Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or...

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Chapter 4 Coping Processes

Transcript of Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or...

Page 1: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Chapter 4

Coping Processes

Page 2: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

The Concept of Coping

• Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”.

• General points for consideration:

1. People cope with stress in many ways.

2. It is most adaptive to use a variety of coping strategies.

3. Coping strategies vary in their adaptive value.

Page 3: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns

1.Giving up

– People may develop learned helplessness – “passive behavior produced by exposure to unavoidable aversive events”.

– Sometimes, could then be transferred to situations in which the person is not really helpless.

– This then creates a passive reaction to stressful events, rather than active problem-solving.

Page 4: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

Giving up, continued

• Cognitive interpretation of aversive events may determine whether we feel helpless or not.

– People with a pessimistic explanatory style view aversive events as “out of their control”, feel helpless, and give up.

– This coping strategy is called behavioral disengagement and is associated with increased distress.

Page 5: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

2.Acting aggressively

– Frustration caused by stressful events may elicit aggression, “behavior intended to hurt someone, either physically or verbally”.

– People often act out toward others who had nothing to do with their frustration.

– Using a substitute target in this manner was called displacement by Freud.

Page 6: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

Striking out at others, continued

• Freud believed aggressive acts could release pent-up emotional tension and called the process catharsis.

• However, research finds that acting aggressively produces more, not less, anger and aggression.

Page 7: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

3.Indulging yourself

– When stressed by events that are going poorly, some people seek out alternative sources of satisfaction:

• Excessive eating, drinking, and smoking;

• gambling & drug use; and

• Internet addiction – “spending an inordinate amount of time on the Internet and inability to control online use” (see Figure 4.4).

Page 8: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Figure 4.4. Measuring addiction to the Internet. The questions on Young’s (1998) Internet Addiction Test highlight the traits that make up this syndrome. You can check to see whether you exhibit any signs of Internet addiction by responding to the items and computing your score.

From Young, K.S. (1998). Caught in the Net: How to recognize the signs of Internet addiction – and a winning strategy of recovery. New York: John Wiley. Copyright © 1998 John Wiley & Sons, Inc. This material is used by permission of John Wiley & Sons, Inc.

Page 9: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

4.Blaming yourself

– People often become highly critical of themselves when stressed.

– Albert Ellis called this catastrophic thinking, which involves

• Attributing failures to personal shortcomings;

• Focusing on negative feedback; and

• Being overly pessimistic about the future.

• This pattern perpetuates negative emotional reactions to stress.

Page 10: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

5.Using defensive coping

– Defense mechanisms are “largely unconscious reactions that protect a person from unpleasant emotions such as anxiety and guilt”.

– Defense mechanisms shield us from emotional discomfort caused by stress.

– However, most involve a degree of self-deception, a distortion of reality.

Page 11: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

Defense mechanisms, continued

• Defense mechanisms are considered normal, and can operate at various levels of consciousness.

• Can they ever be healthy?

– Generally, they are not, because

• They are avoidance strategies;

• They often involve “wishful thinking”; and

• Some have been linked to poor health.

Page 12: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Common Coping Patterns, continued

Are they healthy?, continued

– Sometimes, however, they are useful for severe stress because they buffer us from extremely negative emotions.

• (e.g., unrealistic optimism may benefit a terminally ill patient.)

Page 13: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Constructive Coping, continued

• Constructive coping - “refers to efforts to deal with stressful events that are judged to be relatively healthful”.

• Constructive coping involves

1. Confronting problems directly.

2. Effort.

3. Realistic appraisals of stress and coping resources.

4. Learning to recognize and manage disruptive emotional reactions to stress.

Page 14: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Constructive Coping, continued

Constructive coping involves, continued

5.Learning to exert some control over potentially harmful or destructive habitual behaviors.

– There are three main categories of constructive coping strategies (see Figure 4.6):

1.Appraisal-focused

2.Problem-focused

3.Emotion-focused

Page 15: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Figure 4.6. Overview of constructive coping tactics. Coping tactics can be organized in several ways, but we will use the classification scheme shown here, which consists of three categories: appraisal-focused, problem-focused, and emotion-focused strategies. The list of coping tactics in each category is not exhaustive. We will discuss most, but not all, of the listed strategies in our coverage of constructive coping.

Page 16: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Appraisal-Focused Coping, continued

• In Ellis’s A-B-C model (see Figure 4.7), he explains how our appraisal (or beliefs about stressful events) is critical to the coping process.

