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By
Jeffrey Meyers
Kaplan University
HW410: Stress: Critical Issues in Management and Prevention
Table of Contents
UNIT
THE
NATU RE
OF
STRESS
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
THE
PHYSIO LOGY
OF
STRESS
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
PSYCHOLOGY
OF
STRESS
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
PERSONAL ITY
TRAITS
AND
THE
HUM AN
SPIRITUAL ITY
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
DEAL ING
WITH
STRESS:
COPING
STRATE GIES
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
AND
REL AXATIO N
M ENTAL
TECHI QUES
1 :
BREATHI NG ,
M EDITATI ON,
IM AGE RY
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
NUTRITI ON
AND
STRESS
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
PHYSIC AL
EXERCISE
AND
ACTIV ITY
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
UNIT
AND
APPLYING
PREVE NTIO N
STRESS:
CRITICAL
TO
YOUR
ISSUES
F OR
M ANAGEM EN T
L IF E
Information to Remember..........................................................................
Resources: Exercises..................................................................................
Tools: Journal Writing.................................................................................
1
Unit
Types of stress:
Eustress (good stress), Neustress (neutral stress), Distress (bad stress). (Seaward, 2009). Out of all
these stresses, I believe that I fall under the neutral stress. Stress can make us feel all types of ways.
Types of Distress:
Acute Stress (short in duration; minutes, but intense), Chronic Stress (much longer in duration; days,
weeks, etc., but nowhere near as intense). (Seaward, 2009). Sometimes I believe that I deal with
mostly chronic stress, but I dont. Even though it feels like it lasts forever, it doesnt. Thats why I
believe acute stress is more accurate for me.
Resources: Exercises:
EXERCISE 1.2 My Health Philosophy
To me, health and wellness means, the help or improvement of your bodys physical fitness,
mental state. Also improving your bodys overall health with exercise, movement and knowledge of
what you are doing to make this happen without injury. The overall health or your body is very
important. Your health state is like a guideline of your future, the better you maintain and improve the
health and wellness of your body, the more chances you have to fight off infection and diseases such
as heart disease and diabetes.
Right now, the state our economy is in affects my ability to maintain a healthy diet. I am able
to eat healthy but not as healthy as I was able to when the economy was better. This also causes a lot
of my stress. With a bad economy, its harder to provide food, child support, and even clothes for my
family, but like any parent I make it happen. The stress I get from that carries over to my work, and
the stress I get from work I carry back home. I do all I can not to take the stress out on my family
because they dont deserve that. So I hold it in and start everyday even more stressed. Within the next
25 years, if I stay with this current path, the stress would probably kill me. At the moment I have a
plan to change everything around. With this plan, in the next 25 years, I see myself as a well-known
track and field coach, getting ready to retire in Belize where my family is from living a stress free life
living off the land.
My military leadership influenced a lot of my decisions made within the last 4 years and Ive
2
Unit
lived a very stressful life since. Now Ive been making all my decisions with my wife and I will say it
has been a lot better.
The Central Nervous System (CNS) consists of the brain and spinal column while the peripheral
nervous system (PNS) comprises all neural pathways to the extremities (Seaward, 2009).
The Central Nervous System consists of the neocortical level - (The conscious power to override the
stress response is here.), the limbic system - (Fight-or-flight is activated here!), and the vegetative
level. This is where I believe most people activate the fight or flight theory in them. To protect
themselves.
Resources: Exercises:
EXERCISE 2.2 Immediate, Intermediate, and Prolonged Stress Effects
This exercise showed everyone what you feel when immediately threatened. Tingling
sensations, sweating, muscle tension, rapid heart rate, and rapid breathing are some of the symptoms
people endear when threatened in any way.
This exercise showed me where my health is and how healthy I am. It also showed me what I need
3
Unit
to work on and how much I need to work on it. Doing this made me a much healthier person.
Resources: Exercises:
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 doesnt have to be. What is the range of human emotions? Everything from anger to love, and
all thats 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 dont cry, Dont you ever talk back to me, or Ill give you something to cry
about. Perhaps our parents had good intentions, or perhaps they were just at wits 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 messages enough,
we begin to deny some of our feelings by stuffing them down into our unconscious mindsonly 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. (Seaward, 2008).
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.
Yes
No
b.
Yes
No
c.
Yes
No
d.
Yes
No
e.
Yes
No
f.
