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ANGINA AND STRESS: PERSONALITY
In the above examples, the personalities of the people determined how they reacted to the same event. The extent to which each has found a coping strategy that works will determine how stressful they feel. Dean has a hostile personality and has not found a way to channel his aggressive thoughts. Graham does not need to make an effort to cope, as he is a relaxed, unruffled type. Pauline is an impatient and competitive person, for whom waiting time is almost painful.
This section of the chapter aims to help you to clarify which personality types are most like you, and therefore how vulnerable to stress you are. However, this chapter will also emphasize the ways in which once you understand your personality type, you can improve the ways that you cope.
It is a convenient myth that a person cannot change their personality. Or as the sayings go ‘A leopard cannot change his spots’ and ‘You can’t teach an old dog new tricks’. These myths are convenient only because they give a person a perfect excuse for not making any changes at all. Yet any married couple will acknowledge that their and their partner’s personalities have changed in some ways but not others over the years. It is possible to value what is healthy and be wary about situations that may feed into your weaknesses. In this way, you can modify, if not completely rebuild, your personality so you can look after yourself, cope with stress and so cope better with your angina.
Type A behaviour
While it may be of interest to know if your stress-prone behaviour pattern may have contributed to the development of your heart disease, it is even more important to know whether you are ‘stress-prone’ NOW because the evidence shows that those who have had coronary disease (particularly a heart attack), are more likely to develop further complications if they continue to behave in a stress-prone way.
What is Type A behaviour
Behavioural style
Explosive speech, accentuating words unnecessarily
Frequently not ending sentences
Cutting in on others’ speech
Turning your own or others’ speech to your own interests
Moving, walking, eating rapidly
Getting up after meals, and getting on with the next activity
Avoidance of waiting, queues or lines
Doing two or more things at the same time
Being preoccupied with doing worthwhile things
Having few interests outside home or work
Scheduling more and more into less and less time
Tendency to challenge others and find their weak points
Using aggressive gestures like clenching fists, banging on the table for emphasis
Always setting goals for self and others
Concerned to avoid being late for appointments
Ambitious and concerned to show to others the evidence of success
Perhaps the best judge of whether you are Type A or not is the judgement of other people, since it is often very difficult to see one’s own behavioural style objectively. But it is possible to identify the main personality traits which underpin these behaviours, and identify ways of changing them.
The underlying personality of a Type A person can be reduced to time urgency, competitiveness, and joyless striving. Each of these will be examined in detail. In addition, hostility is an important factor in Type A behaviour; it is also a strong predictor of which patients will develop severe angina.
Even if you are not a particularly competitive, time urgent and driven, striving person, it is particularly important to examine whether you are high on hostility and how well you control your anger. Finally, a fifth characteristic of Type A is the excess responsibility factor, which is related to how well you can assert and communicate your needs and beliefs. The remedy to the problem of excess responsibility is to develop assertiveness. It is an important antidote to stress for everybody but particularly for people with a tendency to take responsibility for themselves and others. The following section takes each personal style in turn, examines how to detect it, how it affects you and others, and what you can do to make a healthier personal style for yourself.
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