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Module 21

Health, Stress & Coping

Psychology 1: General Psychology

J. Marie Hicks,Ph.D. Adjunct Psychology Instructor [email protected]

1

INTRODUCTION

Stress

anxious or threatening feeling that comes when we interpret or appraise as being more than our psychological resources can adequately handle

Panic Disorder

Panic Attack

SYMPTOMS

Stress

anxious or threatening feeling that comes when we interpret or appraise as being more than our psychological resources can adequately handle

Panic Disorder

recurrent and unexpected panic attacks

person becomes so worried about having another panic attack that this intense worrying interferes with normal psychological functioning

Panic Attack

period of intense fear or discomfort in which four or more of the following symptoms are present:

pounding heart; sweating

trembling; shortness of breath

feelings of choking; chest pain

nausea; dizziness

fear of losing control or dying

2

APPRAISAL

Primary appraisals

refers to our initial, subjective evaluation of a situation

Three different primary appraisals (examples)

Irrelevant

Positive

stressful

Harm/loss appraisal

Threat appraisal

Challenge appraisal

Galvanic skin response

Same situation, different

appraisals

Primary appraisals

refers to our initial, subjective evaluation of a situation, in which we balance the demands of a potentially stressful situation against our ability to meet these demands

Three different primary appraisals (examples)

irrelevant: mostly nonstressful

positive: mostly nonstressful because it makes you feel good

stressful: overtaxes your emotional and psychological recourses

Harm/loss appraisal

means that you have already sustained some damage or injury

elicits negative emotions, such as fear, depression, fright, and anxiety

feel stressed

more stressful, the more overwhelming the situation will seem

Threat appraisal

means that the harm/loss has not yet taken place but you know it will happen in the near future

elicits negative emotions, such as fear, anxiety, and anger

event or situation seems especially stressful

Challenge appraisal

means that you have the potential for gain or personal growth

need to mobilize your physical energy and psychological resources to meet the challenging situation

elicits positive emotions, such as eagerness or excitement

usually less stressful than harm/loss or a threat appraisal

Galvanic skin response

measure of how much a person’s hand sweats due to physiological arousal and not to normal temperature changes

Same situation, different appraisals

people do not agree on which situations are stressful

level of stress depends not only on the kind of situation but also on the kind of primary appraisal one makes

3

PHYSIOLOGICAL RESPONSES

Fight-flight response

Sequence for activation of the fight-flight response

appraisal

hypothalamus

sympathetic division

fight-flight response

Fight-flight response

directs great resources of energy to the muscles and the brain

can be triggered by either physical stimuli that threaten our survival or psychological situations that are novel, threatening, or challenging

involves numerous physiological responses that arouse and prepare the body for action

fight or flight

Sequence for activation of the fight-flight response

appraisal

physically or psychologically threatening stimuli can trigger the fight-flight response and negative emotional feelings

fear, rage

hypothalamus

simultaneously activates two stress-related responses: it triggers the pituitary gland to release a stress fighting hormone called ACTH (adrenocorticotropic hormone)

activates the sympathetic division of the autonomic nervous system

sympathetic division

activated by hypothalamus

triggers a number of physiological responses

Parasympathetic division

activated by the hypothalamus

returns the body to a more relaxed, calm state

fight-flight response

increases heart rate, blood pressure, respiration, secretion of excitatory hormones, and many other responses

prepares body to deal with impending threat

4

PHYSIOLOGICAL RESPONSES

Psychosomatic symptoms

real, sometimes painful, physical symptoms, headaches, muscle pains, stomach problems, and increased susceptibility to colds and flu, caused by worry, stress, and anxiety

psychosomatic is derived from: psyche meaning “mind” & soma meaning “body”

Development of symptoms

Genetic predisposition

Lifestyles

Threat appraisals

General adaptation syndrome

Alarm stage

Resistance stage

Exhaustion stage

Psychosomatic symptoms

real, sometimes painful, physical symptoms

headaches, muscle pains, stomach problems, and increased susceptibility to colds and flu

cause, by worry, stress, and anxiety

psychosomatic is derived from:

psyche meaning “mind”

soma meaning “body”