Yes
No
2. Carl Jung was adamant that we need to listen to the wisdom of our dreams. Please answer the
following questions based on Jungs theories related to stress.
a.
Yes
No
b.
Yes
No
c.
Yes
No
d.
No
came to pass?
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3. Kbler-Rosss 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 Kbler-Rosss progression have you currently reached with this
stressor?
My aunt died from cancer a few years back. Last year her son and an uncle on my fathers side killed
themselves. So the highest stage I got to was depression.
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. chronic pain.
b. tension and/or migraine headaches
c. kids
Fear-Based Stressors
a. Kids growing up
b. Finances
c. Family Health
(Seaward, 2008).
11
4
Information to Remember:
Stress and human spirituality, Stress and Spirituality are NOT polar opposites. Stress
provides the opportunity for spiritual growth... when we learn from the experience! (Seaward,
B. 2009).
Spirituality, It would be fair to say that human spirituality has been the focus of countless
conversations dating back to antiquity. Yet despite the millions of words and hundreds of
philosophies exploring this concept, human spirituality is still a phenomenon for which no
one definition seems adequate, (Seaward, B. 2009).
Resources: Exercises:
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).
Age 60: Play with grand kids. Retire.
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3 = Often
1.
2 = Sometimes
1 = Rarely
0 = Never
members).
I have very strong perfection
3.
tendencies.
I am usually involved in many
4.
5.
crisis.
Despite problems with my
6.
7.
before myself.
I dont feel appreciated for all the
8.
things I do.
I tend to tell a lot of white lies.
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9.
10.
11.
12.
situations.
Despite great achievements, my
13.
14.
15.
16.
17.
18.
others perceptions.
I am an extremely well-
19.
organized individual.
Its easier for me to give love
and much more difficult to
20.
receive it.
I tend to hide my feelings if I
know they will upset others.
Total score: 44
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 stressprone.
14
5
Information to Remember:
Affirmations - assertion of support or agreement, a positive statement or declaration of the truth or
existence of something, a positive statement or declaration of the truth or existence of something;
psychology a positive thought or statement affirming that a desired goal has been reached or is within
reach
Assertion declaration, statement, claim, allegation, contention, affirmation
Boundaries limits, limitations, borders, restrictions, margins, precincts
Empowerment a sense of personal energy or vitality (Seaward, 2007, page 120, 3)
Humor - The quality that makes something laughable or amusing; funniness; the ability to perceive,
enjoy, or express what is amusing, comical, incongruous, or absurd, that which is intended to induce
laughter or amusement
15
Resources: Exercises:
The Three Pillars of Human Spirituality
I. Relationships
All life is relationship. In simple terms, there are two categories of relationships: internal
(your domestic policy)how you deal with yourself, how you nurture the relationship with
yourself and your higher selfand external (your foreign policy)how you relate, support,
and interact with those people (and all living entities) in your environment. How would you
evaluate your internal relationship and what steps could you take to cultivate it? Moving from
the aspect of domestic policy to foreign policy, how would you evaluate your external
relationships?
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17
Where do values come from? We adopt values at a very early age, unconsciously,
from people we admire, love, or desire acceptance from, such as our parents, brothers and
sisters, school teachers, and clergy. Values are often categorized into two groups: basic
values, a collection of three to five instrumental values that are the cornerstones of the
foundation of our personalities, and supporting values, which augment our basic values.
Throughout our development we construct a value system, a collection of values that
influences our attitudes and behaviors, all of which make up our personality. If you are not
sure what your values are, look to see where you spend your time and money.
As we mature, our value systems also change because we become accountable for
the way we think and behave. Like the earths tectonic plates, our values shift in importance,
causing our own earth to quake. These shifts are called value conflicts, and they can cause
a lot of stress. Classic examples of value conflicts include love versus religious faith or social
class (Romeo and Juliet), freedom versus responsibility, and work versus leisure (the
American Dream). Conflicts in values can be helpful in our own maturing process if we work
through the conflict to a full resolution. Problems arise when we ignore the conflict and avoid
clarifying our value system. The purpose of this journal theme is for you to take an honest
look at your value system, assess its current status, and clarify unresolved issues
associated with values in conflict.
The following are some questions to help you in the process of values assessment and
clarification.
1. Make a list of the core values you hold. (Values come from things that give you meaning
and importance, yet they are abstract in nature.)
