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KAPLAN UNIVERSITY
HW410 Stress: Critical Issues in Management and
Prevention
StressManagementand
Prevention Program
ResourceGuide
1
K A P L A N U N I V E R S I T Y
Stress Management and Prevention
Program Resource Guide
By
Shannon Felmey
Kaplan University
HW410: Stress: Critical Issues in Management and Prevention
Date of Assignment
Table of Contents
U N I T 1 T H E N A T U R E O F S T R E S S
Information to Remember
Resources: Exercises: Exercises
Tools: Journal Writing: Journal Writing
U N I T 2 T H E P H Y S I O L O G Y O F S T R E S S
Information to Remember
Resources: Exercises: Exercises
Tools: Journal Writing: Journal Writing
U N I T 3 P S Y C H O L O G Y O F S T R E S S
Information to Remember
Resources: Exercises: Exercises
Tools: Journal Writing: Journal Writing
U N I T 4 P E R S O N A L I T Y T R A I T S A N D T H E H U M A N S P I R I T U A L I T Y
Information to Remember
Resources: Exercises: Exercises
Tools: Journal Writing
U N I T 5 D E A L I N G W I T H S T R E S S : C O P I N G S T R A T E G I E S
Information to Remember
Resources: Exercises
Tools: Journal Writing
U N I T 6 R E L A X A T I O N T E C H I Q U E S 1 : B R E A T H I N G , M E D I T A T I O N ,
A N D M E N T A L I M A G E R Y
Information to Remember
Resources: Exercises
Tools: Journal Writing
U N I T 7 N U T R I T I O N A N D S T R E S S
Information to Remember
Resources: Exercises
Tools: Journal Writing
U N I T 8 P H Y S I C A L E X E R C I S E A N D A C T I V I T Y
Information to Remember
Resources: Exercises
Tools: Journal Writing
U N I T 9 A P P L Y I N G S T R E S S : C R I T I C A L I S S U E S F O R M A N A G E M E N T
A N D P R E V E N T I O N T O Y O U R P R O F E S S I O N A L L I F E
Information to Remember
Resources: Exercises
Tools: Journal Writing
Tools: Journal Writing
A D D I T I O N A L I N F O R M A T I O N
R E F E R E N C E S
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Unit 1: The Nature of Stress
Information to Remember:
 Defining stress: The definition of stress is different for everyone. According to Seaward (2009), stress is
the “experience of a perceived threat (real or imagined) to one’s mental, physical, or spiritual well-being,
resulting from a series of physiological responses and adaptations. Holistic medicine defines stress as
“the inability to cope with a perceived (real or imagined) threat to one’s mental, physical, emotional, and
spiritual well-being, which results in a series of physiological responses and adaptations (Seaward 2009).
 The stress response coined by Walter Cannon is known the fight-or-flight response. This stress
response “describes the dynamics involved in the body’s physiological arousal to survive a threat”
(Seaward 2009). Instinctive human nature is to either fight (face and conquer the stressor), or flight (run
away and not fight the stressor). Although more recent theories have suggested that some people,
especially women, tend to look for help from friends to deal with stress (Seaward 2009).
 Men and women tend to handle stress in different ways. “Generally speaking, men are prone to act
more hostile while women have a proclivity to be more nurturing” (Seaward 2009). Men may work
Unit
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through problems by looking for answers or solutions, while women may talk to others and receive
social support in order to conquer problems.
Resources: Exercises:
HW410: Unit 1 Exercises
My Health Philosophy is important to include in this resource list because everyone has a
philosophy, and it is important to understand an individual’s philosophy regarding personal health.
This philosophy is the key to understanding the view of personal health, wellness, and illness from the
individual’s perspective.
EXERCISE 1.2 My Health Philosophy
Life is a kaleidoscope of the infinite variety. No two things are the same. Everyone’s life is
individual.
--Paramahansa Yogananda
We all have philosophies. Philosophies are nothing more than our opinions, dressed up with an
introduction and conclusion—a way to present to someone, even ourselves, what we really think
about some topic or ideal. We have philosophies on everything—the types of music we like and
listen to, the state of world affairs, and even the foods we eat at restaurants.
Now it’s time to examine your philosophy about your health. Based on what you already know,
and perhaps have been taught or exposed to, define as best you can what the words health and
wellness mean to you. After having done this, ask yourself why health is so important and write
a few lines about this.
Given the premise that every issue is a health issue, identify some seemingly non-health issues
such as the global economy, deforestation, or TV programming. See if you can discover the
connection between these issues and your state of well-being. How is your state of health
influenced by stress? Finally, where do you see yourself twenty-five years from now? If you were
to continue your current lifestyle for the next three to four decades, how do you see yourself at
that point in the future? Your health philosophy guides your state of health. What is your health
philosophy? What has influenced your philosophy up to now (e.g., parents, teachers, friends,
books)? Be specific. Take some time to write it down here now. If you need additional space to
write, use the extra pages provided at the back of this book.
My Health Philosophy
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Health is an individual’s opinion regarding a state of well-being, and can be excellent, good,
fair, or poor. This state can also refer to the individual’s physical (body), mental, emotional or
spiritual standing, and each of these areas may be rated differently than other areas. Health can be
improved or it can become worse if not allowed to reach its full potential.
Wellness is the overall picture of physical, mental, emotional, and spiritual health. Wellness is
achieved when all of these areas have reached their potential, or when an individual is conscious
about his or her health and is consciously making changes to improve each of these areas. Balance is
the key to obtaining wellness.
Health is important because it determines which path the individual will take in life. For
example, if physical health is good, it can lead to good mental health and allow the individual to
achieve happiness and wholeness. If mental health is poor, it can also lead to poor physical,
emotional, and spiritual health, leaving the individual unable to obtain happiness.
Although television programming seems to be a non-health concern, it can and does lead to
poor health. Television shows are addictive, so people become glued to the television so they do not
miss a minute of a favorite movie or show. Along with the shows and movies come commercials,
which sometimes encourage people to “take a break” and grab a snack or a drink. Most times these
snacks or drinks are probably quick processed foods, such as chips, cookies, soda, or juice.
Television also acts as a substitute for other activities (MedlinePlus 2014), and leads people to
increase sedentary time and decrease physical activity. All of these combinations have led to
increased obesity rates among children, adolescents, and adults. In addition to rising obesity rates,
television can also lead to decreased social interaction with friends and family, especially for children.
When children see violence on television, they may be more apt to show aggressive behavior toward
others, and they may also experience higher rates of attention problems (MedlinePlus 2014). When
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television is limited or avoided, such as in this household, other activities are encouraged instead of
watching television, such as playing outside or engaging in physical activity. I am making conscious
efforts to encourage my boys to lead a healthy lifestyle with healthy food choices and physical
activity, and very little television or other sedentary activities.
My state of health sometimes suffers in times of high stress. For years, I have battle obesity,
and I was a “stress eater,” always eating high fat, high calorie foods in an attempt to feel better. In the
past year, I have significantly decreased the “stress eating” and I have made conscious efforts to make
healthier food choices. I have also been exercising more consistently than in the past, and I have
found that exercise helps me to reduce stress. I have also occasionally done some Yoga or
meditation, but it is something that I need to make part of my normal daily routine.
In twenty-five years from now, I see myself living happily married, spending time with my
kids and grandkids, and starting to slow down in my career so that I have more time for family and
leisure activities. I have worked hard to lose weight, and I intend to keep it off. I plan to stay on track
with my exercising, hopefully continuing to run, do Zumba, and visit the gym on a regular basis. I
also see myself with someone who shares the same views as I do regarding health, diet, and exercise.
If I would continue this current lifestyle for the next three to four decades, I believe I would be burned
out from all of the stress that I currently endure. Although I am somewhat comfortable with my stress
level right now, I know that I will eventually be able to decrease or change some of the current
stressors in my life. These stressors include school (I will graduate in April), work (I will be able to
find a different job with a less hectic schedule), and my boys will be more settled in school.
My health philosophy is to obtain and maintain optimal health in all aspects; physical, mental,
emotional, and spiritual. Although my divorce was a low point for me, it was also a turning point and
has influenced my health philosophy. Following my divorce, I made the decision to change my life
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around and to increase my health and well-being as much as possible in every possible area. This was
when I returned to school, lost weight, changed my eating habits, became more consistent with
exercising, and started attending church on a regular basis. I have also been influenced by the past
classes that I have taken. These classes have strengthened my values and beliefs regarding health and
wellness. I have always wanted to turn more toward non-drug treatments for any illnesses or
problems that I have encountered, but I do understand that medications sometimes play a part in the
healing process. I also have not realized how much spirituality plays a role in my own health and
well-being until I started attending church in the last three years. My church family has played a huge
role in helping to increase my spiritual health, as well as my overall wellness. They have been there
to help me through my divorce, and they have also helped me in countless other ways, including yard
work, moving to a new house, and supporting me when I felt mentally and spiritually low.
The Wellness Paradigm Revisited is an important resource because there are four aspects the
compose health and wellness. These aspects include mind, body, spirit, and emotions, and all of these
aspects must work together to form the wholeness of an individual’s health and wellness.
EXERCISE 1.6 The Wellness Paradigm
Revisited
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Ageless wisdom tells us that the whole is greater than the sum of the parts and that all parts
must be looked at equally as part of the whole. In terms of health and wellness, the whole is
made up of four components: mind, body, spirit, and emotions. Additionally, ageless wisdom
suggests that holistic wellness is composed of the integration, balance, and harmony of these
four components—that each aspect of our being is so connected to the other three that no
separations exist. Looking at one component— say, our physical health—merits paying attention
to the other three because of the dynamic interconnectedness of the mind, body, spirit, and
emotions. What might seem like common sense has not always been so well accepted in
American culture. For over three hundred years, the Western mind has focused on the physical
aspects of health, leaving the other three components in the shadows. Beginning in the early
1960s, the mental, emotional, and spiritual components of health were looked at with somewhat
distant interest; only in the past decade has the interconnection of mind, body, and spirit gained
respect (and popularity) in Western science. It has been said recently that every issue is a health
issue, meaning that issues such as economic downswings, political instability, rainforest
depletion, and moral bankruptcy all ultimately affect our health. To recognize our own health
status, we must remind ourselves that we are more than just our physical bodies. We must come
to appreciate the true integration, balance, and harmony of mind, body, spirit, and emotions.
Here are some questions to ponder as you explore your own health philosophy, values, and
beliefs. If you need additional space to write, use the extra pages provided at the back of the
book.
1. Given the dynamics of the wellness paradigm, how does it compare with the common notion
that health is the absence of disease?
It seems to be apparent that many people view health as the absence of disease. When someone is
diagnosed with a chronic disease, many people will instantly feel that they have poor health.
However, some people are able to feel healthy even with a diagnosis of a chronic disease, such as
breast cancer. For example, although a woman may have been diagnosed with breast cancer, she may
feel that she has good or excellent health, especially if she is in remission. Mental, emotional, and
spiritual health may all be good even though her physical health may have deteriorated following
chemotherapy and radiation treatments. Health is more of an opinion of an individual’s personal
well-being.
2. What is your definition of wellness? Do you believe that the whole is greater than the sum of
the parts? Can you think of an example in music, politics, or the arts that demonstrates this
ageless wisdom?
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My definition of wellness is the overall picture of the four aspects of health; physical, mental,
emotional, and spiritual. I truly believe that the whole is greater than the sum of the parts, especially
when talking about health and wellness. Although an individual may have good physical health, that
individual must also have good emotional, mental and spiritual health in order to maintain wellness.
An example in music that shows this ageless wisdom would be a music note. A music note can be
seen, played, or sung, but by itself it means nothing. The whole song is greater than the sum of the
parts since it is composed of individual notes, instruments, and a voice. Although each of these is
important in their own way, none of them are as important as the sum of these parts when they are all
combined to form a song.
3. What do you think it means to be an integrated person, to enjoy balance and harmony
among your mental, emotional, physical, and spiritual aspects? Do you feel this within
yourself? If not, why not? Can you identify which aspect(s) you feel are not in balance?
An integrated person is an individual that uses holistic practices to achieve and maintain balance
and harmony among mental, emotional, physical, and spiritual aspects. Although I have not always
felt this balance, I have definitely begun to find a balance in the past year, and I plan on continuing to
improve and maintain this balance. I feel that there currently is some balance, but I have been
working hard to find this balance. Less than three years ago, I started going to church regularly, and
only since then I have realized that I need to have the spiritual balance in my life. I feel that the
mental aspect is still slightly out of balance, mainly due to stress from working long hours and having
no set schedule. I know that this will improve in a few months when I am able to look for a different
job. I will keep working at all aspects of my life to be sure that I maintain the balance that I have
worked hard to achieve. When something else happens that causes stress, I can re-evaluate each
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aspect of my life and decide which aspect needs attention at that time in order to be sure that I do not
lose more balance.
Tools: Journal Writing:
HW410: Unit 1 Journal Writing Assignment
“Are You Stressed?” is a short questionnaire regarding behaviors related to stress. Although it does not
include all possible stress-related behaviors, it does include some common behaviors, which can allow an
individual to focus on stress and learn ways of changing negative behaviors.
EXERCISE 1.1 Are You Stressed?
Although there is no definitive survey composed of 20 questions to determine if you are stressed or burnt out
or just exactly how stressed you really are, questionnaires do help increase awareness that, indeed, there may
be a problem in one or more areas of your life. The following is an example of a simple stress inventory to
help you determine the level of stress in your life. Read each statement, and then circle either the word Agree
or Disagree. Then count the number of "Agree" points (one per question) and use the Stress Level Key to
determine your personal stress level.
Statement: Agree Disagree
1. I have a hard time falling asleep at night. Agree Disagree
2. I tend to suffer from tension and/or migraine headaches. Agree Disagree
3. I find myself thinking about finances and making ends meet. Agree Disagree
4 .I wish I could find more to laugh and smile about each day. Agree Disagree
5. More often than not, I skip breakfast or lunch to get things done. Agree Disagree
6. If I could change my job situation, I would. Agree Disagree
7. I wish I had more personal time for leisure pursuits. Agree Disagree
8. I have lost a good friend or family member recently. Agree Disagree
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9. 1 am unhappy in my relationship or am recently divorced. Agree Disagree
10. I haven't had a quality vacation in a long time. Agree Disagree
11. I wish that my life had a clear meaning and purpose. Agree Disagree
12. I tend to eat more than three meals a week outside the home. Agree Disagree
13. I tend to suffer from chronic pain. Agree Disagree
14. 1 don't have a strong group of friends to whom I can turn. Agree Disagree
15. I don't exercise regularly (more than three times per week). Agree Disagree
16. I am on prescribed medication for depression. Agree Disagree
17. My sex life is very satisfying. Agree Disagree
18. My family relationships arc less than desirable. Agree Disagree
19. Overall, my self-esteem can be rather low. Agree Disagree
20. 1 spend no time each day dedicated to meditation or centering. Agree Disagree
Stress Level Key
Less than 5 points You have a low level of stress and maintain good coping skills.
More than 5 points You have a moderate level of personal stress.
More than 10 points You have a high level of personal stress.
More than 15 points You have an exceptionally high level of stress.
©Paramount Wellness Institute. Reprinted with permission. All rights reserved.
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Sleep is important for everyone, especially when enduring stress. “A Good Night’s Sleep” is important
to allow and individual to focus on sleep patterns, as well as showing how stress can cause problems with
sleeping.
EXERCISE 1.4 A Good Night’s Sleep
Sleep is one of the basic human drives. Most health books don’t talk much about it,
despite the fact that you spend over one-third of your life in that state. The fact is that
we tend to take the behavior of sleep for granted, unless, of course, we feel we don’t
get enough of it. We are told that the average person sleeps six to eight hours a night,
with an occasional nap here and there. Truth be told, over half of Americans get much
less than this. Eight hours may be recommended, but it is not the norm. A poor
night’s sleep cascades into a poor waking day. Over time, the results will ultimately affect
all aspects of health.
Whatever your sleep patterns were before you started college, chances are that
they have changed dramatically since then. By and large, the freedom connected with
college life tends to throw off sleep patterns. Instead of hitting the hay around 10 P.M.
or 11 P.M., you might not lay your head on the pillow until 1 A.M. or 2 A.M. On weekends
you may go to bed at sunrise, rather than waking up to see it. And let us not forget
the all-nighters that tend to become habit forming during midterm and final
exams.
Since the 1950s, scientists have been studying sleeping behaviors and sleeping
patterns in earnest. With over forty years of data collection, you’d think they would
have some solid answers; the truth is, no one really knows why we sleep. There are all
kinds of theories about the need to have rest, but to date there seems to be a lack of
evidence as to what actually goes on during the night hours. Interestingly enough, we
do know what happens when we don’t get enough sleep. Memory and motor coordination
fade rapidly, and performance, in all aspects, is greatly compromised—as many
a college student will attest to when pulling a series of all-nighters.
Describe your sleeping patterns. Are your sleep habits regular? Do you go to
bed and get up about the same time every day? How have your sleeping patterns
changed since you entered college? Do you make a habit of pulling all-nighters? Do
you have problems sleeping at night? Do you have a hard time getting up in the
morning? What are some of the patterns you see with your sleep?
I have only recently (about a month ago) started tracking my sleep with my FitBit, after
receiving some encouragement to do so from a friend. I function best on 7-8 hours, but I have
adapted to functioning on 5-6 hours when needed. I also have found out that I cannot only
sleep 5-6 hours more than one night in a row. I am usually in bed between 10pm-11pm, but my
wake up times vary between 4:30 am if I work or sometimes 7:30-8am if I am off. I also have
two young boys, so they usually wake up early, even on days off. I do not pull all-nighters, and
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I never started that habit when I went to nursing school 10 years ago. I know that I need my
sleep to function and I never wanted to try to function without sleep. I usually do not have a
problem sleeping, although I admit that occasionally, I do have a restless night. I do not like to
wake up early, but once I am awake, I stay awake for a while. I have never set a snooze alarm,
so I force myself to get up right away and start my day. According to my FitBit, I have had only
six days in the past 36 days that I have had less than seven hours of sleep (this was when I
bought my FitBit). I am really glad that I have invested the time for research and money for the
FitBit because it not only shows me how active I am, but it is also tracking my sleep so that I can
see a pattern and where I need to improve. I make every attempt to get at least seven hours of
sleep per night so that I feel rested in the morning, which is very important for my job.
Unit 2: The Physiology of Stress
Information to Remember:
 Stress causes responses from three of the body’s physiological systems, including the nervous system,
endocrine system, and the immune system. The limbic system, which is part of the central nervous
system, houses the hypothalamus, which controls many functions including appetite and emotions.
Peripheral nervous system activates sympathetic and parasympathetic neural drives and triggers the
release of epinephrine, norepinephrine, and multiple hormones (Seaward 2009).
Unit
2
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 The fast-paced American lifestyle has led many Americans to attempt multitasking because they feel that
they are constantly on a time limit to get things done. Multitasking creates more stress and less time to
rest, which leads to a vicious cycle of increased stress (Seaward 2009).
