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Chapter 4
Coping
Feb. 13, 2104
Chapt. 4: Coping and hoping to change
• Most people with stress and coping problems
know they need to change but…………..
• most people don’t change, e.g., Internet
addiction, eating disorders, alcohol and drug
dependency, procrastination, poor time
management, etc.

• Why not?
• inspirations and barriers to change
Why not change if person admits there is a
problem?
When addicted/dependent - motivation to change
varies
Person:
• may be perceive self to be weak and incapable
• usually ambivalent – pros and cons
• sees recovery or change as a distant dream or
fantasy
• motivation fluctuates
3 methods of reducing
addictive behavior
1. Contingency management: one of
largest effect sizes with
addictions=>behavior therapies: reward
and punishment
2. Motivational interviewing
3. CBT =>cognitive behavior therapy
Motivational interviewing
What can we do to increase
motivation to change and improve
coping?
2 ways to increase motivation:
1. Increase internal motivation
2. Focus on the positives for staying
the same
1. five types of motivation: Self-Determination
Theory (Vansteenkiste et al, 2005): increase internal
motivation
introjected identified
intrinsic
Type of amotivation external
motivation motivation motivation motivation
motivation
Motivational
Force

discourage
-ment and
helplessness

expectations/
rewards/
punishments
from others
&
environment

Locus of impersonal external
causality

guilt,
shame,
guiltinducing
internal
pressures

personal
values/
Commitment

external

internal

enjoyment,
pleasure,
interest,
satisfying,
fun
internal
2. Focus on positives for staying the same: use
Decisional Balance Sheet:
(Miller and Rollnick, 2002)

Positives for
staying the same

Negatives of
change

It is the positives
for staying the
same that keep
people stuck

Negatives for
staying the same

Positives of
change
pros for anorexia (Gale et al, 2006)
safe and structured:
-makes me feel safe
-gives structure to my life
-helps keep control
-organizes world
-gives purpose
-feel protected
-secure
-get me through life
-dependable/consistent

skill/special:
-something I am good at
-ED a skill
- in ED, I am an expert
-I can do at least one thing
better than others
-lifts me up above others
Young’s solution: Cognitive Behavior Therapy (CBT)
CBT is effective treatment for compulsive disorders

Thoughts
• monitor thoughts
• identify trigger thoughts: “Life is unfair to
me.”
• learn to respond with new coping skills:
Behavior
 establish baseline of compulsive behaviors
 moderate/eliminate dysfunctional behaviors
 enhance non-online computer life
(social, occupational)
Video-Resilience in Children
Facts about Annette Rutues’ life
circumstances (p.112)
• Moved from 5 bedroom house, orginially twoparent household, family income was
$70’s, moved to Homeless Shelter twice
• Annette is single with three children:
-14 y/o Kelly – private school, B+ ave.
- 11 y/o Justin A ave.
- 6 y/o Andrew
• Annette has cancer
Ann Masten, Developmental
Psychologist, U. of Minnesota:
studies resilience in children
• Resilience = ability overcome risk and adversity
that could have otherwise negatively altered life
in significant ways
• Qualities Andrew has that allow him to overcome
adversity:
1. good attention skills
2. ability to follow instructions
3. effortful control: can control themselves
during a task and switch rules during task
Summary of Masten’s protective
factors that promote resilience
• Protective, competent, car
ing adult
•
-optimistic
-talk to children, don’t talk •
at them
-let children grow, don’t
over-control
• Community factors:
school, teachers

Spiritual experiences
Personal qualities:
- optimistic
- good learning skills
-good attention skills
Coping Processes
Part 2
Meyers Briggs Profile
This Class, Last Class & National
ISTJ
ISFJ
INFJ
INTJ
ISTP
ISFP
INFP
INTP
ESTP
ESFP
ENFP
ENTP
ESTJ
ESFJ
ENFJ
ENTJ