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5. What do you see as the best way to begin to resolve this conflict in values? Ask yourself
whether it is time to change the priority of your values or perhaps discard values that no
longer give importance to your life.
I dont believe that its time for me to change the priority of my values, I believe that I
need to deliver more time to my values to make them work to benefit me.
19
6
Mental Imagery
Information to Remember:
Centering the focus of attention; the point that is the focus of attention or interest
Contemplation a final stage where the meditator becomes completely one with the object of
meditation. This brings about an expansion of consciousness that lifts one out of the little self into a
greater Self. There is no longer an "I and an "it" being meditated upon (The Theosophical Society of
Australia, n.d.).
Concentration -- Concentration is necessary to discipline the "monkey mind''. We must learn to hold
the mind steady on a physical object an idea, or a revered figure, and bring it back when it slips away.
The mind tries to take control, but by carefully watching the process of our thinking we can learn to
ensure that we and not the mind, determines the content and activity of our consciousness. (The
Theosophical Society of Australia, n.d.)
Ego the sense of self, opinion of yourself
20
Mantra Mantras are words that by their special vibrational qualities, link us with the spiritual levels
of consciousness. Chanting a mantra like the ancient Indian "Om'' (amen is the English equivalent) is
a powerful aid in meditation. (The Theosophical Society of Australia, n.d.)
Mindfulness actively attentive, or deliberately keeping something in mind
Meditation emptying of concentration of the mind; the emptying of the mind of thoughts, or the
concentration of the mind on one thing, in order to aid mental or spiritual development,
contemplation, or relaxation; the act of thinking about something carefully, calmly, seriously, and for
some time, or an instance of such thinking
Monkey Mind It is that stream of consciousness that keeps flitting from one thing to another like a
monkey jumping from branch to branch Even when you are concentrating your mind drifts off to
fantasise about something you are going to do next weekend or an unresolved problem you must face
tomorrow (The Theosophical Society of Australia, n.d.)
Relaxation engaging in a form of activity that provides a change and relief from effort, work, or
tension, and gives pleasure; the process of becoming or making something less firm, rigid, or tight; a
lessening or weakening of something that was previously concentrated or intense
Resources: Exercises:
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,
21
but it also soon gave credence to a whole new concept of how the mind, through the brain,
processes information. Roger Sperrys 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 I mostly think with my left side of my brain because Im always at work. Just
when at home I start to think with my right.
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?
My job would keep me thinking with my left side. I have to stay very judgmental and
analyze everything while at work.
3. One of the basic themes of wellness is balancein this case, balances 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
22
can balance your patterns by bridging between the right and left hemispheres of your
brain?
Judgment, analysis, and intuition are my strong suites where you can see are mostly my
left side. When with my family I tend to think more balanced.
Although we take in information through all of our five senses, over 80 percent
of all the information we take in is received through the senses of sight and sound.
Well before the term information age was coined, it was very easy to experience sensory
overload from too much information taken from the eyes and ears, such as from
watching too much television to pulling an all-nighter to cram for an exam. The consequence
of sensory overload is becoming numb to it all and walking around like a
zombie. Its no stretch to say there are people who fit this description.
23
1. List five ways to successfully decrease the quantity of information with which
you are barraged every day.
a. Delegation of duties
b. Communication with others
c. Time Management
d. Getting help
e. Going to get the information before its brought to me
2. People tend to mirror behavior, often not even knowing that they do this. In terms of too
much information, or TMI, people who take in too much information often talk to their friends
and share too much information (e.g., how much they make, how many times they have sex
per week, or how often they clean their bathroom). There is a real art to sharing information
without revealing everything. As a rule, people who share too much information about
themselves have acceptance problems. Are you the kind of person who volunteers too much
24
information? If so, what can you do to filter out the less important facts and perceptions and
still get your point across?
My wife always tells me that I speak to much, that I give out to much information. It
might be a bit late but Im really starting to notice that I dont have to say everything. The
way I filter myself is by thinking. When I think before I speak I tend to filter what I say.
3. See if you can come up with a handful of ways to bring balance back into your
life by taking time to quiet your mind and explain them here.
The easiest way for me to give a handful of ways to bring back balance is to say what
I do. When I was in college from 2003-2006 at the University of Maryland Eastern Shore,
when I was stressed out, I would go to the beach and just sit on the sands or rocks and just
stair into the open ocean listening to the water hit the rocks and the waves hit the sand. To
me that was the best way to bring balance back into my life. Another thing I do is drive my
car to a park and lay on the hod of my mar or bed of my truck and just stair into the sky just
clearing my mind of all problems and worries.
