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exceeding¡¡one¡¯s¡¡resources¡£¡¡It¡¡is¡¡the¡¡process¡¡of¡¡trying¡¡to¡¡manage¡¡and¡¡master¡¡stressful¡¡events¡£¡¡Researchers¡¡
distinguish¡¡between¡¡two¡¡types¡¡of¡¡coping¡¡that¡¡can¡¡occur¡¡simultaneously£º¡¡

¡£¡¡Problem¡­Solving¡¡Efforts£»¡¡which¡¡are¡¡attempts¡¡to¡¡do¡¡something¡¡constructive¡¡to¡¡change¡¡the¡¡stressful¡¡
circumstances¡¡
¡£¡¡Emotion¡­Focused¡¡coping£»¡¡which¡¡involves¡¡efforts¡¡to¡¡regulate¡¡the¡¡emotional¡¡reactions¡¡to¡¡stressful¡¡events¡£¡¡
What¡¡constitutes¡¡successful¡¡coping£¿¡¡Researchers¡¡in¡¡this¡¡area¡¡differ¡¡in¡¡the¡¡criteria¡¡by¡¡which¡¡they¡¡measure¡¡
successful¡¡coping¡£¡¡However£»¡¡we¡¡can¡¡say¡¡that¡¡coping¡¡efforts¡¡are¡¡deemed¡¡successful¡¡if¡¡they£º¡¡

¡£¡¡Reduce¡¡physiological¡¡arousal¡¡and¡¡its¡¡indicators¡¡such¡¡as¡¡heart¡¡rate¡¡
¡£¡¡Permit¡¡a¡¡quick¡¡return¡¡to¡¡previous¡¡life¡¡patterns¡¡
¡£¡¡Reduce¡¡psychological¡¡distress£»¡¡such¡¡as¡¡anxiety¡¡and¡¡depression¡¡
COPING¡¡STYLES¡¡

Coping¡¡style¡¡is¡¡an¡¡internal¡¡coping¡¡resource£»¡¡consisting¡¡of¡¡a¡¡general¡¡tendency¡¡for¡¡a¡¡person¡¡to¡¡deal¡¡with¡¡a¡¡
stressful¡¡event¡¡in¡¡a¡¡particular¡¡way¡£¡¡Examples¡¡of¡¡coping¡¡styles¡¡include£º¡¡

Avoidance¡¡versus¡¡Confrontation¡¡

Some¡¡people¡¡meet¡¡events¡¡head¡­on£»¡¡tackling¡¡problems¡¡directly¡£¡¡Others¡¡attempt¡¡to¡¡minimize¡¡the¡¡
significance¡¡or¡¡withdraw¡¡from¡¡such¡¡events£»¡¡often¡¡through¡¡alcohol¡¡and¡¡drugs¡£¡¡Avoiders¡¡may¡¡not¡¡be¡¡able¡¡
to¡¡deal¡¡with¡¡the¡¡possibility¡¡of¡¡future¡¡threats¡¡and¡¡may¡¡fail¡¡in¡¡their¡¡attempts¡¡at¡¡making¡¡efforts¡¡to¡¡anticipate¡¡
and¡¡manage¡¡subsequent¡¡problems¡£¡¡On¡¡the¡¡other¡¡hand£»¡¡confronters¡¡may¡¡deal¡¡effectively¡¡with¡¡long¡­term¡¡
threats£»¡¡although¡¡in¡¡the¡¡short¡­run¡¡they¡¡may¡¡be¡¡more¡¡anxious¡¡as¡¡they¡¡deal¡¡directly¡¡with¡¡the¡¡stressor¡£¡¡