NN
11.6%
13.6%
1.46%
2.1%
5.4%
8.8%
4.4%
3.3%
4.3%
8.5%
8.1%
3.2%
8.7%
12.3%
2.5%
1.8%

LCN
1%
7%
12%
10%
1%
0%
1%
0%
0%
3%
5%
1%
8%
18%
24%
7%

CN
3%
5%
8%
12%
0%
3%
5%
3%
1%
5%
3%
4%
9%
13%
18%
8%
Hope to Cope
Changes come and changes go
To stay cool be in the know
At your best there will be stress
Causing you to feel oppressed
To get out you’ve got to cope
But cope through hope and leave the dope
Psych of Adj: Raising Consciousness
Along With Credit
What is the status quo with regard to
coping, among college students as well as
general population
-status quo not usually based upon
empirical understanding of coping
-how to overcome coping of limited value
-most empirical studies in psychology
use college students as subjects
Stress Revisited
“The Nature of Stress”
• Stress
-a special stimulus-response transaction
in which one feels threatened or
experiences loss or harm (Carver, 2007;
McEwen, 2000)
-viewing stress and stressor combined
allows for individualizing our
considerations of stress
Stress Relationally Considered
• A LESS REDUCTIONIST VIEW OF STRESS

Stressor=>not separate from response
elicited in the person
Stress=>not separate from the
troubling external or internal event
Remember Heart Rate Variability
• Enhanced by relaxation, mindfulness and
meditation
• Enhanced by RSA and many other forms of
breathing exercise
• Enhanced by exercise
• Enhanced by peaceful joining with nature
• Enhanced by tapping pressure points
• Enhanced by I-Doser? (based on binaural beats)
http://www.youtube.com/watch?v=S6Cq9y4qRCQ
Three General Forms of Coping
Behaviors
1.
FIGHT
2.
FLEE
3. FREEZE
Giving Up
(Freezing)
• Learned Helplessness=>passive behavior
produced by exposure to unavoidable aversive
events (Seligman, 1974, 1992)
-Shutting down/Isolating
-Associated with emotional reactions of
sadness & dejection
Acting Aggressively
(Fighting)
• Aggression=>any behavior intended to hurt
someone, either physically or verbally
-Some people chronically angry (gene, abuse)
-Anger=>an empowering/useful emotion
-Displacement (Freudian defense)
-Vents frustration, but at the expense of another
-Media violence desensitizes=>current increase
in violent acts (Bartholow, Bushman & Sestir, 2006)
Indulging Yourself
(Fleeing)
• Stress can=>reduced impulse control
• Id can become stronger under stress=>
Reptilian Brain vs. Executive Functions
*overeating *over-drinking *over-interneting
(gambling, surfing, face book, porn, etc)
*over-cleaning *over-thinking *over t.v.ing *drugs
*over-socializing
PROCRASTINATION!!
Blaming Yourself
(Fleeing)
• Catastrophic thinking: “I am unlovable, and
will never find anyone to love me.”
• Negative self talk (Beck, 1976; Ellis, 1973): “I
am a disappointment to my parents and
family;” “I am the cause of my parent’s
unhappy marriage;” “I don’t know why I was
born.”
Sets the stage for irresponsible behavior
Using Defensive Coping
(Fleeing)
• Defense mechanisms=>unconscious or
conscious reactions that protect a person from
unpleasant emotions such as guilt and anxiety
*Denial *Fantasy *Intellectualization *Undoing
*Overcompensation
Works through self-deception
The Nature of Constructive Coping
• Constructive coping=>efforts to deal with
stressful events that are judged to be
relatively healthful
1. Constructive coping=>dealing with stress by
directly & realistically evaluating options and
acting (e.g., taking advantage of T.A.s and
professor availability if dissatisfied with an
exam result)
The Nature of Constructive Coping
2. Constructive coping=>reasonable appraisal
of stress and coping resources
(e.g., examining course-load, extra-curricular
activities, social/relationship demands
against what level of resilience one has)
3. Constructive coping=>learning to manage
potentially disruptive emotional reactions to
stress (e.g., psychotherapy)
The Nature of Constructive Coping
4. Constructive coping=>learning to exert
control over potentially harmful or destructive
habitual behaviors (e.g., nicotine & AOD
addictions, harmful food restricting or binge
eating, procrastination tendencies, etc.)
The Nature of Constructive Coping
• Categories of constructive coping
1. Appraisal-focused coping=>changing interpretation
of stressful events (e.g., acceptance/diffusion)
2. Problem-focused coping=>altering stressful
situation (e.g., changing a major)
3. Emotion-focused coping=>managing emotional
distress (e.g., raising one’s threshold for handling
stress=>exercise, diet, rest, healthy
friends, meditation, diversion, etc.
Emotion-Focused Constructive Coping
*Changing how we fee about others
-minimize anger, contempt, hatred
*Changing how we feel about ourselves
-minimize negative self talk
-enhance confidence through “pose”
http://www.youtube.com/watch?v=Ks-_Mh1QhMc
• Meditation (10-20 min, 1x daily)
1. Breath Watching
2. Exhale Pause Watching:
Inhale (“I”), Exhale (“AM”), Pause
(Very..Relaxed..And..At..Peace..
Right..Now)
3. Mantra
4. Mind Watching (use monitoring words @
every 5 seconds like “image,” “words,”
“quiet.”
Mind Watching with Monitoring
Words: Becoming the Observer
Classify 3-4 types of thoughts
Image
Words
Quiet
Your challenge is to have an empty or QUIET mind. About
every 5 seconds mentally say the type of thought you are
having IMAGE, WORDS or QUIET (absence of thought).
Build up gradually to 20 minutes. There may be points
where you are unaware of NOTHING but PURE AWARENESS
RSA Breathing
Respiratory Sinus Arrhythmia
Inhale 3 seconds, exhale 7 (more PS)

