The
Therapist Issue 1 Jan 2000
Natur-al
answers
Why
polar bears could hold the clue to improved lasers
My
university professor used to claim that man used
only three things not represented somewhere in the
natural living world of animals and plants.
They were, 1) The wheel: 2) Fire: 3) Nuclear Energy.
Now it seems a microscopic organism using the principal
of the wheel has been discovered.
Looking to nature to find clues to solving mans
problems has always been a good option. Recent studies
suggest that polar bears fur may hold clues
to the improvements of medical lasers!
Recent British research has discovered that polar
bears have hair able to draw in ultra-violet
light and use it to warm their bodies even though
UV light is not a conventional source of heat. The
same hair also seems to block infrared radiation
and thus conserve heat.
human applications
These properties clearly so valuable in the
bears hostile environment have possible
human application.
Could solar panels be made more efficient by using
the selective properties relating to ultra-violet
and infrared light?
The military realise that blocking infrared emissions
would prevent detection by infrared sensors.
One of the most important potential benefits is
to enable development of more effective lasers.
Laser eye treatments currently can only utilise
laser light of the long wavelength. Simulating the
properties of the fur could allow the development
of higher energy light in the much finer concentration
needed for pinpoint eye surgery.
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Healing
Hands Network looking to expand
The
Healing Hands Network Charity was set up to send
volunteer care professionals to work with people
suffering the terrible consequences of war.
Since
1997 teams have worked in Sarajevo, Bosnia. Although
Bosnia no longer features regularly in the media
the needs of its people remain as urgent as ever.
To date we have helped in the healing of more than
3000 men, women and children and many many more
still need that help.
HHN have approximately 200 qualified therapists.
During 1999, 34 from our team were among others
who gave their time and skill to volunteer to work
in Bosnia.
The people respond to our work in a special way.
Hands on therapies work to heal, restore and regenerate
the spirit as well as the body.
make a diffreence
In order to meet the demand for its services we
urgently need to expand our pool of therapists,
helpers and supporters.
There is an opportunity for you to use your therapeutic
skills in a unique way. Your help will make a difference.
Please give Sandra Griffiths a ring on 01885 410620
- she would be delighted to give you information
about Healing Hands and the work it
is doing to help those who continue to suffer the
effects of war.
I.P.T.I. has previously printed information for
Healing Hands and several of our members are already
among its active supporters. Help of all kinds is
needed and we encourage others to become involved
in the rewarding work undertaken by the group.
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Therapists
and the Law
Self-employed
therapists and those working for or owning small
businesses - that means the large majority of our
members - have to cope with new laws and regulations.
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Our
contributor, Mr. Hacon Williams MIOSH, MIIRSM, MILT,
is a consultant on all aspects of health, safety
and employment law. In a series of articles he will
highlight and explain important laws effecting members.
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Are
you a criminal?
Yes, I do mean you? Over the past year I have
made a record of criminal offences discovered whilst
undertaking Health and Safety audits and ISO 900
assessments. There are four areas where offences
have frequently been committed all of which involve
Absolute offences that is where an offence
has no defence because it is a direct non-compliance
with the law, typically you need a licence but you
hold no licence.
Local
Authority Licences.
These are granted by the local authority (LA) under
the Local Government (Miscellaneous provisions)
Act 1982 and permit specified practices namely Acupuncture,
Tattooing, Ear Piercing and Electrolysis. In London
the LAs also require establishments offering
massage to be licenced. Outside London micro-pigmentation
(semi-permanent tattooing) is not covered by licensing
but where a salon is registered for other skin piercing
activities then the LA can regulate micro-pigmentation
under Section 15(7) of existing regulations.
The practitioner of these treatments is required
to obtain and display that licence. I have noticed
that many clients and salons are not licenced because
they have just started to. . . This
is not a defence. Also many establishments have
a licence but fail to display it. This is an offence
and I understand that some LAs are now enforcing
the regulations more stringently.
"The
practitioner of these treatments is required to
obtain and display that licence. I have noticed
that many clients and salons are not licenced because
they have just started to. . .
Health
and Safety (H&S) statement
Under the Health and Safety at work Act 1974 employers
with five or more staff on the payroll are required
to have a formal H&S statement and to display
it prominently. The statement must comply with the
specific guidance given in the 1974 Act and in the
Management of Health and Safety Regulations. I have
found many establishments, both in the alternative
therapy and beauty world, that have failed to produce
a statement or failed to display it correctly. For
these offences a fine of up to £20,000 is
possible and again they are absolute offences.