 Chronic stress can lead to many physical, mental, and emotional problems. The immune system
becomes suppressed with prolonged levels of high stress, leading to many possible illness, including
depression, anxiety, hypertension, and obesity. Many different types of relaxation techniques are
available and should be used on a regular basis to help decrease stress levels and risk for acute or chronic
illnesses (Seaward 2009).
Resources: Exercises:
HW410: Unit 2 Exercise
The following exercise is an important aspect of this resource guide in order to understand the immediate,
intermediate, and prolonged stress effects on an individual’s body. Some of the effects listed here may
bring awareness to an individual regarding stress that may have not been realized previously.
EXERCISE 2.2 Immediate, Intermediate, and
Prolonged Stress Effects
As noted in Chapter 2, the stress response has immediate (seconds), intermediate
(minutes to hours), and prolonged (days) effects through which the symptoms of
physical stress can manifest. To reinforce your understanding of each phase of this
physiological process, please take a moment to reflect on how your body reacts to
stress through these three processes.
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1. What do you feel when immediately threatened?
a. Tingling sensations Yes No
b. Sweating Yes No
c. Muscle tension (e.g., jaw muscles) Yes No
d. Rapid heart rate Yes No
e. Rapid breathing (or holding your breath) Yes No
f. Rush of blood to your face and neck (blushing) Yes No
g. Other watery eyes___________________________________________________
2. How would you best classify your body’s intermediate (within hours) response to stress?
a. Tension headache Yes No
b. Migraine headache Yes No
c. Sore neck and shoulders Yes No
d. Sore throat Yes No
e. Allergies Yes No
f. Stomachache Yes No
g. GI tract problems Yes No
h. Other loss of appetite
i. Other poor mood
j. Other
3. What do you notice as long-term effects of prolonged stress (five to ten days)?
a. Cold or flu Yes No
b. Acne (broken-out face blemishes) Yes No
c. Herpes flare-up (around lips) Yes No
d. Menstrual period irregularities Yes No
e. Other physical pain
f. Other GI problems-lack of or increased appetite/bowel irregularities
g. Other
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“Are You a Product of Your Culture” is a checklist to help an individual understand the fast-
paced American culture, and how much stress this culture can cause. This questionnaire should
remind an individual to slow down once in a while and take some time to decrease the amount of
stress that is being felt.
EXERCISE 2.1 Are You a Product of Your Culture?
The following questions are based on various behaviors observed in individuals in society. Please
answer each question as you really behave, not how you would like to be, by circling Yes or No
as appropriate.
1. I keep my cell phone on throughout the day so I won’t miss any calls or texts. Yes No
2. I use my Facebook account more often than my email account. Yes No
3. I tend to leave the water running while brushing my teeth. Yes No
4. I eat more than one prepared meal out of the house each day. Yes No
5. During the day, I constantly check emails and text messages as they come in. Yes No
6. I drive rather than take mass transit to and from work/college regularly. Yes No
7. I typically take my laptop, BlackBerry, etc., on vacation with me. Yes No
8. I have been known to flush unused medications down the toilet. Yes No
9. I get more of my news from Comedy Central (e.g., The Daily Show, The Colbert Report)
than newspapers, National Public Radio, TV news, or Internet portals. Yes No
10. I spend less than one hour outside each day in a natural setting. Yes No
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11. I regularly interact (leave comments) on Web sites I visit. Yes No
12. I find that I rely more and more on the Internet for information (e.g., MapQuest, Google) and
less on memory retention. Yes No
13. More often than not, I digitally record my favorite TV shows and watch them at a time of my
preference. Yes No
14. I recycle all cans, bottles, newspapers, and so forth. Yes No
15. I start to feel antsy if I cannot check my email, text messages, and Facebook accounts each
hour or more often. Yes No
16. I spend more time inside playing video games or on the Internet than time spent outside in
nature each day. Yes No
17. I check my emails, tweets, Facebook updates, and so forth within 10 minutes of waking up
each morning. Yes No
18. I have one or more tattoos as a means of self-expression. Yes No
19. I own more than one cell phone and often use them both at the same time (e.g., for phone
calls, apps, Google). Yes No
20. I make more than one purchase online each week. Yes No
21. I dread answering the onslaught of emails each day. Yes No
22. I get a bit of a rush or excitement when my cell phone rings. Yes No
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23. I text message my friends and parents more than I call them by phone. Yes No
24. I watch more movies via the Internet or Netflix than in a movie theater. Yes No
25. I make an effort to buy organic produce each week. Yes No
26. I have more than 50 Web sites bookmarked on my computer. Yes No
27. I have more than 250 friends on Facebook. Yes No
28. I purchase plastic water bottles rather than use a stainless steel one. Yes No
29. I have more than 25 apps on my smartphone. Yes No
30. I watch at least one YouTube video per day. Yes No
31. The majority of my purchases are via credit card or debit card, not cash. Yes No
32. I post an update to Facebook at least once a day. Yes No
33. I belong to more than one social networking Web site. Yes No
34. I prefer to read books on a Kindle or an iPad rather than printed books. Yes No
Results: The purpose of these questions is to increase your awareness of the
impact the current culture has on your behavior. There is no definitive
answer or “score” regarding the impact of cultural influences. We participate
in cultural practices primarily as a means of being accepted. Most people are
completely unaware of the influence that society has on them, unless they
purposely act differently than cultural norms suggest.
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Tools: Journal Writing:
HW410: Unit 2 Journal Writing Assignment
Physical symptoms of stress are important for individuals to understand how the body is affected by
stress. If these symptoms are severe, occurring frequently, or lasting for long periods of time, the individual
needs to learn more stress management skills, and should also consider getting checked for other acute or
chronic conditions.
EXERCISE 3.1 Physical Symptoms
Questionnaire
Please look over this list of stress-related symptoms and circle how often they have
occurred in the past week, how severe they seemed to you, and how long they lasted.
Then reflect on the past week’s workload and see whether you notice any connection
between your stress levels and possible stress-related symptoms.
How Often? How Severe? How Long?
(Number of days (1 = mild; (1 = 1 hour;
in the past week) 5 = severe) 5 = all day)
1. Tension headache 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
2. Migraine headache 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
3. Muscle tension (neck and/or shoulders) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
4. Muscle tension (lower back) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
5. Joint pain 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
6. Cold 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
7. Flu 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
8. Stomachache 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
9. Stomach/abdominal bloating/distention/gas 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
10. Diarrhea 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
11. Constipation 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
12. Ulcer flare-up 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
13. Asthma attack 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
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14. Allergies 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
15. Canker/cold sores 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
16. Dizzy spells 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
17. Heart palpitations (racing heart) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
18. Temporomandibular joint dysfunction (TMJD) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
19. Insomnia 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
20. Nightmares 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
21. Fatigue 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
22. Hemorrhoids 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
23. Pimples/acne 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
24. Cramps 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
25. Frequent accidents 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
26. Other 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5
(Please specify: Bad Mood)
Score: Look over this entire list. Do you observe any patterns or relationships between your
stress levels and your physical health? A value over 30 points most likely indicates a stress-
related health problem. If it seems to you that these symptoms are related to undue stress, they
probably are. Although medical treatment is advocated when necessary, the regular use of
relaxation techniques may lessen the intensity, frequency, and duration of these episodes.
Comments:
I seem to have a good grasp on my stress level, and when it gets too high, I know that I need to
do something else to relieve some stress. One of the things that I have been doing is
exercising; either doing Zumba or running when able. Listening to music also helps to decrease
stress. I was previously a “stress eater” and was very unhealthy. Although I am still
overweight, I am no longer obese, and I am working at relieving stress and becoming healthy. I
occasionally will still eat when I am stressed, but I have much more control over this than I had
previously.
EXERCISE 3.3 My Health Profile
21
My health profile is important to understand overall physical health. Sometimes by actually
seeing things written out, it is easier to understand the real meaning, such as seeing a height and
weight written next to each other on the paper.
Health is so much more than the optimal functioning of our physical bodies. By and large,
however, the physical body is what people focus on when they talk about health (weight, skin,
hair, sight, hearing, etc.). To fully understand the mind-body-spirit connection, you must realize
that the body is actually the endpoint where unresolved issues of mind and spirit collect, not the
beginning. But if we were to start with the body and examine, from head to toe, our physical
makeup, perhaps we could use this as a stepping stone toward understanding this unique
relationship. Several aspects of our physical makeup, when looked at as a composite, tend to
give us a sound understanding of our physical health status. This journal theme invites you to
take some time to explore your overall physical health. Once you have compiled all your
personal health data, compare your values with the norms discussed in class, or in the book
Health and Wellness. If you have any questions regarding your profile, bring these to the
attention of your physician.
My Health Profile
Name Shannon Felmey
Height 5’ 4”
Weight 165 lbs; BMI 28.32, overweight
Age 31
Resting heart rate 62 BPM
Target heart rate 95-162 BPM
Maximal heart rate 190 BPM
Resting systolic blood pressure 106 mm Hg
Resting diastolic blood pressure 68 mm Hg
Total cholesterol unknown; but within normal limits at last check
HDL level unknown; but within normal limits at last check
LDL level unknown; but within normal limits at last check
Vision status wear glasses or contacts; no problems otherwise
Dental status no problems, well kept
Hearing status no problems
Skin condition no problems; occasional greasy face with slight acne
Gastrointestinal (GI) tract suspected gluten intolerance (causes bloating, pain, pressure/gas
feeling), but otherwise no problems and regular
22
Tense areas, muscular neck, shoulders, occasional jaw (TMJ-from grinding/clenching teeth at
night)
Reproductive system no problems
Skin no problems except occasional slight acne
Sinuses currently no problems; recent cold for approximately a week but symptoms subsided
Other allergies/asthma well controlled at present
Unit 3: Psychology of Stress
Information to Remember:
 According to Sigmund Freud, the human mind is equipped with thought processes or defense
mechanisms to protect the ego. These defense mechanisms include denial, repression, projection,
rationalization, displacement, and humor (Seaward 2009). By using these defense mechanisms, the ego
can find ways of surviving excess stress.
 Low self-esteem is associated with chronic stress and creates a negative-feedback system that leads to
unhappiness and increased stress. Self-esteem is defined as “the sense of underpinning self-values, self-
acceptance, and self-love; thought to be a powerful buffer against perceived threats” (Seaward 2009).
Unit
3
23
 Elizabeth Kubler-Ross proposed a theory of stress being attributed to the death of unmet expectations,
which leads to five stages of grieving. These stages include denial, anger, bargaining, depression, and
acceptance. When acceptance is reached, inner peace is enhanced (Seaward 2009).
Resources: Exercises:
HW410: Unit 3 Exercises
This anger recognition checklist is an important component because it lists common ways of
manifesting anger. Some of these manifestations can cause physical or emotional harm to oneself or
other people.
EXERCISE 5.1 Anger Recognition Checklist
He who angers you, conquers you.
Elizabeth Kenny
The following is a quick exercise to help you understand how anger can surface in the course of a
normal working day and how you may mismanage it. Please place a check mark in front of any
of the following that apply to you when you get angry or feel frustrated or upset. After
completing this section, please refer to the bottom right hand corner to estimate, on average,
the number of episodes of anger you experience per day.
When I feel angry, my anger tends to surface in the following ways:
__X___ anxiety _____ threatening others
_____ depression _____ buying things
_____ overeating _____ frequent lateness
_____ starting to diet _____ I never feel angry
__X___ trouble sleeping ___X__ clenched jaw muscles, TMJD
_____ excessive sleeping __X___ boredom
_____ careless driving _____ nausea, vomiting
_____ chronic fatigue _____ skin problems
_____ abuse of alcohol/drugs ___X__ easy irritation
24
_____ exploding in rage _____ sexual difficulty
_____ cold withdrawal _____ sexual apathy
_____ tension headaches __X___ busy work (clean, straighten)
_____ migraine headaches _____ sulking, whining
_____ use of sarcasm _____ hitting, throwing things
_____ hostile joking _____ complaining, whining
__X___ being accident prone _____ cutting/mutilating myself
__X___ guilt and self-blame _____ insomnia
_____ smoking or drinking _____ promiscuity
_____ high blood pressure _____ helping others
_____ frequent nightmares _____ other? ____________________
_____ tendency to harp or nag _____ other? ____________________
_____ intellectualization _____ swearing or name calling
_____ crying _____ upset stomach (e.g., gas, cramps,
IBS)
__X___ muscle tension (neck, lower back)
* My average number of anger episodes per day is 3-5; I try to understand others and
make every attempt not to stay angry, especially when I know that I am angry.
Emotional well-being is important for awareness in the holistic view of one’s health. Without
being emotional well-being, an individual is not able to be balanced.
EXERCISE 5.9 Emotional Well-Being
Emotional well-being is best described as “the ability to feel and express the entire range
of human emotions, and to control them, not be controlled by them.” Sounds like a pretty tall
order, huh? Well, it doesn’t have to be. What is the range of human emotions? Everything from
anger to love, and all that’s in between. No emotion is excluded, meaning that it is perfectly all
right to feel angry, jealous, giddy, sad, depressed, light-hearted, and silly. All of these feelings
comprise the total human experience, the complete spectrum of human emotions.
A well-accepted theory suggests that early in our development, we spend the greatest
amount of time trying on and exploring emotions. But if you are like most people, you were told
at an early age one or more of the following expressions related to your behavior: “Wipe that
smile off your face,” “Big boys don’t cry,” “Don’t you ever talk back to me,” or “I’ll give you
something to cry about.” Perhaps our parents had good intentions, or perhaps they were just at
wit’s end. Regardless of what
prompts such comments, most youngsters interpret the message altogether differently than
intended. Instead of relating such phrases only to the moment, most children take the meaning
of such messages globally and think it is never all right to laugh or to cry. If we hear these
25
messages enough, we begin to deny some of our feelings by stuffing them down into our
unconscious minds—only to meet them head-on later in life.
The second half of the emotional well-being equation says that to be emotionally well, we
must control our feelings, not let them control us. Our feelings control us when we refuse to feel
and express them or when we linger too long in the moods of anger, anxiety, depression, grief,
or boredom. The result is stagnation, not dynamic living.
Here are some questions to ponder about your own sense of emotional wellbeing:
1. What is your least favorite emotion, one that you don’t like to feel or perhaps would rather
avoid feeling? Can you explain why?
2. Combing through your memory, can you remember a time (or times) when you were told or
reminded not to act or feel a certain way (e.g., big boys don’t cry), or were perhaps even
humiliated? Take a moment to describe this incident.
3. What is your favorite emotion? Why? How often would you say you feel this emotion
throughout the course of a typical day?
4. If you feel you may be the kind of person who doesn’t acknowledge or express your
emotions, can you think of ways to change your behavior and begin to gain a sense of
emotional balance?
My least favorite emotion is probably boredom. I try to avoid feeling bored at all costs, and
I tend to keep myself and by mind busy as much as possible. This is one reason why my life is
so crazy at times with work, school, being a single mom, and trying to keep up with my house
work. I have been forced to have some alone time, and I know that it is a good thing because I
am able to get things done. If I am alone too long, I find myself bored and I feel like I need to
do something different. Sometimes I feel that I start multiple things and may not finish them,
and it was an attempt to keep my mind busy.
I can remember when I was younger, my mom would complain that she could not keep up
with everything herself and she needed some help to do housework, cooking, cleaning, etc. I
can understand where she was coming from, but it seemed like she was always busy at home,
even after she came home from work. I pitched in as much as I could, but I was also on top of
my school grades. If I wasn’t studying, I was working (in high school), going to band or choir
practice, or doing something for the many clubs I was involved with at school. In the little free
time that I had, I also tried to help my mom out as much as possible, so I think I learned to stay
busy and not take time out for myself, let alone to just sit and relax. Now that I am a single
mom, I find it much more difficult to find time for myself. (My parents were and are still
married, but my dad never helped out much at home. I have definitely learned how my mom
26
has felt in the past three years that I have been single. I am sure she felt like a single mother,
even though she was not.)
My favorite emotion is love. Every time I have a chance, I try to express love in one way or
another, whether to myself, my pets, my boys, my friends and family, and my boyfriend. I am
almost always thinking of someone else who is important in my life; especially my boys. I am
always grateful for the people in my life. I know that everyone is there for a reason, and I would
not be able to survive without any of them. I make every attempt to let others know that I care
about them and love them. Love is expressed in different ways toward different people. For
example, my boys get hugs and kisses many times per day, in addition to any time they ask for
them. I show love in a different way to my coworkers when I am able to work well with them
and support them to get our job done well. I am generally a happy person, and nothing makes
me feel happier than when I am able to show my love to someone, or someone shows their love
and appreciation to me. Throughout a typical day, I think I feel love at least once per hour while
I am awake. I am always finding something that reminds me of how much love I have in my
heart to give.
Sometimes I feel that I am the type of person who does not express enough of my
emotions. I have made a conscious attempt at becoming better at expressing my emotions. I
have learned that everyone needs to have help at some point, and unless you ask, it will not
happen. This is especially true when I feel discouraged or depressed because I do not want to
dwell too long on these emotions. I also talk to my boys all the time, and I try to get them to
understand what emotions they are feeling and why they are feeling those emotions. I have
some great friends and family who have done the same thing for me, and I feel that I am
becoming better at expressing my emotions. I have learned that it is ok to show emotions, and
everyone does it at some point. I also keep in mind that although it is acceptable to show
emotions, it is not acceptable to show emotions in the wrong way, such as hitting or throwing
things when feeling angry. When I feel my temper start to rise, I will sometimes separate
myself from others in order to avoid doing something out of rage, but then I will talk to them
after I have cooled down and let them know that something made me angry.
Tools: Journal Writing:
HW410: Unit 3 Journal Writing Assignment
27
The psychology of stress is important for an individual to understand how stress is displayed
toward others. This journal also shows the importance of dreams and the stages of grief are related to
personal stress.
EXERCISE 4.1 The Psychology of Your Stress
The following questions are based on several theories from Chapter 4 to help you become
more aware of your perceptions, attitudes, and behaviors during episodes of stress:
1. In hindsight (because Freud said people are not aware at the time that they are doing it), do
you find that you use one or more defense mechanisms to protect your ego? Reflecting on your
behavior, which of the following do you see as common behaviors in your psychology of stress
profile?
a. Defensiveness (I didn’t do it) Yes No
b. Projection (She did it) Yes No
c. Repression (I don’t remember doing it) Yes No
d. Displacement (He made me do it) Yes No
e. Rationalization (Everyone does it) Yes No
f. Humor (I can laugh about this now) Yes No
g. Other _______________________________________________________
2. Carl Jung was adamant that we need to listen to the wisdom of our dreams. Please answer
the following questions based on Jung’s theories related to stress.
a. Do you often remember your dreams? Yes No
b. Do you make it a habit to try to understand your
dreams and dream symbols? Yes No
c. Do you have any recurring dreams? Yes No
d. Have you ever had a dream of an event that later
came to pass? Yes No
3. Kübler-Ross’s stages of grieving are not just for cancer patients. These same stages occur for
the death of every unmet expectation. What recent expectation was unmet that brought you to
the door of the grieving process? What stage of Kübler-Ross’s progression have you currently
reached with this stressor?