– Negative appraisals (or beliefs) are often associated with catastrophic thinking, which exaggerates the magnitude of our problems.

– Positive (realistic and/or optimistic) appraisals allow constructive coping.

Page 17: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Figure 4.7. Albert Ellis’s A-B-C model of emotional reactions. Most people are prone to attribute their negative emotional reactions (C) directly to stressful events (A). However, Ellis argues that emotional reactions are really caused by the way individuals think about these events (B).

Page 18: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Appraisal-Focused Coping, continued

• The roots of catastrophic thinking

– Unrealistic, negative appraisals stem from irrational assumptions we hold:

1.“I must have love and affection from certain people.”

2.“I must perform well in all endeavors.”

3.“Other people should always behave competently and be considerate of me.”

4.“Events should always go the way I like.”

Page 19: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Appraisal-Focused Coping, continued

• Catastrophic thinking can be reduced by

– Learning to detect it when it occurs.

– Learning to dispute irrational assumptions.

– Defusing stressful situations with humor.

– Reinterpreting stressful situations in a more positive light.

Page 20: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Appraisal-Focused Coping, continued

• Humor as a stress reducer

– Humor can lessen the negative impact of stress on mood for many reasons:

• It creates a more positive appraisal

• It increases positive emotions

• It facilitates positive social interactions, which reduce stress

• See Figure 4.9 for more information.

Page 21: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Figure 4.9. Possible explanations for the link between humor and wellness. Research suggests that a good sense of humor buffers the effects of stress and promotes wellness. Four hypothesized explanations for the link between humor and wellness are outlined in the middle column of this diagram. As you can see, humor may have a variety of beneficial effects.

Page 22: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Appraisal-Focused Coping, continued

• Positive reinterpretation can also buffer stress in the following ways:

– We can recognize that “things could be worse”.

– We can utilize “benefit finding” in a bad situation (searching for something good in a bad experience).

Page 23: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

• Using systematic problem-solving

• Evidence shows that problem-solving skills can be increased through training (Heppner & Lee, 2002, 2005) and by using these steps:

1. Clarify the problem.

2. Generate alternative courses of action.

3. Evaluation alternatives and select a course of action.

4. Take action while maintaining flexibility.

Page 24: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

• Seeking help

– It is often helpful to seek aid from friends, family, coworkers, and neighbors.

– Cultural factors in seeking help:

• Asians, Asian Americans, and individuals from collectivistic cultures are less likely to seek help from others.

• This is based in a cultural tendency to avoid “burdening” others with one’s problems.

Page 25: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

• Using time more effectively

– A common source of stress is feeling there is not enough time to accomplish tasks.

– Often, this can be improved by using the time we have more effectively.

Page 26: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

Using time more effectively, continued

• The causes of wasted time

1. Inability to set or stick to priorities.

2. Inability to say “no” to others’ demands on our time.

3. Inability to delegate responsibility.

4. Inability to throw things away.

5. Inability to accept anything less than perfection.

Page 27: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

Using time more effectively, continued

• The problem of procrastination

– About 70-90% of college students put off academic assignments (Knaus, 2000).

– Many claim to benefit from this tactic (e.g., saying they “work well under pressure”).

Page 28: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

Using time more effectively, continued

• Why do students procrastinate?

– Desire to minimize time on a task.

– Desire to optimize efficiency.

– Close proximity to reward.

• Students often get rewarded for it.

• However, procrastinators also tend to experience more anxiety and health problems.

Page 29: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

Using time more effectively, continued

• Time management techniques

1. Monitor your use of time – keep a record to see where it all goes (see Figure 4.11).

2. Clarify your goals – decide what you want to accomplish with your time.

3. Plan your activities using a schedule – planning saves time in the long run.

Page 30: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Figure 4.11. Example of a time log. Experts recommend keeping a detailed record of how you use your time if your are to improve your time management. This example shows the kind of record keeping that should be done.

Page 31: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Problem-Focused Coping, continued

Using time more effectively, continued

4. Protect your prime time – announce to others when you’re blocking off certain times to work so you won’t be interrupted.

5. Increase your efficiency. Try these tips:

– Handle paper once.

– Tackle one task at a time.

– Group similar tasks together.

– Make use of your “downtime”.

Page 32: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Enhancing emotional intelligence

– Emotional intelligence – “the ability to perceive and express emotion, use emotions to facilitate thought, understand and reason with emotion, and regulate emotion”.

Page 33: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Emotional intelligence has four components:

1. Accurately perceiving emotions in yourself and others.

2. Knowing how your emotions shape your thinking.

3. An understanding of complex or contradictory emotions.

4. Regulation of emotions, especially negative ones.

Page 34: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Expressing emotions

– Efforts to actively suppress emotions, especially anger, tend to increase stress and physiological arousal.

– In contrast, “emotional disclosure” is associated with better mood, more positive self-perceptions, and better health.

Page 35: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Managing hostility and forgiving others

– When we feel “wronged”, our natural tendency is to seek revenge or hold a grudge.

– Forgiving others goes counter to these instincts, but is associated with better adjustment and well-being.

Page 36: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Exercising

– Regular exercisers have increased emotional control and less emotional distress (Oaten & Cheng, 2006).

– To achieve maximum benefits, follow these “rules”:

1.You must want to exercise.

2.Engage in aerobic exercise.

3.Exercise on a regular basis.

Page 37: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Using meditation and relaxation

– Meditation – refers to “a family of mental exercises in which a conscious attempt is made to focus attention in a nonanalytical way”.

• Benefits include

– Decreases in heart rate, respiration rate, oxygen consumption, and carbon dioxide elimination that indicate a state of deep relaxation.

Page 38: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Meditation benefits, continued

– Increased activity in the prefrontal cortex, which indicates a focusing of attention.

– Lower levels of stress hormones.

– Lower anxiety.

– Better mood.

– A sense of control.

Page 39: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Emotion-Focused Coping, continued

• Using relaxation procedures

– One well-known technique is Benson’s “relaxation response”. Four factors are critical (see Figure 4.14):

1.A quiet environment.

2.A mental device (or focal point).

3.A passive attitude.

4.A comfortable position.

Page 40: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Figure 4.14. Benson’s relaxation response. The relaxation procedure advocated by Herbert Benson is a simple one that should be practiced daily.

From Benson, H., & Klipper, M.Z. (1975, 1988). The relaxation response. New York: Morrow. Copyright © 1975 by William Morrow & Co. Reprinted by permission of HarperCollins Publishers.

Page 41: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Application: Coping with Loss

• Death is a taboo topic in our culture, so Americans cope with death anxiety through avoidance.

• This is facilitated by the death system – “ the collection of rituals and procedures used by a culture to handle death”.

– Individuals with well-formed philosophies about death have less death anxiety.

Page 42: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Application: Coping with Loss, continued

• The process of dying

– According to Kubler-Ross (1969, 1970), people evolve through five stages as they confront their own death:

• Stage 1: Denial

• Stage 2: Anger

• Stage 3: Bargaining

• Stage 4: Depression

• Stage 5: Acceptance

Page 43: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Application: Coping with Loss, continued

• Bereavement and grieving

– Bereavement – refers “to the painful loss of a loved one through death”.

– Mourning – refers “to the formal practices of an individual and a community in response to a death”.

Page 44: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Application: Coping with Loss, continued

• The grieving process

– Bowlby (1980) describes grieving as a four-stage process:

• Stage 1: Numbness

• Stage 2: Yearning

• Stage 3: Disorganization and Despair

• Stage 4: Reorganization

Page 45: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Application: Coping with Loss, continued

• Grief after the death of a spouse can take various forms:

– Absent grief: low levels of depression before and after the spouse’s death

– Chronic grief: high levels of depression before and after the spouse’s death

– Common grief: increased depression shortly after the spouse’s death, followed by a decrease

• Common grief is not, in fact, the most frequent pattern (see Figure 4.15).

Page 46: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Figure 4.15. Five reactions to spousal loss. Researchers gathered data on 205 older individuals prior to spousal loss and 6 months and 18 months following spousal loss. Ninety percent of the subjects exhibited one of the five bereavement patterns shown in the figure. Contrary to popular belief, “absent grief” or the “resilient pattern” was the most frequently experienced reaction, while “common grief” occurred relatively infrequently. Traditional views of grief hold that the “common grief” reaction is the only healthy response to loss, but numerous studies contradict that view. (Adapted from Bonanno et al., 2002)

Page 47: Chapter 4 Coping Processes. The Concept of Coping Coping refers to “efforts to master, reduce, or tolerate the demands created by stress”. General points.

Application: Coping with Loss, continued

• Coping with various types of loss

– Mental health professionals offer the following advice:

• Seek support while you are grieving.

• Care for your own emotional needs while grieving.

• Care for your own physical needs while grieving.

• Be aware and plan for grief triggers.