Compulsory
employees liability insurance
This insurance is required under the Employers
Liability (Compulsory Insurance) Act 1969 and it
must meet specific parameters. These parameters
are stated in two HSE publications. They are The
Employers Guide to Employers Liability (Compulsory
Insurance) Act 1969 and a similar Employees Guide.
Both are obtainable from HSE Books telephone
01787 881165.
This Act states that the insurance certificate or
a copy must be displayed where all employees can
read it. Failure to display the certificate correctly
is also an absolute offence attracting a fine of
£1000. From 1st January 1999 cover for a minimum
of £5 million from an approved insurer was
required.
Failure to hold valid insurance attracts a fine
of up to £2,500 per day that unsuitable insurance
is held.
In addition businesses are now required to keep
copies of expired insurance certificates for FORTY
YEARS. Enforcement is by HSE and the inspectors
will check that you have the required insurance.
Data Protection Law, the remaining area involving
absolute offences, will be dealt with in a future
article.
Authors
note: This article is written as a general article
on Health and Safety matters. It is not authoritative
and is meant to serve as a pointer towards understanding
the law and gaining more detailed information.
I can supply specific advice and information to
clinics and salons but only by visiting and undertaking
an assessment. For further information please telephone
or fax me on 01267 238143. R. K. Hacon Williams.
Editors
Note:
For Employers Liability Insurance purposes
the term Employee has a very wide definition
and includes temporary workers and trainees, voluntary
helpers, some self employed workers as well as those
on employment contracts.
See page three of your current insurance booklet.
The IPTI group insurance protects individual member
therapists.
Engaging any working assistance on a temporary or
permanent basis requires additional cover.
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. . . . . . . . . . . . . . . . . . . . . . Special Feature
Vitamin
C and skin health
Rather
like vitamin E the absorption of vitamin C from
the stomach and intestines is poor. Only 20 - 30%
of the intake is absorbed and transported to the
rest of the body by the blood system. The human
body maintains a total pool of about 1,500mg of
Vitamin C.
The vitamin is used primarily by bodily functions;
however physical and emotional stress can use significant
amounts of vitamin C. Smoking consumes a lot of
extra vitamin.

Compared
with a normal daily intake of 60mg smokers have
been found to use 150mg and experts recommend an
increased intake of 200mg is desirable for those
who smoke. Thus it is easy to see how some smokers
may easily and unknowingly suffer from vitamin C
deficiency.
The amount of ingested vitamin C reaching the skin
via blood circulation is very limited. The skin,
and particularly the delicate facial skin, which
is exposed to the environment is thus susceptible
to vitamin C deficiency. Vitamin C can be absorbed
through the skin and therefore topical application
can have advantages.
The skin has an affinity for vitamin C and with
a small molecular size (its molecular weight is
only 176.12 and is less than that of citric acid)
can easily be absorbed. After absorption the vitamin
cannot be lost by washing or by perspiration and
is effective for up to three days.
Vitamin C and the Sun. The vitamin is beneficial
in both helping to prevent and to repair sun damage.
Experimental work using comparable situations demonstrated
much less damage to skin protected by the application
of topical vitamin C. Similarly the application
of topical vitamin C resulted in significantly faster
healing of damaged skin.
Vitamin C can help protect the skin from sun damage
but has a very different mechanism from the traditional
sunscreen. (Diag. 2a) Sun protection by vitamin
C decreases as time goes by because the vitamin
is used up in the protection process. Just like
an anti-oxident it is itself oxidised whilst it
protects the skin. Thus the concentration of vitamin
C will decrease and as it does so its protective
ability also decreases.
The sunscreen has a stable performance over time
unless it is removed (Diag. 2b) - the sunscreen
itself if not changed during the protection process.
Once it is removed from the skin then the protection
has gone. Vitamin C cannot be removed and its effect
will remain until the concentration diminishes.
These two processes reveal the best way for the
skin to be protected from sun - the combination
of sunscreen and vitamin. Apply vitamin C to the
skin first as an internal protection and then apply
a sunscreen on the skin as an external protection.
For instance with a sunscreen of SPF20 1/20th (ie.
5%) of the original UV light would go through the
sunscreen and penetrate the skin. The internal vitamin
C could take care of penetrating UV light very well.
Vitamin C cannot replace sunscreen but it does provide
excellent secondary sun protection.
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Dr. Wade
Cheng is Vice President and Director of Research
and Development of the Rejuvi Laboratory Inc. Prior
to this position he was senior research chemist
in Smithkline Beckmen corporation, california Public
Health Department and Biorad Laboratories.
