OBJECTIVES  WEB LINKS  POWERPOINT  READING   ESSAYS

TEST    ANSWERS    Health    Stress      Coping

  

CHAPTER 15

HEALTH, STRESS AND COPING

OBJECTIVES:

Health:

1. Compare and contrast the fields of behavioral medicine and health
psychology.  Describe the changes in major causes of death between 1900 and
1990.
2. Describe the Paleolithic Prescription.
3. List and explain the three types of psychological controls that are
related to health.
4. List and explain the four different models of behavioral control listed in 15-1.
5. Give an original example of the exercise of cognitive control and information control.
6. Describe the psychological control that is experienced by the elderly;
explain what the nursing home study can do to help with the loss of this control.
7. Describe the behavioral, emotional and health characteristics of Type A
and Type B personalities.  What are some possible causes of Type A pattern?
Who gets over heart attacks better and why?  Which specific components of
Type A personality are most strongly linked to heart disease.
8. Compare the specificity and generality theories of the relationship
between psychological characteristics and health.
9. Discuss the fundamental cause of grief and list some of the important
functions served by the grief reaction.  What are the three stages of grief?
Indicate the age at which grief reactions first appear.
10. Define the term  addictive behavior.   Contrast substance abuse and
substance dependence.  List some of the signs of substance dependence.
11. Describe the relative incidence of alcohol use (adults), alcohol-related
social or medical problems, and alcohol dependency.  What are some risk
factors for alcoholism? What are some medical problems linked to use of
alcohol?
12.  Indicate how many people die yearly from smoking tobacco and some of the
diseases linked to tobacco.  Summarize the theories as to why people smoke.
Give a profile of those likely and unlikely to successfully give up smoking.
13. Explain why, of all diseases, AIDS is of particular interest to
psychologists.What are some of the behavioral changes that reduce the
likelihood of AIDS exposure.  What are the birth control practices of
sexually active teens.

STRESS

14. Define the terms  stress  and  stressor.   List some of the approaches taken in dealing with stress in the workplace.
15. List and describe the 3 steps in stress inoculation.  Relate this
training to behavioral, cognitive and information control.
16. Describe the 3 stages of Selye s General Adaptation Syndrome.
17. Describe what Lazarus means by primary and secondary appraisals.
18. List and describe the factors that influence the intensity of a stress reaction.

COPING

19. Define coping.  List and give personal examples of 8 categories of coping responses.
20. List and give examples of 4 types of social support.
21. Describe the following approaches to relaxation: a. progressive
desensitization b. guided imagery  c. meditation d. biofeedback.
22. Discuss the development of test anxiety.  Explain the rationale behind
combining relaxation training with cognitive restructuring in treating it.
23. Describe the traits that are associated with  hardiness   and explain why
it is an important personality style.
24. Describe the 3 characteristics of explanatory style that Seligman
associates with optimists.
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WebSites

TJPSYCH  1       2
Medical Basis for Stress, Depression, Sleep Problems
Clinical & Behavioral Medicine
Web and Stress Management & Emotional Wellness
Ten Commandments of Stress Management

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Better Living Through Mindfulness
by James Freeman, Denison University
©1998 Peregrine Publishers, Inc., All Rights Reserved

In the 1961 movie, "The Absent Minded Professor," Fred MacMurray
portrays a stereotypical researcher so engrossed in his work that he
scarcely attends to the details of everyday life, stumbling around,
dressing badly, missing appointments, and misplacing pens, notes, keys,
and so on. This sort of absent-mindedness is similar to, but different
from, mindlessness. Rather than simple forgetfulness, mindlessness is
acting without conscious deliberation, blindly following routines, or
relying too rigidly on categories and distinctions created in the past.
Harvard Professor Ellen Langer pioneered the study of mindlessness and
its opposite, mindfulness, and recently published a book on mindful
learning (8).

Two decades ago, Langer, then at the City University of New York,
conducted a seminal study of mindlessness with her colleagues Benzion
Chanowitz and Arthur Blank (1). When someone would start to use a copy
machine, a researcher (incognito) would ask, "May I use the copy
machine?" while a hidden confederate noted the results. About 60 percent
of the time the copy machine user granted the request. When the
researcher added a reason, such as ". . . because I'm in a rush,"
permission went up to almost 95 percent. The request and explanation
seemed reasonable enough and were no big surprise. Much more startling,
however, was the team's discovery that an equally high percentage of
users allowed the interruption even when the request was "May I use the
copy machine because I need to make copies?" This, of course, is an
essentially meaningless reason; why else would you use a copy machine?
Logically, the phrase should have elicited no more cooperation than
giving no reason at all. But, suggested the Langer team, mindlessness
was at work: It seems that the subject would blindly comply as long as
there was a reason, regardless of its meaning. More attention was given
to the structure of the request than to its content, Langer said; to
prevent this kind of mindlessness, one needs to be deliberately mindful
or more actively present and engaged in thinking.

Ten years later, Langer expanded her conception of mindfulness and its
potential importance to psychological and physical health. In a 1989
study, she and her colleagues (2) asked elderly patients to perform
"mindfulness tasks" with words in related categories such as foods or
animals. In one such task, the seniors tried to think of a word and then
another beginning with the last letter of the first word. Langer's team
found that compared to controls, the group that practiced "mindfulness"
exercises like these word games enjoyed better health and greater
longevity. In another study, elderly patients who put together jigsaw
puzzles themselves performed better and reported that the task was
easier than those who received help from the hospital staff (3). Langer
suggests that taking some control over one's life and changing from
mindlessness to a more mindful, mentally active mode improves the health
and cognitive function of the elderly.

In recent years, Langer has focused on the power of mindfulness in
learning. Based on this research, she strongly urges educators to avoid
rote memorization and to present information from several points of view
so that it may be available later for creative use. She gives two
examples--teaching the role of mathematics in music and the role of
logic in writing--to show how students' points of reference can be
expanded (4). She even tested the effectiveness of this approach on
college students with a series of experiments. She found that students
told, "This could be object X," were more likely to solve problems
concerning that object creatively than were student told, "This is
object X."(5)

Beyond its importance for effective teaching, Langer suggests that
mindful thinking helps reduce prejudice. "Mindlessness," she writes, "is
passive information-processing in which the individual rather
automatically relies on distinctions previously drawn, instead of
engaging in active categorizing and new distinction-making." In one
study of mindlessness, she showed elementary school children slides of
people; half saw slides of able-bodied people and the other half saw
slides of blind, deaf, or otherwise disabled people (6). Some of the
child observers received "high mindfulness" training; one group, for
example, was asked to think of four reasons why the people in the slides
might be good at their profession and four reasons why they might be bad
at it. The "low mindfulness" observers had to produce just one positive
and one negative reason for the work abilities of the people in the
slides. Follow-up tests showed that the children in the "high
mindfulness" group were less likely to avoid or discriminate
inappropriately against a handicapped person than youngsters from the
"low mindfulness" group.

Clearly, Langer has found that mindlessness can lead to thoughtless
action. Deliberate mindfulness, on the other hand, can enrich us by
enhancing creativity, increasing longevity, improving health, and
reducing prejudice.

Resources

1.Langer, E. J., Blank, A., & Chanowitz, B. (1978). The mindlessness of ostensibly thoughtful
       action: The role of placebic information in interpersonal interaction. Journal of Personality
       and Social Psychology,   36, 635-642.
2.Alexander, C. N., Langer, E. J., Newman, R. I., Chandler, H. M., &Davies, J. L. (1989).
      Transcendental meditation, mindfulness, and longevity: An experimental study with the
      elderly. Journal of Personality and Social Psychology, 57, 950-964.
3.Hilts, P. J. (1997, September 23). A scholar of the absent mind. TheNew York Times, p. B1,
        B13.
4.Murray, B. (1997). Fluid, flexible thinking boosts our learning  ability. APA Monitor.
         Reprint of an article that appeared in the August issue of the APA Monitor.
         It discusses Ellen Langer's views of mindful thinking for improving teaching
          and learning. (6 Jan. 1998)
5.Langer, E. J. & Piper, A. I. (1987). The prevention of mindlessness.
          Journal of Personality and Social Psychology, 53, 280-287.
6.Langer, E. J., Bashner, R. S., & Chanowitz, B. (1985).
         Decreasing prejudice by increasing discrimination. Journal of Personality and
         Social Psychology, 49, 113-120.
7.Langer, E. J. (1989). Mindfulness. Addison-Wesley Publishing. Reading,MA.
8.Langer, E. J. (1997). The Power of Mindful Learning. Addison-Wesley Publishing. Reading, MA.

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CHAPTER 15  HEALTH, STRESS AND COPING
ESSAY QUESTIONS.

Take notes on all three questions.  You will be paired with another student and select an option out of a hat..
You may bring notes to the test.  After completing the multiple choice section of the test, you will proceed to your selected essay.   It would be considered  cheating to write out a specific essay ahead of time and then merely paraphrase your pre-planned essay during class.

Option one
Health :  Many individuals in todays society are confused by the continued
media presentation of health guidelines and improvements that often seem to
be contradictory and which would mean substantial change in their lifestyles
and behavior.

Prepare your best prescription for maximizing ones health.
Include in your answer:
a. behavioral control   b. cognitive control  c. medical  intervention and
knowledge  d. personality & psychological characteristics
as you prepare your answer.  Relevant theories/theorists and experiments to
support your choices must be included.

Option two
Stress:  Probably the best help psychologists (experimental and clinicians)
can give us is not the antidote once we have succumbed to poor choices but
the information/education and guidelines to prevent stress, addictive
behaviors and related diseases from beginning in the first place.

Describe  the research of Hans Selye,Richard Lazarus, Martin Seligman,
Holmes-Rahe, and Ray Novaco and explain how you could incorporate their
findings into a prevention workshop at work, in schools and in the home.

Option three
You are charged with the task of determining the efficacy of the many coping
techniques discussed in the final part of the chapter.  You must use the
experimental research tool and try to empirically support with data that a
specific coping device is better than another coping device  for the majority
of the representative sample you will test.

 The specific stressor is dealing with the death of a loved one--child,
spouse or parent.      Make sure to include:
A.  Purpose of Study   B. Hypothesis   C. Sample    D. Independent/Dependent
variables   E. Procedure    F. Data Collection technique   G. Method of
Analysis     H.  Discussion of controls, possible confounds and ethical considerations

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TEST CH 15
1.  Many unhealthy behaviors that may be part of our lifestyles are acquired and
         maintained because they
a. are not subject to the law of effect.
b. do not have immediately negative consequences.
c. are perceived as actually being healthy.      d. are part of our genetic endowments.

  2.   Paffenbarger's research showed that on average, subjects who exercised
         __________ lived about __________ than subjects who exercised __________.
a. rigorously; 3 years longer; moderately         b. only slightly; 1 year longer; rigorously
c. moderately; two years longer; only slightly
d. moderately; 4 years longer; only slightly

  3.  People who switch from smoking high-nicotine cigarettes to smoking low-nicotine
         cigarettes
a. dramatically reduce their chances of suffering from cancer and other smoking-related illnesses.
b. actually smoke more cigarettes to compensate for the loss of nicotine.
c. report that they enjoy the psychological benefits of smoking more now than when they were smoking the high-nicotine cigarettes.
d. no longer enjoy smoking as much as they did before they switched.

  4.    Liam is taking Percodan to help relieve the pain he is experiencing from the extraction of a wisdom tooth earlier in the day. The drug is effective in reducing   the pain, and Liam decides he will go out for the evening with a few friends. Liam has several beers.  Unknowingly, Liam is running the risk of death due to
a. a heart attack.                                             b. failure of the circulatory system.
c. failure of the respiratory system.             d. massive internal bleeding.

  5.   Which of the following statements is FALSE?
           a. AIDS may be transmitted through casual contact.
           b. AIDS appeared suddenly and without warning.
           c. Many people see themselves as being at risk for contracting AIDS.
           d. Researchers do not yet understand AIDS well enough to develop a cure for it.

  6.  Lyle wants to buy a new CD system. Every week he cashes his paycheck and deposits part of it into a coffee can at home. Sometimes, though, he is unable to put anything away for the CD system because he spends the money on movies,pizza, clothes, and other things that he likes but doesnt really need. In this example, the long-term reward is
a. his paycheck.                   b. the money he spends on movies, pizza, and other things.
c. the purchase of the CD player.                d. all of the above

  7.  The stage of the General Adaptation Syndrome in which the organism may experience shock is called the __________ stage.
a. alarm                    b.  recovery     c. resistance        d. exhaustion

  8.  An example of a glucocorticoid is
           a. cortisol.      b. epinephrine.      c. norepinephrine.              d. reserpine.
 