I have struggled with my weight for many years, and I was doing well with weight loss,
until I’ve hit a plateau for the past few months. With this expectation of continuously losing
weight, I am at the depression stage because I was doing well, but now my weight will not
budge. I did not have a fit of rage, but I have been experiencing frustration in a physical and
emotional way on occasion. Like the example of the stolen wallet, I have been occasionally
28
feeling overwhelmed by carefully watching what I am eating and when I am exercising (Seaward
2009). Although I try not to dwell on the weight-loss plateau, it does occasionally cause some
mental and emotional stress. I can also relate each of these stages to my entire weight-loss
journey, and I can understand when I was in each stage.
4. Refer to your Unit 1 Journal Writing Assignment, Exercise 1.5 (“Personal Stress Inventory:
Top Ten Stressors”). Please list your stressors as predominantly anger-based or fear-based
stressors.
Anger-Based Stressors
a. My work schedule, not having control over my schedule and working different days each week
b. not spending enough time with my kids (mainly due to work schedule)
c. messy house; lack of help with housework/yardwork
Fear-Based Stressors
a. living alone, especially with two young children
b. school, fear of not finding a job after graduation, also fear of the unknown of classes
c. becoming healthy, afraid that if I do not become healthy, no one will be able to care for my
boys
“All You Need is Love” is a great way to stimulate thinking about the word love; a word that
sometimes can be used with the wrong connotation. Although there is no concrete definition of love, it is
interesting to think about how love influences relationships, stress, and mind-body development.
Unit 3 Journal
EXERCISE 5.7 All You Need Is Love
Love means letting go of fear.
29
Gerald Jampolski
Love. It seems that no other concept has puzzled humankind so much as this. It is love that gives
life, and paradoxically, people lose their lives in the name of love. As a professor who studied,
taught, and has written several books on the subject, Dr. Leo Buscaglia admits that to define love
is virtually impossible. Impossible it may be, but like pursuing the elusive Holy Grail, people
continue to try. Among authors, poets, songwriters, and actors, the vehicles of love’s message are
endless.
After years of research and personal insight, Buscaglia offered his own incomplete definition,
suggesting that love is that which brings you back to your real self. In Buscaglia’s book
entitled Love, he writes, “For love and the self are one and the discovery of either is the
realization of both.” Just as charity is said to begin at home, so too must love reside within the
individual before it can be shared. Buscaglia notes that the ability to feel and express love of the
self is literally frowned upon as being selfish. In reality, he suggests that to share love you must
first give yourself permission to possess and nurture this quality within yourself. Furthermore,
self-love begins with self-acceptance, unconditional self-acceptance.
It is interesting to note that the field of psychology has pretty much ignored this emotion during
the twentieth century, instead giving the limelight to anxiety and fear. Because of sexual
connotations, love as an inner resource has been virtually disregarded, much to the detriment of
all human society. More recently, this aspect of the human condition has been given more serious
attention. In the much-acclaimed book The Road Less Traveled, psychiatrist M. Scott Peck offers
his insights about love. From empirical observations, Peck perceived that there are many echelons
of love: sharing, caring, trust, passion, and compassion, with the highest level of love being a
divine essence he calls grace.
Let there be no doubt, love is a profound concept. It is a value, an emotion, a virtue, a spiritual
essence, an energy, and, to many people, an enigma. Love can inflict emotional pain, just as it can
heal the scars and bruises of the soul. It can make a fool out of the bravest man and a hero out of
an underdog. The expression of love can be quite intimidating as well, and in American society,
love is often extended with conditions. Ultimately, such strings taint our perception of love,
whereas unconditional love may be the ultimate expression of grace. When people hear the
word love, visions of Hollywood silver-screen passion come to mind. We have been socialized to
think that love has to be as dynamic as Superman, yet the power of love can be as subtle as a
smile or a happy thought. There are many colors in love’s rainbow.
If you were to make an attempt to define love, how would you begin to describe your
interpretation of this concept? Is your expression of love limited by your level of self-acceptance?
30
In your expression of love to others, do you find that you attach conditions? In your opinion, how
does falling in love differ from unconditional love? Add any thoughts to your definition of love
here.
Love is all about appearance and perspective, but there is no concrete definition. Love is a
sub-conscious feeling that cannot be controlled, but is a feeling of comfort. The definition stated
above is more complete than my definition, but I agree with everything stated above. Love is
more than having a relationship with someone, and it involves the mind, body, and spirit. Love
starts on the inside and is manifested on the outside through actions, words, and gestures. If an
individual is not able to feel self-acceptance, I feel that it would be hard to express love toward
others. For example, if I would not feel self-acceptance and would constantly be putting myself
down, this creates a negative image of myself that would be projected onto others. Other people
would look at me and would most likely have the same negative image. When I express love to
others, I make every attempt to not attach conditions. I am the person who loves and appreciates
everyone, and I understand that everyone is different with different opinions, values and beliefs. I
think the only condition I use is that if someone does something to harm my physically, mentally,
or emotionally that he or she does not receive as much of my love as someone else who has not
hurt me.
Falling in love is only the beginning of unconditional love. I do not believe that people
stop loving each other. Differences become distractions, and we are easily distracted from
important parts of our path. When people become distracted, thoughts, actions, and emotions
cause confusion and people are lead to believe that they are no longer in love. Falling in love
simply means sharing our love with another person, whether this is in a romantic partnership,
parent-child relationship, or any other type of relationship.
31
Unit 4: Personality Traits and the Human
Spirituality
Information to Remember:
 People with stress-prone personalities seem to attract stress because they need to have some form of
control. These personalities include Type A, Type D, or depression, codependency, and helpless-
hopeless personality. These personalities types have been associated with acute and chronic stress, and
also have a common factor of low self-esteem (Seaward 2009).
 Stress-resistant personalities include the hardy personality, survivor, and sensation seeker personality.
These personalities seem to provide a buffer against various stressors. Hardy and sensation seeker
personalities are associated with high self-esteem (Seaward 2009).
 “Self-esteem is a crucial cornerstone of personality. Low self-esteem attracts stress; high self-esteem
seems to repel it” (Seaward 2009). If an individual takes steps to increase self-esteem, stress levels may
start to decrease and the risk for acute or chronic illnesses may also start to decrease.
Unit
4
32
Resources: Exercises:
HW410: Unit 4 Exercises
Everyone has a meaningful purpose in life, and this exercise encourages an individual to look
toward the future to see how that purpose may change. This exercise may also encourage an individual to
realize that everyone has a purpose, and maybe this is something that possibly has not crossed the mind of
the individual.
EXERCISE 7.6 Your Meaningful Purpose in Life
Knowing that your purpose in life may change many times in the course of your life, for this
exercise, first write down (in a few words to a sentence) what you consider to be your life
purpose now, at this point in time. Then take a moment to briefly describe what you considered
to be your purpose in life at the start of each decade of your life (e.g., at age twenty it might be
or have been to graduate with a college degree, at age thirty it might be or have been to raise a
family or start a business).
Now My goal now is to finish school and be a positive influence on as many people as possible
to make themselves healthy and to maintain good health. I’m hoping to start by influencing my
boys to realize that a healthy lifestyle is more important than watching tv or playing with a
computer. I am also working on making my personal life better in every possible aspect.
Age 60 My goal at age 60 is to be looking toward retirement and spending time with family,
and maybe travel to see some places where I have never been.
Age 50 My goal at age 50 is to be able to watch my children begin to have children of their
own and become successful in their lives after college.
Age 40 My goal at age 40 is to watch as my boys continue to grow and begin to think about
attending college or what they will do with their future. I was just thinking that I will have two
teenage boys when I turn 40!
Age 30 At age 30, my goal was to be happily married and to be done or nearly done with my
family-building journey. I also had a goal of having a stable career, which I have successfully
done. Unfortunately, at age 30 I was divorced, but I did have 2 children before that.
Age 20 At age 20, my goal was to finish nursing school (I was about half way through), then
get married, start having kids, and settle down into a permanent career and a permanent house.
Age 16 At age 16, I wanted to start driving a car, buy my own car, and start thinking about
high school graduation and nursing school.
33
© Paramount Wellness Institute. Reprinted with permission. All rights reserved.
This exercise is important to create awareness of distractions. Although distractions are not
always avoidable, being aware of them can encourage an individual to make a plan to get past these
distractions and get back on the intended path.
EXERCISE 7.8 Distractions of the Human Path
Distractions can best be described as those things that pull us off the spiritual path
indefinitely.
Distractions begin as attractions, but their allure can often cast a spell of slumber on the
soul-growth process. Although a respite on the human journey is desirable, and even necessary
at times, a prolonged distraction will ultimately weaken our spiritual resolve. The human spirit,
like energy, must flow, never stagnate. The lessons of distractions are quite common in fairy
tales. Whether it is the story of Pinocchio or Hansel and Gretel, the warnings regarding
distractions are as plentiful as the distractions themselves. The lessons of distractions are
common in the great spiritual teachings as well. Here they are called temptations. Not always,
but often, attractions that become distractions have an addictive quality to them.
What happens when we become distracted? Metaphorically speaking, we fall asleep on
the human path. Like Dorothy and her friends on the way to Oz who stepped off the yellow brick
road to smell the poppies and fell fast asleep, we too lose our direction, our mission, and our
energy stagnates. The end result is never promising.
Unlike roadblocks, distractions are not meant to be circumvented, dismantled, or even
transcended. Rather, they are meant to be appreciated—perhaps from afar, perhaps enjoyed
briefly and then left behind. Fairy tales aside, what are contemporary distractions? Common
examples of everyday distractions might include social contacts, alcohol, television, cell phones,
and the Internet.
Take a moment to reflect on what might be some distractions in your life. Make a list and
describe each one in a sentence or two. Upon recognition of these, what steps can you take to
wake up and get back on the path?
34
1. Facebook is a huge distraction because it’s readily available on my phone, iPad, and
computer. I try not to make a habit of looking at it all the time, but it is very easy (and
addictive) to do when I am bored.
2. My cell phone in general is a distraction. Between phone calls, text messages, email,
Facebook, alerts, etc., it is very easy to get distracted with a cell phone, especially when I am
bored or stressed.
3. My kids are distractions because they always need help with something, and I always
have to watch them to be sure they are safe since they are both still very young.
4. My pets can sometimes be a distraction because the dog has to go out, or the cats
jump on my lap, or the dog nudges me to pet her. It is easy to be interrupted with whatever I
am doing at the present time when this happens.
5. The internet is a distraction, especially when I look something up, but something else
catches my eye while I am in the process of looking it up. For example, if I watch a YouTube
video, many more related videos come up and can cause a distraction because I feel like I want
to watch all of them.
© Paramount Wellness Institute. Reprinted with permission. All rights reserved.
Tools: Journal Writing:
Understanding how stress affects personality is very important for overall well-being. Control,
commitment, and challenge are all important in helping to understand this.
HW410: Unit 4 Journal Writing Assignment
EXERCISE 6.1 Under the Gun: Stress and Personality
Pick a stressor in your life and explain the characteristics that you feel you employ to
deal with stress based on the concepts of the hardy personality.
1. Control: I know that I need to feel some control over certain aspects of my life, but I have
also realized that there are some aspects that cannot be controlled. When I cannot control
something, I work toward finding a solution that is in my control. For example, I do not have
much control over my work schedule, which can cause some stress at times because I miss out
on time with my boys, and I work long hours, weekends, and holidays. I made the decision to
35
return to school for a different job in order to have a better work schedule. I also try to look at
situations in the most positive way possible and I try not to dwell on negative events or
situations. Even though something may happen that could have a negative impact on my
emotions, I look for any positive aspects and focus on them. Time urgency depends on the
situation. I make every effort to get to work on time and get my boys to school on time, but I
know that sometimes things happen that will cause us to be late. When these situations occur, I
understand that not everything is within my control and although I may get upset about these
situations, I make every attempt to release my anger in productive ways, such as venting to a
friend, rather than taking my anger out on someone else. I also do not tend to dwell on this
anger; I will tend to move past the situation quickly so that I can move on with my life.
2. Commitment: Commitment takes time, dedication and practice. Not every commitment
comes easily. For example, my current job as a labor and delivery nurse took time, dedication
and practice with nursing school, as well as learning skills necessary to perform the job. I was
not able to simply wake up one day, walk into labor and delivery, and decide that I am a nurse
in that department. I took the time to complete nursing school and on-the-job training for this
specific job. There are times when I have to work harder to learn about something, especially if
it is a situation that I have not encountered in the past, but I use this as an opportunity to
embrace a learning experience. Relationships also take commitment, as well as time and
dedication.
3. Challenge: I enjoy taking on challenges, but I also am careful to not take on too many
challenges at the same time to increase my stress level more than necessary. When I face a
challenge, I take steps to work toward a solution for it. I previously have had trouble asking for
help with challenges, but I have learned that everyone needs to ask for help at times, and I am
no longer afraid to ask. For example, if someone asks me a question and I do not know the
answer, I am not afraid to ask someone else for input. I have learned that people show much
more respect for someone to say “I don’t know but I will get an answer for you” instead of
simply saying “I don’t know.” By offering to find an answer, it helps the other person to feel
valid. I also have learned to prioritize and re-evaluate the situation when a challenge occurs.
For example, I reached a point where I could not continue to work full-time (with 12-hour
shifts), and keep up with my kids, schoolwork, and housework. I made the decision to drop
some hours at work, and I have also had some help with cleaning and yard work in order for me
to keep on top of everything and still do well in school and make time for my boys. If a
challenge seems big and stressful, I will look at ways of making the challenge less daunting. For
example, I just found out that I will be moving in about one month, so I am starting to pack as
soon as possible, and I will be going through toys and belongings prior to packing so that I do
not feel as overwhelmed with the task.
List any other aspects (inner resources) that help you get through the tough times:
1. I seem to have a very easy-going personality, and I do not stay angry for long periods. I
have ways of releasing anger and frustration, such as listening to music, running, cleaning, or
talking with friends. I find that I am able to identify anger and usually move past it quickly so
that it does not negatively control my life.
2. I have turned to my Christian faith to help me through the tough times. Within the past three
years, my faith has only grown significantly, I know that the Lord will not give me anything that I
cannot handle. Like most other people, there are times that I question my faith and wonder why
the Lord has given me a certain task, but I tell myself that it is in order to make myself into a
36
better person. I also have my Bible and my church family to rely on in the case that I cannot
help myself with my faith alone.
3. Talking with friends, family, or other is similar situations gives me strength. Whether it is
venting to someone about a situation, or writing a letter to someone, it helps me to understand
why I am stressed and what I need to change in order to move past that stress. If I write a
letter, email, or text, it gives me the opportunity to re-read what was written, and I can usually
better understand my feelings. Sometimes, I delete the email or text, or I throw the letter away
because I realize that something said in there may hurt someone else, and this would only make
the situation worse for everyone involved.
4. Helping others with difficult situations helps me to get through tough times as well. I enjoy
helping others, and I would do almost anything for anyone. I know that other people have tough
times as well, so sometimes something as simple as making a meal to help someone else feel
less stressed also helps me because I can see what a positive influence I have on other people.
Even when I help my son with his homework, it helps me through tough times because I know
that someone else is able to appreciate the help and feel less stress.
© 2008 Jones and Bartlett Publishers. Reprinted with permission. All rights reserved.
The following survey is a good indicator to determine if an individual has a stress-prone
personality. If an individual scores high on this survey, he or she can learn to take steps to decrease
the negative characteristics of a stress-prone personality.
EXERCISE 6.2 Stress-Prone Personality Survey
The following is a survey based on the traits of the codependent personality. Please answer the
following questions with the most appropriate number.
3 = Often 2 = Sometimes 1 = Rarely 0 = Never
1. I tend to seek approval
(acceptance) from others (e.g.,
friends, colleagues, family
members).
3 2 1 0
2. I have very strong perfection
tendencies.
3 2 1 0
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3. I am usually involved in many
projects at one time.
3 2 1 0
4. I rise to the occasion in times of
crisis.
3 2 1 0
5. Despite problems with my family,
I will always defend them.
3 2 1 0
6. I have a tendency to put others
before myself.
3 2 1 0
7. I don’t feel appreciated for all the
things I do.
3 2 1 0
8. I tend to tell a lot of white lies. 3 2 1 0
9. I will help most anyone in need. 3 2 1 0
10. I tend to trust others’ perceptions
rather than my own.
3 2 1 0
11. I have a habit of overreacting to
situations.
3 2 1 0
12. Despite great achievements, my
self-esteem usually suffers.
3 2 1 0
13. My family background is better
described as victim than victor.
3 2 1 0
14. I have been known to manipulate
others with acts of generosity and
favors.
3 2 1 0
15. I am really good at empathizing
with my friends and family.
3 2 1 0
16. I usually try to make the best
impression possible with people.
3 2 1 0
17. I like to validate my feelings with
others’ perceptions.
3 2 1 0
18. I am an extremely well-organized
individual.
3 2 1 0
19. It’s easier for me to give love and
much more difficult to receive it.
3 2 1 0
20. I tend to hide my feelings if I
know they will upset others.
3 2 1 0
Total score 34
Score: A score of more than 30 points indicates that you most likely have traits associated
with the codependent personality, a personality style known to be stress-prone.
38
Unit 5: Dealing with Stress: Coping Strategies
Information to Remember:
 According to Sapolsky (2004), “the first thing to emphasize is that we can change the way we cope, both
physiologically and psychologically.” In order to better cope with stress, individuals should engage in
regular exercise, and engage in repetition of stressful events. Although the outcome may not be able to
be changed, an individual should have a positive outlook on a stressful situation instead of a negative
outlook in order to have more control over the stressor (Sapolsky 2004).
Unit
5
39
 Negative thoughts can be referred to as toxic thoughts, and these thoughts are the product of a
conditioned response, which may start in childhood. Negative feedback may be transformed into guilt
and shame for children, and can lead to increased negative thinking during the lifetime. Research has
shown that negative thoughts can suppress the immune system, leading to increased risk of acute and
chronic illness (Seaward 2009).
 Behavior modification is a process in which an individual learns ways of changing negative actions or
perspectives into positive actions or perspectives. The goal of all behavior change programs is
assertiveness, or a “behavior that is neither passive nor aggressive but proactively diplomatic” (Seaward
2009).
Resources: Exercises:
Unit 5 Exercises
EXERCISE 9.4 Optimist or Pessimist?
Optimism versus Pessimism is important to understand if an individual desires to begin
reframing negative thoughts into positive thoughts. Optimists tend to have a more positive outlook on
life.
You should always be aware that your head creates your world.
Ken Keyes
Within each person resides the makings of an optimist and pessimist. Some people claim
dominion of their optimist side, always seeing the glass as half full, whereas others clearly see
themselves as pessimists, viewing the glass as half empty (or, in some cases, completely empty).
