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ANGINA AND STRESSFUL EVENTS
Stress is a result of events which put demands upon people. But the same event can be interpreted in different ways. For example, going into hospital can be a threat to someone who thinks they have a burst appendix, and a joy to another who is due to have a baby. The meaning of the event determines whether the event is seen to be a threat or a wonderful opportunity. This chapter examines the meaning of stressful events and how to cope with them.
Everyone faces demands of many kinds daily. These minor events include such events as:
bad weather
noise
planning and preparing meals
travel
traffic jams
conflict with a partner or work colleague
missing buses, being late for appointments
equipment breaking down
having a heavy cold.
Not all of these ‘hassles’ are necessarily bad, such as travel, but nevertheless, demand is put on the person to take decisions or to do things in a short space of time. The more minor hassles a person has in a day, the more stress is experienced as emotional strain and physical arousal, leading eventually to exhaustion.
The two keys to whether a person feels stressed by minor hassles are firstly, if the events all pile upon each other or come on top of a more important life crisis, such as a bereavement, and secondly, how the person interprets their likely ability to cope with it.
Before turning to how to cope with hassles and life crises, it is helpful to learn more about the types of events which cause stress. Identifying the causes of stress is the first step in predicting future stress and in triggering new ways of coping.
Recent experience of life crises, or ‘life events’ as researchers have called major events which cause change and increase demands upon people, is associated with more feelings of stress. In a major transport disaster, when a person may be badly injured and face their own death and the loss of fellow travellers including perhaps their family, they will experience a number of life crises all at once. This causes maximum demand on all emotional, physical and financial reserves. But life crises can be equally stressful if they occur one on top of the other over a period of time, with little chance to recover in between or to anticipate and plan for the next crisis. Bankruptcy, for example, can cause a series of losses: of work, money, goods, social standing and self-esteem. The bankrupt may feel others have taken over, causing sudden new changes such as the mortgage company repossessing the house.
In general, the more of the high-ranked life events experienced by a person in a short space of time, the more stress they experience and the more likely they are to develop serious stress-related illnesses such as heart disease and ulcers. But it is also true that stress is not inevitable, since it depends on how the person believes the event will affect them and how well they are able to ward off any threatening effects
Think for yourself of the following events and what they mean to you:
One or more real stressful events which have happened to you in the last year. This might include having a heart attack, losing your job or moving house, or having a brush with the law.
One or more major events which occurred in the last year which did not cause stress to you. This might include being made redundant with a large payoff, going on a long holiday, winning a prize or taking up a new hobby.
Two or three events or hassles which irritate you, your ‘pet hate . This might be dogs fouling the pavement near where you live, traffic jams, or party political broadcasts.
Two or three everyday events you encounter which do not cause stress to you but might stress others, such as taking up an important role on a committee, public speaking or being called for jury service.
Under the section on the right ‘What I feel about this event’, write down your emotional reaction to the event. E.g: opposite the everyday hassle of party political broadcasts you might write ‘irritated’. Try to write your feelings in one or two words for each example.
Write down one or more reasons for your emotional reaction to each event. You can simply put words such as ‘lack of control’, ‘fear of failure and embarrassment’, ‘fear of pain’, or ‘pretty sure of success’ by each example.
The importance of this exercise is to see that events are not stressful in themselves, but can cause stress if the event is a real threat to our values, our well-being, health, livelihood and relationships, and either:
predictable and unavoidable, or
unpredictable and unavoidable, or
predictable but controllable with planning or effort during and after the event.
The next section looks at the causes of the stressfulness of events at work and in home and leisure time in more detail, in order to identify some of the key elements of what makes events stressful for each person and what can be done to make changes.
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