Type¡¡A¡¡Behavior¡¡

There¡¡are¡¡coping¡¡styles¡¡that¡¡successfully¡¡deal¡¡with¡¡stress£»¡¡but¡¡that¡¡also¡¡have¡¡an¡¡adverse¡¡impact¡¡on¡¡
health¡£¡¡One¡¡of¡¡them£»¡¡Type¡¡A¡¡Behavior£»¡¡has¡¡been¡¡associated¡¡with¡¡heart¡¡disease¡¡for¡¡several¡¡years¡£¡¡The¡¡
Type¡¡A¡¡individual¡¡was¡¡first¡¡identified¡¡in¡¡1978¡¡and¡¡is¡¡characterized¡¡by¡¡aggression£»¡¡petition£»¡¡
achievement£»¡¡time¡¡urgency£»¡¡and¡¡hostility¡£¡¡Type¡¡A¡¡individuals¡¡lead¡¡fast¡­track¡¡lives¡£¡¡Many¡¡of¡¡your¡¡
students¡¡are¡¡probably¡¡junior¡¡Type¡¡A¡¯s¡£¡¡They¡¡work¡¡long¡¡hours£»¡¡are¡¡impatient¡¡with¡¡what¡¡they¡¡perceive¡¡as¡¡
slow¡¡behavior¡¡in¡¡others£»¡¡and¡¡often¡¡finish¡¡other¡¡people¡¯s¡¡sentences¡¡for¡¡them¡£¡¡The¡¡Type¡¡A¡¡behavior¡¡
syndrome¡¡is¡¡important¡¡because¡¡it¡¡has¡¡been¡¡reliably¡¡related¡¡to¡¡the¡¡development¡¡of¡¡coronary¡¡artery¡¡
disease£»¡¡as¡¡a¡¡function¡¡of¡¡excessive¡¡physiological¡¡arousal¡¡in¡¡response¡¡to¡¡stressful¡¡events¡£¡¡Recently£»¡¡
researchers¡¡have¡¡identified¡¡the¡¡hostility¡¡ponent¡¡of¡¡Type¡¡A¡¡behavior¡¡as¡¡more¡¡damaging¡¡than¡¡time¡¡
urgency¡¡or¡¡petitiveness¡¡to¡¡the¡¡circulatory¡¡system¡£¡¡

254¡¡


CHAPTER¡¡13£º¡¡EMOTION£»¡¡STRESS£»¡¡AND¡¡HEALTH¡¡

SOCIAL¡¡SUPPORT¡¡FOR¡¡STRESS¡¡

Socially¡¡supportive¡¡relationships¡¡may¡¡mitigate¡¡the¡¡effects¡¡of¡¡stress¡¡by¡¡helping¡¡people¡¡cope¡¡with¡¡and¡¡resolve¡¡
problems¡£¡¡Social¡¡relationships¡¡promote¡¡health¡£¡¡Social¡¡support¡¡is¡¡an¡¡interpersonal¡¡exchange¡¡in¡¡which¡¡one¡¡
person¡¡gives¡¡help¡¡to¡¡another¡£¡¡It¡¡may¡¡be¡¡provided¡¡in¡¡numerous¡¡ways£»¡¡including£º¡¡

¡£¡¡Emotional¡¡concern£»¡¡as¡¡expressed¡¡through¡¡liking£»¡¡love£»¡¡sympathy£»¡¡and¡¡empathy¡¡
¡£¡¡Instrumental¡¡aid¡¡through¡¡the¡¡provision¡¡of¡¡goods¡¡or¡¡services¡¡during¡¡someone¡¯s¡¡time¡¡of¡¡need¡¡
¡£¡¡Providing¡¡information¡¡about¡¡a¡¡stressful¡¡situation£»¡¡perhaps¡¡a¡¡similar¡¡one¡¡experienced¡¡by¡¡them¡¡
¡£¡¡Reassurance¡¡by¡¡others¡¡that¡¡you¡¡are¡¡acting¡¡in¡¡a¡¡reasonable£»¡¡responsible¡¡manner¡¡
We¡¡have¡¡a¡¡great¡¡deal¡¡of¡¡data¡¡to¡¡indicate¡¡that¡¡social¡¡support¡¡during¡¡times¡¡of¡¡stress¡¡can¡¡effectively¡¡reduce¡¡
psychological¡¡distress¡£¡¡People¡¡who¡¡had¡¡families¡¡who¡¡stayed¡¡in¡¡the¡¡Middle¡¡East¡¡with¡¡them¡¡during¡¡the¡¡Gulf¡¡
War¡¡did¡¡much¡¡better¡¡psychologically¡¡than¡¡those¡¡who¡¡had¡¡no¡¡family¡¡there¡¡and¡¡those¡¡whose¡¡families¡¡
returned¡¡to¡¡their¡¡native¡¡country¡£¡¡Social¡¡support¡¡also¡¡seems¡¡both¡¡to¡¡decrease¡¡the¡¡likelihood¡¡of¡¡physical¡¡illness¡¡
and¡¡to¡¡speed¡¡recovery¡£¡¡Research¡¡has¡¡been¡¡attempting¡¡to¡¡identify¡¡precisely¡¡how¡¡social¡¡support¡¡mitigates¡¡
stress¡¡and¡¡has¡¡arrived¡¡at¡¡two¡¡hypotheses£º¡¡

