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Stress and Illness
Susceptibility to Stress
• Total points – 21 = score

  >32 “susceptible to stress”
  52-77 “serious susceptibility to stress”
  >77 “extreme susceptibility to stress”
Stress and Stressors
• Stress: the process by which we perceive
  and respond to certain events, called
  stressors, that we appraise as threatening or
  challenging.
  – Stress is cumulative
  – Stress is inherently personal
Stress and Stressors
          • Biopsychosocial
            Model: holds that
            physical illness is
            caused by a complex
            interaction of
            biological,
            psychological, and
            sociocultural factors.
Stress Appraisal
Major Types of Stress
1. Frustration
  – The pursuit of some goal is frustrated.
  – Most are brief and insignificant.
  – Two types of frustrations: loss and failure.
2. Conflict
  – Two or more incompatible motivations or
    behavioral impulses compete for expression.
     •   Approach-Approach Conflict: two goods
     •   Avoidance-Avoidance Conflict: two bads
     •   Approach-Avoidance Conflict: one goal that has
         both good and bad.
3. Change
  – Noticeable alterations in one’s living situation
    that require readjustment


4. Pressure
  – Expectations or demands that one behave in a
    certain way.
Responding to Stress
• Emotional Responses
  – Primary: annoyance, anger, anxiety, fear,
    dejection, and grief
  – Secondary: guilt, shame, envy, jealousy, and
    disgust
Responding to Stress




Yerkes-Dodson Law of Optimum Arousal
Responding to Stress
• Physical Responses
  – Epinephrine,
    norepinephrine, and
    cortisol are the main
    stress hormones.
Responding to Stress
• Physical Responses
   – General Adaptation Syndrome (GAS)
      • Hans Seyle
Responding to Stress
• Stress and Coronary disease
  – Stress is a contributing factor to one of the four
    major causes of death
     • Other 3: stroke, cancer, chronic lung disease
Responding to Stress
• Type A Personality          • Type B Personality
                                – Easygoing, relaxed
   – Competitive, hard-
                                  people.
     driving, impatient,
     verbally aggressive,
     and anger-prone people
First identified by San Francisco cardiologists Meyer Friedman and Ray Rosenman, Type A
behavior has two main components. Friedman states, “First, there is the tendency to try to
accomplish too many things in too little time. Second, there is free-floating hostility. These
people are irritated by trivial things; they exhibit signs of struggle against time and other
people.”
A key difference between Types A and B is that the former seem to react to several types of
stress with larger increases in pulse rate and blood pressure. In one study, which included both
personality types, subjects were forewarned that they would receive electric shock for errors on
a difficult task: recalling long strings of numbers read aloud only once. Under this stressful
condition, Type A individuals showed a significantly higher increase in pulse rate and blood
pressure than did Type Bs.
There are also contrasting patterns in social behavior. Type As tend to be more impatient with
others and become angry when other people hold them back in any way. In general, Type As
report feeling less comfortable around others than do Type Bs. They prefer to work alone
rather than as a team, and they seem to resent being told what to do. Types As are more ready
to do the opposite of what is demanded of them.
What about Type A and work performance? Type As seem to work faster even when no
pressure or deadline is involved. They complain less about hard work and report being less
tired when it is finished. However, Type As do more poorly on tasks requiring patience or
careful, considered judgment. Interestingly, surveys indicate that most members of top
management are Type Bs, not Type As. Perhaps As don’t survive to make it! More likely,
however, the impatient, hurried style of Type A is not compatible with the skills needed of top-
level executives. In summary, Type As do better on tasks involving time pressure or solitary
work. Type Bs may do better on tasks requiring complex judgment, accuracy rather than speed,
and working as part of a team.

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Stress Slides

  • 2. Susceptibility to Stress • Total points – 21 = score >32 “susceptible to stress” 52-77 “serious susceptibility to stress” >77 “extreme susceptibility to stress”
  • 3. Stress and Stressors • Stress: the process by which we perceive and respond to certain events, called stressors, that we appraise as threatening or challenging. – Stress is cumulative – Stress is inherently personal
  • 4. Stress and Stressors • Biopsychosocial Model: holds that physical illness is caused by a complex interaction of biological, psychological, and sociocultural factors.
  • 6. Major Types of Stress 1. Frustration – The pursuit of some goal is frustrated. – Most are brief and insignificant. – Two types of frustrations: loss and failure.
  • 7. 2. Conflict – Two or more incompatible motivations or behavioral impulses compete for expression. • Approach-Approach Conflict: two goods • Avoidance-Avoidance Conflict: two bads • Approach-Avoidance Conflict: one goal that has both good and bad.
  • 8. 3. Change – Noticeable alterations in one’s living situation that require readjustment 4. Pressure – Expectations or demands that one behave in a certain way.
  • 9. Responding to Stress • Emotional Responses – Primary: annoyance, anger, anxiety, fear, dejection, and grief – Secondary: guilt, shame, envy, jealousy, and disgust
  • 10. Responding to Stress Yerkes-Dodson Law of Optimum Arousal
  • 11. Responding to Stress • Physical Responses – Epinephrine, norepinephrine, and cortisol are the main stress hormones.
  • 12. Responding to Stress • Physical Responses – General Adaptation Syndrome (GAS) • Hans Seyle
  • 13. Responding to Stress • Stress and Coronary disease – Stress is a contributing factor to one of the four major causes of death • Other 3: stroke, cancer, chronic lung disease
  • 14. Responding to Stress • Type A Personality • Type B Personality – Easygoing, relaxed – Competitive, hard- people. driving, impatient, verbally aggressive, and anger-prone people
  • 15. First identified by San Francisco cardiologists Meyer Friedman and Ray Rosenman, Type A behavior has two main components. Friedman states, “First, there is the tendency to try to accomplish too many things in too little time. Second, there is free-floating hostility. These people are irritated by trivial things; they exhibit signs of struggle against time and other people.” A key difference between Types A and B is that the former seem to react to several types of stress with larger increases in pulse rate and blood pressure. In one study, which included both personality types, subjects were forewarned that they would receive electric shock for errors on a difficult task: recalling long strings of numbers read aloud only once. Under this stressful condition, Type A individuals showed a significantly higher increase in pulse rate and blood pressure than did Type Bs. There are also contrasting patterns in social behavior. Type As tend to be more impatient with others and become angry when other people hold them back in any way. In general, Type As report feeling less comfortable around others than do Type Bs. They prefer to work alone rather than as a team, and they seem to resent being told what to do. Types As are more ready to do the opposite of what is demanded of them. What about Type A and work performance? Type As seem to work faster even when no pressure or deadline is involved. They complain less about hard work and report being less tired when it is finished. However, Type As do more poorly on tasks requiring patience or careful, considered judgment. Interestingly, surveys indicate that most members of top management are Type Bs, not Type As. Perhaps As don’t survive to make it! More likely, however, the impatient, hurried style of Type A is not compatible with the skills needed of top- level executives. In summary, Type As do better on tasks involving time pressure or solitary work. Type Bs may do better on tasks requiring complex judgment, accuracy rather than speed, and working as part of a team.

Editor's Notes