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Module 21

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Title: Module 21


1
Module 21
  • Health, Stress Coping

2
INTRODUCTION
  • Stress
  • Panic Disorder
  • ________________________________________
  • 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
  • _________________________________
  • _________________________________
  • _________________________________
  • ___________________________________
  • ___________________________________

3
INTRODUCTION
  • Stress
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    ____________________________

4
APPRAISAL
  • 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 ________________________
  • positive ________________________________________
    ____________
  • stressful _______________________________________
    __________________________________________________
    __________________________________________________
    _____________________________________________

5
APPRAISAL (CONT.)
  • Primary appraisals
  • Harm/loss appraisal
  • __________________________________________________
    __________________________________________________
    ____________________
  • __________________________________________________
    __________________________________________________
    ______________________________________
  • _____________________________________________
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    ______________________________

6
APPRAISAL (CONT.)
  • Primary appraisals
  • Threat appraisal
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________
  • ________________________________________

7
APPRAISAL (CONT.)
  • Primary appraisals
  • 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

8
APPRAISAL (CONT.)
  • Appraisal and stress level
  • Galvanic skin response
  • measure of how much a persons hand sweats due to
    physiological arousal and not to normal
    temperature changes

9
APPRAISAL (CONT.)
  • Same situation, different appraisals
  • __________________________________________
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    ____________________________

10
APPRAISAL
11
PHYSIOLOGICAL RESPONSES
  • 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

12
PHYSIOLOGICAL RESPONSES (CONT.)
  • 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

13
PHYSIOLOGICAL RESPONSES (CONT.)
  • Sequence for activation of the fight-flight
    response
  • 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

14
PHYSIOLOGICAL RESPONSES (CONT.)
  • Sequence for activation of the fight-flight
    response
  • fight-flight response
  • increases heart rate, blood pressure,
    respiration, secretion of excitatory hormones,
    and many other responses
  • prepares body to deal with impending threat

15
PHYSIOLOGICAL RESPONSES (CONT.)
16
PHYSIOLOGICAL RESPONSES (CONT.)
  • Psychosomatic symptoms
  • __________________________________________
  • __________________________________________________
    __________________________________________________
    ____________________________________________
  • _____________________________________
  • psychosomatic is derived from
  • __________________________________________
  • __________________________________________

17
PHYSIOLOGICAL RESPONSES (CONT.)
18
PHYSIOLOGICAL RESPONSES (CONT.)
  • 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

19
PHYSIOLOGICAL RESPONSES (CONT.)
  • Development of symptoms
  • 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

20
PHYSIOLOGICAL RESPONSES (CONT.)
  • General adaptation syndrome
  • GAS, refers to the bodys 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 bodys reaction to continued stress during
    which most of the physiological responses return
    to normal levels but the body uses up great
    stores of energy

21
PHYSIOLOGICAL RESPONSES (CONT.)
  • General adaptation syndrome
  • Exhaustion stage
  • the bodys reaction to long-term, continuous
    stress, marked by actual breakdown in internal
    organs or weakening of the infection-fighting
    immune system

22
PHYSIOLOGICAL RESPONSES (CONT.)
  • Mind-body connection
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________
  • Mind-body therapy
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________
  • __________________________________________________
    __________________________________________________
    ____________________________________________

23
PHYSIOLOGICAL RESPONSES (CONT.)
  • Immune system
  • bodys 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

24
PHYSIOLOGICAL RESPONSES (CONT.)
25
STRESSFUL EXPERIENCES
  • Kinds of stress
  • Hassles
  • __________________________________________________
    __________________________________________________
    ______________________________________
  • Uplifts
  • __________________________________________________
    __________________________________________________
    ______________________________________
  • Major life events
  • __________________________________________________
    __________________________________________________
    ______________________________________

26
STRESSFUL EXPERIENCES
  • Kinds of stress
  • Adjustment disorder
  • __________________________________________________
    __________________________________________________
    ____________________
  • condition includes these symptoms
  • _____________________________________
  • __________________________________________________
    __________________________________________________
    ________________________________________________

27
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28
STRESSFUL EXPERIENCES (CONT.)
  • 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

29
STRESSFUL EXPERIENCES (CONT.)
  • Situational stress
  • 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
  • _____________________________________
  • _____________________________________
  • _____________________________________

30
STRESSFUL EXPERIENCES (CONT.)
  • Conflict
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________
  • Approach-approach conflict
  • __________________________________________________
    __________________________________________________
    __________________________

31
STRESSFUL EXPERIENCES (CONT.)
32
STRESSFUL EXPERIENCES (CONT.)
  • Conflict
  • Avoidance-avoidance conflict
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    ________________________________________

33
STRESSFUL EXPERIENCES (CONT.)
34
STRESSFUL EXPERIENCES (CONT.)
  • Conflict
  • Approach-avoidance conflict
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    ____________________

35
STRESSFUL EXPERIENCES (CONT.)
36
STRESSFUL EXPERIENCES (CONT.)
  • 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

37
STRESSFUL EXPERIENCES (CONT.)
  • Conflict
  • Five styles of dealing with conflict
  • 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

38
STRESSFUL EXPERIENCES (CONT.)
  • Anxiety
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    ____________________________________

39
STRESSFUL EXPERIENCES (CONT.)
  • 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
    ids and superegos desires regarding how to
    satisfy a need (ego caught in the middle)
  • egos solution create a feeling of anxiety

40
STRESSFUL EXPERIENCES (CONT.)
  • Positive stress
  • Eustress
  • pleasant
  • desirable
  • stress that is healthful and keeps us engaged in
    situations

41
STRESSFUL EXPERIENCES (CONT.)
42
PERSONALITY SOCIAL FACTORS
  • Hardiness
  • combination of three personality traits
  • ____________________________
  • ____________________________
  • ____________________________

43
PERSONALITY SOCIAL FACTORS
  • Locus of control
  • a continuum
  • one end is the belief that you are basically in
    control of lifes 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

44
PERSONALITY SOCIAL FACTORS
  • Optimism Versus Pessimism
  • Optimism
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________
  • Pessimism
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________

45
PERSONALITY SOCIAL FACTORS
  • Positive Psychology
  • ________________________________________________
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________________________
    ________________________________________

46
PERSONALITY SOCIAL FACTORS
47
PERSONALITY SOCIAL FACTORS
  • Type A Behavior 1970s (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

48
PERSONALITY SOCIAL FACTORS
  • Type A Behavior 1980s-1990s
  • Type A
  • defined in the 1980s as
  • being depressed
  • easily frustrated
  • anxious
  • angry
  • some combination of these traits
  • defined in the 1990s
  • specifies an individual who feels angry and
    hostile much of the time
  • may or may not express these emotions publicly

49
PERSONALITY SOCIAL FACTORS
  • 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

50
PERSONALITY SOCIAL FACTORS
  • Social Support
  • refers to three factors
  • __________________________________________________
    __________________________________________________
    ______________________________________
  • __________________________________________________
    __________________________________________________
    ______________________________________
  • __________________________________________________
    __________________________________________________
    __________________________________________________
    __________________________________

51
KINDS OF COPING
  • Appraisal
  • Secondary appraisal
  • deciding to deal with a potentially stressful
    situation by using one or both of two different
    coping patterns
  • Problem-focused
  • Emotion focused

52
KINDS OF COPING
  • 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

53
KINDS OF COPING
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