40
Most people see themselves as being somewhere in between depending on a variety of life
circumstances, although in general we tend to gravitate toward one side or the other in our
worldview. Describe the difference between an optimist and a pessimist in your opinion, and give
an example of each. Then explain on which side you see yourself most of the time and why.
An optimist is a person who is able to see the positive aspect of almost any given situation,
and a pessimist is the opposite; someone who tends to look toward negative or difficult situations. An
example of an optimist is someone who is able to accept life’s challenges with dignity, and look for
the positive side of things in these challenges. A pessimist may go through life and hit a roadblock,
but wonder why the roadblock exists. This could prevent a pessimist from being able to fully
understand the importance of the roadblock because he or she is focused on the problem instead of
looking beyond the problem to the future.
Most of the time, I tend to be on the optimistic side of things and look toward the positive any
way possible. I feel that I may see roadblocks, but I can look past them and know that they are only
temporary. The roadblock is not the end of the world for me, but simply a hurdle to find out what lies
beyond it. For example, when I went through my divorce, I made the conscious decision to not look
at it in a negative way, but in a positive way. I decided that it was an opportunity for personal growth,
to meet new people that I otherwise would not have met being married, and an opportunity to form
new friendships. By having an optimistic view on this situation, I feel that I was able to handle it
better than if I had constantly looked as this situation from a negative, or pessimistic, perspective.
Although there are times that I may show a pessimistic point of view, I try to quickly reframe my
perspective to an optimistic point of view.
This exercise is important because actions and words are also part of a conscious decision for
reframing negative situations. If an individual’s point of view comes out as a negative perspective,
others may feel the same way, and it can make it harder to make the decision to reframe the situation.
EXERCISE 15.1 What DidYou Say?
Conversational skills may not seem like they belong in a stress-management book, but nothing
could be further from the truth. Poor conversational skills are often at the root of many stressful
relationships. We are engaged in conversation from the moment we wake until the second we lay
down our heads and enter the world of dreams. Whether it be family, friends, customers, clients,
peers, colleagues, strangers, or even voices on the radio and television, our minds are
programmed to listen and respond in conversation virtually every minute of the day.
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A proverb states, “The three most important words to a successful relationship are
communication, communication, communication.” It’s true! As social animals we gravitate
toward others to engage in conversation. Good communication skills are essential to every aspect
of our lives. The elements of conversation are rather complicated because we communicate with
more than just words and voices. In fact, more of our communication skills are nonverbal than
verbal.
1. How good are your communication skills, both verbal and nonverbal? Are you even aware
of the messages you give to others with your clothing style, hair, eye movements, posture,
hand gestures, and facial expressions?
I try to be conscious of my verbal and nonverbal communication skills. I choose clothing,
and hairstyles that I feel would not be offensive to others. A few weeks ago, I dyed my
hair purple (by accident), and I felt that others would find it offensive, so I took steps to
quickly correct the problem. I make eye contact if speaking to someone, especially if the
information is important for them to hear. I smile a lot, although I will admit, that it is not
all the time. I smile because I am truly happy, not because I force myself to look like I am
happy.
2. There is a growing trend among people younger than 30 to prefer text messaging to email
and phone calls. Is this your preference? If so, why? Are you aware that some people’s e-
communication skills are good, but their social (in-person) communication skills are poor?
Please explain.
I am 31, and depending on the situation, I do prefer text messaging over email and phone
calls. This is because I tend to ignore emails because I get mostly junk email, so it may go
days until I check it. Phone calls are good at times, as long as it is not an inconvenience to
both parties involved. Text messages are good for a quick note to someone, and they are
more likely to see it. If a long conversation is required, I do prefer the phone because
written words can be taken as unintended and cause hurt to the other person. I am aware
that some people have poor social communication skills, even if they do seem to have good
e-communication skills. When writing a text or email, it is easy to think about what is
being said, and re-write the information as necessary before sending it. The opposite is
true for social communication skills because non-verbal language also plays a major role in
communication.
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3. Some communication should only be between two people and not for public consumption,
yet we are now seeing private conversations become public on Facebook, Twitter, and
other social networking sites. Have you ever made a private conversation public? If so,
why?
I have made every attempt at keeping private conversations private. I personally feel that
people who post private conversations on social networking sites are craving attention, and
looking to see who will take pity on them and feel sorry for them. I do not want people to
pity me for any reason; I want people to like me for who I am and not pretend to like me
simply because of something that I posted online.
4. What would you say is your body’s silent message, that is, without dialogue? Why? Is this
the message you wish to convey?
I hope that my body is saying that I am a nice person, I care about others, and I am
generally a happy person. As mentioned earlier, I tend to smile a lot, but not all the time to
encourage people to think the smile is fake. This is the message I wish to convey because
it is the truth, and I make every attempt to tell people the truth.
5. Listening skills are as important as the ability to articulate your thoughts and feelings. Yet,
most people hear but seldom listen. More often than not, they begin to prepare what they
are going to say within seconds of someone beginning to speak or respond. How good are
your listening skills? What could you do to improve them?
I feel that I have good listening skills. I allow others to finish talking before I respond, and
I ask questions if I did not understand something that was said before I respond. I like to
help people work through problems; so many people seem to feel that I am a good listener.
I could possibly use more gestures at times in order to make people feel more comfortable
with my listening. I tend to get quiet while others are talking, and sometimes a nod of the
head is helpful to others so they know that I am still listening and not daydreaming.
6. Much research now suggests that men and women have different styles of communication.
Have you ever noticed this? For example, have you noticed that when a woman says she’ll
call you tomorrow, she calls you tomorrow, whereas when a man says he’ll call you
tomorrow, most likely he will call you in a few days to a week?
43
I feel that although sometimes men and women have different styles of communication,
this is not always true. It depends on the intention of the individual, as well as other
factors. For example, I am always busy doing something, and although I may tell someone
that I will call tomorrow, I am very easily distracted and can forget to call. On the other
hand, if my boyfriend says he will call tomorrow, he will honestly make every attempt to
call me.
7. It has been said that when we speak we are very indirect, not really saying what we mean.
We beat around the bush. Do you find that your verbal style is more indirect than direct?
Do you tend to give mixed messages? After giving this some thought, can you think of
ways to improve your verbal communication skills? Do you need to revise your nonverbal
messages? How can you do this?
I feel that I am usually very direct and say what I mean. If someone is not sure about my
message, they ask and I can rephrase it, although this does not happen often. I try to be
honest with people and tell them exactly what is on my mind. Revising nonverbal
messages takes a conscious effort, as well as practice. One way to practice this is to think
before acting, and be sure to show gestures toward others that will enhance, not contradict,
the verbal message.
8. How do your communication styles differ from direct contact to the times when you use
your cell phone or text message? Does your cell phone use interfere with your direct
personal relationships?
There are times when my cell phone can interfere with my direct personal relationships.
Sometimes written words are not interpreted with the intended meaning, and this can create
problems with relationships. If I see that I have offended someone because of something
written in a text, I will talk to them in person (or on the phone if that is the only option) and
apologize and explain what was truly meant.
9. Men and women are said to have different communication styles. Although it may be true
that men are from Mars and women are from Venus, we are both here on earth, so we have
to learn to be bilingual. What differences do you notice talking to the opposite gender?
How are these differences magnified in a relationship? Share your thoughts and
experiences here.
44
I always make an attempt to keep an open mind, especially when talking with the opposite
sex. I understand that we both may say things that do not make sense to the other, and
instead of getting upset over mixed messages, I will ask for clarification when needed. I
feel that in my relationship with my boyfriend, these differences can be magnified in a
good way because we are both optimistic, and very open minded. Sometimes these
differences can lead to a good laugh when we actually figure out what is meant.
Tools: Journal Writing:
HW410: Unit 5 Journal Writing Assignment
Reframing is something that I have taught myself to do over the past three years. This is an
important component of learning to see the positive aspect of any situation, and also helps to decrease
stress.
EXERCISE 8.1
Reframing: Seeing a Bigger, Clearer Perspective
Anger and fear that arise from encountering a stressful situation can narrow our focus and
distort our perspective on the bigger picture. Although the initial aspects of dealing with these
situations involve some degree of grieving, the secret to coping with stress is to change the
threatening perception to a nonthreatening perception. This worksheet invites you to identify
three stressors and, if necessary, draft a new, “reframed” perspective (not a rationalization) that
allows you to get out of the rut of a myopic view and start moving on with your life.
Example:
Situation: Can never find a parking space close to the dorm/classroom
Reframed Perspective: Although nearby parking certainly saves time, there is no denying that
45
the walk provides much needed exercise/activity
1. Situation: Facing more traffic than usual on the way to work in the morning makes me feel
stressed about getting to work on time.
Reframed Perspective: I give myself 45 minutes to get to work, and it is a 30 minute drive. I
have plenty of time, and since I live in a rural area, traffic is not nearly as bad as if I would have
to drive in a city to get to work. The extra time in the car gives me more time to listen to music,
news, and the hilarious radio shows. Music decreases my stress level, so I enjoy listening to
extra music in the morning before I potentially stressful day at work.
2. Situation: I was feeling negative, stressed, and miserable following my marital separation and
pending divorce.
Reframed Perspective: Instead of allowing myself to feel negative, stressed, and miserable, I
decided to turn this negative situation into the most positive situation that I possibly could.
Although divorce is always stressful as it is, I made it into an opportunity to make myself feel
better any way that I possibly could, without trying to make my ex look bad for the kids. I
started going to church, became baptized, started on my weight loss journey, and starting
looking at the positive instead of the negative for every situation possible.
3. Situation: It is rough to be a single mother with two young boys.
Reframed Perspective: Although there are times that being a single mother is rough, it also gives
me an opportunity to have time alone with my boys, and to do things with them. It also allows
us to bond and develop new family traditions and values.
© Paramount Wellness Institute. Reprinted with permission. All rights reserved.
The following questionnaire is a good way to determine if an individual may have Type A
personality, which can cause increased stress for the individual. Since we live in such a hurried world,
many people feel that there are not enough hours in the day, and this questionnaire can remind someone to
slow down once in a while to prevent feeling even more stressed over time.
EXERCISE 15.1 The Time-Crunch Questionnaire
46
The following is a survey based on the traits of the codependent personality. Please answer the
following questions with the most appropriate number.
1 = rarely 2 = sometimes 3 = often
1. I tend to procrastinate with projects and responsibilities. 1 2 3
2. My bedtime varies depending on the workload I have each day. 1 2 3
3. I am the kind of person who leaves things till the last minute. 1 2 3
4. I forget to make To Do lists to keep me organized. 1 2 3
5. I spend more than two hours watching television each night. 1 2 3
6. I tend to have several projects going on at the same time. 1 2 3
7. I tend to put work ahead of family and friends. 1 2 3
8. My life is full of endless interruptions and distractions. 1 2 3
9. I tend to spend a lot of time on the phone. 1 2 3
10. Multi-tasking is my middle name. I am a great multi-tasker. 1 2 3
11. My biggest problem with time management is prioritization. 1 2 3
12. I am a perfectionist when it comes to getting things done. 1 2 3
13. I never seem to have enough time for my personal life. 1 2 3
14. I tend to set unrealistic goals to accomplish tasks. 1 2 3
15. I reward myself before getting things done on time. 1 2 3
16. I just never have enough hours in the day to get things done. 1 2 3
17. I can spend untold hours distracted while surfing the Internet. 1 2 3
18. I tend not to trust others to get things done when I can do them
better myself.
1 2 3
19. If I am completely honest, I tend to be a workaholic. 1 2 3
20. I have been known to skip meals in order to complete projects. 1 2 3
21. I will clean my room, garage, or kitchen before I really get to
work on projects.
1 2 3
22. I will often help friends with their work before doing my own. 1 2 3
23. It’s hard to get motivated to get things done. 1 2 3
Total Score __30______
Questionnaire Key
0–25 points = excellent time management skills (keep doing what you are doing!)
50–26 points = fair time management skills (time to pull in the reins a bit)
75–51 points = poor time management skills (time to reevaluate your life skills)
47
Unit 6: Relaxation Techniques 1: Breathing,
Meditation, and Mental Imagery
Information to Remember:
 Diaphragmatic breathing is an effective relaxation technique that focuses on breathing that originates in
the abdomen, as opposed to the normal chest breathing that most Americans normally do. In order to
perform diaphragmatic breathing, the individual needs to consciously focus on the breathing, and take
slow deep breaths. While focusing on the breathing, the mind has a few seconds to possibly forget
about the impending stress (Seaward 2009).
 Every relaxation technique involves some aspect of meditation, and meditation is a mind-cleansing
process. There are two types of meditation; to exclude all thoughts from the mind except a focal point,
and to include all thoughts but detach emotionally from these thoughts (Seaward 2009). Each individual
should find a form of meditation that is appropriate.
 “Mental imagery describes the ability of the unconscious mind to generate images that have a calming,
healing effect on the body. Visualization is one aspect of mental imagery, wherein there is conscious
direction of self-generated images. Guided mental imagery is a variation wherein images are suggested
by another person (either live or on tape)” (Seaward 2009).
Unit
6
48
Resources: Exercises:
HW410: Unit 6 Exercises
An individual may be dominant in left-brain or right-brain thinking, depending on the
common traits that are exhibited. By being aware of which side of the brain does the dominant
thinking, an individual can learn to exercise the other side of the brain as well to become more whole
in thinking.
EXERCISE 18.3 Bridging the Hemispheres of
Thought
In 1956 a researcher named Roger Sperry conducted some experiments on a handful of patients
with grand mal epileptic seizures. In the procedure he created, he cut the corpus callosum, the
bridge of neural fibers that connects the right and left hemispheres of the brain. Not only did the
operation reduce the number and intensity of the grand mal seizures, but it also soon gave
credence to a whole new concept of how the mind, through the brain, processes information.
Roger Sperry’s research led to a Nobel Prize in medicine and to the household expressions right-
brain thinking and left-brain thinking.
Left-brain thinking skills are associated with judgment, analysis, mathematical and verbal acuity,
linear thought progression, and time consciousness; right-brain functioning is associated with
global thinking, holistic thinking, imagination, humor, emotionality, spatial orientation,
receptivity, and intuition; Western culture grooms and rewards left-brain thinking. It is fair to
say that judgmental thinking is one of our predominant traits. Although it is true that Western
culture is left-brain dominant in thinking skills, the truth of the matter is that to be dominant in
one style of thinking is actually considered lopsided and imbalanced.
1. How would you describe your dominant thinking style? Would you say that your left brain or
right brain dominates?
I believe that I am both left-brained and right-brained in thinking. I usually seem to be
good at making judgments, analyzing situations, verbal acuity, and time consciousness,
which is associated with the left-brain. I am also good at holistic thinking (which is why I am
returning to school and concentrating in that field), imagination, humor, emotionality,
receptivity, and intuition, all of which are associated with right-brain thinking. Depending on
the situation facing me I may become more dominant in thinking from one side of the brain
or the other.
2. If you were to make a guess or assumption as to why your thinking skills gravitate toward
one direction or the other, what would be your explanation?
I am also ambidextrous with writing and many other tasks, so I am able to adapt by
using each side of my brain. I also think some of this reasoning is because I have been left-
49
handed since I was very young, and since most people are right-handed, they teach others to
do things the right-handed way (using the left brain). Dominance in society leads to mostly
left-brain thinking in society, which is rewarded in Western culture. I also like everything in
my life to be balanced, so I believe this also helps to encourage left-brain and right-brain
thinking in myself.
3. One of the basic themes of wellness is balance—in this case, balance of the right-brain and
left-brain functions. Based on your answer to the first question, what are your dominant
thinking skills and your non-dominant thinking skills? What are some ways you can balance
your patterns by bridging between the right and left hemispheres of your brain?
Some of my dominant thinking skills are judgment, analysis, time consciousness, holistic
thinking, imagination, emotionality, receptivity, and intuition. My dominant thinking skills are
mathematical (and sometimes verbal) acuity, linear thought progression, sometimes spatial
orientation, and sometimes humor. I believe the only way to learn to use the non-dominant
thinking skills is to learn how and when to use them through practice. Practice may come
through facing new or uncomfortable situations because it will teach us how to use new skills.
By repeating these situations, the mind becomes more comfortable with the situation and the
skill, and can lead to more balance in using the left-brain and right-brain.
Visualizations can be an important part of decreasing stress, especially for a beginner since
they explain exactly what to do. These visualizations instruct the individual on a focal point, and are
used to promote a sense of rest and relaxation.
EXERCISE 20.2 Three Short Guided
Visualizations
A Point of Light in Space
This guided imagery is called a point of light in space. As with all types of guided imagery, please
adapt and embellish all suggestions you hear to best promote a sense of rest and relaxation.
To begin . . . .
Close your eyes and begin to focus on your breathing. Feel the air come into your nose or
mouth, down into your lungs, and as you inhale, feel your stomach area extend out comfortably.
Then when you begin to exhale, feel a deep sense of relaxation, for there is no work, no effort,
as you release the air from your lungs. This is the most relaxed part of breathing. The exhalation
50
phase of the breath cycle requires no work, no effort—it happens all by itself. Please repeat this
cycle of comfortably deep breathing two more times. Inhale (pause five seconds). Exhale. Inhale
(pause five seconds).
Exhale.
Now, with your mind’s eye, imagine a vast area of dark empty space in front of you. As you look
at this dark empty space, off in the distance you see a small point of light: a brilliant, golden-
white light. Allow your thoughts to slowly bring this point of light closer to you. Think to yourself
of the stillness that surrounds the light. The stillness represents the quiet solitude that the mind
craves after a busy day of sensory overload. The point of light represents only that which is
essential to focus on for your higher good. All other thoughts are unimportant at this time. Once
again, focus on the small point of light. Although this point of light is small, it’s bright and
vibrant. This light is a symbolic representation of your self—yourself at complete homeostasis.
As you focus on this point of light, take a slow, comfortable, deep breath—as slow and
comfortably deep as you can. As you exhale, place all of your attention, all of your
concentration, on this point of light. If your mind should happen to wander, and most likely it
will, simply direct all thoughts back to this point of light in a calm sea of still darkness.
As you focus on this point of light, think to yourself that in the course of a busy day you are
constantly being bombarded with sensory stimulation and an abundance of information. Although
the mind seeks stimulation, the mind also craves time to unwind and relax. Balance is essential.
While it may be impossible to have no thoughts in your mind, it is possible to focus solely on just
one thought. Right now, the only thought you need to focus on is this beautiful point of light. As
you focus on this single point of brilliant light, take one more slow, deep breath. As you exhale,
feel whatever tensions or excess energy you carry in your mind dissipate, thus allowing for a
deeper sense of relaxation of mind, body, and spirit.
Take one more slow, deep breath, and this time as you exhale, slowly allow this image of the
brilliant point of light to fade from your mind’s eye, yet retain the deep sense of relaxation and
calm it has instilled. And as you do this, begin to place all of your attention on your breathing.
Inhale and as you do, feel your stomach begin to extend, then slowly come back in as you
exhale. In this exhalation process, become aware of a deep sense of complete relaxation.
