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    Activities for Stress Management and Prevention

    Jeffrey A. Kottler and David Chen

    Part I (5% of Course Grade)

    Due Date June 13th2012

    Instructions: Please complete the following exercises thoroughly. Even though

    there is no limit on the length of each exercise, your work will be evaluatedbased on the thoughtfulness and effort put into it. Use a different color to

    complete your answers. Thanks!

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    Chapter 1- The Meaning of Stress

    Activity 1.1: Matching Questions

    Directions: Find out how much you know the history of research on stress by

    completing the following matching questions.

    Leaders/Researchers Events/Influence

    1 Oriental doctors,

    Greek doctors

    A Adaptive function of fear and stress

    2 Claude Bernard B The fight-or-flight; response/homeostasis

    3 Charles Darwin C The general adaptation syndrome

    4 Sigmund Freud D Homeostasis and fight-or-flight

    response

    5 Walter Cannon E Allostasis

    6 Hans Selye F Theory of anxiety and unconsciousness

    7 G The importance of moderation and

    avoidance of excess in food, sex, thoughts,

    and emotions, etc.

    8 Sterling and Eyer H Allostatic load

    9 Bruce McEwen and

    Elliot Stellar

    I The internal environment

    Answer sheet1

    2

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    8

    9

    Activity 1.2: Understanding the Meaning of Stress.

    Directions: The following statements are not accurate. State why they are false by

    using evidence cited in the text, or examples from your life, to refute the

    fallacious statements.

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    1. Stress is the same for everybody.

    2. The relationship between stress and the incidence of illness is simple and

    straightforward.

    3. Stress is always bad for you.

    4. Stress is everywhere, so you can't do anything about it.

    5. Whenever someone experiences a stressor, he/she will inevitably experience

    physiological arousal or emotional anxiety.

    6. If someone does not display symptoms, it means that he/she has no stress.

    7. Only major stressors cause damage to your health.

    8. Your goal in stress management class is to completely eliminate stress.

    Activity 1.3: Sentence Completion Exercises

    Directions: In these exercises, complete the sentences as many times as you can

    with different endings.

    1. I feel most stressed out when

    2. I feel most relaxed when

    3. When I feel stress, I would normally (talk about how you feel, behavior, and

    think)

    4). If I had known more about the harm of excessive stress to my health, I would

    Activity 1.4: Reflections on what you learned

    Directions: Write down your initial impressions and goals. You have just begun this

    journey exploring the nature and meaning of stress in your life. Based on your

    introduction to this subject in your first classes and readings, what would you like to

    accomplish before the course is completed? Write down several of your most importantgoals in the space provided. After the semester is over, you will have the opportunity to

    go back and review these first impressions, comparing them to what you actually

    accomplished.

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    Chapter 2- The Bodys Reactions to Stress

    Activity 2.1 Physiological Basis of Stress

    Directions: Test your understanding of the following concepts by completing the

    following matching questions (refer to Chapter 2 in the text):

    Neural Structures Clues

    1 Nervous system A Consisting of organs that process food

    sources, converting them into useable

    energy

    2 Endocrine system B Allowing us to move when our muscles

    contract

    3 Cardiovascular system C Collective name for all of the neurons in

    the body

    4 Respiratory system D Consisting of the sympathetic and

    parasympathetic nervous systems

    5 Immune system E Increasing the bodily metabolism and

    energy expenditure

    6 Musculoskeletal

    system

    F Producing hormones and emptying them

    into the bloodstream

    7 Digestive system G Delivering oxygen, hormones, nutrients

    and white blood cells to the body

    8 Reproductive system H The adrenal cortex hormones that affect

    metabolism of fats and carbohydrates

    9 Autonomic nervous

    system

    I The endocrine gland under the

    hypothalamus that secretes hormones that

    control other glands

    10 Sympathetic nervous

    system

    J An adrenal cortical steroid hormone that

    regulates mineral metabolism and fluid

    balance

    11 Parasympathetic

    nervous system

    K Also known as sensory relay center

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    12 Hypothalamus L Playing an important role in memory,