He holds a B.Sc degree in chemistry and chemical
engineering. An M.S. degree in analytical chemistry
from the University of San Francisco and a Ph.D.
in biochemistry from the University of California,
Davis.
He has over 30 publications in many scientific journals
and, as a result of his work, has been awarded several
chemical patents. This article is a transcript of
a lecture given at the CIDESCO International World
Congress held in Athens in October 1998.
Vitamin
C or Ascorbic acid exists naturally in many fruits
and vegetables.
Oranges
and tomatoes are particularly rich in the vitamin.
Deficiency of vitamin C causes the disease scurvy,
symptoms of which are bleeding of the gums and beneath
the skin.
Pure Vitamin C can be made in the form of a dry
powder which is fairly stable. In this form it can
be stored for quite a long time in capsules, tablets
or as the powder. Aqueous solutions of vitamin C
are however easily oxidised by air and light turning
a brownish colour. This liquid form of the vitamin
is unstable and is difficult to use in cosmetic
products.
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Thus
the skin can be very well protected. If no traditional
sunscreen is used the vitamin C in the skin would
be quickly used and its protective ability would rapidly
decrease. If there is not vitamin C in the skin the
sunlight passing through the sunscreen will cause
damage.
It should be noted that any vitamin C not absorbed
into the skin (ie. still in a cream or on the surface
of the skin) does not provide any protection. Therefore
a high concentration of vitamin C compound needs to
be applied in an easily absorbed form as the first
layer of protection. Vitamin C in any cream or sunscreen
is not effective for sun protection because of poor
penetration into the skin.
Vitamin C and its skin whitening effect. Hydroquinone
is the traditional bleaching agent used in anti-pigmentation
products. 2% hydroquinone is very popular and 4% strength
is a prescription item used by dermatologists. In
vitro experiments show that vitamin C has about 6%
the bleaching capacity of hydroquinone. In other words
a cream containing 10% vitamin C will be equivalent
to 0.6% hydroquinone which has significant bleaching
power to the skin particularly in long term use.
Hydroquinone is considered to be a carcinogen which
can cause skin cancer. It use has been forbidden in
many countries including Japan and Korea. At the present
time hydroquinone can be legally used in the USA at
a maximum concentration of only 2% in cosmetic products.
In addition to the possible carcinogenic effects hydroquinone
products turn brown or dark brown. It is also difficult
to keep hydroquinone products without colour change
under normal storage conditions. Vitamin C does not
have any side effects and can be used for long term
application. A high concentration of the vitamin (>5%)
has been found effective in preventing freckles and
brown spots on the skin. Skintone can be noticeably
improved usually after 2 weeks of daily use. The anti-pigmentation
effect is of benefit to the skin and has been widely
used in skin whitening and bleaching products.
The chemical structure of vitamin C. The structure
of vitamin C provides clues to its properties.
The
double bond is unstable and easily attacked by oxidising
substances.
The carbon to carbon double bond can very easily be
oxidised to form a single bond. The double bond is
the reason for the anti-oxidative properties of the
vitamin and is also the source of its instability.
It is impossible to change the nature of the double
bond without altering the basic properties of Vitamin
C and therefore other techniques have to be used to
improve its stability. The trick is to attach a large
chemical group in the position of the hydroxyl groups
(-OH) near the double bond.
As a result oxidative substances - which would break
the double bond - cannot gain access to the bond because
of the blocking action of the attached group. In chemistry
this is called Steric Hinderance.
If a large group is attached to the hydroxyl groups
at the top of the molecule the steric hinderance effect
is diminished because of the longer distance to the
C=C double bond.
Palmitates are examples of substances which can be
used to help block access to the double bond.
If one such group is attached to an hydroxyl in the
top position and another to the right hand carbon
of the double bond the stability is increased. This
structure is ascorbyl dipalmitate.
Stability of the double bond has been increased but
the presence of two palmitate groups has converted
the previously hydrophilic hydroxyl groups of ascorbic
acid to an oil soluble derivative. Note that only
L-ascorbic acid (vitamin C) performs the beneficial
skin functions.
The stable derivative has to be able to convert back
to vitamin C in order to function properly within
the skin.
Usually to provide the stability of ascorbic magnesium
salts are attached by electrostatic bonding to the
hydroxyl positions on the double bond forming derivatives
called chelates.
Magnesium
ion blocks access to the vulnerable double bond
In this case the derivative magnesium ascobyl phosphate
(or magnesium ascorbate) is formed.