¡£¡¡The¡¡Direct¡¡Effects¡¡Hypothesis¡¡suggests¡¡that¡¡social¡¡support¡¡is¡¡always¡¡beneficial£»¡¡during¡¡both¡¡stressful¡¡
and¡¡nonstressful¡¡times¡£¡¡
¡£¡¡The¡¡Buffering¡¡Hypothesis¡¡suggests¡¡that¡¡the¡¡physical¡¡and¡¡mental¡¡health¡¡benefits¡¡of¡¡social¡¡support¡¡occur¡¡
mainly¡¡during¡¡periods¡¡of¡¡high¡¡stress¡¡and¡¡not¡¡during¡¡periods¡¡of¡¡low¡¡stress¡£¡¡
Extensive¡¡research¡¡suggests¡¡that¡¡both¡¡hypotheses¡¡are¡¡at¡¡least¡¡partially¡¡correct¡£¡¡

STRESS¡¡MANAGEMENT¡¡

Some¡¡of¡¡us¡¡have¡¡a¡¡tough¡¡time¡¡managing¡¡and¡¡coping¡¡with¡¡stress¡¡on¡¡our¡¡own¡£¡¡In¡¡such¡¡cases£»¡¡stress¡¡
management¡¡programs¡¡are¡¡helpful¡£¡¡As¡¡an¡¡example£»¡¡college¡¡can¡¡be¡¡an¡¡appallingly¡¡stressful¡¡experience¡¡for¡¡
students¡£¡¡Being¡¡away¡¡from¡¡home£»¡¡living¡¡with¡¡strangers£»¡¡sharing¡¡living¡¡space£»¡¡taking¡¡demanding¡¡courses£»¡¡
and¡¡increased¡¡petition¡¡for¡¡grades¡¡can¡¡be¡¡very¡¡stressful¡£¡¡Many¡¡colleges¡¡offer¡¡programs¡¡to¡¡help¡¡students¡¡
adjust¡¡to¡¡and¡¡cope¡¡with¡¡the¡¡stresses¡¡of¡¡university¡¡life¡¡by¡¡teaching¡¡them¡¡stress¡¡management¡¡techniques¡£¡¡One¡¡
important¡¡lesson¡¡of¡¡these¡¡courses¡¡is¡¡that¡¡stress¡¡is¡¡subjective¡¡and¡¡self¡­reinforcing¡£¡¡The¡¡more¡¡stressful¡¡you¡¡
perceive¡¡an¡¡event¡¡to¡¡be£»¡¡the¡¡more¡¡stressful¡¡it¡¡will¡¡bee¡£¡¡These¡¡programs¡¡also¡¡teach¡¡students¡¡to¡¡recognize¡¡
and¡¡record¡¡things¡¡that¡¡stress¡¡them¡¡out¡¡and¡¡to¡¡write¡¡down¡¡their¡¡reactions¡¡to¡¡these¡¡events¡£¡¡Sharing¡¡
experiences¡¡and¡¡learning¡¡relaxation¡¡techniques¡¡are¡¡also¡¡useful¡¡ponents¡¡of¡¡many¡¡courses¡£¡¡The¡¡goal¡¡of¡¡
these¡¡courses¡¡is¡¡not¡¡to¡¡eliminate¡¡stress£»¡¡but¡¡rather¡¡to¡¡recognize¡¡its¡¡causes£»¡¡to¡¡cope¡¡with¡¡them¡¡effectively£»¡¡and¡¡
to¡¡keep¡¡stress¡¡to¡¡a¡¡manageable¡¡level¡£¡¡

Gender¡¡Differences¡¡in¡¡Expressed¡¡Emotion¡¡

You¡¡might¡¡discuss¡¡with¡¡your¡¡class¡¡gender¡¡differences¡¡in¡¡the¡¡expression¡¡of¡¡emotion¡£¡¡In¡¡our¡¡culture£»¡¡men¡¡have¡¡
traditionally¡¡been¡¡taught¡¡to¡¡¡°bottle¡­up¡±¡¡their¡¡emotions¡¡and¡¡¡°tough¡¡things¡¡out¡£¡±¡¡To¡¡be¡¡seen¡¡as¡¡¡°strong¡±¡¡for¡¡
males¡¡often¡¡has¡¡meant¡¡not¡¡allowing¡¡themselves¡¡to¡¡cry¡¡or¡¡show¡¡any¡¡sign¡¡of¡¡emotional¡¡¡°weakness¡£¡±¡¡Even¡¡
today£»¡¡many¡¡males¡¡are¡¡embarrassed¡¡to¡¡cry¡¡in¡¡public£»¡¡no¡¡matter¡¡how¡¡justified¡¡they¡¡may¡¡be¡¡in¡¡expressing¡¡
sadness¡£¡¡On¡¡the¡¡other¡¡hand£»¡¡the¡¡one¡¡emotion¡¡that¡¡males¡¡in¡¡our¡¡culture¡¡have¡¡been¡¡allowed¡¡to¡¡express¡¡is¡¡
anger¡£¡¡In¡¡certain¡¡situations£»¡¡expressions¡¡of¡¡anger¡¡and¡¡aggression¡¡are¡¡seen¡¡as¡¡¡°macho¡±¡¡whereas¡¡passive¡¡
failure¡¡to¡¡express¡¡anger¡¡or¡¡be¡¡aggressive¡¡is¡¡seen¡¡as¡¡a¡¡sign¡¡of¡¡weakness¡£¡¡What¡¡impact¡¡do¡¡these¡¡social¡¡norms¡¡
and¡¡expectations¡¡have¡¡on¡¡young¡¡boys¡¡growing¡¡up£¿¡¡Does¡¡this¡¡contribute¡¡to¡¡the¡¡higher¡¡rates¡¡of¡¡violent¡¡crime¡¡
among¡¡males£¿¡¡Does¡¡it¡¡contribute¡¡to¡¡males¡¯¡¡higher¡¡rates¡¡of¡¡heart¡¡disease¡¡and¡¡certain¡¡types¡¡of¡¡stress¡­related¡¡
illnesses£¿¡¡What¡¡could¡¡be¡¡done¡¡to¡¡make¡¡it¡¡easier¡¡for¡¡males¡¡to¡¡express¡¡emotions¡¡of¡¡sadness¡¡and¡¡not¡¡feel¡¡
pressured¡¡to¡¡be¡¡aggressive£»¡¡and¡¡still¡¡feel¡¡like¡¡healthy¡¡males£¿¡¡