Development of symptoms

Genetic predisposition

most of us inherit a tendency that targets a particular organ or bodily system for weakening or breaking down

heart, blood vessels, stomach lining, or immune system

different individuals who are in similar stressful situations experience different kinds of psychosomatic symptoms

Lifestyles

smoking, being overweight, not exercising, or taking little time for relaxing

Threat appraisals

some of us are more likely to appraise situations as threatening

elicit negative emotions

trigger fight-flight response

psychosomatic symptoms

poor lifestyles and too many threat appraisals

can damage or break down body organs that may have already been weakened

General adaptation syndrome

GAS, refers to the body’s reaction to stressful situations during which it goes through a series of three stages (gradually increase the chances of developing psychosomatic symptoms

Alarm stage

initial reaction to stress and is marked by activation of the fight-flight response

causes physiological arousal

Resistance stage

the body’s reaction to continued stress during which most of the physiological responses return to normal levels but the body uses up great stores of energy

Exhaustion stage

the body’s reaction to long-term, continuous stress, marked by actual breakdown in internal organs or weakening of the infection-fighting immune system

5

PHYSIOLOGICAL RESPONSES (CONT.)

Mind-body connection

Mind-body therapy

Immune system

psychoneuroimmunology

study of the relationship among three factors

central nervous system

endocrine system

psychosocial factors

Mind-body connection

refers to how your thoughts, beliefs, and emotions can produce physiological changes that may be either beneficial or detrimental to your health and well-being

Mind-body therapy

based on the finding that thoughts and emotions can change physiological and immune responses

uses mental strategies, such as relaxation, meditation, and biofeedback

Immune system

body’s defense and surveillance network of cells and chemicals that fight off bacteria, viruses, and other foreign or toxic substances

psychoneuroimmunology

study of the relationship among three factors

central nervous system

endocrine system

psychosocial factors

6

STRESSFUL EXPERIENCES

Kinds of stress

Hassles

Uplifts

Major life events

Adjustment disorder

condition includes these

symptoms

emotional

behavioral

Kinds of stress

Hassles

small, irritating, frustrating events that we face daily and that we usually appraise or interpret as stressful experiences

Uplifts

small pleasurable, happy, and satisfying experiences that we have in our daily lives

Major life events

potentially disturbing, troubling, or disruptive situations, both positive and negative, that we appraise as having a significant impact on our lives

Adjustment disorder

condition in which a person is unable to cope with or adjust to a major life change

condition includes these symptoms

emotional (feeling depressed, overwhelmed)

behavioral (avoiding social interaction, performing poorly at school or work, making reckless decisions)

7

STRESSFUL EXPERIENCES (CONT.)

Situational stress

Frustration

Burnout

Violence

posttraumatic stress disorder

Conflict

Approach-approach conflict

Avoidance-avoidance conflict

Situational stress

Frustration

the awful feeling that results when your attempts to reach some goal are blocked

Burnout

refers to being physically overwhelmed and exhausted, finding the job unrewarding and becoming cynical or detached, and developing a strong sense of ineffectiveness and lack of accomplishment in this particular job

Violence

posttraumatic stress disorder

a disabling condition that results from personally experiencing an event that involves actual or threatened death or serious injury, or from witnessing such an event, or hearing of such an event happening to a family member or close friend

number of psychological symptoms

recurring and disturbing memories

terrible nightmares

intense fear and anxiety

Conflict

the feeling you experience when you must choose between two or more incompatible possibilities or options

Approach-approach conflict

involves choosing between two situations that both have pleasurable consequences

Avoidance-avoidance conflict

involves choosing between two situations that both have disagreeable consequences

8

STRESSFUL EXPERIENCES (CONT.)