Inhale 7 seconds, exhale 3 seconds (more S)
Inhale 5 seconds, exhale 5 seconds
(maintenance)

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P+of+a+ch+4+++2+13+14 1-2-1

  • 2. Chapt. 4: Coping and hoping to change • Most people with stress and coping problems know they need to change but………….. • most people don’t change, e.g., Internet addiction, eating disorders, alcohol and drug dependency, procrastination, poor time management, etc. • Why not? • inspirations and barriers to change
  • 3. Why not change if person admits there is a problem? When addicted/dependent - motivation to change varies Person: • may be perceive self to be weak and incapable • usually ambivalent – pros and cons • sees recovery or change as a distant dream or fantasy • motivation fluctuates
  • 4. 3 methods of reducing addictive behavior 1. Contingency management: one of largest effect sizes with addictions=>behavior therapies: reward and punishment 2. Motivational interviewing 3. CBT =>cognitive behavior therapy
  • 5. Motivational interviewing What can we do to increase motivation to change and improve coping? 2 ways to increase motivation: 1. Increase internal motivation 2. Focus on the positives for staying the same
  • 6. 1. five types of motivation: Self-Determination Theory (Vansteenkiste et al, 2005): increase internal motivation introjected identified intrinsic Type of amotivation external motivation motivation motivation motivation motivation Motivational Force discourage -ment and helplessness expectations/ rewards/ punishments from others & environment Locus of impersonal external causality guilt, shame, guiltinducing internal pressures personal values/ Commitment external internal enjoyment, pleasure, interest, satisfying, fun internal
  • 7. 2. Focus on positives for staying the same: use Decisional Balance Sheet: (Miller and Rollnick, 2002) Positives for staying the same Negatives of change It is the positives for staying the same that keep people stuck Negatives for staying the same Positives of change
  • 8. pros for anorexia (Gale et al, 2006) safe and structured: -makes me feel safe -gives structure to my life -helps keep control -organizes world -gives purpose -feel protected -secure -get me through life -dependable/consistent skill/special: -something I am good at -ED a skill - in ED, I am an expert -I can do at least one thing better than others -lifts me up above others
  • 9. Young’s solution: Cognitive Behavior Therapy (CBT) CBT is effective treatment for compulsive disorders Thoughts • monitor thoughts • identify trigger thoughts: “Life is unfair to me.” • learn to respond with new coping skills: Behavior  establish baseline of compulsive behaviors  moderate/eliminate dysfunctional behaviors  enhance non-online computer life (social, occupational)
  • 11. Facts about Annette Rutues’ life circumstances (p.112) • Moved from 5 bedroom house, orginially twoparent household, family income was $70’s, moved to Homeless Shelter twice • Annette is single with three children: -14 y/o Kelly – private school, B+ ave. - 11 y/o Justin A ave. - 6 y/o Andrew • Annette has cancer
  • 12. Ann Masten, Developmental Psychologist, U. of Minnesota: studies resilience in children • Resilience = ability overcome risk and adversity that could have otherwise negatively altered life in significant ways • Qualities Andrew has that allow him to overcome adversity: 1. good attention skills 2. ability to follow instructions 3. effortful control: can control themselves during a task and switch rules during task
  • 13. Summary of Masten’s protective factors that promote resilience • Protective, competent, car ing adult • -optimistic -talk to children, don’t talk • at them -let children grow, don’t over-control • Community factors: school, teachers Spiritual experiences Personal qualities: - optimistic - good learning skills -good attention skills