    spatial navigation, and stress termination

    13 Thalamus M An abbreviation for corticotrophin-

    releasing factor

    14 Limbic system N An abbreviation for adrenocorticotropic

    hormone

    15 Hippocampus O The endocrine glands on top of each

    kidney that secrete stress hormones

    16 CRF P The endocrine gland in the neck that

    secretes the hormone thyroxin

    17 ACTH Q Providing defense against foreign

    invaders

    18 Glococorticoids R Also known as the seat of emotions

    19 Mineralcorticoids S Processing emotions and activating the

    fight-or-flight response

    20 Pituitary gland T Dedicated to the production of offspring

    21 Thyroid gland U Providing oxygen and nourishment to the

    bodys cells

    22 Adrenal gland V Reducing the bodily metabolism and

    energy expenditure

    Answer

    Sheet

    1

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    78

    9

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    13

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    14

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    1819

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    Activity 2.2: Understanding the Sympathetic and Parasympathetic Systems

    Directions: Fill in the spaces provided to indicate the effects of the autonomic

    nervous systems on these target organs.

    Effects of the Sympathetic and Parasympathetic Systems on Selected Organs

    Effector Sympathetic System Parasympathetic System

    Pupils of eye

    Sweat glands

    Digestive glands

    Heart

    Bronchi of lungs

    Muscles of digestive system

    Kidneys

    Urinary bladder

    Liver

    Adrenal medulla

    Blood vessels to

    Skeletal muscles

    Skin

    Respiratory system

    Digestive organs

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    Chapter 3- Sources of Stress Across the Lifespan

    Activity 3.1: Interview Exercises

    Directions: Complete the following exercises by interviewing people of different

    age groups.

    1. Interview a middle-aged adult (using only first name and age), like your

    parents or relatives. Describe his/her stressors and challenges in daily activities.

    Also mention their resources in coping with their challenges.

    2. Interview a senior citizen 65 years and older (using only first name and age).Describe his/her stressors and challenges in daily activities. Also mention their

    resources in coping with their challenges.

    3. Based on your interviews and previous experience, analyze your past life in

    terms of its stressors and challenges and how you have dealt with them. Also,project into the future as to the kinds of stressors you might confront when you

    reach that age. Describe how you plan to deal with them in the case of some

    adversities.

    Activity 3.2: Going Back into Time

    It has been said that adolescence is by far the most stressful period of life, fraught with

    so many simultaneous stressors related to biological changes, social pressures, identity

    development, struggles with love, sex, peer acceptance, parental authority, school

    pressures, family conflicts, drugs, and so on. Go back in time to your own high schoolyears and recall the most difficult challenges you faced. Write down a few of those that

    still make you shiver with apprehension.

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    What might have helped you to cope better with these stressors?

    Activity 3.3: Going Forward in Time

    Project yourself 10 years in the future, to the next stage in life development in which

    you are reasonably settled into your life and work. Given your personality, history,

    aspiration, and goals, what do you anticipate will be the greatest stressors you will face?

    How do you intend to prepare for them?

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    Chapter 4- Adaptive and Maladaptive Behavior

    Activity 4.1: Theoretical Models of Coping and Adaptation

    Directions: Write the name of the appropriate term or theory in the space provided. Use

    each term only once.

    Behavioral model Cognitive model

    Humanistic model Psychoanalytic model

    Sigmund Freud Carl Rogers

    B. F. Skinner Aaron Beck

    Dynamic systems model Classical conditioning

    Operant conditioning John Watson

    1. This theory has the assumptions that people are basically growth-oriented and

    increased awareness of self and others leads to improved self-esteem and personal

    functioning. ___________________

    2. This psychologist advocated stress reduction primarily through the

    establishment of trusting relationships with others, the kind that permit you to

    honestly and genuinely talk about how you feel, in a context of acceptance and

    respect. ____________________

    3. Based on this theoretical model, self-defeating behaviors occur because of unresolved

    conflicts from the past that continue to weigh on your mind, even if this is not withinyour conscious awareness. _________________

    4. This psychologist applied the concept of classical conditioning in the treatment of

    phobias. ___________________

    5. This psychologist theorized that we spend our life trying to reconcile

    instinctual drives (id) with that of our conscience (superego) while the ego acts as

    the negotiator and mediator of these two often conflicting forces.

    ________________

    6. One of the assumptions in this theoretical model suggests that your interpretations of

    the world determine both your perception of stress and how you manage it.

    __________________

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    7. The cognitive behavior therapy was developed by this psychologist.

    ___________________

    8. This theoretical model posits that dysfunctional behaviors are learned through

    environmental conditioning, and thus can unlearned. _____________________

    Activity 4.2: How Defense Mechanisms Respond to Stressors

    Directions: Test your understanding of the following concepts of defensive mechanisms

    based on the psychoanalytic traditions by completing the following matching questions.

    Defense

    Mechanism

    Description

    1 Rationalization A Distancing yourself from painful feelings by presenting

    overly rational explanations

    2 Denial B Converting unacceptable impulses or desires into moresocially acceptable outlets

    3 Intellectualization C Distracting yourself from unpleasant situations by escaping

    4 Projection D Behaving in the exact opposite way that you really feel in

    order to ward off threatening material

    5 Repression E Trivializing behavior in order to avoid responsibility

    6 Sublimation F Converting negative feelings from one person or object to

    another that is more acceptable

    7 Fantasy G Perceiving that others hold those undesirable qualities that

    you find most unacceptable in yourself

    8 Regression H Justifying a situation through faulty logic9 Reaction

    formation

    I Burying painful memories into the unconscious

    10 Minimization J Reverting back to coping strategies of an earlier time in

    development

    11 Displacement K Pretending that something unpleasant didnt really happen

    Answer Sheet

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    9

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    Activity 4.3: Unresolved IssuesIt has been said that stress is caused, in part, not only by current circumstances that put

    you under pressure, but also by unresolved issues from the past that come up again and

    again. Examples of this might include such things as problems with authority figures,

    early child trauma, co-dependency in relationships, unstable parenting, lack of

    confidence due to early failures, and so on.

    What are some of the issues or recurrent problems in your life that arise repeatedly in

    slightly different forms?

    Activity 4.4: Assessing Your Anger

    Directions: Answer the following questions honestly;

    1. Recall the last anger episode you experienced. What triggered it? Describe how you

    reacted to it and how you dealt with it.

    2. Complete the following sentence completion exercises:

    (1). I become angry when _______________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

    (2). When I am angry, I tend to __________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

    (3). After each episode, I tend to _________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________(4). Regarding how anger affects my health, my belief is that ________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

    ______________________________________________________________________________

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    Activity 4.5: Stress Journal

    In this chapter you were advised to keep a stress journal as a way to assess and monitor

    what upsets you most. Keep a notebook around for one whole day, or even several days

    in a row, and note the following information every time you notice yourself feeling

    anxious or upset about something.

    Day/Time Place Context What Happened? Reactions Thoughts

    .

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    Chapter 5- Individual and Cultural Differences

    Activity 5.1: Personality Traits and Stress

    Directions: To assess your understanding of keys concepts regarding personality

    traits and stress, complete the following True/False questions.

    1. Stress responses are not only the result of universal human physiological

    functioning, but also of individual traits and personalities. (True/False)

    2. There is a clear and definite relationship between personality traits and cancer

    based on solid research. (True/False)

    3. A helpless personality would attribute the loss of a job to an external and

    unstable factor. (True/False)

    4. Men and women are prone to different stress-related health vulnerabilities.

    (True/False)

    5. Research shows that men tend to have more complaints about stress-related

    symptoms because men are under more stress most of the time. (True/False).

    6. Culture can influence stress and coping in various ways including the types of

    stressors experienced, the appraisal of these stressors, the choice of coping

    strategies, and the institutional mechanisms for coping with stress. (True/False)

    7. Acculturation stress refers to both the cultural and psychological changes thatresult from continuous contact between two or more cultural groups.

    (True/False)

    8. Gender and sex are synonymous and can be used interchangeably without

    causing confusion. (True/False).

    Activity 5.2: Assessing Type A Behavior

    You learned in the chapter about a kind of personality style (Type A) that is far

    more prone to stressful reactions because of the compulsive, competitive, driven,overly motivated way in which such individuals function on a regular basis. You

    may be able to recognize some of these characteristics in others you know, if not

    in yourself. Select someone you know (or yourself if appropriate) who

    demonstrates Type A behavior. Write down (or discuss in some groups) ways

    that the following qualities of this personality style significantly increase stress

    levels.

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    Being Competitive

    Strong Desire for Recognition

    Impatience with Self and Others

    Multi-tasking

    Hostility and Aggressive Behavior

    ______________________________________________________________________

    Activity 5.3: Cultural Identities

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    Directions: Everyone holds several cultural identities that include race, ethnicity,

    religion, family background, gender, sexual orientation, even geographic location,

    college major, and hobbies. How have your most dominant cultures influenced the

    ways that you experience stress?

    Activity 5.4: Understanding Gender-Related Differences in Stress Coping

    Approaches

    Directions: This activity encourages you to discuss differences in coping with

    stress. In small groups talk to one another about times in your lives when you

    have experienced stress. Based on these and other experiences, address the

    following questions in your discussion.

    1. When you received a bad grade in a test, what kinds of reactions would younormally demonstrate?

    Males:

    Females:

    2. When you had a fight with a colleague, what were the immediate things you

    would do?

    Males:

    Females

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    3. When feeling sick or realizing that you had some symptoms of a diseases,

    what were your reactions?

    Males:

    Females:

    4. How kinds of books did you read in the past that may help you cope with

    stress?

    Males:

    Females:

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    Chapter 6- Challenging Stressful Thinking

    Activity 6.1: Redefining Stress

    You learned in this chapter that stress is based, in part, on the ways you perceive and

    interpret your experiences. What one person finds stressful, another might find

    exhilarating or fun and exciting.

    Think of a time recently in which other people around you were all stressed out about

    something but you felt very differently about the situation and were relatively calm, if

    not enjoying the moment.

    What were you telling yourself about what was happening that was different from

    what others might have been telling themselves?

    Activity 6.2: Stopping the Little Annoyances

    There are times when you consistently get upset about something that annoys you. You

    cant really do much to changeother peoples behavior, at least in the short run, yet youstill allow these incidents to get underneath your skin over and over again. For each of

    the following common annoying situations, think of a way that you could talk to

    yourself inside your head so that you dont feel additional stress by these situations. We

    are not talking about what you say or do on the outside, but rather what you say to

    yourself on the inside.

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    A. Someone is speaking loudly on a cell phone in a public space

    B. A person on the freeway is driving slowly in the express lane, blocking you fromdriving faster.

    C. Someone is standing in line in front of you, chatting to the cashier as if he has allthe time in the world.

    D. A teacher in one of your classes is giving a particularly boring lecture.

    Activity 6.3: A Thought-Stopping Procedure

    Directions: Think of a situation (e.g., taking a quiz or an examination, making a

    presentation in front of your class) where you often catch yourself thinking negatively.

    The following exercise allows you to analyze the situation and replace the negative

    thoughts with positive ones.

    1. Describe the situation thoroughly.

    2. Identify the negative thoughts in your head.

    3. List a cue or cues that you may use as a signal to stop your negative thoughts. For

    instance, the word stop is a potent cue.Based on what you learned in this chapter

    about counteracting dysfunctional thinking that only makes the stress worse, dispute

    each of the thoughts that you found were unhelpful.

    Here are some cues to consider while disputing these irrational beliefs and cognitive

    distortions:

    What is the evidence that this is so? How are you exaggerating things? How are you distorting reality? How are you making absolute demands that things (or others) be a particular

    way?

    How are you expecting things of yourself (or others) that are unrealistic orpefectionistic?

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    4. List all positive and constructive thoughts you may use in the future to replace the

    negative ones.

    Activity 6.5: Understanding Cognitive Approaches to Coping with Stress

    Directions: Write the name of the appropriate term or theory in the space provided. Use

    each term only once.

    Donald Meichenbaum Cognitive restructuring

    Rational emotive behavior therapy ABC theory of emotions

    Albert Ellis Catastrophizing

    Morita therapy Miracle question

    1. This therapy directs one's attention receptively to what reality brings in each moment

    and emphasizes the principle that simple acceptance of what is allows for active

    responding to what needs doing. ____________________

    2. . Known by different names such as skeleton key or crystal ball, this mental

    strategy exercise is intended to help you see new possibilities for the future

    regarding a current problem. ____________________

    3. This is a particular coping style in which people inoculate themselves against

    stress by building up a reservoir of positive self-talk or internal dialogue to dealwith lifes challenges.____________________

    4. This theory plots out, logically and sequentially, the mechanisms by which people

    become upset and how they might change negative feelings through certain thinking

    patterns that are deemed more rational and reality-based. ___________________

    5. He is the psychologist who coined the term cognitive restructuring. ______________

    6. He is the psychologist who originated rational emotive behavior therapy and whose

    theory provided a framework for understanding the ways that irrational thinking in

    response to stressors creates severe emotional disturbance. ____________________

    7. The goal of this psychotherapy approach is to teach people how to identify what they

    are doing to upset themselves and, in turn, to change the nature of their thinking in

    such a way as to produce a more desirable outcome. ___________________

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    8. This is a set of irrational beliefs represented by gross exaggerations of reality in which

    you think as if you have suffered the worst possible tragedy imaginable.

    ____________________

    Activity 6.6: Changing Your Negative Beliefs

    Directions: In this exercise you will answer a few questions in order to help yourself

    change a negative thought.

    1. Recall a most recent event where you remembered an automatic negative thought

    occurs in your mind. Write down that negative thought. Comment on how much you

    believe this thought is true.

    2. What is the evidence that this negative thought is true?

    3. What is the evidence that this negative thought is untrue?

    4. What is your core belief that generates your negative thought in the first place?

    5. What is the evidence for and against the core belief?

    6. What is an alternative thought, a more positive one that can replace the negative core

    belief?

    Chapter 7- Problem Solving and Time Management

    Activity 7.1: Problem Solving Strategies

    Directions: Think of an ongoing source of stress in your life and describe it below. This

    should be a situation that you have been struggling with for some time and have tried a

    variety of things to deal with it, most of them unsuccessfully.

    Write down all the things youve tried to deal withthis situation.

    Review your list again and circle those items that you have tried multiple times with

    similarly unsatisfactory results. It is clear, beyond much doubt, that these strategies do

    not work well even though you keep doing them. (Think of the example when a parent

    or teacher yells at a kid to stop doing something annoying but the behavior persists

    anyway. What does the adult do? Yell louder. With equally futile results.)

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    Resolve not to do those things again that you are fairly certain do not work. Until you

    are prepared to make such a commitment to stop doing what is positively not working

    you will not be able to free yourself up to experiment with alternative strategies which

    may work.

    What could you do instead of what you have already been doing? Make a list of as

    many possibilities as you can think of, at least a dozen or more. It isnt important that

    they seem practicalthe object of this exercise is for you to realize how many choices

    you have compared to the few that keep you stuck.

    Activity 7.2: Concern Versus WorryThe chapter discusses the difference between being constructively concerned about

    things that you might somehow predict, control, or otherwise plan for, versus incessant

    worries about things that far beyond your control. For example, people spend a lot of

    time over-stressed thinking about the weather, other peoples behavior, possible

    disasters, and worst-case scenarios. What are some examples of things in your life that

    you spend time worrying over and over, even though it appears to do little good?

    What are some ways that this worrying behavior might be useful to you in some ways?

    Think in terms of its distractive value, the self-pity or sympathy you might enjoy, or

    even the magical belief that you might somehow prevent disaster through magical

    thinking.

    Activity 7.3: Exercise on Separation

    Directions: Sometimes the inability to separate a problem from how you feel about the

    situation may impede your progress in obtaining solutions. The following is an exercise

    that is designed to help you separate the two.

    Step 1. Describe the problem thoroughly and objectively without reference to how you

    are feeling.

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