The magnesium salts are hydrophilic and thus the vitamin
Cs magnesium chelates are also water soluble.
When
formulating stable compounds containing ascorbic acid
the chemist needs to consider:-
1 Organic groups attached to hydroxyl positions
on the C=C bond - such as ascorbyl dipalmitate - are
hydrophobic.
2
Magnesium salts attached to an hydroxyl on the C=C
bond such as magnesium ascobyl phosphate are hydrophilic.
3
Hydrophobic vitamin C derivatives are usually more
stable because of a stronger co-valent bonding and
tends to stay in the oily phase - it converts less
easily back to the active vitamin C form.
4
Hydrophilic vitamin C derivatives, such as the magnesium
compounds, are less stable than the hydrophobic forms
but they can convert back to the active vitamin C
much more easily.
Topical
application of Vitamin C The key points for a good
topical Vitamin C application are:-
1 A fairly stable vitamin C derivative otherwise
the natural vitamin C will deteriorate quickly, become
brown and produce an unpleasant odour.
2
The skin can only use natural vitamin C and therefore
any stable derivative should easily convert back into
vitamin C after being absorbed in the skin. Some hydrophilic
vitamin C derivatives such as magnesium chelate have
suitable stability and are able to easily release
vitamin C within the skin. - There has to be a compromise
between product stability and skin absorption.
3
Concentration is the driving force in chemistry. In
general the higher the concentration the greater the
effect or penetration. Research has revealed that
a substantial concentration of vitamin C is needed
to achieve a significant effect - particularly for
sun protection. The concentration of Vitamin C in
commercial products is recommended to be between 5
and 10%.
4
The pH of the skin is within the range 5.3 and 6.1.
Vitamin C in aqueous solution is acidic and at 5%
concentration results in a pH of 2.0. Just like AHA
products a low pH could result in skin irritation
or other side effects. The strength of topical vitamin
C products is recommended to be within the pH range
of 4.0 and 8.0.
A
summary of the properties of vitamin C products for
topical application are given in the chart below.
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Topical
vitamin C application
A desirable topical
Vitamin C formula should:-
Contain stable vitamin C derivative/s
Be capable of being easily absorbed into
the skin
Also be able to easily reconvert into
the natural and active Vitamin C form
Have a minimum 5% concentration of active
ingredient
Have an appropriate Ph value (between
4.0 - 8.0) for safe and effective use
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Topical
Vitamin C benefits
A properly formulated topical
Vitamin C product will provide a range of effective
benefits to the user. These will include:-
1
Being an effective scavenger of oxygen free radicals
2
Helping to prevent and to repair sun damage
3
Helping to avoid hyper-pigmentation and to assist
skin whitening
4
Having some influence on fibroblasts and on collagen
generation and on the reduction of fine lines. (NOTE:
this benefit is not as effective as the provided by
AHA and/or retinoid treatments).
The
application of a highly concentrated topical Vitamin
C product should include:-
A morning and evening application. The product is
gently massaged into the skin until dry. Then a cream
or ones regular products may be used.
The skin will feel more silky within a few days and
noticeably more smooth and radiant within two weeks.
Improvement in skintone and fine lines are likely
to be noticed after 4-5 weeks.
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Soaking
up the spillages?
Whilst
visiting your local hairdresser you may have given
a passing thought to what happens to the volumes
of hair that falls unwanted to the floor.
Should
you have travelled in the orient the question may
have been prompted more forcefully for there it
seems that sweeping up is a once at the end
of a day activity, whilst staff (and customers
of the day) wade through rapidly increasing volumes
of severed locks.
ECOLOGICAL
USEFUL
A
hairdresser in Alabama USA, Phil McCrory, may have
stumbled upon an ecologically useful role for all
those snippings.
He discovered, (we do not know how but suspect a
salon accident) that a quarter of a pound weight
of human hair will soak up and retain a gallon of
oil in two minutes. (1 American gallon = 3.8 litres).
If this is possible he mused what could be achieved
by using several thousands of pounds of hirsute
waste if it were enclosed within nylon mesh bags.
REMARKABLE
Americas
NASA organisation is putting the idea through a
series of scaled down oil spillage tests.
Initial reports are, they say, remarkable.
Admittedly calculations indicate that it would take
some 70,000 kilograms (32,000 lbs) of hair to deal
with a 1,000,000 litres oil spillage. (263,000 US
gallons).