25
7
Information to Remember:
Body Work a term used by practitioners of health practices involving the use of muscle
massage therapy
Energy Work includes therapeutic touch, healing touch, Reiki, polarity healing, zero
balancing, qi gong and bio-energy
Massage a modality used to manipulate, rub, knead, work, press or apply pressure to body
muscles
Mental Imagery a flow of uncensored thoughts originating form the unconscious mind
Music Therapy the use of sound for healing
Reflexology a form of massage in which pressure is applied to parts of the feet and hands
in order to promote relaxation and healing elsewhere in the body
26
Rolfing a service mark for a therapy using vigorous massage to alleviate physical or
psychological tension
Sports Massage the use of muscle massage to aid in recovery and muscle restoration
from extends bouts of arduous athletic training
Swedish Massage a system of massage employing both active and passive exercising of
the muscles and joints
Shiatsu a form of healing massage in which the hands are used to apply pressure at
acupuncture points on the body in order to stimulate and redistribute energy. Originating in
Japan, it is used to treat various conditions such as back pain, migraine, insomnia,
depression, and digestive problems.
Thai Massage a series of complex sequence of soft tissue pressure combined with
st4eching, twisting, and joint manipulations
Visualization to create a vivid positive mental picture of something such as a desired
outcome to a problem, in order to promote a sense of well-being
Yoga a system or set of breathing exercises and postures derived from or based on Hindu
yoga
27
Resources: Exercises:
Checking the Bodys Pulses
If you have ever checked your pulse, taken your temperature, or watched yourself blush in
the mirror, then you have done biofeedback. With the rapid advancement of high technology,
the state of the art of biofeedback has changed dramatically since the first use of the lie
detector test, which relied on galvanic skin response. By the time you read this workbook,
advances in technology will probably have established sensors in clothing, computer
mouses, and perhaps several more items that can regularly monitor various physiological
parameters and tell you exactly how you are feeling at every moment. Welcome to the age
of the biofeedback society.
Biofeedback, however, doesnt necessarily require expensive equipment or fancy high-tech
gear. Some types of biofeedback can be done quite simply, such as monitoring your own
breathing and checking your pulse before and after a relaxation session. This workbook
assignment invites you to do just that.
Assignment
Count the number of breaths (breathing normally) you take in a one-minute period. If you are
like most people, you will range between 14 and 16 breath cycles per minute. Next, check
your resting heart rate. In a normal resting state it should be somewhere around 60 to 70
beats per minute.
28
By doing all this, you can see and monitor youre breathing techniques before and
after the exercise. You really realize how much of a difference the breathing techniques
actually works.
3.
4.
5.
Yes
Type of Food
No
Amount
with Caffeine
per Day
a. Coffee
b. Tea
6.
7.
8.
9.
10.
eat more?
Do you find that when you are angry you tend to eat
11.
12.
more?
Do you eat a wide variety of fruits and vegetables?
Do you eat foods (e.g., fish and nuts) with the
13.
29
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Yes
No
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
14.
15.
Yes
a. Fruit Smoothie
No
b. Steamed Fish
c. Avocado
d. Breaded Chicken Brest
e. BBQ Ribs
16.
30
8
Information to Remember:
Autogenic produced or created within something itself, without external help or influence;
(medicine) produced in, or with tissue from, the body of the person to whom it will be given
Circadian Rhythm describes a pattern repeated approximately every 24 hours
Cortisol a steroid hormone secreted by the adrenal cortex, involved in carbohydrate
metabolism and the stress reaction
Exercise physical activity and movement, especially when intended to keep a person or
animal fit and healthy
Hypnosis an artificially induced condition; a condition that can be artificially induced in
people, in which they can respond to questions and are very susceptible to suggestions from
the hypnotist; the technique or practice of inducing a state of hypnosis in people
31
Resources: Exercises:
My Body's Rhythms
The body has an internal clock that runs on a 24- to 25-hour day. If you were to lock
yourself away from all the natural elements (sunlight, temperature fluctuations, etc.) and the
grip of technology (TVs, radios, computers, etc.), as some people have for research
purposes, your body would fall into a natural pattern, its circadian rhythm. To a large extent,
these rhythms are based on and are strongly influenced by the elements of the natural
world: the earth's rotation, the gravitational pull, the earth's axis, and several other influences
of which we are probably not even aware.
Other rhythms influence our bodies as well: infradian rhythms (less than 24-hour
cycles) such as stomach contractions for hunger and rapid eye movement cycles, and
ultradian rhythms (more than 24-hour cycles), such as menstrual periods and red blood cell
formation.
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33
systems for fight or flight), circulate throughout the body and tend to wreak havoc on various
organs and constituents of the immune system. Physical exercise is considered the best
way to keep the physiological systems of the body in balance, from stress hormones and
adipose tissue to the integrity of bone cells and macrophages of the immune system.
Exercise doesnt have to be all that hard or time consuming. Perhaps the more important
thing than what you do, is just making the time to do it. Mark Twain once said, Oh, I get the
urge to exercise every now and then, but I just lie down till it goes away. This may be
humorous, but the truth of the matter is that physical exercise is what we need to promote
the balance and integrity of our physiological systems. Although there is no doubt we seem
to have a certain magnetic attraction to the couch and TV, this pattern of behavior has
proved to be hazardous to our health.
1. Describe your exercise habits, including the formula for success (intensity, frequency,
and duration of exercise).
Every morning from 6:30a.m until 7:30a.m I do physical training with my military unit. We
do different workouts that range from push-ups, sit-ups and runs to cross-fit. We always
start off slow and work our way to a greater intensity.
2. What are your favorite activities? If for some reason you were injured and couldnt do
your favorite activity, what would be your second option for exercise?
34
3. What do you do to motivate yourself when you are less than inspired to get up and out
the door? What are some additional incentives to maintain a regular exercise regimen?
When Im not motivated to work out, I turn and look at my family. In the military, if you
dont work out, you get put out. So everything I do is for my family, there my motivation.
4. Most people say that they cannot find the time to exercise. Considering classes,
studying, work, social obligations, and the like, it is hard to fit in everything. So the
question of priorities comes to mind. What are your priorities in terms of your health? Do
you see your perspective changing in the course of your life? Right now, what can you do
to find (make) the time to get physical exercise every day?
I dont because I really dont have a choice but to work out. They make time at work for
us to work out every day.
5. Sketch out a quick weekly program of exercise, including days to work out, time of day,
and activity.
35
Unit
9
Sunday Rest
Monday - 5 mile run/ 7 min mile pace
Tuesday Upper body weight program/ 1 mile run 6 min mile pace
Wednesday 8 x 3 min run
Thursday Lower body weight program/ 1 mile run 6 min mile pace
Friday 5 mile run/ 7 min mile pace
Saturday Pool work out
36
controlled, e.g. heart rate or blood pressure. This helps a patient to learn to control the
function consciously.
Clinical Biofeedback physiological control technique of feedback based on or involving
medical treatment, practice, observation, or diagnosis
Progressive Muscular Relaxation a technique known as (PMR) created by an American
physician Edmund Jacobsen to deal with muscle tension among his medical patients
Tai Chi a Chinese system of exercise; a Chinese form of physical exercise characterized
by a series of very slow and deliberate balletic body movements
Resources: Exercises:
Getting Things Done: The Execution of Tasks
Are you lacking motivation to get some things done? One way to fan the fires of
inspiration is to provide some incentives to accomplish big or arduous tasks by giving
yourself a reward. Although the real reward is the accomplishment of the deed, a little
incentive may be just the thing needed to get it done on time. Remember, not all rewards
have to be material possessions. A phone call to a close friend at the end of the day can be
as rewarding as a vacation to Tahiti in some cases. Also remember that rewards are meant
to decrease stress, not increase it (e.g., food is not always considered a healthy reward).
When I get home every day, I find it very difficult to get up and get things done. I am
usually so exhausted that I just want to sit down and let things just happen, but things just
have to get done. When you reach the goals of completing your tasks, you rewards of selfaccomplishment is always great.
37
References
1. Seaward, B. (2009). Managing stress: Principles and strategies for health and well-being
(6th ed.). Boston, MA: Jones and Bartlett Publishers.
2. Seaward, B. (2008). The art of peace and relaxation workbook. Boston, MA: Jones and
Bartlett Publishers.
3. Sapolsky, R. (2004). Why zebras dont get ulcers: The acclaimed guide to stress, stressrelated diseases (3rd ed.). New York, NY: Holt, Henry & Company, Inc.
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