STRESS AND COPING MECHANISMS Stress Stress is a subjective feeling in response to environmental events that are perceived as frustrating or threatening. Individuals adapt to stressful situations by using coping strategies and defense mechanisms. Emotions “Fight” or “Flight” A physical response to emotions related to a change or threat Prepares the body for aggression (fight) Prepares the body to escape a perceived danger (flight) Learning to control emotions is a major task Types of Emotions Anxiety A vague unpleasant feeling that produces physical sensations Causes tension and increased heart rate Often cannot identify the reasons for emotional distress Fear Result of a specific, identifiable cause Physiological reactions similar to anxiety Anger Inborn, instinctive An emotional reaction to loss Aggression A combination of frustration, hate, and/or rage Perception of Control In control – the perception that one has choices and is able to create a change in a psychological state or current life circumstances Powerlessness – the perception that one’s actions cannot effect changes in outcome Long term feelings of powerlessness lead to feelings of physical and mental fatigue which can ultimately lead to depression Hopelessness – the perception that one’s needs have no potential to be met Long term feelings of hopelessness often lead to depression Spiritual distress Leads The one to question meaning of life The meaning of suffering and pain The value of living Stress and Coping Stress – the subjective feeling of tension to perceived events Coping – refers to how the mind reacts to stress Coping mechanisms Vary from person to person An event that stresses one person, might not stress another Conscious behavior is usually based on the success of previous coping experiences Direct Methods vs Indirect Methods Direct Methods Hard work Setting realistic goals Cooperating with others Evaluating effectively Indirect Methods Unhealthy when used too often, but sometimes allows us to cope. Unconscious acts that help a person deal with an unpleasant situation or socially unacceptable behavior. Defense Mechanisms Defense Mechanisms Everyone uses defense mechanisms. Some use is helpful and allows the individual to cope with certain situations. Can be unhealthy if they are used all the time and are substituted for more effective ways of dealing with situations. Unconscious actions used to cope with difficult situations. Not always negative, unless their use begins to interfere with an individuals sense of reality. Compensation Covering up weaknesses by emphasizing a more desirable trait or by overachievement in a more comfortable area. Substituting one goal for another goal in order to achieve success. Purpose - allows a person to overcome weakness and achieve success Examples: High school student too small to play football becomes a star tennis player. A student wants to become a doctor, but doesn’t have enough money for med school and becomes a physician’s assistant instead Intellectualization When an emotional response that would normally accompany a painful or uncomfortable incident is avoided by use of academic or intellectual explanations that remove personal feeling from the incident. Use of academic type explanation to separate personal feelings from painful events. Purpose - protects a person from the emotional reality of loss. Allows a person to escape from dealing with an unpleasant situation. Example: Pain over sudden death of friend is reduced by saying “he wouldn’t have wanted to lived disabled.” Daydreaming Dreamlike thought process that occurs when a person is awake. Purpose – provides a means of escape if a person is not satisfied with reality. Example: A student staring at the wall and thinking about going to the beach when they are supposed to be working on an assignment. Projection Projects shortcomings or feelings onto others. The person attributes one’s own perceived negative attributes onto someone else. Placing the blame for one’s own actions and inadequacies on someone else or on circumstances rather than accepting responsibility for the actions. Purpose – allows a person to deny the existence of shortcomings. Examples: A college freshman when called to meet with her advisor believes that she’s called in because the advisor doesn’t like her. A student believes the teacher failed him because she doesn’t like him. Minimization Not acknowledging the significance of one’s behavior. Trivializing significance of one’s behavior. Purpose – allows a person to decrease and trivialize his or her responsibility for a behavior. Helps one to feel better about themselves. Example: A teenager says “Don’t believe everything my kid brother tells you. I wasn’t so drunk I couldn’t drive.” A student may miss a lot of school, but says “ I still get more work done than other students.” Rationalization Justification of certain behaviors with faulty logic and attribution of socially acceptable motives that did not, in fact, inspire the behavior. Occurs when we tell an element of the truth, but deny the larger truth of the matter. Purpose – helps a person cope with an inability to acknowledge inappropriate behavior. Examples: A patient who fears having a lab test performed may say, “I can’t take time off work from my job.” “I could have won the race but the track was wet.” The