  • 15. Meyers Briggs Profile This Class, Last Class & National ISTJ ISFJ INFJ INTJ ISTP ISFP INFP INTP ESTP ESFP ENFP ENTP ESTJ ESFJ ENFJ ENTJ NN 11.6% 13.6% 1.46% 2.1% 5.4% 8.8% 4.4% 3.3% 4.3% 8.5% 8.1% 3.2% 8.7% 12.3% 2.5% 1.8% LCN 1% 7% 12% 10% 1% 0% 1% 0% 0% 3% 5% 1% 8% 18% 24% 7% CN 3% 5% 8% 12% 0% 3% 5% 3% 1% 5% 3% 4% 9% 13% 18% 8%
  • 16. Hope to Cope Changes come and changes go To stay cool be in the know At your best there will be stress Causing you to feel oppressed To get out you’ve got to cope But cope through hope and leave the dope
  • 17. Psych of Adj: Raising Consciousness Along With Credit What is the status quo with regard to coping, among college students as well as general population -status quo not usually based upon empirical understanding of coping -how to overcome coping of limited value -most empirical studies in psychology use college students as subjects
  • 18. Stress Revisited “The Nature of Stress” • Stress -a special stimulus-response transaction in which one feels threatened or experiences loss or harm (Carver, 2007; McEwen, 2000) -viewing stress and stressor combined allows for individualizing our considerations of stress
  • 19. Stress Relationally Considered • A LESS REDUCTIONIST VIEW OF STRESS Stressor=>not separate from response elicited in the person Stress=>not separate from the troubling external or internal event
  • 20. Remember Heart Rate Variability • Enhanced by relaxation, mindfulness and meditation • Enhanced by RSA and many other forms of breathing exercise • Enhanced by exercise • Enhanced by peaceful joining with nature • Enhanced by tapping pressure points • Enhanced by I-Doser? (based on binaural beats) http://www.youtube.com/watch?v=S6Cq9y4qRCQ
  • 21. Three General Forms of Coping Behaviors 1. FIGHT 2. FLEE 3. FREEZE
  • 22. Giving Up (Freezing) • Learned Helplessness=>passive behavior produced by exposure to unavoidable aversive events (Seligman, 1974, 1992) -Shutting down/Isolating -Associated with emotional reactions of sadness & dejection
  • 23. Acting Aggressively (Fighting) • Aggression=>any behavior intended to hurt someone, either physically or verbally -Some people chronically angry (gene, abuse) -Anger=>an empowering/useful emotion -Displacement (Freudian defense) -Vents frustration, but at the expense of another -Media violence desensitizes=>current increase in violent acts (Bartholow, Bushman & Sestir, 2006)
  • 24. Indulging Yourself (Fleeing) • Stress can=>reduced impulse control • Id can become stronger under stress=> Reptilian Brain vs. Executive Functions *overeating *over-drinking *over-interneting (gambling, surfing, face book, porn, etc) *over-cleaning *over-thinking *over t.v.ing *drugs *over-socializing PROCRASTINATION!!
  • 25.
  • 26. Blaming Yourself (Fleeing) • Catastrophic thinking: “I am unlovable, and will never find anyone to love me.” • Negative self talk (Beck, 1976; Ellis, 1973): “I am a disappointment to my parents and family;” “I am the cause of my parent’s unhappy marriage;” “I don’t know why I was born.” Sets the stage for irresponsible behavior
  • 27. Using Defensive Coping (Fleeing) • Defense mechanisms=>unconscious or conscious reactions that protect a person from unpleasant emotions such as guilt and anxiety *Denial *Fantasy *Intellectualization *Undoing *Overcompensation Works through self-deception
  • 28. The Nature of Constructive Coping • Constructive coping=>efforts to deal with stressful events that are judged to be relatively healthful 1. Constructive coping=>dealing with stress by directly & realistically evaluating options and acting (e.g., taking advantage of T.A.s and professor availability if dissatisfied with an exam result)
  • 29. The Nature of Constructive Coping 2. Constructive coping=>reasonable appraisal of stress and coping resources (e.g., examining course-load, extra-curricular activities, social/relationship demands against what level of resilience one has) 3. Constructive coping=>learning to manage potentially disruptive emotional reactions to stress (e.g., psychotherapy)
  • 30. The Nature of Constructive Coping 4. Constructive coping=>learning to exert control over potentially harmful or destructive habitual behaviors (e.g., nicotine & AOD addictions, harmful food restricting or binge eating, procrastination tendencies, etc.)
  • 31. The Nature of Constructive Coping • Categories of constructive coping 1. Appraisal-focused coping=>changing interpretation of stressful events (e.g., acceptance/diffusion) 2. Problem-focused coping=>altering stressful situation (e.g., changing a major) 3. Emotion-focused coping=>managing emotional distress (e.g., raising one’s threshold for handling stress=>exercise, diet, rest, healthy friends, meditation, diversion, etc.
  • 32. Emotion-Focused Constructive Coping *Changing how we fee about others -minimize anger, contempt, hatred *Changing how we feel about ourselves -minimize negative self talk -enhance confidence through “pose” http://www.youtube.com/watch?v=Ks-_Mh1QhMc
  • 33. • Meditation (10-20 min, 1x daily) 1. Breath Watching 2. Exhale Pause Watching: Inhale (“I”), Exhale (“AM”), Pause (Very..Relaxed..And..At..Peace.. Right..Now) 3. Mantra 4. Mind Watching (use monitoring words @ every 5 seconds like “image,” “words,” “quiet.”
  • 34. Mind Watching with Monitoring Words: Becoming the Observer Classify 3-4 types of thoughts Image Words Quiet Your challenge is to have an empty or QUIET mind. About every 5 seconds mentally say the type of thought you are having IMAGE, WORDS or QUIET (absence of thought). Build up gradually to 20 minutes. There may be points where you are unaware of NOTHING but PURE AWARENESS
  • 35. RSA Breathing Respiratory Sinus Arrhythmia Inhale 3 seconds, exhale 7 (more PS) Inhale 7 seconds, exhale 3 seconds (more S) Inhale 5 seconds, exhale 5 seconds (maintenance)

Notes de l'éditeur

  1. If you are a heroin abuser and you want to take home a free dose of methadone then you must turn up negative drug screens 5x in a week.
  2. 70-90% of students procrastinate before beginning an academic assignmentTime management = > better predictor of GPA than SAT’s4 personality factors related to procrastinating:highly distractible, low organization skillsfear of failureperfectionismpassive aggressive1. Negative impact on quality of work (Tice and Baumeister, 1997)2. more stress from last minute work anxiety and ill health effects (Tice and Baumeister, 1997)3. failure to allot enough time/plan forinterruptions > leads to trying to multitask insteadof planning and blocking out time > task may notget done. desire to minimize time on task – safeguard personal time2. desire to optimize efficiency – concentrate academic work into focused time frame3. closer proximity to the reward of completing task/getting feedback – get the “rush” of sudden release of stress
  3. CBT shown to be an effective treatment for compulsive disordersmonitor thoughts identify thoughts that trigger addictive feelings and actionslearn to respond with new coping skills and ways to prevent relapseCognitions: correct distorted, negative thoughts: e.g., “Life is always unfair to me.” Behavior: -establish baseline of compulsive behaviors-moderate online behaviors so dysfunctional behaviors discontinued-non-online computer life (social, occupational) enhanced