Nevertheless Mr. McCrory believes that sufficient
quantities of unwanted hair - which is very compressible
- could be collected if all hairdressers were provided
with recyclable collecting bags.
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. . . . . . . . . . . . . . . . . . . . . . Special Feature
Handling
high stress situations Part 1
In
the first part of this article Dr Friedman notes
how, during the course of this century, the major
infectious diseases had largely been replaced by
long term degenerative conditions.
A
wise person once said, There are two kinds
of business people in the 90s: Those who suffer
from stress, and those who have not recognised it!
Stress
is recognised today as the biggest cause of loss
of productivity of the workplace. Stress produces
illness - it causes sickness and is the origin of
that all too common phrase - Im sick
with worry.
In this article I shall try and explain how the
mind interfaces with and influences the physical
working of the body. This is the necessary understanding
of the reality of stress. Then it can be explained
how mastery over stress is both possible and worthwhile.
Finally I shall give some pointers as to how to
master stress in your own life.
Changes
in perceptions of disease stress
Scientists have come to realise that the disease
process is exceeding complex - intertwining biology
and human emotions and the endless ways in which
the individual personality, feelings and thoughts
both reflect and influence the events in the body.
There is a popular understanding that stress can
make one sick. Even this understanding is not new,
it is now being supported with rigorous scientific
experimentation. However the current thinking is
that stress itself does not make a person sick,
but rather increases the risk of getting diseases
that cause sickness. Probably the most important
thing that has been realised is that the brain can
experience or think of something stressful and activate
the stress response.
But what are the kinds of diseases that makes a
person sick today? . . .
Changes
in disease patterns
Everyone is concerned with illness, but the kinds
of illness that are worried about in the middle
of the night are very different from the kinds of
illnesses that people worried about 100 years ago.
Then it was smallpox, scarlet fever, cholera and
bubonic plague, pneumonia, tuberculosis and influenza.
Those were all infection diseases or related to
poor nutrition.
Today many are now living well enough and long enough
to slowly fall apart; the diseases that plague us
now are those of slow accumulated damage - heart
disease, cancer and cerebrospinal disorders. These
are conditions that are often related to stress.
Stress
and its effects
There are a number of different kinds of stressors
or conditions that produce stress:
1. Acute physical stressors
2. Chronic physical stressors
3. Psychological and social stressors.
It is these psychological stressors what are focused
on when the term stress or burnout
is used. Psychological stress is a recent invention,
as is the understanding that if someone spends months
and months twisting his innards in anxiety, anger
and tension over some emotional problems, this might
very well lead to illness.
The
stress response
The bodys physiological response mechanisms
are superbly adapted for dealing with short term
physical emergencies, but not equipped to deal with
those emergencies when provoked chronically. So
the acute response - extended over time may precipitate
stress related diseases.
The unique thing about humans is that they can anticipate
these stressors long in advance and so have learned
how to worry!!! - that is being able to mobilise
the stress response simply by thinking about things.
The following changes occur as part of the physiological
response to stress:
1. An increase in energy to the muscles,particularly
those of the limbs.
2. Increases in heart rate, blood pressure and breathing.
3. Halts in long term building projects such as:-
Digestion Growth Reproduction
4. The immune system is inhibited.
5. The perception of pain is blurred.
6. Cognition and memory improved
When the stress response is turned on for prolonged
periods, the stress itself becomes damaged. Man
has evolved gradually in a relatively constant environment.
When danger threatened, the alternatives were to
retreat or to stand your ground and fight, and the
body readied itself for physical exertion. Due to
technological advances, todays demands are
more psychological than physical, yet our bodies
react as if the old dangers existed, although the
responses are no longer beneficial.
The capacity to choose between alternative strategies
for action is characteristic of the human being.
We can plan or predict the consequences of our actions
and weigh advantages and disadvantages of alternate
actions. When this capacity takes us through difficult
situations, happy stress or eustress
predominates - and this is often referred to as
motivation; satisfaction etc. Negative stress comes
into play when we are not allowed any choice, but
must passively accept an aggravating situation.
Some
long term effects of stress
cardiovascular
disease
Heart disease is certainly the most well known and
well recognised condition that is related to stress.
Today it almost needs no explanation. However, as
with most diseases there is no simple relationship
between exposure to stress and cardiovascular disease.
Rather it is a complex relationship between genetic
predisposition, stress, diet, attitude and exercise.
Ulcers,
colitis and the runs
Collectively irritable bowel syndromes are the most
common gastrointestinal diseases and are probably
the most common stress related disorders. