You Don't Have to be Over Stressed All The Time

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Table of Contents

Preface                                                                                               xvii
Introduction                                                                                       xxi
Are We Experiencing a Stress Epidemic?                          xxi
The Importance of Stress Management                   xxii
The Symbolic Importance of the Tiger as a Potential Stressor xxiii
Our Modern-Day Society and Its Stressors                       xxv
Not All Stress Is Bad                                                       xxvi
Understanding As a Prerequisite To Controlling Stress xxvii
Preventive Maintenance: Similarities Between a Car and the Human Body  xxx
A Car                                                                     xxx
Human Body                                               xxxi
Major Points of The Book                                               xxxii
Part One: I = Identifying the Nature, Background and Causes of Stress 
Chapters  
1.   What Do You Know About Stress?                                       3
The Position Taken Concerning Stress                             3
What Is Understood About Stress                                       4
The Role of Perception                                                        5
     -  Stress As a Transaction                                        5
     -  The E-P-R Process: The Importance of Perception     6
     -   Factors Influencing Perception                           7
Definition of Stress                                                           9
Exercise 1.1: Load Experience                                      12
Summary Outline of Key Headings in the Chapter         13
2.   What Causes Stress?                                                          15
Who and What Stress Affects                                         15
The Causes of Stress                                                      16
Stressors: Features and Classification                           17
     -  Features of Stressors   17
     -  Classification of Stressors   19
     -  The Role of Perception and Subjectivity in Determining Stressors   20
     -  The Overlapping and Arbitrary Classification of Stressors   21
     -  What is Associated With These Stressor Categories?   27
Summary Outline of Key Headings in the Chapter   29
3.   Personality Stressors   31
The Central and Dominant Roles of Personality Stressors                                                 31
Main Areas of Potential Personality Stressors     32
Personality Traits and Related Behaviors   33
     -  Perceiving Others and Ourselves    33
     -  Stress-Related Behaviors    34
          +  The “Stomping Bull” Behavior    35
          +  The “Only I Can Do It All” Behavior   35
          +  The "Always in a Hurry" Behavior   36
          +  The "Compulsive Time-Racing" Behavior   36
          +  The Aggressive Competitor Behavior   37
Mind Traps   37
     -  Personal Beliefs   38
     -  Being a Perfectionist   38
     -  Having Unrealistic Expectations     39
     -  Not Being in Control    39
     -  Keeping Things in Perspective     40
     -  Having Negative Self-Talk    41
Summary Outline of Key Headings in the Chapter     42
4.  Private Stressors                                                                43
Private Life Stressors: Internal and External Conditions    43
Main Areas of Potential Private Life Stressors     44
Home Events   45
     -  Family Concerns   46
     -  Financial Concerns   46
Adjusting to Life Events   47
     -  Pain, Injury and Illness   48
     -  Measuring Life Changes   48
     -  Hardy Personalities   49
Daily Hassles   50
     -  Everyday Nuisances   52
     -  Home Overload   53
At-Risk Lifestyle Activities   54
     -  Stimulants   54
          +  Drug Misuse   54
          +  Alcohol   57
          +  Caffeine   58
          +  Cigarette or Tobacco Smoking   58
     -  Nutrition   59
     -  Sleep   60
     -  The Sleep-Nutrition Relationship   61
     -  The Sleep-Stress Relationship   61
          +  What is Optimum Sleep?     62
          +  What Causes Us Not To Sleep?    64
          +  The Combination of Excessive Work, Inadequate Sleep and Diet     64
     -  Exercise   65
Table 4.1: Livingston’s Life Events’ Index (LLEI)    67
Summary Outline of Key Headings in the Chapter   69
5.   Psychosocial Stressors                                                       71
The Linking Nature of Psychosocial Stressors     72
Frustrations     73
     -  Socioeconomic Factors or Poverty    74
     -  Discrimination      75
     -  Overcrowding     77
     -  Structure and Functioning of Organizations    78
     -  Adaptation To Daily Events   79
Overload   79
     -  Overload Involving Education    82
     -  Overload and the Home Environment     83
Underload   84
Acculturation     85
     -  Immigrants and Acculturative Stress   85
Loneliness and Boredom    88
Festive Occasions    89
Terrorism    90
Summary Outline of Key Headings in the Chapter   93
  95
6.   Organizational Stressors                                                    95
Organizational Stressors As External Conditions    96
Main Areas of Potential Organizational Stressors           97
Psychosocial Stressors in the Workplace   98
The Work Environment      99
Stressors Associated With the Work Environment  101
Physical Surroundings  101
Spatial Arrangement     102
Inadequate Lighting    103
Stressors Associated With Work Conditions 105
       -  Job Overload   106
          +  Burnout                                               107
      -  Job Underload  108
      -  Unsafe Working Conditions   110
      -  Shift Work   110
      -  Changes in Technology   111
Relationships at Work   114
      -  Workplace Violence  116
Role Conditions 120
      -  Role Ambiguity 120
      -  Role Conflict     121
         +  Different Types of Role Conflict  122
      -  Sexual Harassment  125
Career Development and Change  125
      -  Underpromotion  126
      -  Overpromotion    127
      -  Lack of Job Security  128
Organizational Structure and Climate    129
      -  Lack of Participation 130
      -  Bureaucratic Pettiness 130
      -  Conformity Pressures 131
      -  Lack of Responsiveness 132
Intrinsic Worker Conflict 133
      -  Lack of Meaning in the Job 134
      -  Obsessive Concern for Work 134
      -  Frustrated Ambitions 135
      -  Level of Anxiety 136
      -  Level of Emotionality 138
      -  Tolerance for Ambiguity 139
Summary Outline of Key Headings in the Chapter  140
7.   Environmental Stressors  143
Environmental Stressors as External Conditions

 

 

                                                                                                           

                        

 

7.          Environmental Stressors                                                  143

             ☐ Environmental Stressors As External Conditions            143

             ☐ Psychosoial Stressors in the Environment                       144

             ☐ Main Areas of Potential Environmental Stressors           145

             ☐ Bio-Environmental Conditions                                       146

                          ☒ Noise                                                                  146

                          ☒ Lighting                                                              149

                          ☒ Climatic Conditions                                            150

                          ☒ Air Travel                                                           151

                          ☒ Bio-Ecological Conditions and Air Travel         152

                                       ▬ Time Cycles                                153

                                       ▬ Jet Lag                                                 153

                          ☒ Commuting and Traffic Congestion                   156

                          ☒ Environmental Threats                                    157

             ☐ Sociocultural Conditions                                                158

                          ☒ Neighborhood Conditions                                  159

                                       ▬ Overcrowding                                        159

                                       ▬ Fear of Crime or Victimization             160

                                       ▬ Socioeconomic Factors                         160

                                       ▬ Discrimination                                       162

 

                          ☒ Urban Overload                                                  163

                          ☒ Road Rage                                                          164

                                       ▬ Contributing Factors To Road Rage      165

                          ☒ Air Rage                                                             167

                                       ▬ Concerned Voices                                 168

                                       ▬ Contributing Problems To Air Rage     169

             ☛ Summary Outline of Key Headings in the Chapter          171

 

8.          The Variable Conditions of Stressors                                 173

             ☐ Kinds of Stressors                                                           174

             ☐ Number of Stressors                                                       175

             ☐ Duration of Stressors                                                      176

             ☐ Frequency of Stressors                                                  177

             ☐ Experience With Stressors                                       178

             ☐ What Stressors Do You Personally Experience?            179

             ✍ Exercise: What Daily Stressors Do You Experience? 180

             ☛ Summary Outline of Key Headings in the Chapter          198

 

       Part Two: R = Recognizing the Signs

                and Reactions to Stress                          199

 

9.          The First Stage of the Stress Process - Onset                      201

             ☐ Stress Viewed As a Stimulus                                           202

             ☐ Stress Viewed As a Response                                         203

             ☐ Stress Viewed As a Transaction                                      203

             ☐ Beginning the Stress Process                                           205

             ☐ Three Main Types of Stress                                             205

                          ☒ Good Stress                                                        206

                          ☒ Normal Stress                                                     207

                          ☒ Bad Stress                                                           208

                                       ▬ Various Types of Bad Stress                210

 

                                       ▬ Acute Stress                                          210

                                       ▬ Episodic Stress                                     211

                                       ▬ Cataclysmic Stress                               211

                                       ▬ Chronic Stress                                      212

                                       ▬ Post-Traumatic Stress                           213

                                       ▬ Critical Incident Stress                         215

                                       ▬ The Interrelated of the Bad Stresses     216

             ☐ The Relationship Between Stress and Performance        217

             ☛ Summary Outline of Key Headings in the Chapter          218

 

10         The Second Stage of the Stress Process - Reaction            219

             ☐ The Non-Specific Response of Stress                            219

             ☐ The Fight-or-Flight Response                                         220

             ☐ The Physiology of the Fight-or-Flight Response            221

                          ☒ The Endocrine System                                       222

                          ☒ The Autonomic Nervous System                       225

             ☐ Fight and Flight - The Case of Ancient and

                   Modern Man                                                                  227

             ☐ General Adaptation Syndrome or GAS                          230

                          ☒ The Alarm Reaction Phase                                231

                          ☒ The Resistance Phase                                        232

                          ☒ The Exhaustion Phase                                       232

                          ☒ A Final Note on the Three Phases of the GAS 233

             ☛ Summary Outline of Key Headings in the Chapter          236

 

11.        The Third Stage of the Stress Process - Outcome               237

             ☐ Categorizing Stress Effects or Outcomes                       238

             ☐ Behavior Effects                                                             239

                          ☒ Drinking of Alcohol                                           239

                          ☒ Excessive Coffee Drinking                                 239

                          ☒ Frequent Use of Cigarettes                                 240

                          ☒ Absenteeism                                                       241

                          ☒ Insomnia                                                             241

                          ☒ Eating Problems                                                 242

                          ☒ Accident Proneness                                            243

                          ☒ Sexual Problems                                               243

                          ☒ Suicide                                                                244

             ☐ Cognitive Effects                                                            244

                          ☒ Poor Self-Concept                                              244

                          ☒ Perfectionism                                                      245

                          ☒ Worrying                                                            245

             ☐ Emotional Effects                                                           245

                          ☒ Burnout                                                               246

                          ☒ Anxiety and Fear                                                246

                          ☒ Depression                                                         247

                          

             ☐ Physical Effects                                                              247

                          ☒ Backaches                                                           247

                          ☒ Headaches                                                          248

                          ☒ Allergies and Asthma                                         249

                          ☒ Arthritis                                                              250

                          ☒ Diabetes                                                              251

                          ☒ Ulcers                                                                 252

                          ☒ Hypertension, Heart Disease and Stroke            253

                          ☒ Cancer                                                                254

                          ☒ Other Physical-related Outcomes                       256

             ☛ Summary Outline of Key Headings in the Chapter          258

             ✍ Exercise: What Are Your Health-Related Experiences? 259 

                  Part Three: M = Managing Stress

            Using a Combination of Strategies 267

 

12.        The Dynamics of Stress Management                                269

             ☐ Stress management is Really About Having Balance     269

             ☐ The Importance of Change For Stress Management     270

             ☐ Required Skills For Stress Management                        272

                          ☒ Awareness Skills                                                273

                          ☒ Acceptance Skills                                              274

                          ☒ Coping Skills                                                      274

                          ☒ Action Skills                                                       275

 

             ☐ The Importance of the I-R-M Approach to Stress           276

                          ☒ Step #1: I - Identifying Your Stressors               277

                          ☒ Step #2: R - Recognizing Your Stress Signals 277

                          ☒ Step #3: M - Managing Your Stress Using

                              Selected Strategies                                              279

             ☐ Strategies For Managing Stress: Your Personal

                  Plan of Action (PPOA)                                                    280

             ☐ The Relationship Between Stress Management

                   Strategies and Stressors                                                  281

             ☐ The Inter-relationship of the Stress Management

                  Strategies                                                                         283

             ☛ Summary Outline of Key Headings in the Chapter          286

 

13.        Cognitive Restructuring                                                      287

             ☐ What is Cognitive Restructuring?                                   287

                          ☒ Reframing                                                           289

             ☐ The E-P-R Model of Stress                                             289

                          ☒ Restructuring Your Perceptions                         290

             ☐ The Knowledge-Perception Relationship and Stressors 290

                          ☒ What is it About the “Event” That Really

                               You?                                                                   291

                          ☒ Is the Stressor really Worth getting All

                               “Stirred” Up About?                                           291

                          ☒ Can the Stressor Be Avoided?                292

                          ☒ If the Stressors Cannot Be Changed, Are

                              There Any Alternatives To It?                             293

             ✍ Exercise 13.1: Evaluation Report                                    294

                          ☒ Is the Stressors Controllable?                            298

             ✍ Exercise 13.2: Identifying Your Uncontrollable and

                   Controllable Stressors                                                    300

             ☐ Assess Your Self-Perceptions                                         302

             ☐ Clarify Your Goals and Related Activities                      302

             ☐ Set Realistic Goals                                                           303

             ☐ Sort Out Your Priorities                                                   305

             ☐ Accept What You Cannot Change and/or Control          306

             ☐ Think “Could” Not “Should”                                          306

             ☐ Refrain From Having Distorted and Negative

                  Thinking                                                                      307

             ☐ Engage in Positive Thinking and Expressions

                  - Affirmations                                                                 308

              ☛ Summary Outline of Key Headings in the Chapter          310

 

14.        Psychosocial Adjustment                                                    311

             ☐ Remember To Laugh a Bit                                              312

             ☐ Talk Things Out and Share Your Stress                          312

             ☐ Lean On a Friendly Shoulder                                        313

             ☐ You Don’t Have to Be Right All the Time                      314

             ☐ Spend Needed Time With Family and have Fun             314

             ☐ Be a Participant in On-Going Activities and Help

                  Others in Need                                                                315

             ☐ Learn To Say “NO”                                                          315

             ☐ Avoid Loneliness                                                             317

             ☐ Try To Improve Your Communication                           318

             ☐ Consider Getting a Pet                                                     318

             ☛ Summary Outline of Key Headings in the Chapter          320

 

15.        Lifestyle Adjustments                                                         321

             ☐ Know Your Body Clock and Biological Prime Time      322

             ☐ Discover Your Tolerance level For Stress                       322

             ☐ Strive To Acquire a Healthy Body                                  323

                          ☒ Having Sufficient Sleep                                      324

                          ☒ Eating An Adequate Diet                                   325

                          ☒ The Food Pyramid With Its Five Designated

                               Food Groups                                                      327

                                       ▬ Grain Group                                          327

                                       ▬ Vegetable Group                                   328

                                       ▬ Fruits Group                                          328

                                       ▬ Milk Group                                            329

                                       ▬ Meat and bean Group                            330

                          ☒ Tips For When You Are Eating                         331

                          ☒ Tips On Nutrition To Lessen Stress                   331

                          ☒ Becoming An Educated Shopper                       332

 

                          ☒ Food Intake Patterns Based On the Food

                               Pyramid                                                              333

                          ☒ Pseudostressors                                                  335

                          ☒ Getting Appropriate Exercise                             337

                                       ▬ Main Types of Exercises                       338

                                       ▬ Aerobic Exercises                                  339

                                       ▬ Aerobic Dancing                                   339

                                       ▬ Swimming                                             341

                                       ▬ Bicycling                                               341

                                       ▬ Jogging                                                  341

                                       ▬ Hiking                                                    342

                                       ▬ Jumping Rope                                       342

                                       ▬ Anaerobic Exercises               343

                          ☒ Avoid the Use of Alcohol and Drugs                  345

             ☛ Summary Outline of Key Headings in the Chapter          347

 

16.        Situational Adjustments                                                      349

             ☐ React Only When It is Important - The Case of

                  Road Rage                                                                       350

                          ☒ Suggested Tips To Avoid Road Rage   351

             ☐ Change Your Pace When Events Overwhelm You         351

             ☐ Try To Have patience                                                      352

             ☐ Learn To Control Your Anger                                         352

             ☐ Keep a Journal                                                                 353