  9.    Hardiness seems to develop as a result of
a. parental warmth.                      b. a stimulating home environment.
c. family support in solving problems of moderate difficulty.         d. all of the above

  10.  The reaction of the immune system that involves antibodies is called a(n)__________ reaction.
           a. cell-mediated      b. chemically mediated          c. immuno-          d. lymphocyte

  11.   Rhonda has a family history of cancer and recently discovered a lump in her breast.  What would be the best advice to give Rhonda?
           a. think positively.                        b. get medical treatment soon.
           c. visualize the white blood cells killing the cancer cells.
           d. ignore the lump and pretend it does not really exist.

  12.   Amy visits the student mental health center to talk to a counselor about her test anxiety.  The counselor teaches Amy to relax various muscles in her body when she begins to feel tense. The counselor has taught Amy how to use __________ to cope with stress.
           a. cognitive reappraisal         b. aerobic exercise        c. progressive relaxation
           d. an emotion-focused coping strategy

  13.  Which of the following countries has a relatively low rate of death due to breast
         cancer (and a correlated low intake of fat)?
           a. Mexico         b. Norway         c. the United States            d. Denmark

  14.   Cigarette smoking appears to be maintained, at least in part, by
           a. positive reinforcement.                                     b. imitation.
          c. both positive and negative reinforcement.     d. all of the above

  15.   About __________ of all alcohol consumed in the U.S. is consumed by about__________ of all drinkers.
a. one-quarter; one-eighth     b. one-third; one-half
c. one-half; one-tenth             d. three-quarters; one-fourth

  16.  Which of the following is a goal of STD prevention programs?
a. familiarize people with safe sex practices
 b. teach people the connection between their behavior and getting an STD orAIDS
 c. provide support and encouragement for safe sex practices
d. all of the above

  17.  In communities where Geller's seat belt program has been used and then discontinued, rates of seat belt usage
           a. stays about the same.
           b. declines slowly back to rates prior to the implementation of the program.
           c. declines rapidly back to rates prior to the implementation of the program.
           d. declines, but not back to rates prior to the implementation of the program.

  18.  According to the model of self-control described in the text, the best way to exert self-control is to move the moment of decision to
a. a time before the value of the small, short-term reward exceeds the value ofthe larger, long-term reward.
b. a time after the value of the small, short-term reward exceeds the value of the larger, long-term reward.
c. a time after the value of the small, short-term reward is equal to the value of the larger, long-term reward.
d. a time before the value of the larger, long-term reward exceeds the value of  the small, short-term reward.

  19.  About two months ago, Ariel and Arlo's mobile home was destroyed by a fire.  About a week ago, both of them started getting sick: they both have colds, feel run-down, and are complaining of stomach problems. Which stage of the General Adaptation Syndrome are they experiencing?
a. alarm reaction                             b. adaptation reaction
c. stage of resistance                     d. stage of exhaustion

  20.  The effect that certain stressors, such as those that cause anxiety and fear, have on a person depends on his or her
a. behavioral responsiveness.                           b. level of physical fitness.
c. perception and emotional reactivity.            d. lifestyle and expectations for success.

  21.Research on personality variables and the risk of coronary heart disease have
         determined that
a. health and life-style variables cannot be separated from personality variables.
 b. coronary heart disease is too complex to be caused only by personality variables.
c. personality variables do not affect the risk of coronary heart disease.
d. personality variables are important, but the exact nature of the relationship is unclear.

  22.  The immunoglobulin known as IgA is
           a. found in lower than normal levels when a person is happy.
           b. not directly involved in the operation of the human immune system.
           c. present in the secretions of the mucous membranes.
           d. all of the above

  23. Mrs. Leyland always gets extremely nervous when her 11-year-old son, Trent, is up to bat.As soon as he steps into the batters box, she gets up and walks to a place behind the stands where she cannot see him. This relaxes her a bit; she  returns to the stands when she thinks that her son has finished batting. The coping style used by Mrs. Leyland is called  ___________-focused coping.
           a. problem           b. emotion                  c. solution                d. situation

  24.   The stress management program that helps people develop coping skills that help  increase their resistance to the negative effects of stress is called stress__________ training.
           a. resistance             b. prevention                 c. inoculation                  d. education
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ANSWERS:  1. b  2. c  3.b  4. c  5. a  6. c  7. a  8. a  9. d  10. b  11. b  12.c  13. a  14. c  15. c

16. d  17. b  18. a  19. d  20. c  21. d  22. c  23. b  24. c

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