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Stress and Health 445

neighborhood. Separation results in a fairly high degree of stress, and that stress will be
even higher if the separation is forced (by discrimination from the majority group) rather
than voluntary (self-imposed withdrawal from the majority culture).
The greatest acculturative stress will most likely be experienced by people who
have chosen to be marginalized, neither maintaining contact with their original culture
nor joining the majority culture. They essentially live on the “margins” of both cultures
without feeling or becoming part of either culture. Many Native Americans may feel
marginalized, belonging neither to their original tribe of origin nor to the majority cul-
ture. Marginalized individuals do not have the security of the familiar culture of origin
or the acceptance of the majority culture and may suffer a loss of identity and feel alien-
ated from others (Roysircar-Sodowsky & Maestas, 2000; Rudmin, 2003). Obviously, mar-
ginalized people have little in the way of a social-support system to help them deal with
both everyday stresses and major life changes.

cognitive factors

Type A: workaholic, competitive, ambitious,
hate to waste time, easily annoyed; more likely
to have health issues (e.g., heart disease),
especially the more hostile an individual is

“Type H”: hardy personality, appear to be like
Type A but less prone to heart disease; appear
to thrive on stress due to three factors: sense
of commitment, control, and seeing stressors
as a challenge

Type B: more easygoing, slower to anger, not as
competitive or driven; less likely to have health
issues
Type C: tend to be pleasant and at peace but
find it difficult to express emotions, especially
Seligman (originally studied concept of learned helplessness) began the negative ones; associated with cancer
positive psychology movement; has
suggested that optimism leads to longer
life and greater success in life endeavors
optimism is associated with controlling
mood or emotional reactions; can be
a learned skill through alternative thinking,
relaxation, and correcting faulty thinking

explanatory style
optimists tend to
look for positive
outcomes, whereas
pessimists seem to
expect the worst

primary appraisal involves
estimating severity of the
stressor and classifying it as
a threat, challenge, or loss
already occurred
secondary appraisal involves
estimation of resources available
to cope with stressor

Lazarus’s cognitive-
mediational theory of
emotion
suggests an individual’s
appraisal of a stressor is a
major factor in determining
how stressful that stressor
becomes

personality differences
affect how one assesses
a stressor, the coping
strategies used, and
possible health outcomes

result of appraisal
determines level
of stress and
emotional reaction

personality factors

social factors

physiological factors

alarm: sympathetic nervous system
is first activated

exhaustion: prolonged stress response
coupled with depleted resources can
lead to stress-related diseases or death
of the organism; if stressor is stopped,
parasympathetic division is activated
and body attempts to replenish
resources

resistance: continued activation of
sympathetic activity until organism’s
resources are depleted

stress-related responses similar to those
triggered by infection— increase in white blood
cell count, enzymes, and antibodies
body is engineered for short-term, acute stress;
prolonged stress/depletion of resources results in
reduced functioning of immune system
prolonged stress and/or weakened immune system
places people at a higher risk of coronary heart
disease, weight gain, diabetes, and lower natural
killer cell activity; depression and anxiety may also
be associated with prolonged stress

the autonomic nervous system (ANS) figures prominently in
the body’s physiological reactions to stress

the field of
psychoneuroimmunology
focuses on the effects of
stress on the immune system

Hans Selye identified the
general adaptation
syndrome (GAS),
the sequence of
physiological reactions
the body goes through
when adapting to
a stressor

poverty results in lack of basic life necessities
job stress may be related to workload, lack of control
or job security, work schedule, and low job satisfaction
integration: original identity maintained but forms positive
relationships with members of dominant culture (lowest stress)

marginalization: does not maintain contact with original
culture or join majority culture (greatest stress)

assimilation: individual gives up old culture and
completely adopts ways of majority (moderate stress)
separation: majority culture is rejected and original
cultural identity is maintained (high stress)

Stress and Health


a great deal of stress can come from dealing with other people and social interactions

in general, having a positive social support system
that provides various forms of help (e.g., monetary,
physical, emotional support) is a good predictor
for healthy aging and longevity

poverty and job stress are prominent,
economically based social factors that
lead to stressful living conditions

culturally, stress is affected by status
of acculturation (adapting to a new,
different, or often dominant culture)
and the method chosen to adapt

Concept Map L.O. 11.4, 11.5, 11.6, 11.7, 11.8, 11.9


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