             ☐ Improve Study Habits                                                       354

                          ☒ Studying Time                                                    355

                          ☒ Attitudes, values, behavior (Action) and

                              Time Management                                               355

                          ☒ Attitudes                                                             356

                          ☒ Values                                                                 357

             ☐ Time Management                                                          358

                          ☒ Problems                                                             359

                          ☒ Setting Goals and Priorities                                359

                          ☒ Managing Yourself in relation To Time             359

                                       ▬ Step#1: Having a Change in Attitude    360

 

                                       ▬ Step#2: Defining and Setting Realistic

                                             Goals                                                    361

                                       ▬ Step#4: Planning and Scheduling

                                             Activities                                              362

                                       ▬ Step#5: Taking Action                         364

             ☐ Test Taking                                                                      366

                          ☒ Test Anxiety                                                       368

                          ☒ Panic Attacks                                                       367

             ☐ Dealing With Stress At Your Computer                          369

             ☐ When Should You Seek Professional Help?                   370

             ☛ Summary Outline of Key Headings in the Chapter          372

 

17.        Relaxation Experiences                                                   375

             ☐ Misconceptions About relaxation Involving

                  Selected Activities                                                          376

                          ☒ Leisure Time Activities Are Always Relaxing   376

                          ☒ Sleeping Is Always Relaxing                             377

                          ☒ Watching television and Movie Shows Is

                               Always Relaxing                                   377

                          ☒ Engaging In a Sporting Event Is Always

                              Relaxing                                                             378

                          ☒ Vacations Are Always Relaxing                        379

                          ☒ Smoking Helps You To Relax                            380

                          ☒ Tranquilizing Drugs Help You To Relax          381

             ☐ General Methods of Relaxation                                       381

                          ☒ Engaging in Non-Stressful Outdoor Activities   382

                                       ▬ Getting Away From It All                    382

                                       ▬ Be Creative In Doing Boring Activities 383

                          ☒ Engaging in Non-Indoor Activities                   383

                                       ▬ The Power of Warm Water                  383

                                       ▬ Physical Activity: Stretching and

                                             Swimming                                            384

             ☐ Systematic Methods of Relaxation                                   386

                          ☒ Deep Breathing                                                  387

                                       ▬ Procedure                                              388

                          ☒ Meditation                                                          388

 

                                       ▬ Procedure                                             388

                          ☒ Positive Imagery                                                389

                                       ▬ Procedure                                             389

                          ☒ Massage Therapy                                               390

                                       ▬ Procedure                                              391

                          ☒ Progressive Relaxation                                       393

                                       ▬ Procedure                                              393

                          ☒ Biofeedback                                                        393

                                       ▬ Procedure                                            394

                          ☒ The Technique of ReZeroing                            395

                                       ▬ Procedure                                              396

             ☛ Summary Outline of Key Headings in the Chapter          397

 

18.        Wrap-Up and Where To Go From Here                             399

             ☐ Stress and Those At-Risk                                                400

             ☐ Approaches To Stress Taken in the Book                       400

                          ☒ The Stress-Tiger Analogy                                 401

             ☐ The Transactional Nature of Stress and the

                  E + P = R Formulation                                       402

             ☐ Specific Approaches To Control Stress in the

                   At-Risk and Over Stressed Population                           404

                          ☒ Personal Plan of Action (PPOA)                       404

             ☛ Summary Outline of Key Headings in the Chapter          406

Appendix                                                                                          409

             ☐ Stress Diary                                                                     410

             ☐ Listing Concerns and Responses to Symptoms of Stress 415

             ☐ Life Planning Guide                       417

             ☐ Word Find For Stress Management                                 422

             ☐ Livingston’s Stress Pledge For Better Health                  424

             ☐ The Impact of Colors on the Mind                                  425

             ☐ 101 Stress Management Tips For Workers                     427

             ☐ Livingston’s General Life Stress Index (LGLSI)            428

             ☐ Some Important Online Resources                                  432

             ☐ References                                                                       433

             ☐ Index                                                                                438

             ☐ Note Sheets                                                                     4

 

 

 

 

 
 

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