Chapter 3: Meeting Life Challenges
   INTRODUCTION
        Life challenges are faced by everyone, regardless of age or gender.
        These life challenges are of varied nature and degree, depending upon the situation and threshold of the individual.
   MEANING OF STRESS
        The word stress is originated from the Latin word ‘strictus’, meaning tight or narrow. These words basically talk about tightness of
          muscle.
        Stress is a physical mental or emotional factor that causes bodily or mental tension. It is, typically, a response to a situation or event or
          person.
        Stress disturbs the psychological stability of the person and reduces their functioning ability.
        Stress is a dynamic mental/cognitive state.
        There are two forms of stress:
                Eustress: the level of stress that serves as a motivation to achieve high success.
                Distress: the level of stress that is harmful and threatens the well-being of a person.
        Stressors: These are events or stimuli that cause our body stress. These may include, noise, crowing, conflict, frustration, etc.
        Strain: The reaction to external stressors, the effect of stressor on our body.
   NATURE, TYPES AND SOURCES OF STRESS
        Nature of Stress:
                Hans Selye defined stress as a non-specific response to an event or stimuli. He said that, despite the intensity or cause of
                    threat, the individual will respond in a specific pattern.
                However, many researchers challenged Selye and disregarded his definition. They stated that different stressors may
                    produce different stress reaction patterns.
                Every individual has their own perspectives and unique response style which is based often on their past experiences. They
                    perceive a situation and may react in a certain way that is different from any other individual.
        Cognitive Theory of Stress
                This theory was proposed by Lazarus and his colleagues. According to Lazarus, stress involves the production of stressors
                    by the environment and also response of the individual to these stressors.
                Cognitive appraisal is defined as the way in which an individual responds to an interprets stressors in life. There are two
                    types of appraisals:
                          Primary Appraisal involves evaluating stress quality and identifying its harm and/or benefits. That is determining
                               if the stress is positive, negative or neutral.
                          Secondary appraisal involves identification of strategies and resources available to an individual to cope with
                               stress. It includes assessment of one’s abilities and resources to cope or meet with stress.
                This appraisal determines our cognitive, behavioural, emotional and physiological responses.
                The appraisal are very subjective and depends on factors like:
                          Past Experiences
                          Controllable
        Reactions to Stress
                Physiological Reactions: Arousal plays a key role in stress related behaviours. This is the responsibility of the
                    hypothalamus, which initiates two reactions:
                          Fight and Flight: This involves release of catecholamine into the blood by the adrenal gland. This initiates a
                               ‘confront’ or ‘leave’ response in order to insure survival during the stress.
                          Release of cortisol from the pituitary gland which provides energy.
                Emotional Reactions: Reactions include negative emotions such as fear, anxiety, embarrassment, anger, depression or
                    denial.
                Behavioural Reactions: They depend upon the nature of the stressful event and the individual’s perception of it. There can
                    be two behavioural occurrences:
                          Fight : Confrontative action against the stressor.
                          Flight: Withdrawal from the threatening event.
                Cognitive Reactions: This includes the beliefs about the harm the stressor may cause and the cause. The responses may
                    include, inability to concentrate, intrusive thoughts etc.
        Changes in Stress
                The stresses vary in the following four ways:
                          Intensity (low vs. high)
                          Duration (short-term vs. long-term)
                          Complexity (less complex vs. more complex)
                          Predictability (unexpected vs. predictable)
                The response to the stress depends upon these dimensions, it varies along these dimensions.
                Poor physical health may cause increased vulnerability.
                A person’s self-esteem, past experiences, temperament, coping mechanisms, resources available or social skills are relevant
                    to experience of stress.
        Signs and Symptoms of stress
                Everyone has their own experience of stress. Response depends upon one’s personality, past experiences and upbringing.
                The symptoms of stress can be physical, emotional and behavioural. Some of the few symptoms are:
                          Exhaustion
                          Trouble sleeping
                          Racing heart
                          Headaches or dizziness
                          High blood pressure
                          Muscle tension
        Types of stress
               There are three main types of stresses:
                          Physical and Environmental stress:
                                     Physical stressors change the state of our body.
                                     It causes strain, when we overuse our physical body, lack nutrition or suffer an injury.
                                     Environmental stresses included the unavoidable aspects of our surroundings that cause stress. For
                                        example: air pollution, crowding, noise, traffic, etc.
                          Psychological Stress:
                                     These are internal sources of stress that are personal and unique. Some of the important sources are:
                                               Frustration – Blocking of needs and motives by someone or something. Some causes of
                                                   frustration such as social discrimination, hurt in a relationship, work demotion, etc.
                                               Conflict – It occurs between two or more incompatible needs or motives. Stress may occur
                                                   due to the conflict of values.
                                               Internal Pressure - This is caused by an high expectations from ourselves, i.e., unrealistically
                                                   high standards in achieving our goals.
                                               Social Pressure – This is caused by people who have put excessive demands and work
                                                   pressure.