Conflict

Five styles of dealing with conflict

Avoidance

Accommodation

Domination

Compromise

Integration

Conflict

Five styles of dealing with conflict

Avoidance

by avoiding or ignoring conflict, it will disappear or magically go away

Accommodation

hate conflicts and tend to please people and worry about approval

Domination

go to any lengths to win, even if it means being aggressive and manipulative

Compromise

recognize that others have different needs and try to solve conflicts through compromise

Integration

try to resolve conflicts by finding solutions to please both partners

9

STRESSFUL EXPERIENCES (CONT.)

Anxiety

unpleasant state characterized by feelings of uneasiness and apprehension as well as increased physiological arousal, such as increased heart rate and blood pressure

Conditioned emotional response

Observational learning

Anxiety (according to Freud)

Positive, desirable, healthful stress

Eustress

Hardiness

combination of the three personal strengths of:

Control

Commitment

Challenge

Anxiety

unpleasant state characterized by feelings of uneasiness and apprehension as well as increased physiological arousal, such as increased heart rate and blood pressure

Conditioned emotional response

results when an emotional response (fear or anxiety) is classically conditioned to a previously neutral stimulus

Observational learning

form of cognitive learning

results from watching and modeling

does not require the observer to perform any observable behavior or receive a reinforcer

Anxiety (according to Freud)

when there is an unconscious conflict between the id’s and superego’s desires regarding how to satisfy a need (ego caught in the middle)

ego’s solution: create a feeling of anxiety

Positive stress

Eustress

pleasant

desirable

stress that is healthful and keeps us engaged in situations

Hardiness

combination of three personality traits:

control

commitment

challenge

10

PERSONALITY & SOCIAL FACTORS

Locus of control

a continuum

Optimism Versus Pessimism

Optimism

Pessimism

Positive Psychology

scientific study of optimal human functioning

Locus of control

a continuum

one end is the belief that you are basically in control of life’s events

what you do influences the situation

belief is called an internal locus of control

other end is the belief that chance and luck mostly determine what happens

you do not have much influence

belief is called an external locus of control

Optimism Versus Pessimism

Optimism

relatively stable personality trait that leads to believing and expecting that good things will happen

Pessimism

relatively stable personality trait that leads to believing and expecting that bad things will happen

Positive Psychology

scientific study of optimal human functioning

focuses on the strengths and virtues that enable individuals and communities to thrive

aims to better understand the positive, adaptive, and fulfilling aspects of human life

11

PERSONALITY & SOCIAL FACTORS

Type A Behavior 1970’s (impatient, hostile, workaholic)

Type A

Type B

Type A Behavior 1980’s-1990’s

Type A

defined in the 1980’s as…

defined in the 1990’s as…

Type D Behavior

negative affectivity

social inhibition

Type A Behavior 1970’s (impatient, hostile, workaholic)

Type A

refers to a combination of personality traits that include and overly competitive and aggressive drive to achieve

hostile attitude when frustrated

habitual sense of time urgency

rapid and explosive pattern of speaking

being a workaholic

Type B

characterized as being easygoing, calm, relaxed, and patient

Type A Behavior 1980’s-1990’s

Type A

defined in the 1980’s as

being depressed

easily frustrated

anxious

angry

some combination of these traits

defined in the 1990’s

specifies an individual who feels angry and hostile much of the time

may or may not express these emotions publicly

Type D Behavior

defined as chronic distress in terms of two emotional states

negative affectivity

worry

irritability

gloom

social inhibition

shy and reserved

lacking self-assurance

12

PERSONALITY & SOCIAL FACTORS, COPING

Social Support

refers to three factors:

network

exchange helpful resources

feeling, or making appraisals

Appraisal

Secondary appraisal

Problem focused

Emotion focused

Social Support

refers to three factors:

having a group or network of family or friends who provide strong social attachments

being able to exchange helpful resources among family or friends

feeling, or making appraisals, that we have supportive relationships and behaviors

Appraisal

Secondary appraisal

deciding to deal with a potentially stressful situation by using one or both of two different coping patterns

Problem focused

means we try to decrease stress by solving the problem through seeking information

changing our own behavior

taking whatever action is needed to resolve the difficulty

Emotion focused

means we do things primarily to deal with our emotional distress

seeking support and sympathy

avoiding or denying the situation

13