larger truth was that someone was faster. “I got fired, but the boss was a jerk.” Failures are a threat to the ego rationalization doesn’t hurt as bad. Reaction Formation An individual acts exactly opposite to the way he or she feels. Purpose – a form of repression that allows feelings to be acted out in a more acceptable way. Escape from one’s inability to face conflict. Example: A teenager feels bitterness toward a girl who beat her out of a cheerleader position, but acts very sweetly and friendly when they see each other. A woman is very angry with her boss and would like to quit her job. Instead she is overly kind and generous toward her boss. Displacement Transferring emotional reactions from one object or person to another. Usually occurs because individuals can’t direct the feelings toward the persons responsible, such as a boss or teacher. Purpose: allows feelings to be expressed at or through less meaningful objects or people. Example: A boyfriend and girlfriend are arguing, and he gets so angry that he slams his fist into the wall. A man is mad at his boss and goes home and yells at his family. Regression Resorting to an earlier stage of life that is generally less demanding and responsible. Purpose – allows a person to return to a point in development when nurturing and dependency were acceptable. Examples: After the birth of a sibling, the older child suddenly starts wetting the bed after years of being potty trained. When an adult doesn’t take responsibility, he says, “It’s not my fault, it’s her fault.” Repression An unconscious mechanism by which threatening thoughts, feeling, and desires are kept from becoming conscious. The person forces the unacceptable or threatening feeling out of awareness to a point where he/she becomes unaware of it. Purpose – protects a person from a traumatic experience until he or she has the resources to cope. Allows the person to continue functioning and to “forget” the fear or feeling. Examples: A child who was verbally abused by her alcoholic mother cannot remember certain events from her childhood. A person is asked, “how do you get along with your mother” and he responds, “just fine” as he turns pale. Negative feelings about the mother are so unacceptable that they block his awareness. Denial An attempt to ignore unacceptable realities by refusing to acknowledge them. Disbelief of an event or idea that is too frightening or shocking for a person to cope with. Purpose - temporarily isolates a person from the full impact of a traumatic situation. Examples: A mother, even though she’s told her daughter has terminal cancer, continues to plan for her daughter’s college entrance. The alcoholic expresses, “I may like to drink, but I’m not an alcoholic.” Or a smoker concludes that the evidence linking cigarette use to health problems is bogus. Withdrawal Ceasing to communicate or physically removing yourself from a conflict or painful situation. Purpose – escape from an unpleasant situation. Example: Person wants to just wants to sleep instead of trying to work through a problem. Person is uncomfortable with someone at work and avoids going to work. Suppression Similar to repression, but the individual is aware of the unacceptable feelings or thoughts and refuses to deal with them. The person is aware of the unacceptable desire and validates it but intentionally tries to keep it from expressing itself. Purpose – the individual avoids dealing with the stress by focusing on other activity. Example: A woman refuses to see her doctor, and avoids thinking about it by working overtime. Laughing in a situation that is not normally humorous. Conversion Emotional conflicts or tensions are converted into physical symptoms that have no physical cause. Purpose – escape from unpleasant situation. Example: Before giving a speech to her class, a student becomes nauseous. Lying One doesn’t tell the truth for either self-gain or to spare feeling of ridicule, rejection, or punishment. Examples: Phrases like “I swear I didn’t do it,” or “It doesn’t mean anything” are often used when we know we haven’t lived up to our higher selves. In what circumstances do you think people lie the most? Effective Coping Mechanisms A slight to moderate level of worry that engages adaptive activity to relieve mental distress. Everybody copes with stress in their own way. The key is to develop a healthy skill set when people are coping with stress. Having destructive coping skills will end up causing more stress in the long run. Having good coping skills will enhance communication and learning. When defense mechanisms are inadequate, stress reactions develop: Chronic complaining and demanding behavior Agitation with manipulative behavior Restlessness Sleeplessness Depression – be alert for potential suicide Withdrawal Maladaptive behavior Psychotic behavior – most severe A state caused by lack of contact with reality The mind unconsciously uses many defense mechanisms to deny, destroy, and avoid reality when it can’t consciously cope and solve problems. Which Defense Mechanisms Do You Use the Most? Ways to decrease stress??? There are various ways to decrease your stress physically, mentally, and emotionally. Can you think of some? Relaxation techniques Guided imagery Mantra - Coping statements for reassuring, self-enhancing statements Meditation Mental exercises