisal
Those who heard the trauma narration reacted with more stress than the control group (no sound); those who heard the denial and scientific narrations reacted with less stress than the control group. Male Circumcision (Africa)
Secondary appraisal
Secondary appraisals occur at the same time as primary appraisals. A secondary appraisal can actually cause a primary appraisal. Secondary appraisals include feelings of not being able to deal with the problem such as: I can't do it-I know I'll fail I will try, but my chances are slim I can do it if I get help If this method fails, I can try a few others. I can do it if I work hard. No problem-I can do it.
Secondary appraisal
Stress can occur without appraisal such as when your car is involved in an accident and you haven't had time to think about what has happened. Accidents can often cause a person to be in shock. It is difficult for people to make appraisals whilst in shock as their cognitive functioning is impaired.
Distress
The unpleasant stress that accompanies negative events.
Optimism
Is the extent to which a person sees life in relatively positive terms. Is the glass half empty or half full? In general, optimistic people tend to handle stress better than pessimistic people.
I. II. III.
Problems People vary with their personality. Unlikely to be one type of person all of the time. Only looked at white professional American men - may not be true of other groups. Hardiness and social support correlate so what is attributed to hardiness could really be the effect of social support (Blaney & Ganellen, 1990).
Physical Demands
Stressors associated with the jobs physical setting, such as the adequacy of temperature and lighting.
Interpersonal Demands
Stressors associated with group pressures, leadership, and personality conflicts.
Psychological Consequences
Psychological consequences relate to a persons mental health and well-being.
Medical Consequences
Medical consequences affect a persons physical wellbeing. Heart disease and stroke, among other illnesses, have been linked to stress.
Withdrawal
The most significant forms of withdrawal behavior are absenteeism and quitting.
Attitudes
Stress can have a negative effect on job satisfaction, morale, organizational commitment, and motivation to perform at high levels.
The end