                          Social Stress:
                                     This is caused as a result of our interaction with other people externally.
                                     Examples of social stress – death in family, strained relationships, neighbourhood clashes, etc.
        Sources of Stress
               Stress is caused by events and conditions, such as; personal injury, death of a loved one, etc.
                          Life Events –
                                     Life events are stressful since they disturbed the daily routine in a person’s life.
                                     If these events occur simultaneously within a short period of time, it caused stress.
                          Hassles –
                                     These are individual stresses we experience in our daily life. Example – traffic, noise, neighbourhood
                                        disturbances, electricity outage, etc.
                                     These hassles cause daily stress, more stress people face, poorer is their psychological well-being.
                          Traumatic events –
                                     These are extreme events that cause huge damages (property, time, life, etc.).
                                     Events like, fire, accidents, earthquakes, cyclones, etc. are considered as traumatic life events.
                                     These events cause long terms effects that causes persist as anxiety, flashbacks, dreams, etc.
   EFFECTS OF STRESS ON PSYCHOLOGICAL FUNCTIONING AND HEALTH
        Effects of stress are physiological in nature. Four major effects are –
               Emotional Effects –
                          Mood swings and erratic behaviour
                          Decreasing confidence leading to emotional problems like anxiety, depression, physical tension, etc.
               Physiological effects –
                          Stress increases the production of certain hormones, causing imbalance.
                          Changes in heart rate, metabolism, etc.
               Cognitive effects –
                          Mental overload.
                          Loss of decision making abilities.
               Behavioural effects -
                          Access caffeine intake, smoking, alcohol, etc.
                          Eating less nutritious food, binge eating, etc.
                          Disturbed sleep, reduced work performance, increased absenteeism.
        Stress and health
               Stress effects physical and psychological functioning.
               People experience, exhaustion, chronic fatigue, low energy and weakness.
               Mental exhaustion - irritability, anxiety, feeling of helplessness and hopelessness.
               Burnout – Over exertion, over use. Psychological, physical and emotional state of exhaustion.
               Stress is related to illness like, high blood pressure, ulcers, asthma or headaches.
               GENERAL ADAPTATION SYNDROME: Involves three stages –
                          Alarm – Activation of adrenal-pituitary-cortex system due to stress stimulus. Ready for fight.
                          Resistance – if stress continues, the parasympathetic nervous system uses the resources available more cautiously
                               and body makes efforts to cope with the threat.
                          Exhaustion – draining of body, physically, emotionally and resources.
        Stress and the Immune system
               Immune system guards the body against illness.
               Psychoneuroimmunology focuses on link between mind, the brain and the immune system.
               White blood cells identify and destroy foreign bodies, leads to production of following:
                          T cells
                          B cells
                          Natural Kills cells
                   Reduced level of cytotoxicity cell is found in people with high stress.
                   People under prolonged stress are more prone to irrational fear, mood swings, phobias, anger, etc.
            Life style
                   Life style is a pattern of behaviours and decisions that determine a person’s health and quality of life.
                   Stress individuals have a high risk for exposure to pathogens.
   COPING WITH STRESS
        Coping refers to adapting or changing behaviour patterns to reduce or tolerate internal or external stress.
        Our coping depends on our past experiences and belief systems.
        Three coping strategies given by Endler and Parker:
                Task Oriented Strategy
                Emotion Oriented strategy
                Avoidance Oriented strategy
        Coping strategies given by Lazarus and Folkman:
                Problem focused strategy
                Emotion Focused strategy
        Stress Management Techniques:
                Relaxation Technique
                Meditation Procedures
                Biofeedback
                Creative Visualisation
        Cognitive Behaviour technique: Aims to treat people against stress. Stress inoculation was developed by Melchenbaum. There are
          three phases in this technique:
                Assessment
                Stress Reduction
                Exercise
   PROMOTING POSITIVE HEALTH AND WELLBEING:
        Life Skills:
                Assertiveness – Communicate our feelings, needs, wants and thoughts clearly and confidently.
                Time Management
                Rational Thinking:
                          Challenging distorted thinking
                          Driving out intrusive and negative thought.
                          Making positive statements
                Improving Relationships:
                          Listening
                          Expressing
                          Accepting
                Self Care
                Overcoming unhelpful habits:
                          Perfectionism
                          Avoidance
                          Procrastination
        Development of Positive Health:
                Positive health comprises of:
                          Healthy body
                          High quality personal relationships
                          Sense of life purpose
                          Self – regard
                          Mastery of life’s stress
                          Resilience
                Factors that facilitate positive health:
                          Diet
                          Exercise
                          Positive Attitude:
                                     Fairly accurate perception of reality
                                     Sense of purpose and responsibility in life
                                     Acceptance and tolerance of difference in viewpoints
                                     Taking credit for success and responsibility for failure
                                     Open to new ideas
                                     Humour
                          Positive thinking
                          Social Support
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