On¡¡the¡¡other¡¡hand£»¡¡females¡¡are¡¡often¡¡socialized¡¡to¡¡express¡¡a¡¡wide¡¡range¡¡of¡¡emotions£»¡¡including¡¡sadness£»¡¡and¡¡
are¡¡not¡¡usually¡¡chastised¡¡for¡¡crying¡¡in¡¡public¡£¡¡We¡¡have¡¡traditionally¡¡encouraged¡¡females¡¡to¡¡¡°get¡¡in¡¡touch¡¡
with¡±¡¡their¡¡feelings¡¡and¡¡express¡¡them¡£¡¡But¡¡females¡¡have¡¡much¡¡higher¡¡rates¡¡of¡¡reported¡¡depression¡¡than¡¡

255¡¡


PSYCHOLOGY¡¡AND¡¡LIFE¡¡

males¡£¡¡How¡¡much¡¡of¡¡that¡¡may¡¡be¡¡due¡¡to¡¡excess¡¡rumination¡¡about¡¡feelings¡¡of¡¡sadness¡¡based¡¡on¡¡¡°getting¡¡in¡¡
touch¡±¡¡with¡¡those¡¡feelings£¿¡¡Also£»¡¡females¡¡have¡¡historically¡¡been¡¡chastised¡¡for¡¡openly¡¡expressing¡¡anger¡¡in¡¡
public£»¡¡as¡¡it¡¡was¡¡not¡¡considered¡¡¡°ladylike¡£¡±¡¡But¡¡society¡¡put¡¡females¡¡in¡¡a¡¡somewhat¡¡impossible¡¡situation£»¡¡by¡¡
encouraging¡¡them¡¡to¡¡cry¡¡and¡¡express¡¡sadness£»¡¡but¡¡not¡¡show¡¡anger£»¡¡and¡¡then¡¡labeling¡¡them¡¡as¡¡¡°weak¡±¡¡when¡¡
they¡¡did¡£¡¡Other¡¡than¡¡increased¡¡risk¡¡of¡¡depression¡¡£¨mentioned¡¡above£©£»¡¡in¡¡what¡¡ways¡¡have¡¡these¡¡social¡¡norms¡¡
and¡¡expectations¡¡affected¡¡females£¿¡¡

BIOGRAPHICAL¡¡PROFILES¡¡

Hans¡¡Hugo¡¡Selye¡¡£¨1907¨C1982£©¡¡

Hans¡¡Selye¡¡was¡¡known¡¡as¡¡¡°Dr¡£¡¡Stress¡±¡¡by¡¡press¡¡and¡¡colleagues¡¡alike£»¡¡a¡¡name¡¡he¡¡rightly¡¡earned¡¡after¡¡more¡¡
than¡¡42¡¡years¡¡of¡¡conducting¡¡research¡¡on¡¡the¡¡effects¡¡of¡¡stress¡¡on¡¡humans¡£¡¡Born¡¡in¡¡Vienna¡¡in¡¡1907£»¡¡Selye¡¡was¡¡
first¡¡exposed¡¡to¡¡medical¡¡science¡¡through¡¡his¡¡father£»¡¡a¡¡military¡¡surgeon¡¡in¡¡the¡¡Austro¡­Hungarian¡¡army¡£¡¡He¡¡
received¡¡his¡¡early¡¡formal¡¡education¡¡from¡¡the¡¡Benedictines¡¡and¡¡later¡¡attended¡¡medical¡¡school¡¡at¡¡the¡¡German¡¡
University¡¡of¡¡Prague£»¡¡where¡¡he¡¡specialized¡¡in¡¡endocrinology¡£¡¡Even¡¡in¡¡his¡¡early¡¡years¡¡in¡¡medical¡¡school£»¡¡he¡¡
was¡¡struck¡¡by¡¡the¡¡fact¡¡that¡¡the¡¡patients¡¡he¡¡encountered¡¡in¡¡the¡¡hospital¡¡exhibited¡¡an¡¡overall¡¡syndrome¡¡of¡¡
¡°just¡¡being¡¡sick¡±¡¡that¡¡was¡¡more¡¡than¡¡the¡¡mere¡¡sum¡¡of¡¡the¡¡specific¡¡symptoms¡¡of¡¡their¡¡disea

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