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Stress Is A Person'S Physical and Emotional Response To Change
Stress Is A Person'S Physical and Emotional Response To Change
CLASSIFICATION OF
STRESS
POSITIVE STRESS
NEGATIVE STRESS
ACUTE STRESS
CHRONIC STRESS
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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
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Continued
PREDISPOSING FACTORS
FOR STRESS
GENETIC FACTORS
INABILITY TO ADAPT
INADEQUATE RELAXATION RESPONSE
RESPONSE ACTIVITY VARIATIONS
AGE
PERSONALITY
ISOLATION
Environment
SYMPTOMS OF STRESS
Behavioral symptoms
Physical symptoms
BEHAVIORAL SYMPTOMS
TOO MUCH SLEEP (HYPERSOMNIA) OR
TOO LITTLE SLEEP (INSOMNIA)
NIGHTMARES
NERVOUS HABITS LIKE NAIL-BITING 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
Excessive fatigue
Gastric disturbance
Withdraw from social life
Menstrual problems
Speech difficulties
More impatient
Headaches
Infertility
Ulcers
Nail biting
Grinding teeth
Low blood sugar
High blood sugar
Forgetfulness
Nervous talking
Lower back pain
Loss of appetite
Increased appetite
High cholesterol
High triglycerides
Twitching
Stuttering and other speech
difficulties
Nausea
Vomiting
Sleep disturbances
Fatigue
Shallow breathing
Dryness of the mouth or
throat
Susceptibility to minor
illness
Cold hands
Itching
Irritability
Angry outbursts
Hostility
Depression
Jealously
Restlessness
Withdrawal
Experience opportunities
Narrowed focus
Obsessive rumination
Reduced self-esteem
reflexes
Anxiousness
Diminished initiative
Feelings of unreality or overalertness
Reduction of personal involvemen
with others
Lack of interest
Tendency to cry
Being critical of others
Self-deprecation
Nightmares
Impatience
Reduced self-esteem
Insomnia
Changes in eating habits
Forgetfulness
Preoccupation
Blocking
Blurred vision
Errors in judging distance
Diminished or exaggerated
fantasy life
Reduced creativity
Lack of concentration
Diminished productivity
Lack of attention to detail
Orientation to the past
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
Nervous laughter
Compulsive
behavior
Impatience
Withdrawal
Listlessness
Hostility
Accident-proneness
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.
Stressor
Appraisal
Lazarus proposed
that a mental
process determines
whether stress
occurs.
G. A. S.
No
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 mannerfor 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.
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III.
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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).
Figure 9.2
Causes and
Consequence
s of Stress
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.
Consequences of Stress:
Organizational Consequences
Performance
One clear organizational consequence of too much
stress is a decline in performance.
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