Although you feel relaxed, you don’t feel sleepy or tired. You feel refreshed and renewed. As you
become aware of this energizing sensation, begin to open your eyes to a soft gaze in front of you
and slowly bring yourself back to the awareness of the room you are now in, feeling refreshed
and renewed.
Gentle Falling Snow
Picture this: You are sitting by a large picture window in a warm log cabin on a brisk winter’s
day. You have the entire place to yourself, and the solitude feels invigorating. There is a log fire
in the wood stove radiating abundant heat. Both the sounds of crackling wood and the scent of
pine arouse your senses and for a moment, you close your eyes and take a slow, deep breath, a
sigh that refreshes. As you exhale, you feel a wonderful sense of relaxation permeate your entire
body from head to toe, and it feels great. Consciously, you take another slow, deep breath in
through your nose. As you exhale through your mouth, you become aware of the glorious
stillness that surrounds you in this cabin.
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Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide
Stress Management Resource Guide

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Stress Management Resource Guide

  • 1. KAPLAN UNIVERSITY HW410 Stress: Critical Issues in Management and Prevention StressManagementand Prevention Program ResourceGuide 1
  • 2. K A P L A N U N I V E R S I T Y Stress Management and Prevention Program Resource Guide By Shannon Felmey Kaplan University HW410: Stress: Critical Issues in Management and Prevention Date of Assignment
  • 3. Table of Contents U N I T 1 T H E N A T U R E O F S T R E S S Information to Remember Resources: Exercises: Exercises Tools: Journal Writing: Journal Writing U N I T 2 T H E P H Y S I O L O G Y O F S T R E S S Information to Remember Resources: Exercises: Exercises Tools: Journal Writing: Journal Writing U N I T 3 P S Y C H O L O G Y O F S T R E S S Information to Remember Resources: Exercises: Exercises Tools: Journal Writing: Journal Writing U N I T 4 P E R S O N A L I T Y T R A I T S A N D T H E H U M A N S P I R I T U A L I T Y Information to Remember Resources: Exercises: Exercises Tools: Journal Writing U N I T 5 D E A L I N G W I T H S T R E S S : C O P I N G S T R A T E G I E S Information to Remember Resources: Exercises Tools: Journal Writing U N I T 6 R E L A X A T I O N T E C H I Q U E S 1 : B R E A T H I N G , M E D I T A T I O N , A N D M E N T A L I M A G E R Y Information to Remember Resources: Exercises Tools: Journal Writing
  • 4. U N I T 7 N U T R I T I O N A N D S T R E S S Information to Remember Resources: Exercises Tools: Journal Writing U N I T 8 P H Y S I C A L E X E R C I S E A N D A C T I V I T Y Information to Remember Resources: Exercises Tools: Journal Writing U N I T 9 A P P L Y I N G S T R E S S : C R I T I C A L I S S U E S F O R M A N A G E M E N T A N D P R E V E N T I O N T O Y O U R P R O F E S S I O N A L L I F E Information to Remember Resources: Exercises Tools: Journal Writing Tools: Journal Writing A D D I T I O N A L I N F O R M A T I O N R E F E R E N C E S
  • 6. Unit 1: The Nature of Stress Information to Remember:  Defining stress: The definition of stress is different for everyone. According to Seaward (2009), stress is the “experience of a perceived threat (real or imagined) to one’s mental, physical, or spiritual well-being, resulting from a series of physiological responses and adaptations. Holistic medicine defines stress as “the inability to cope with a perceived (real or imagined) threat to one’s mental, physical, emotional, and spiritual well-being, which results in a series of physiological responses and adaptations (Seaward 2009).  The stress response coined by Walter Cannon is known the fight-or-flight response. This stress response “describes the dynamics involved in the body’s physiological arousal to survive a threat” (Seaward 2009). Instinctive human nature is to either fight (face and conquer the stressor), or flight (run away and not fight the stressor). Although more recent theories have suggested that some people, especially women, tend to look for help from friends to deal with stress (Seaward 2009).  Men and women tend to handle stress in different ways. “Generally speaking, men are prone to act more hostile while women have a proclivity to be more nurturing” (Seaward 2009). Men may work Unit 1 4
  • 7. through problems by looking for answers or solutions, while women may talk to others and receive social support in order to conquer problems. Resources: Exercises: HW410: Unit 1 Exercises My Health Philosophy is important to include in this resource list because everyone has a philosophy, and it is important to understand an individual’s philosophy regarding personal health. This philosophy is the key to understanding the view of personal health, wellness, and illness from the individual’s perspective. EXERCISE 1.2 My Health Philosophy Life is a kaleidoscope of the infinite variety. No two things are the same. Everyone’s life is individual. --Paramahansa Yogananda We all have philosophies. Philosophies are nothing more than our opinions, dressed up with an introduction and conclusion—a way to present to someone, even ourselves, what we really think about some topic or ideal. We have philosophies on everything—the types of music we like and listen to, the state of world affairs, and even the foods we eat at restaurants. Now it’s time to examine your philosophy about your health. Based on what you already know, and perhaps have been taught or exposed to, define as best you can what the words health and wellness mean to you. After having done this, ask yourself why health is so important and write a few lines about this. Given the premise that every issue is a health issue, identify some seemingly non-health issues such as the global economy, deforestation, or TV programming. See if you can discover the connection between these issues and your state of well-being. How is your state of health influenced by stress? Finally, where do you see yourself twenty-five years from now? If you were to continue your current lifestyle for the next three to four decades, how do you see yourself at that point in the future? Your health philosophy guides your state of health. What is your health philosophy? What has influenced your philosophy up to now (e.g., parents, teachers, friends, books)? Be specific. Take some time to write it down here now. If you need additional space to write, use the extra pages provided at the back of this book. My Health Philosophy 5
  • 8. Health is an individual’s opinion regarding a state of well-being, and can be excellent, good, fair, or poor. This state can also refer to the individual’s physical (body), mental, emotional or spiritual standing, and each of these areas may be rated differently than other areas. Health can be improved or it can become worse if not allowed to reach its full potential. Wellness is the overall picture of physical, mental, emotional, and spiritual health. Wellness is achieved when all of these areas have reached their potential, or when an individual is conscious about his or her health and is consciously making changes to improve each of these areas. Balance is the key to obtaining wellness. Health is important because it determines which path the individual will take in life. For example, if physical health is good, it can lead to good mental health and allow the individual to achieve happiness and wholeness. If mental health is poor, it can also lead to poor physical, emotional, and spiritual health, leaving the individual unable to obtain happiness. Although television programming seems to be a non-health concern, it can and does lead to poor health. Television shows are addictive, so people become glued to the television so they do not miss a minute of a favorite movie or show. Along with the shows and movies come commercials, which sometimes encourage people to “take a break” and grab a snack or a drink. Most times these snacks or drinks are probably quick processed foods, such as chips, cookies, soda, or juice. Television also acts as a substitute for other activities (MedlinePlus 2014), and leads people to increase sedentary time and decrease physical activity. All of these combinations have led to increased obesity rates among children, adolescents, and adults. In addition to rising obesity rates, television can also lead to decreased social interaction with friends and family, especially for children. When children see violence on television, they may be more apt to show aggressive behavior toward others, and they may also experience higher rates of attention problems (MedlinePlus 2014). When 6
  • 9. television is limited or avoided, such as in this household, other activities are encouraged instead of watching television, such as playing outside or engaging in physical activity. I am making conscious efforts to encourage my boys to lead a healthy lifestyle with healthy food choices and physical activity, and very little television or other sedentary activities. My state of health sometimes suffers in times of high stress. For years, I have battle obesity, and I was a “stress eater,” always eating high fat, high calorie foods in an attempt to feel better. In the past year, I have significantly decreased the “stress eating” and I have made conscious efforts to make healthier food choices. I have also been exercising more consistently than in the past, and I have found that exercise helps me to reduce stress. I have also occasionally done some Yoga or meditation, but it is something that I need to make part of my normal daily routine. In twenty-five years from now, I see myself living happily married, spending time with my kids and grandkids, and starting to slow down in my career so that I have more time for family and leisure activities. I have worked hard to lose weight, and I intend to keep it off. I plan to stay on track with my exercising, hopefully continuing to run, do Zumba, and visit the gym on a regular basis. I also see myself with someone who shares the same views as I do regarding health, diet, and exercise. If I would continue this current lifestyle for the next three to four decades, I believe I would be burned out from all of the stress that I currently endure. Although I am somewhat comfortable with my stress level right now, I know that I will eventually be able to decrease or change some of the current stressors in my life. These stressors include school (I will graduate in April), work (I will be able to find a different job with a less hectic schedule), and my boys will be more settled in school. My health philosophy is to obtain and maintain optimal health in all aspects; physical, mental, emotional, and spiritual. Although my divorce was a low point for me, it was also a turning point and has influenced my health philosophy. Following my divorce, I made the decision to change my life 7
  • 10. around and to increase my health and well-being as much as possible in every possible area. This was when I returned to school, lost weight, changed my eating habits, became more consistent with exercising, and started attending church on a regular basis. I have also been influenced by the past classes that I have taken. These classes have strengthened my values and beliefs regarding health and wellness. I have always wanted to turn more toward non-drug treatments for any illnesses or problems that I have encountered, but I do understand that medications sometimes play a part in the healing process. I also have not realized how much spirituality plays a role in my own health and well-being until I started attending church in the last three years. My church family has played a huge role in helping to increase my spiritual health, as well as my overall wellness. They have been there to help me through my divorce, and they have also helped me in countless other ways, including yard work, moving to a new house, and supporting me when I felt mentally and spiritually low. The Wellness Paradigm Revisited is an important resource because there are four aspects the compose health and wellness. These aspects include mind, body, spirit, and emotions, and all of these aspects must work together to form the wholeness of an individual’s health and wellness. EXERCISE 1.6 The Wellness Paradigm Revisited 8
  • 11. Ageless wisdom tells us that the whole is greater than the sum of the parts and that all parts must be looked at equally as part of the whole. In terms of health and wellness, the whole is made up of four components: mind, body, spirit, and emotions. Additionally, ageless wisdom suggests that holistic wellness is composed of the integration, balance, and harmony of these four components—that each aspect of our being is so connected to the other three that no separations exist. Looking at one component— say, our physical health—merits paying attention to the other three because of the dynamic interconnectedness of the mind, body, spirit, and emotions. What might seem like common sense has not always been so well accepted in American culture. For over three hundred years, the Western mind has focused on the physical aspects of health, leaving the other three components in the shadows. Beginning in the early 1960s, the mental, emotional, and spiritual components of health were looked at with somewhat distant interest; only in the past decade has the interconnection of mind, body, and spirit gained respect (and popularity) in Western science. It has been said recently that every issue is a health issue, meaning that issues such as economic downswings, political instability, rainforest depletion, and moral bankruptcy all ultimately affect our health. To recognize our own health status, we must remind ourselves that we are more than just our physical bodies. We must come to appreciate the true integration, balance, and harmony of mind, body, spirit, and emotions. Here are some questions to ponder as you explore your own health philosophy, values, and beliefs. If you need additional space to write, use the extra pages provided at the back of the book. 1. Given the dynamics of the wellness paradigm, how does it compare with the common notion that health is the absence of disease? It seems to be apparent that many people view health as the absence of disease. When someone is diagnosed with a chronic disease, many people will instantly feel that they have poor health. However, some people are able to feel healthy even with a diagnosis of a chronic disease, such as breast cancer. For example, although a woman may have been diagnosed with breast cancer, she may feel that she has good or excellent health, especially if she is in remission. Mental, emotional, and spiritual health may all be good even though her physical health may have deteriorated following chemotherapy and radiation treatments. Health is more of an opinion of an individual’s personal well-being. 2. What is your definition of wellness? Do you believe that the whole is greater than the sum of the parts? Can you think of an example in music, politics, or the arts that demonstrates this ageless wisdom? 9
  • 12. My definition of wellness is the overall picture of the four aspects of health; physical, mental, emotional, and spiritual. I truly believe that the whole is greater than the sum of the parts, especially when talking about health and wellness. Although an individual may have good physical health, that individual must also have good emotional, mental and spiritual health in order to maintain wellness. An example in music that shows this ageless wisdom would be a music note. A music note can be seen, played, or sung, but by itself it means nothing. The whole song is greater than the sum of the parts since it is composed of individual notes, instruments, and a voice. Although each of these is important in their own way, none of them are as important as the sum of these parts when they are all combined to form a song. 3. What do you think it means to be an integrated person, to enjoy balance and harmony among your mental, emotional, physical, and spiritual aspects? Do you feel this within yourself? If not, why not? Can you identify which aspect(s) you feel are not in balance? An integrated person is an individual that uses holistic practices to achieve and maintain balance and harmony among mental, emotional, physical, and spiritual aspects. Although I have not always felt this balance, I have definitely begun to find a balance in the past year, and I plan on continuing to improve and maintain this balance. I feel that there currently is some balance, but I have been working hard to find this balance. Less than three years ago, I started going to church regularly, and only since then I have realized that I need to have the spiritual balance in my life. I feel that the mental aspect is still slightly out of balance, mainly due to stress from working long hours and having no set schedule. I know that this will improve in a few months when I am able to look for a different job. I will keep working at all aspects of my life to be sure that I maintain the balance that I have worked hard to achieve. When something else happens that causes stress, I can re-evaluate each 10
  • 13. aspect of my life and decide which aspect needs attention at that time in order to be sure that I do not lose more balance. Tools: Journal Writing: HW410: Unit 1 Journal Writing Assignment “Are You Stressed?” is a short questionnaire regarding behaviors related to stress. Although it does not include all possible stress-related behaviors, it does include some common behaviors, which can allow an individual to focus on stress and learn ways of changing negative behaviors. EXERCISE 1.1 Are You Stressed? Although there is no definitive survey composed of 20 questions to determine if you are stressed or burnt out or just exactly how stressed you really are, questionnaires do help increase awareness that, indeed, there may be a problem in one or more areas of your life. The following is an example of a simple stress inventory to help you determine the level of stress in your life. Read each statement, and then circle either the word Agree or Disagree. Then count the number of "Agree" points (one per question) and use the Stress Level Key to determine your personal stress level. Statement: Agree Disagree 1. I have a hard time falling asleep at night. Agree Disagree 2. I tend to suffer from tension and/or migraine headaches. Agree Disagree 3. I find myself thinking about finances and making ends meet. Agree Disagree 4 .I wish I could find more to laugh and smile about each day. Agree Disagree 5. More often than not, I skip breakfast or lunch to get things done. Agree Disagree 6. If I could change my job situation, I would. Agree Disagree 7. I wish I had more personal time for leisure pursuits. Agree Disagree 8. I have lost a good friend or family member recently. Agree Disagree 11
  • 14. 9. 1 am unhappy in my relationship or am recently divorced. Agree Disagree 10. I haven't had a quality vacation in a long time. Agree Disagree 11. I wish that my life had a clear meaning and purpose. Agree Disagree 12. I tend to eat more than three meals a week outside the home. Agree Disagree 13. I tend to suffer from chronic pain. Agree Disagree 14. 1 don't have a strong group of friends to whom I can turn. Agree Disagree 15. I don't exercise regularly (more than three times per week). Agree Disagree 16. I am on prescribed medication for depression. Agree Disagree 17. My sex life is very satisfying. Agree Disagree 18. My family relationships arc less than desirable. Agree Disagree 19. Overall, my self-esteem can be rather low. Agree Disagree 20. 1 spend no time each day dedicated to meditation or centering. Agree Disagree Stress Level Key Less than 5 points You have a low level of stress and maintain good coping skills. More than 5 points You have a moderate level of personal stress. More than 10 points You have a high level of personal stress. More than 15 points You have an exceptionally high level of stress. ©Paramount Wellness Institute. Reprinted with permission. All rights reserved. 12
  • 15. Sleep is important for everyone, especially when enduring stress. “A Good Night’s Sleep” is important to allow and individual to focus on sleep patterns, as well as showing how stress can cause problems with sleeping. EXERCISE 1.4 A Good Night’s Sleep Sleep is one of the basic human drives. Most health books don’t talk much about it, despite the fact that you spend over one-third of your life in that state. The fact is that we tend to take the behavior of sleep for granted, unless, of course, we feel we don’t get enough of it. We are told that the average person sleeps six to eight hours a night, with an occasional nap here and there. Truth be told, over half of Americans get much less than this. Eight hours may be recommended, but it is not the norm. A poor night’s sleep cascades into a poor waking day. Over time, the results will ultimately affect all aspects of health. Whatever your sleep patterns were before you started college, chances are that they have changed dramatically since then. By and large, the freedom connected with college life tends to throw off sleep patterns. Instead of hitting the hay around 10 P.M. or 11 P.M., you might not lay your head on the pillow until 1 A.M. or 2 A.M. On weekends you may go to bed at sunrise, rather than waking up to see it. And let us not forget the all-nighters that tend to become habit forming during midterm and final exams. Since the 1950s, scientists have been studying sleeping behaviors and sleeping patterns in earnest. With over forty years of data collection, you’d think they would have some solid answers; the truth is, no one really knows why we sleep. There are all kinds of theories about the need to have rest, but to date there seems to be a lack of evidence as to what actually goes on during the night hours. Interestingly enough, we do know what happens when we don’t get enough sleep. Memory and motor coordination fade rapidly, and performance, in all aspects, is greatly compromised—as many a college student will attest to when pulling a series of all-nighters. Describe your sleeping patterns. Are your sleep habits regular? Do you go to bed and get up about the same time every day? How have your sleeping patterns changed since you entered college? Do you make a habit of pulling all-nighters? Do you have problems sleeping at night? Do you have a hard time getting up in the morning? What are some of the patterns you see with your sleep? I have only recently (about a month ago) started tracking my sleep with my FitBit, after receiving some encouragement to do so from a friend. I function best on 7-8 hours, but I have adapted to functioning on 5-6 hours when needed. I also have found out that I cannot only sleep 5-6 hours more than one night in a row. I am usually in bed between 10pm-11pm, but my wake up times vary between 4:30 am if I work or sometimes 7:30-8am if I am off. I also have two young boys, so they usually wake up early, even on days off. I do not pull all-nighters, and 13
  • 16. I never started that habit when I went to nursing school 10 years ago. I know that I need my sleep to function and I never wanted to try to function without sleep. I usually do not have a problem sleeping, although I admit that occasionally, I do have a restless night. I do not like to wake up early, but once I am awake, I stay awake for a while. I have never set a snooze alarm, so I force myself to get up right away and start my day. According to my FitBit, I have had only six days in the past 36 days that I have had less than seven hours of sleep (this was when I bought my FitBit). I am really glad that I have invested the time for research and money for the FitBit because it not only shows me how active I am, but it is also tracking my sleep so that I can see a pattern and where I need to improve. I make every attempt to get at least seven hours of sleep per night so that I feel rested in the morning, which is very important for my job. Unit 2: The Physiology of Stress Information to Remember:  Stress causes responses from three of the body’s physiological systems, including the nervous system, endocrine system, and the immune system. The limbic system, which is part of the central nervous system, houses the hypothalamus, which controls many functions including appetite and emotions. Peripheral nervous system activates sympathetic and parasympathetic neural drives and triggers the release of epinephrine, norepinephrine, and multiple hormones (Seaward 2009). Unit 2 14
  • 17.  The fast-paced American lifestyle has led many Americans to attempt multitasking because they feel that they are constantly on a time limit to get things done. Multitasking creates more stress and less time to rest, which leads to a vicious cycle of increased stress (Seaward 2009).  Chronic stress can lead to many physical, mental, and emotional problems. The immune system becomes suppressed with prolonged levels of high stress, leading to many possible illness, including depression, anxiety, hypertension, and obesity. Many different types of relaxation techniques are available and should be used on a regular basis to help decrease stress levels and risk for acute or chronic illnesses (Seaward 2009). Resources: Exercises: HW410: Unit 2 Exercise The following exercise is an important aspect of this resource guide in order to understand the immediate, intermediate, and prolonged stress effects on an individual’s body. Some of the effects listed here may bring awareness to an individual regarding stress that may have not been realized previously. EXERCISE 2.2 Immediate, Intermediate, and Prolonged Stress Effects As noted in Chapter 2, the stress response has immediate (seconds), intermediate (minutes to hours), and prolonged (days) effects through which the symptoms of physical stress can manifest. To reinforce your understanding of each phase of this physiological process, please take a moment to reflect on how your body reacts to stress through these three processes. 15
  • 18. 1. What do you feel when immediately threatened? a. Tingling sensations Yes No b. Sweating Yes No c. Muscle tension (e.g., jaw muscles) Yes No d. Rapid heart rate Yes No e. Rapid breathing (or holding your breath) Yes No f. Rush of blood to your face and neck (blushing) Yes No g. Other watery eyes___________________________________________________ 2. How would you best classify your body’s intermediate (within hours) response to stress? a. Tension headache Yes No b. Migraine headache Yes No c. Sore neck and shoulders Yes No d. Sore throat Yes No e. Allergies Yes No f. Stomachache Yes No g. GI tract problems Yes No h. Other loss of appetite i. Other poor mood j. Other 3. What do you notice as long-term effects of prolonged stress (five to ten days)? a. Cold or flu Yes No b. Acne (broken-out face blemishes) Yes No c. Herpes flare-up (around lips) Yes No d. Menstrual period irregularities Yes No e. Other physical pain f. Other GI problems-lack of or increased appetite/bowel irregularities g. Other 16
  • 19. “Are You a Product of Your Culture” is a checklist to help an individual understand the fast- paced American culture, and how much stress this culture can cause. This questionnaire should remind an individual to slow down once in a while and take some time to decrease the amount of stress that is being felt. EXERCISE 2.1 Are You a Product of Your Culture? The following questions are based on various behaviors observed in individuals in society. Please answer each question as you really behave, not how you would like to be, by circling Yes or No as appropriate. 1. I keep my cell phone on throughout the day so I won’t miss any calls or texts. Yes No 2. I use my Facebook account more often than my email account. Yes No 3. I tend to leave the water running while brushing my teeth. Yes No 4. I eat more than one prepared meal out of the house each day. Yes No 5. During the day, I constantly check emails and text messages as they come in. Yes No 6. I drive rather than take mass transit to and from work/college regularly. Yes No 7. I typically take my laptop, BlackBerry, etc., on vacation with me. Yes No 8. I have been known to flush unused medications down the toilet. Yes No 9. I get more of my news from Comedy Central (e.g., The Daily Show, The Colbert Report) than newspapers, National Public Radio, TV news, or Internet portals. Yes No 10. I spend less than one hour outside each day in a natural setting. Yes No 17
  • 20. 11. I regularly interact (leave comments) on Web sites I visit. Yes No 12. I find that I rely more and more on the Internet for information (e.g., MapQuest, Google) and less on memory retention. Yes No 13. More often than not, I digitally record my favorite TV shows and watch them at a time of my preference. Yes No 14. I recycle all cans, bottles, newspapers, and so forth. Yes No 15. I start to feel antsy if I cannot check my email, text messages, and Facebook accounts each hour or more often. Yes No 16. I spend more time inside playing video games or on the Internet than time spent outside in nature each day. Yes No 17. I check my emails, tweets, Facebook updates, and so forth within 10 minutes of waking up each morning. Yes No 18. I have one or more tattoos as a means of self-expression. Yes No 19. I own more than one cell phone and often use them both at the same time (e.g., for phone calls, apps, Google). Yes No 20. I make more than one purchase online each week. Yes No 21. I dread answering the onslaught of emails each day. Yes No 22. I get a bit of a rush or excitement when my cell phone rings. Yes No 18
  • 21. 23. I text message my friends and parents more than I call them by phone. Yes No 24. I watch more movies via the Internet or Netflix than in a movie theater. Yes No 25. I make an effort to buy organic produce each week. Yes No 26. I have more than 50 Web sites bookmarked on my computer. Yes No 27. I have more than 250 friends on Facebook. Yes No 28. I purchase plastic water bottles rather than use a stainless steel one. Yes No 29. I have more than 25 apps on my smartphone. Yes No 30. I watch at least one YouTube video per day. Yes No 31. The majority of my purchases are via credit card or debit card, not cash. Yes No 32. I post an update to Facebook at least once a day. Yes No 33. I belong to more than one social networking Web site. Yes No 34. I prefer to read books on a Kindle or an iPad rather than printed books. Yes No Results: The purpose of these questions is to increase your awareness of the impact the current culture has on your behavior. There is no definitive answer or “score” regarding the impact of cultural influences. We participate in cultural practices primarily as a means of being accepted. Most people are completely unaware of the influence that society has on them, unless they purposely act differently than cultural norms suggest. 19
  • 22. Tools: Journal Writing: HW410: Unit 2 Journal Writing Assignment Physical symptoms of stress are important for individuals to understand how the body is affected by stress. If these symptoms are severe, occurring frequently, or lasting for long periods of time, the individual needs to learn more stress management skills, and should also consider getting checked for other acute or chronic conditions. EXERCISE 3.1 Physical Symptoms Questionnaire Please look over this list of stress-related symptoms and circle how often they have occurred in the past week, how severe they seemed to you, and how long they lasted. Then reflect on the past week’s workload and see whether you notice any connection between your stress levels and possible stress-related symptoms. How Often? How Severe? How Long? (Number of days (1 = mild; (1 = 1 hour; in the past week) 5 = severe) 5 = all day) 1. Tension headache 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 2. Migraine headache 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 3. Muscle tension (neck and/or shoulders) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 4. Muscle tension (lower back) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 5. Joint pain 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 6. Cold 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 7. Flu 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 8. Stomachache 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 9. Stomach/abdominal bloating/distention/gas 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 10. Diarrhea 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 11. Constipation 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 12. Ulcer flare-up 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 13. Asthma attack 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 20
  • 23. 14. Allergies 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 15. Canker/cold sores 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 16. Dizzy spells 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 17. Heart palpitations (racing heart) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 18. Temporomandibular joint dysfunction (TMJD) 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 19. Insomnia 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 20. Nightmares 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 21. Fatigue 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 22. Hemorrhoids 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 23. Pimples/acne 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 24. Cramps 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 25. Frequent accidents 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 26. Other 0 1 2 3 4 5 6 7 1 2 3 4 5 1 2 3 4 5 (Please specify: Bad Mood) Score: Look over this entire list. Do you observe any patterns or relationships between your stress levels and your physical health? A value over 30 points most likely indicates a stress- related health problem. If it seems to you that these symptoms are related to undue stress, they probably are. Although medical treatment is advocated when necessary, the regular use of relaxation techniques may lessen the intensity, frequency, and duration of these episodes. Comments: I seem to have a good grasp on my stress level, and when it gets too high, I know that I need to do something else to relieve some stress. One of the things that I have been doing is exercising; either doing Zumba or running when able. Listening to music also helps to decrease stress. I was previously a “stress eater” and was very unhealthy. Although I am still overweight, I am no longer obese, and I am working at relieving stress and becoming healthy. I occasionally will still eat when I am stressed, but I have much more control over this than I had previously. EXERCISE 3.3 My Health Profile 21
  • 24. My health profile is important to understand overall physical health. Sometimes by actually seeing things written out, it is easier to understand the real meaning, such as seeing a height and weight written next to each other on the paper. Health is so much more than the optimal functioning of our physical bodies. By and large, however, the physical body is what people focus on when they talk about health (weight, skin, hair, sight, hearing, etc.). To fully understand the mind-body-spirit connection, you must realize that the body is actually the endpoint where unresolved issues of mind and spirit collect, not the beginning. But if we were to start with the body and examine, from head to toe, our physical makeup, perhaps we could use this as a stepping stone toward understanding this unique relationship. Several aspects of our physical makeup, when looked at as a composite, tend to give us a sound understanding of our physical health status. This journal theme invites you to take some time to explore your overall physical health. Once you have compiled all your personal health data, compare your values with the norms discussed in class, or in the book Health and Wellness. If you have any questions regarding your profile, bring these to the attention of your physician. My Health Profile Name Shannon Felmey Height 5’ 4” Weight 165 lbs; BMI 28.32, overweight Age 31 Resting heart rate 62 BPM Target heart rate 95-162 BPM Maximal heart rate 190 BPM Resting systolic blood pressure 106 mm Hg Resting diastolic blood pressure 68 mm Hg Total cholesterol unknown; but within normal limits at last check HDL level unknown; but within normal limits at last check LDL level unknown; but within normal limits at last check Vision status wear glasses or contacts; no problems otherwise Dental status no problems, well kept Hearing status no problems Skin condition no problems; occasional greasy face with slight acne Gastrointestinal (GI) tract suspected gluten intolerance (causes bloating, pain, pressure/gas feeling), but otherwise no problems and regular 22
  • 25. Tense areas, muscular neck, shoulders, occasional jaw (TMJ-from grinding/clenching teeth at night) Reproductive system no problems Skin no problems except occasional slight acne Sinuses currently no problems; recent cold for approximately a week but symptoms subsided Other allergies/asthma well controlled at present Unit 3: Psychology of Stress Information to Remember:  According to Sigmund Freud, the human mind is equipped with thought processes or defense mechanisms to protect the ego. These defense mechanisms include denial, repression, projection, rationalization, displacement, and humor (Seaward 2009). By using these defense mechanisms, the ego can find ways of surviving excess stress.  Low self-esteem is associated with chronic stress and creates a negative-feedback system that leads to unhappiness and increased stress. Self-esteem is defined as “the sense of underpinning self-values, self- acceptance, and self-love; thought to be a powerful buffer against perceived threats” (Seaward 2009). Unit 3 23
  • 26.  Elizabeth Kubler-Ross proposed a theory of stress being attributed to the death of unmet expectations, which leads to five stages of grieving. These stages include denial, anger, bargaining, depression, and acceptance. When acceptance is reached, inner peace is enhanced (Seaward 2009). Resources: Exercises: HW410: Unit 3 Exercises This anger recognition checklist is an important component because it lists common ways of manifesting anger. Some of these manifestations can cause physical or emotional harm to oneself or other people. EXERCISE 5.1 Anger Recognition Checklist He who angers you, conquers you. Elizabeth Kenny The following is a quick exercise to help you understand how anger can surface in the course of a normal working day and how you may mismanage it. Please place a check mark in front of any of the following that apply to you when you get angry or feel frustrated or upset. After completing this section, please refer to the bottom right hand corner to estimate, on average, the number of episodes of anger you experience per day. When I feel angry, my anger tends to surface in the following ways: __X___ anxiety _____ threatening others _____ depression _____ buying things _____ overeating _____ frequent lateness _____ starting to diet _____ I never feel angry __X___ trouble sleeping ___X__ clenched jaw muscles, TMJD _____ excessive sleeping __X___ boredom _____ careless driving _____ nausea, vomiting _____ chronic fatigue _____ skin problems _____ abuse of alcohol/drugs ___X__ easy irritation 24
  • 27. _____ exploding in rage _____ sexual difficulty _____ cold withdrawal _____ sexual apathy _____ tension headaches __X___ busy work (clean, straighten) _____ migraine headaches _____ sulking, whining _____ use of sarcasm _____ hitting, throwing things _____ hostile joking _____ complaining, whining __X___ being accident prone _____ cutting/mutilating myself __X___ guilt and self-blame _____ insomnia _____ smoking or drinking _____ promiscuity _____ high blood pressure _____ helping others _____ frequent nightmares _____ other? ____________________ _____ tendency to harp or nag _____ other? ____________________ _____ intellectualization _____ swearing or name calling _____ crying _____ upset stomach (e.g., gas, cramps, IBS) __X___ muscle tension (neck, lower back) * My average number of anger episodes per day is 3-5; I try to understand others and make every attempt not to stay angry, especially when I know that I am angry. Emotional well-being is important for awareness in the holistic view of one’s health. Without being emotional well-being, an individual is not able to be balanced. EXERCISE 5.9 Emotional Well-Being Emotional well-being is best described as “the ability to feel and express the entire range of human emotions, and to control them, not be controlled by them.” Sounds like a pretty tall order, huh? Well, it doesn’t have to be. What is the range of human emotions? Everything from anger to love, and all that’s in between. No emotion is excluded, meaning that it is perfectly all right to feel angry, jealous, giddy, sad, depressed, light-hearted, and silly. All of these feelings comprise the total human experience, the complete spectrum of human emotions. A well-accepted theory suggests that early in our development, we spend the greatest amount of time trying on and exploring emotions. But if you are like most people, you were told at an early age one or more of the following expressions related to your behavior: “Wipe that smile off your face,” “Big boys don’t cry,” “Don’t you ever talk back to me,” or “I’ll give you something to cry about.” Perhaps our parents had good intentions, or perhaps they were just at wit’s end. Regardless of what prompts such comments, most youngsters interpret the message altogether differently than intended. Instead of relating such phrases only to the moment, most children take the meaning of such messages globally and think it is never all right to laugh or to cry. If we hear these 25
  • 28. messages enough, we begin to deny some of our feelings by stuffing them down into our unconscious minds—only to meet them head-on later in life. The second half of the emotional well-being equation says that to be emotionally well, we must control our feelings, not let them control us. Our feelings control us when we refuse to feel and express them or when we linger too long in the moods of anger, anxiety, depression, grief, or boredom. The result is stagnation, not dynamic living. Here are some questions to ponder about your own sense of emotional wellbeing: 1. What is your least favorite emotion, one that you don’t like to feel or perhaps would rather avoid feeling? Can you explain why? 2. Combing through your memory, can you remember a time (or times) when you were told or reminded not to act or feel a certain way (e.g., big boys don’t cry), or were perhaps even humiliated? Take a moment to describe this incident. 3. What is your favorite emotion? Why? How often would you say you feel this emotion throughout the course of a typical day? 4. If you feel you may be the kind of person who doesn’t acknowledge or express your emotions, can you think of ways to change your behavior and begin to gain a sense of emotional balance? My least favorite emotion is probably boredom. I try to avoid feeling bored at all costs, and I tend to keep myself and by mind busy as much as possible. This is one reason why my life is so crazy at times with work, school, being a single mom, and trying to keep up with my house work. I have been forced to have some alone time, and I know that it is a good thing because I am able to get things done. If I am alone too long, I find myself bored and I feel like I need to do something different. Sometimes I feel that I start multiple things and may not finish them, and it was an attempt to keep my mind busy. I can remember when I was younger, my mom would complain that she could not keep up with everything herself and she needed some help to do housework, cooking, cleaning, etc. I can understand where she was coming from, but it seemed like she was always busy at home, even after she came home from work. I pitched in as much as I could, but I was also on top of my school grades. If I wasn’t studying, I was working (in high school), going to band or choir practice, or doing something for the many clubs I was involved with at school. In the little free time that I had, I also tried to help my mom out as much as possible, so I think I learned to stay busy and not take time out for myself, let alone to just sit and relax. Now that I am a single mom, I find it much more difficult to find time for myself. (My parents were and are still married, but my dad never helped out much at home. I have definitely learned how my mom 26
  • 29. has felt in the past three years that I have been single. I am sure she felt like a single mother, even though she was not.) My favorite emotion is love. Every time I have a chance, I try to express love in one way or another, whether to myself, my pets, my boys, my friends and family, and my boyfriend. I am almost always thinking of someone else who is important in my life; especially my boys. I am always grateful for the people in my life. I know that everyone is there for a reason, and I would not be able to survive without any of them. I make every attempt to let others know that I care about them and love them. Love is expressed in different ways toward different people. For example, my boys get hugs and kisses many times per day, in addition to any time they ask for them. I show love in a different way to my coworkers when I am able to work well with them and support them to get our job done well. I am generally a happy person, and nothing makes me feel happier than when I am able to show my love to someone, or someone shows their love and appreciation to me. Throughout a typical day, I think I feel love at least once per hour while I am awake. I am always finding something that reminds me of how much love I have in my heart to give. Sometimes I feel that I am the type of person who does not express enough of my emotions. I have made a conscious attempt at becoming better at expressing my emotions. I have learned that everyone needs to have help at some point, and unless you ask, it will not happen. This is especially true when I feel discouraged or depressed because I do not want to dwell too long on these emotions. I also talk to my boys all the time, and I try to get them to understand what emotions they are feeling and why they are feeling those emotions. I have some great friends and family who have done the same thing for me, and I feel that I am becoming better at expressing my emotions. I have learned that it is ok to show emotions, and everyone does it at some point. I also keep in mind that although it is acceptable to show emotions, it is not acceptable to show emotions in the wrong way, such as hitting or throwing things when feeling angry. When I feel my temper start to rise, I will sometimes separate myself from others in order to avoid doing something out of rage, but then I will talk to them after I have cooled down and let them know that something made me angry. Tools: Journal Writing: HW410: Unit 3 Journal Writing Assignment 27
  • 30. The psychology of stress is important for an individual to understand how stress is displayed toward others. This journal also shows the importance of dreams and the stages of grief are related to personal stress. EXERCISE 4.1 The Psychology of Your Stress The following questions are based on several theories from Chapter 4 to help you become more aware of your perceptions, attitudes, and behaviors during episodes of stress: 1. In hindsight (because Freud said people are not aware at the time that they are doing it), do you find that you use one or more defense mechanisms to protect your ego? Reflecting on your behavior, which of the following do you see as common behaviors in your psychology of stress profile? a. Defensiveness (I didn’t do it) Yes No b. Projection (She did it) Yes No c. Repression (I don’t remember doing it) Yes No d. Displacement (He made me do it) Yes No e. Rationalization (Everyone does it) Yes No f. Humor (I can laugh about this now) Yes No g. Other _______________________________________________________ 2. Carl Jung was adamant that we need to listen to the wisdom of our dreams. Please answer the following questions based on Jung’s theories related to stress. a. Do you often remember your dreams? Yes No b. Do you make it a habit to try to understand your dreams and dream symbols? Yes No c. Do you have any recurring dreams? Yes No d. Have you ever had a dream of an event that later came to pass? Yes No 3. Kübler-Ross’s stages of grieving are not just for cancer patients. These same stages occur for the death of every unmet expectation. What recent expectation was unmet that brought you to the door of the grieving process? What stage of Kübler-Ross’s progression have you currently reached with this stressor? I have struggled with my weight for many years, and I was doing well with weight loss, until I’ve hit a plateau for the past few months. With this expectation of continuously losing weight, I am at the depression stage because I was doing well, but now my weight will not budge. I did not have a fit of rage, but I have been experiencing frustration in a physical and emotional way on occasion. Like the example of the stolen wallet, I have been occasionally 28
  • 31. feeling overwhelmed by carefully watching what I am eating and when I am exercising (Seaward 2009). Although I try not to dwell on the weight-loss plateau, it does occasionally cause some mental and emotional stress. I can also relate each of these stages to my entire weight-loss journey, and I can understand when I was in each stage. 4. Refer to your Unit 1 Journal Writing Assignment, Exercise 1.5 (“Personal Stress Inventory: Top Ten Stressors”). Please list your stressors as predominantly anger-based or fear-based stressors. Anger-Based Stressors a. My work schedule, not having control over my schedule and working different days each week b. not spending enough time with my kids (mainly due to work schedule) c. messy house; lack of help with housework/yardwork Fear-Based Stressors a. living alone, especially with two young children b. school, fear of not finding a job after graduation, also fear of the unknown of classes c. becoming healthy, afraid that if I do not become healthy, no one will be able to care for my boys “All You Need is Love” is a great way to stimulate thinking about the word love; a word that sometimes can be used with the wrong connotation. Although there is no concrete definition of love, it is interesting to think about how love influences relationships, stress, and mind-body development. Unit 3 Journal EXERCISE 5.7 All You Need Is Love Love means letting go of fear. 29
  • 32. Gerald Jampolski Love. It seems that no other concept has puzzled humankind so much as this. It is love that gives life, and paradoxically, people lose their lives in the name of love. As a professor who studied, taught, and has written several books on the subject, Dr. Leo Buscaglia admits that to define love is virtually impossible. Impossible it may be, but like pursuing the elusive Holy Grail, people continue to try. Among authors, poets, songwriters, and actors, the vehicles of love’s message are endless. After years of research and personal insight, Buscaglia offered his own incomplete definition, suggesting that love is that which brings you back to your real self. In Buscaglia’s book entitled Love, he writes, “For love and the self are one and the discovery of either is the realization of both.” Just as charity is said to begin at home, so too must love reside within the individual before it can be shared. Buscaglia notes that the ability to feel and express love of the self is literally frowned upon as being selfish. In reality, he suggests that to share love you must first give yourself permission to possess and nurture this quality within yourself. Furthermore, self-love begins with self-acceptance, unconditional self-acceptance. It is interesting to note that the field of psychology has pretty much ignored this emotion during the twentieth century, instead giving the limelight to anxiety and fear. Because of sexual connotations, love as an inner resource has been virtually disregarded, much to the detriment of all human society. More recently, this aspect of the human condition has been given more serious attention. In the much-acclaimed book The Road Less Traveled, psychiatrist M. Scott Peck offers his insights about love. From empirical observations, Peck perceived that there are many echelons of love: sharing, caring, trust, passion, and compassion, with the highest level of love being a divine essence he calls grace. Let there be no doubt, love is a profound concept. It is a value, an emotion, a virtue, a spiritual essence, an energy, and, to many people, an enigma. Love can inflict emotional pain, just as it can heal the scars and bruises of the soul. It can make a fool out of the bravest man and a hero out of an underdog. The expression of love can be quite intimidating as well, and in American society, love is often extended with conditions. Ultimately, such strings taint our perception of love, whereas unconditional love may be the ultimate expression of grace. When people hear the word love, visions of Hollywood silver-screen passion come to mind. We have been socialized to think that love has to be as dynamic as Superman, yet the power of love can be as subtle as a smile or a happy thought. There are many colors in love’s rainbow. If you were to make an attempt to define love, how would you begin to describe your interpretation of this concept? Is your expression of love limited by your level of self-acceptance? 30
  • 33. In your expression of love to others, do you find that you attach conditions? In your opinion, how does falling in love differ from unconditional love? Add any thoughts to your definition of love here. Love is all about appearance and perspective, but there is no concrete definition. Love is a sub-conscious feeling that cannot be controlled, but is a feeling of comfort. The definition stated above is more complete than my definition, but I agree with everything stated above. Love is more than having a relationship with someone, and it involves the mind, body, and spirit. Love starts on the inside and is manifested on the outside through actions, words, and gestures. If an individual is not able to feel self-acceptance, I feel that it would be hard to express love toward others. For example, if I would not feel self-acceptance and would constantly be putting myself down, this creates a negative image of myself that would be projected onto others. Other people would look at me and would most likely have the same negative image. When I express love to others, I make every attempt to not attach conditions. I am the person who loves and appreciates everyone, and I understand that everyone is different with different opinions, values and beliefs. I think the only condition I use is that if someone does something to harm my physically, mentally, or emotionally that he or she does not receive as much of my love as someone else who has not hurt me. Falling in love is only the beginning of unconditional love. I do not believe that people stop loving each other. Differences become distractions, and we are easily distracted from important parts of our path. When people become distracted, thoughts, actions, and emotions cause confusion and people are lead to believe that they are no longer in love. Falling in love simply means sharing our love with another person, whether this is in a romantic partnership, parent-child relationship, or any other type of relationship. 31
  • 34. Unit 4: Personality Traits and the Human Spirituality Information to Remember:  People with stress-prone personalities seem to attract stress because they need to have some form of control. These personalities include Type A, Type D, or depression, codependency, and helpless- hopeless personality. These personalities types have been associated with acute and chronic stress, and also have a common factor of low self-esteem (Seaward 2009).  Stress-resistant personalities include the hardy personality, survivor, and sensation seeker personality. These personalities seem to provide a buffer against various stressors. Hardy and sensation seeker personalities are associated with high self-esteem (Seaward 2009).  “Self-esteem is a crucial cornerstone of personality. Low self-esteem attracts stress; high self-esteem seems to repel it” (Seaward 2009). If an individual takes steps to increase self-esteem, stress levels may start to decrease and the risk for acute or chronic illnesses may also start to decrease. Unit 4 32
  • 35. Resources: Exercises: HW410: Unit 4 Exercises Everyone has a meaningful purpose in life, and this exercise encourages an individual to look toward the future to see how that purpose may change. This exercise may also encourage an individual to realize that everyone has a purpose, and maybe this is something that possibly has not crossed the mind of the individual. EXERCISE 7.6 Your Meaningful Purpose in Life Knowing that your purpose in life may change many times in the course of your life, for this exercise, first write down (in a few words to a sentence) what you consider to be your life purpose now, at this point in time. Then take a moment to briefly describe what you considered to be your purpose in life at the start of each decade of your life (e.g., at age twenty it might be or have been to graduate with a college degree, at age thirty it might be or have been to raise a family or start a business). Now My goal now is to finish school and be a positive influence on as many people as possible to make themselves healthy and to maintain good health. I’m hoping to start by influencing my boys to realize that a healthy lifestyle is more important than watching tv or playing with a computer. I am also working on making my personal life better in every possible aspect. Age 60 My goal at age 60 is to be looking toward retirement and spending time with family, and maybe travel to see some places where I have never been. Age 50 My goal at age 50 is to be able to watch my children begin to have children of their own and become successful in their lives after college. Age 40 My goal at age 40 is to watch as my boys continue to grow and begin to think about attending college or what they will do with their future. I was just thinking that I will have two teenage boys when I turn 40! Age 30 At age 30, my goal was to be happily married and to be done or nearly done with my family-building journey. I also had a goal of having a stable career, which I have successfully done. Unfortunately, at age 30 I was divorced, but I did have 2 children before that. Age 20 At age 20, my goal was to finish nursing school (I was about half way through), then get married, start having kids, and settle down into a permanent career and a permanent house. Age 16 At age 16, I wanted to start driving a car, buy my own car, and start thinking about high school graduation and nursing school. 33
  • 36. © Paramount Wellness Institute. Reprinted with permission. All rights reserved. This exercise is important to create awareness of distractions. Although distractions are not always avoidable, being aware of them can encourage an individual to make a plan to get past these distractions and get back on the intended path. EXERCISE 7.8 Distractions of the Human Path Distractions can best be described as those things that pull us off the spiritual path indefinitely. Distractions begin as attractions, but their allure can often cast a spell of slumber on the soul-growth process. Although a respite on the human journey is desirable, and even necessary at times, a prolonged distraction will ultimately weaken our spiritual resolve. The human spirit, like energy, must flow, never stagnate. The lessons of distractions are quite common in fairy tales. Whether it is the story of Pinocchio or Hansel and Gretel, the warnings regarding distractions are as plentiful as the distractions themselves. The lessons of distractions are common in the great spiritual teachings as well. Here they are called temptations. Not always, but often, attractions that become distractions have an addictive quality to them. What happens when we become distracted? Metaphorically speaking, we fall asleep on the human path. Like Dorothy and her friends on the way to Oz who stepped off the yellow brick road to smell the poppies and fell fast asleep, we too lose our direction, our mission, and our energy stagnates. The end result is never promising. Unlike roadblocks, distractions are not meant to be circumvented, dismantled, or even transcended. Rather, they are meant to be appreciated—perhaps from afar, perhaps enjoyed briefly and then left behind. Fairy tales aside, what are contemporary distractions? Common examples of everyday distractions might include social contacts, alcohol, television, cell phones, and the Internet. Take a moment to reflect on what might be some distractions in your life. Make a list and describe each one in a sentence or two. Upon recognition of these, what steps can you take to wake up and get back on the path? 34
  • 37. 1. Facebook is a huge distraction because it’s readily available on my phone, iPad, and computer. I try not to make a habit of looking at it all the time, but it is very easy (and addictive) to do when I am bored. 2. My cell phone in general is a distraction. Between phone calls, text messages, email, Facebook, alerts, etc., it is very easy to get distracted with a cell phone, especially when I am bored or stressed. 3. My kids are distractions because they always need help with something, and I always have to watch them to be sure they are safe since they are both still very young. 4. My pets can sometimes be a distraction because the dog has to go out, or the cats jump on my lap, or the dog nudges me to pet her. It is easy to be interrupted with whatever I am doing at the present time when this happens. 5. The internet is a distraction, especially when I look something up, but something else catches my eye while I am in the process of looking it up. For example, if I watch a YouTube video, many more related videos come up and can cause a distraction because I feel like I want to watch all of them. © Paramount Wellness Institute. Reprinted with permission. All rights reserved. Tools: Journal Writing: Understanding how stress affects personality is very important for overall well-being. Control, commitment, and challenge are all important in helping to understand this. HW410: Unit 4 Journal Writing Assignment EXERCISE 6.1 Under the Gun: Stress and Personality Pick a stressor in your life and explain the characteristics that you feel you employ to deal with stress based on the concepts of the hardy personality. 1. Control: I know that I need to feel some control over certain aspects of my life, but I have also realized that there are some aspects that cannot be controlled. When I cannot control something, I work toward finding a solution that is in my control. For example, I do not have much control over my work schedule, which can cause some stress at times because I miss out on time with my boys, and I work long hours, weekends, and holidays. I made the decision to 35
  • 38. return to school for a different job in order to have a better work schedule. I also try to look at situations in the most positive way possible and I try not to dwell on negative events or situations. Even though something may happen that could have a negative impact on my emotions, I look for any positive aspects and focus on them. Time urgency depends on the situation. I make every effort to get to work on time and get my boys to school on time, but I know that sometimes things happen that will cause us to be late. When these situations occur, I understand that not everything is within my control and although I may get upset about these situations, I make every attempt to release my anger in productive ways, such as venting to a friend, rather than taking my anger out on someone else. I also do not tend to dwell on this anger; I will tend to move past the situation quickly so that I can move on with my life. 2. Commitment: Commitment takes time, dedication and practice. Not every commitment comes easily. For example, my current job as a labor and delivery nurse took time, dedication and practice with nursing school, as well as learning skills necessary to perform the job. I was not able to simply wake up one day, walk into labor and delivery, and decide that I am a nurse in that department. I took the time to complete nursing school and on-the-job training for this specific job. There are times when I have to work harder to learn about something, especially if it is a situation that I have not encountered in the past, but I use this as an opportunity to embrace a learning experience. Relationships also take commitment, as well as time and dedication. 3. Challenge: I enjoy taking on challenges, but I also am careful to not take on too many challenges at the same time to increase my stress level more than necessary. When I face a challenge, I take steps to work toward a solution for it. I previously have had trouble asking for help with challenges, but I have learned that everyone needs to ask for help at times, and I am no longer afraid to ask. For example, if someone asks me a question and I do not know the answer, I am not afraid to ask someone else for input. I have learned that people show much more respect for someone to say “I don’t know but I will get an answer for you” instead of simply saying “I don’t know.” By offering to find an answer, it helps the other person to feel valid. I also have learned to prioritize and re-evaluate the situation when a challenge occurs. For example, I reached a point where I could not continue to work full-time (with 12-hour shifts), and keep up with my kids, schoolwork, and housework. I made the decision to drop some hours at work, and I have also had some help with cleaning and yard work in order for me to keep on top of everything and still do well in school and make time for my boys. If a challenge seems big and stressful, I will look at ways of making the challenge less daunting. For example, I just found out that I will be moving in about one month, so I am starting to pack as soon as possible, and I will be going through toys and belongings prior to packing so that I do not feel as overwhelmed with the task. List any other aspects (inner resources) that help you get through the tough times: 1. I seem to have a very easy-going personality, and I do not stay angry for long periods. I have ways of releasing anger and frustration, such as listening to music, running, cleaning, or talking with friends. I find that I am able to identify anger and usually move past it quickly so that it does not negatively control my life. 2. I have turned to my Christian faith to help me through the tough times. Within the past three years, my faith has only grown significantly, I know that the Lord will not give me anything that I cannot handle. Like most other people, there are times that I question my faith and wonder why the Lord has given me a certain task, but I tell myself that it is in order to make myself into a 36
  • 39. better person. I also have my Bible and my church family to rely on in the case that I cannot help myself with my faith alone. 3. Talking with friends, family, or other is similar situations gives me strength. Whether it is venting to someone about a situation, or writing a letter to someone, it helps me to understand why I am stressed and what I need to change in order to move past that stress. If I write a letter, email, or text, it gives me the opportunity to re-read what was written, and I can usually better understand my feelings. Sometimes, I delete the email or text, or I throw the letter away because I realize that something said in there may hurt someone else, and this would only make the situation worse for everyone involved. 4. Helping others with difficult situations helps me to get through tough times as well. I enjoy helping others, and I would do almost anything for anyone. I know that other people have tough times as well, so sometimes something as simple as making a meal to help someone else feel less stressed also helps me because I can see what a positive influence I have on other people. Even when I help my son with his homework, it helps me through tough times because I know that someone else is able to appreciate the help and feel less stress. © 2008 Jones and Bartlett Publishers. Reprinted with permission. All rights reserved. The following survey is a good indicator to determine if an individual has a stress-prone personality. If an individual scores high on this survey, he or she can learn to take steps to decrease the negative characteristics of a stress-prone personality. EXERCISE 6.2 Stress-Prone Personality Survey The following is a survey based on the traits of the codependent personality. Please answer the following questions with the most appropriate number. 3 = Often 2 = Sometimes 1 = Rarely 0 = Never 1. I tend to seek approval (acceptance) from others (e.g., friends, colleagues, family members). 3 2 1 0 2. I have very strong perfection tendencies. 3 2 1 0 37
  • 40. 3. I am usually involved in many projects at one time. 3 2 1 0 4. I rise to the occasion in times of crisis. 3 2 1 0 5. Despite problems with my family, I will always defend them. 3 2 1 0 6. I have a tendency to put others before myself. 3 2 1 0 7. I don’t feel appreciated for all the things I do. 3 2 1 0 8. I tend to tell a lot of white lies. 3 2 1 0 9. I will help most anyone in need. 3 2 1 0 10. I tend to trust others’ perceptions rather than my own. 3 2 1 0 11. I have a habit of overreacting to situations. 3 2 1 0 12. Despite great achievements, my self-esteem usually suffers. 3 2 1 0 13. My family background is better described as victim than victor. 3 2 1 0 14. I have been known to manipulate others with acts of generosity and favors. 3 2 1 0 15. I am really good at empathizing with my friends and family. 3 2 1 0 16. I usually try to make the best impression possible with people. 3 2 1 0 17. I like to validate my feelings with others’ perceptions. 3 2 1 0 18. I am an extremely well-organized individual. 3 2 1 0 19. It’s easier for me to give love and much more difficult to receive it. 3 2 1 0 20. I tend to hide my feelings if I know they will upset others. 3 2 1 0 Total score 34 Score: A score of more than 30 points indicates that you most likely have traits associated with the codependent personality, a personality style known to be stress-prone. 38
  • 41. Unit 5: Dealing with Stress: Coping Strategies Information to Remember:  According to Sapolsky (2004), “the first thing to emphasize is that we can change the way we cope, both physiologically and psychologically.” In order to better cope with stress, individuals should engage in regular exercise, and engage in repetition of stressful events. Although the outcome may not be able to be changed, an individual should have a positive outlook on a stressful situation instead of a negative outlook in order to have more control over the stressor (Sapolsky 2004). Unit 5 39
  • 42.  Negative thoughts can be referred to as toxic thoughts, and these thoughts are the product of a conditioned response, which may start in childhood. Negative feedback may be transformed into guilt and shame for children, and can lead to increased negative thinking during the lifetime. Research has shown that negative thoughts can suppress the immune system, leading to increased risk of acute and chronic illness (Seaward 2009).  Behavior modification is a process in which an individual learns ways of changing negative actions or perspectives into positive actions or perspectives. The goal of all behavior change programs is assertiveness, or a “behavior that is neither passive nor aggressive but proactively diplomatic” (Seaward 2009). Resources: Exercises: Unit 5 Exercises EXERCISE 9.4 Optimist or Pessimist? Optimism versus Pessimism is important to understand if an individual desires to begin reframing negative thoughts into positive thoughts. Optimists tend to have a more positive outlook on life. You should always be aware that your head creates your world. Ken Keyes Within each person resides the makings of an optimist and pessimist. Some people claim dominion of their optimist side, always seeing the glass as half full, whereas others clearly see themselves as pessimists, viewing the glass as half empty (or, in some cases, completely empty). 40
  • 43. Most people see themselves as being somewhere in between depending on a variety of life circumstances, although in general we tend to gravitate toward one side or the other in our worldview. Describe the difference between an optimist and a pessimist in your opinion, and give an example of each. Then explain on which side you see yourself most of the time and why. An optimist is a person who is able to see the positive aspect of almost any given situation, and a pessimist is the opposite; someone who tends to look toward negative or difficult situations. An example of an optimist is someone who is able to accept life’s challenges with dignity, and look for the positive side of things in these challenges. A pessimist may go through life and hit a roadblock, but wonder why the roadblock exists. This could prevent a pessimist from being able to fully understand the importance of the roadblock because he or she is focused on the problem instead of looking beyond the problem to the future. Most of the time, I tend to be on the optimistic side of things and look toward the positive any way possible. I feel that I may see roadblocks, but I can look past them and know that they are only temporary. The roadblock is not the end of the world for me, but simply a hurdle to find out what lies beyond it. For example, when I went through my divorce, I made the conscious decision to not look at it in a negative way, but in a positive way. I decided that it was an opportunity for personal growth, to meet new people that I otherwise would not have met being married, and an opportunity to form new friendships. By having an optimistic view on this situation, I feel that I was able to handle it better than if I had constantly looked as this situation from a negative, or pessimistic, perspective. Although there are times that I may show a pessimistic point of view, I try to quickly reframe my perspective to an optimistic point of view. This exercise is important because actions and words are also part of a conscious decision for reframing negative situations. If an individual’s point of view comes out as a negative perspective, others may feel the same way, and it can make it harder to make the decision to reframe the situation. EXERCISE 15.1 What DidYou Say? Conversational skills may not seem like they belong in a stress-management book, but nothing could be further from the truth. Poor conversational skills are often at the root of many stressful relationships. We are engaged in conversation from the moment we wake until the second we lay down our heads and enter the world of dreams. Whether it be family, friends, customers, clients, peers, colleagues, strangers, or even voices on the radio and television, our minds are programmed to listen and respond in conversation virtually every minute of the day. 41
  • 44. A proverb states, “The three most important words to a successful relationship are communication, communication, communication.” It’s true! As social animals we gravitate toward others to engage in conversation. Good communication skills are essential to every aspect of our lives. The elements of conversation are rather complicated because we communicate with more than just words and voices. In fact, more of our communication skills are nonverbal than verbal. 1. How good are your communication skills, both verbal and nonverbal? Are you even aware of the messages you give to others with your clothing style, hair, eye movements, posture, hand gestures, and facial expressions? I try to be conscious of my verbal and nonverbal communication skills. I choose clothing, and hairstyles that I feel would not be offensive to others. A few weeks ago, I dyed my hair purple (by accident), and I felt that others would find it offensive, so I took steps to quickly correct the problem. I make eye contact if speaking to someone, especially if the information is important for them to hear. I smile a lot, although I will admit, that it is not all the time. I smile because I am truly happy, not because I force myself to look like I am happy. 2. There is a growing trend among people younger than 30 to prefer text messaging to email and phone calls. Is this your preference? If so, why? Are you aware that some people’s e- communication skills are good, but their social (in-person) communication skills are poor? Please explain. I am 31, and depending on the situation, I do prefer text messaging over email and phone calls. This is because I tend to ignore emails because I get mostly junk email, so it may go days until I check it. Phone calls are good at times, as long as it is not an inconvenience to both parties involved. Text messages are good for a quick note to someone, and they are more likely to see it. If a long conversation is required, I do prefer the phone because written words can be taken as unintended and cause hurt to the other person. I am aware that some people have poor social communication skills, even if they do seem to have good e-communication skills. When writing a text or email, it is easy to think about what is being said, and re-write the information as necessary before sending it. The opposite is true for social communication skills because non-verbal language also plays a major role in communication. 42
  • 45. 3. Some communication should only be between two people and not for public consumption, yet we are now seeing private conversations become public on Facebook, Twitter, and other social networking sites. Have you ever made a private conversation public? If so, why? I have made every attempt at keeping private conversations private. I personally feel that people who post private conversations on social networking sites are craving attention, and looking to see who will take pity on them and feel sorry for them. I do not want people to pity me for any reason; I want people to like me for who I am and not pretend to like me simply because of something that I posted online. 4. What would you say is your body’s silent message, that is, without dialogue? Why? Is this the message you wish to convey? I hope that my body is saying that I am a nice person, I care about others, and I am generally a happy person. As mentioned earlier, I tend to smile a lot, but not all the time to encourage people to think the smile is fake. This is the message I wish to convey because it is the truth, and I make every attempt to tell people the truth. 5. Listening skills are as important as the ability to articulate your thoughts and feelings. Yet, most people hear but seldom listen. More often than not, they begin to prepare what they are going to say within seconds of someone beginning to speak or respond. How good are your listening skills? What could you do to improve them? I feel that I have good listening skills. I allow others to finish talking before I respond, and I ask questions if I did not understand something that was said before I respond. I like to help people work through problems; so many people seem to feel that I am a good listener. I could possibly use more gestures at times in order to make people feel more comfortable with my listening. I tend to get quiet while others are talking, and sometimes a nod of the head is helpful to others so they know that I am still listening and not daydreaming. 6. Much research now suggests that men and women have different styles of communication. Have you ever noticed this? For example, have you noticed that when a woman says she’ll call you tomorrow, she calls you tomorrow, whereas when a man says he’ll call you tomorrow, most likely he will call you in a few days to a week? 43
  • 46. I feel that although sometimes men and women have different styles of communication, this is not always true. It depends on the intention of the individual, as well as other factors. For example, I am always busy doing something, and although I may tell someone that I will call tomorrow, I am very easily distracted and can forget to call. On the other hand, if my boyfriend says he will call tomorrow, he will honestly make every attempt to call me. 7. It has been said that when we speak we are very indirect, not really saying what we mean. We beat around the bush. Do you find that your verbal style is more indirect than direct? Do you tend to give mixed messages? After giving this some thought, can you think of ways to improve your verbal communication skills? Do you need to revise your nonverbal messages? How can you do this? I feel that I am usually very direct and say what I mean. If someone is not sure about my message, they ask and I can rephrase it, although this does not happen often. I try to be honest with people and tell them exactly what is on my mind. Revising nonverbal messages takes a conscious effort, as well as practice. One way to practice this is to think before acting, and be sure to show gestures toward others that will enhance, not contradict, the verbal message. 8. How do your communication styles differ from direct contact to the times when you use your cell phone or text message? Does your cell phone use interfere with your direct personal relationships? There are times when my cell phone can interfere with my direct personal relationships. Sometimes written words are not interpreted with the intended meaning, and this can create problems with relationships. If I see that I have offended someone because of something written in a text, I will talk to them in person (or on the phone if that is the only option) and apologize and explain what was truly meant. 9. Men and women are said to have different communication styles. Although it may be true that men are from Mars and women are from Venus, we are both here on earth, so we have to learn to be bilingual. What differences do you notice talking to the opposite gender? How are these differences magnified in a relationship? Share your thoughts and experiences here. 44
  • 47. I always make an attempt to keep an open mind, especially when talking with the opposite sex. I understand that we both may say things that do not make sense to the other, and instead of getting upset over mixed messages, I will ask for clarification when needed. I feel that in my relationship with my boyfriend, these differences can be magnified in a good way because we are both optimistic, and very open minded. Sometimes these differences can lead to a good laugh when we actually figure out what is meant. Tools: Journal Writing: HW410: Unit 5 Journal Writing Assignment Reframing is something that I have taught myself to do over the past three years. This is an important component of learning to see the positive aspect of any situation, and also helps to decrease stress. EXERCISE 8.1 Reframing: Seeing a Bigger, Clearer Perspective Anger and fear that arise from encountering a stressful situation can narrow our focus and distort our perspective on the bigger picture. Although the initial aspects of dealing with these situations involve some degree of grieving, the secret to coping with stress is to change the threatening perception to a nonthreatening perception. This worksheet invites you to identify three stressors and, if necessary, draft a new, “reframed” perspective (not a rationalization) that allows you to get out of the rut of a myopic view and start moving on with your life. Example: Situation: Can never find a parking space close to the dorm/classroom Reframed Perspective: Although nearby parking certainly saves time, there is no denying that 45
  • 48. the walk provides much needed exercise/activity 1. Situation: Facing more traffic than usual on the way to work in the morning makes me feel stressed about getting to work on time. Reframed Perspective: I give myself 45 minutes to get to work, and it is a 30 minute drive. I have plenty of time, and since I live in a rural area, traffic is not nearly as bad as if I would have to drive in a city to get to work. The extra time in the car gives me more time to listen to music, news, and the hilarious radio shows. Music decreases my stress level, so I enjoy listening to extra music in the morning before I potentially stressful day at work. 2. Situation: I was feeling negative, stressed, and miserable following my marital separation and pending divorce. Reframed Perspective: Instead of allowing myself to feel negative, stressed, and miserable, I decided to turn this negative situation into the most positive situation that I possibly could. Although divorce is always stressful as it is, I made it into an opportunity to make myself feel better any way that I possibly could, without trying to make my ex look bad for the kids. I started going to church, became baptized, started on my weight loss journey, and starting looking at the positive instead of the negative for every situation possible. 3. Situation: It is rough to be a single mother with two young boys. Reframed Perspective: Although there are times that being a single mother is rough, it also gives me an opportunity to have time alone with my boys, and to do things with them. It also allows us to bond and develop new family traditions and values. © Paramount Wellness Institute. Reprinted with permission. All rights reserved. The following questionnaire is a good way to determine if an individual may have Type A personality, which can cause increased stress for the individual. Since we live in such a hurried world, many people feel that there are not enough hours in the day, and this questionnaire can remind someone to slow down once in a while to prevent feeling even more stressed over time. EXERCISE 15.1 The Time-Crunch Questionnaire 46
  • 49. The following is a survey based on the traits of the codependent personality. Please answer the following questions with the most appropriate number. 1 = rarely 2 = sometimes 3 = often 1. I tend to procrastinate with projects and responsibilities. 1 2 3 2. My bedtime varies depending on the workload I have each day. 1 2 3 3. I am the kind of person who leaves things till the last minute. 1 2 3 4. I forget to make To Do lists to keep me organized. 1 2 3 5. I spend more than two hours watching television each night. 1 2 3 6. I tend to have several projects going on at the same time. 1 2 3 7. I tend to put work ahead of family and friends. 1 2 3 8. My life is full of endless interruptions and distractions. 1 2 3 9. I tend to spend a lot of time on the phone. 1 2 3 10. Multi-tasking is my middle name. I am a great multi-tasker. 1 2 3 11. My biggest problem with time management is prioritization. 1 2 3 12. I am a perfectionist when it comes to getting things done. 1 2 3 13. I never seem to have enough time for my personal life. 1 2 3 14. I tend to set unrealistic goals to accomplish tasks. 1 2 3 15. I reward myself before getting things done on time. 1 2 3 16. I just never have enough hours in the day to get things done. 1 2 3 17. I can spend untold hours distracted while surfing the Internet. 1 2 3 18. I tend not to trust others to get things done when I can do them better myself. 1 2 3 19. If I am completely honest, I tend to be a workaholic. 1 2 3 20. I have been known to skip meals in order to complete projects. 1 2 3 21. I will clean my room, garage, or kitchen before I really get to work on projects. 1 2 3 22. I will often help friends with their work before doing my own. 1 2 3 23. It’s hard to get motivated to get things done. 1 2 3 Total Score __30______ Questionnaire Key 0–25 points = excellent time management skills (keep doing what you are doing!) 50–26 points = fair time management skills (time to pull in the reins a bit) 75–51 points = poor time management skills (time to reevaluate your life skills) 47
  • 50. Unit 6: Relaxation Techniques 1: Breathing, Meditation, and Mental Imagery Information to Remember:  Diaphragmatic breathing is an effective relaxation technique that focuses on breathing that originates in the abdomen, as opposed to the normal chest breathing that most Americans normally do. In order to perform diaphragmatic breathing, the individual needs to consciously focus on the breathing, and take slow deep breaths. While focusing on the breathing, the mind has a few seconds to possibly forget about the impending stress (Seaward 2009).  Every relaxation technique involves some aspect of meditation, and meditation is a mind-cleansing process. There are two types of meditation; to exclude all thoughts from the mind except a focal point, and to include all thoughts but detach emotionally from these thoughts (Seaward 2009). Each individual should find a form of meditation that is appropriate.  “Mental imagery describes the ability of the unconscious mind to generate images that have a calming, healing effect on the body. Visualization is one aspect of mental imagery, wherein there is conscious direction of self-generated images. Guided mental imagery is a variation wherein images are suggested by another person (either live or on tape)” (Seaward 2009). Unit 6 48
  • 51. Resources: Exercises: HW410: Unit 6 Exercises An individual may be dominant in left-brain or right-brain thinking, depending on the common traits that are exhibited. By being aware of which side of the brain does the dominant thinking, an individual can learn to exercise the other side of the brain as well to become more whole in thinking. EXERCISE 18.3 Bridging the Hemispheres of Thought In 1956 a researcher named Roger Sperry conducted some experiments on a handful of patients with grand mal epileptic seizures. In the procedure he created, he cut the corpus callosum, the bridge of neural fibers that connects the right and left hemispheres of the brain. Not only did the operation reduce the number and intensity of the grand mal seizures, but it also soon gave credence to a whole new concept of how the mind, through the brain, processes information. Roger Sperry’s research led to a Nobel Prize in medicine and to the household expressions right- brain thinking and left-brain thinking. Left-brain thinking skills are associated with judgment, analysis, mathematical and verbal acuity, linear thought progression, and time consciousness; right-brain functioning is associated with global thinking, holistic thinking, imagination, humor, emotionality, spatial orientation, receptivity, and intuition; Western culture grooms and rewards left-brain thinking. It is fair to say that judgmental thinking is one of our predominant traits. Although it is true that Western culture is left-brain dominant in thinking skills, the truth of the matter is that to be dominant in one style of thinking is actually considered lopsided and imbalanced. 1. How would you describe your dominant thinking style? Would you say that your left brain or right brain dominates? I believe that I am both left-brained and right-brained in thinking. I usually seem to be good at making judgments, analyzing situations, verbal acuity, and time consciousness, which is associated with the left-brain. I am also good at holistic thinking (which is why I am returning to school and concentrating in that field), imagination, humor, emotionality, receptivity, and intuition, all of which are associated with right-brain thinking. Depending on the situation facing me I may become more dominant in thinking from one side of the brain or the other. 2. If you were to make a guess or assumption as to why your thinking skills gravitate toward one direction or the other, what would be your explanation? I am also ambidextrous with writing and many other tasks, so I am able to adapt by using each side of my brain. I also think some of this reasoning is because I have been left- 49
  • 52. handed since I was very young, and since most people are right-handed, they teach others to do things the right-handed way (using the left brain). Dominance in society leads to mostly left-brain thinking in society, which is rewarded in Western culture. I also like everything in my life to be balanced, so I believe this also helps to encourage left-brain and right-brain thinking in myself. 3. One of the basic themes of wellness is balance—in this case, balance of the right-brain and left-brain functions. Based on your answer to the first question, what are your dominant thinking skills and your non-dominant thinking skills? What are some ways you can balance your patterns by bridging between the right and left hemispheres of your brain? Some of my dominant thinking skills are judgment, analysis, time consciousness, holistic thinking, imagination, emotionality, receptivity, and intuition. My dominant thinking skills are mathematical (and sometimes verbal) acuity, linear thought progression, sometimes spatial orientation, and sometimes humor. I believe the only way to learn to use the non-dominant thinking skills is to learn how and when to use them through practice. Practice may come through facing new or uncomfortable situations because it will teach us how to use new skills. By repeating these situations, the mind becomes more comfortable with the situation and the skill, and can lead to more balance in using the left-brain and right-brain. Visualizations can be an important part of decreasing stress, especially for a beginner since they explain exactly what to do. These visualizations instruct the individual on a focal point, and are used to promote a sense of rest and relaxation. EXERCISE 20.2 Three Short Guided Visualizations A Point of Light in Space This guided imagery is called a point of light in space. As with all types of guided imagery, please adapt and embellish all suggestions you hear to best promote a sense of rest and relaxation. To begin . . . . Close your eyes and begin to focus on your breathing. Feel the air come into your nose or mouth, down into your lungs, and as you inhale, feel your stomach area extend out comfortably. Then when you begin to exhale, feel a deep sense of relaxation, for there is no work, no effort, as you release the air from your lungs. This is the most relaxed part of breathing. The exhalation 50
  • 53. phase of the breath cycle requires no work, no effort—it happens all by itself. Please repeat this cycle of comfortably deep breathing two more times. Inhale (pause five seconds). Exhale. Inhale (pause five seconds). Exhale. Now, with your mind’s eye, imagine a vast area of dark empty space in front of you. As you look at this dark empty space, off in the distance you see a small point of light: a brilliant, golden- white light. Allow your thoughts to slowly bring this point of light closer to you. Think to yourself of the stillness that surrounds the light. The stillness represents the quiet solitude that the mind craves after a busy day of sensory overload. The point of light represents only that which is essential to focus on for your higher good. All other thoughts are unimportant at this time. Once again, focus on the small point of light. Although this point of light is small, it’s bright and vibrant. This light is a symbolic representation of your self—yourself at complete homeostasis. As you focus on this point of light, take a slow, comfortable, deep breath—as slow and comfortably deep as you can. As you exhale, place all of your attention, all of your concentration, on this point of light. If your mind should happen to wander, and most likely it will, simply direct all thoughts back to this point of light in a calm sea of still darkness. As you focus on this point of light, think to yourself that in the course of a busy day you are constantly being bombarded with sensory stimulation and an abundance of information. Although the mind seeks stimulation, the mind also craves time to unwind and relax. Balance is essential. While it may be impossible to have no thoughts in your mind, it is possible to focus solely on just one thought. Right now, the only thought you need to focus on is this beautiful point of light. As you focus on this single point of brilliant light, take one more slow, deep breath. As you exhale, feel whatever tensions or excess energy you carry in your mind dissipate, thus allowing for a deeper sense of relaxation of mind, body, and spirit. Take one more slow, deep breath, and this time as you exhale, slowly allow this image of the brilliant point of light to fade from your mind’s eye, yet retain the deep sense of relaxation and calm it has instilled. And as you do this, begin to place all of your attention on your breathing. Inhale and as you do, feel your stomach begin to extend, then slowly come back in as you exhale. In this exhalation process, become aware of a deep sense of complete relaxation. Although you feel relaxed, you don’t feel sleepy or tired. You feel refreshed and renewed. As you become aware of this energizing sensation, begin to open your eyes to a soft gaze in front of you and slowly bring yourself back to the awareness of the room you are now in, feeling refreshed and renewed. Gentle Falling Snow Picture this: You are sitting by a large picture window in a warm log cabin on a brisk winter’s day. You have the entire place to yourself, and the solitude feels invigorating. There is a log fire in the wood stove radiating abundant heat. Both the sounds of crackling wood and the scent of pine arouse your senses and for a moment, you close your eyes and take a slow, deep breath, a sigh that refreshes. As you exhale, you feel a wonderful sense of relaxation permeate your entire body from head to toe, and it feels great. Consciously, you take another slow, deep breath in through your nose. As you exhale through your mouth, you become aware of the glorious stillness that surrounds you in this cabin. 51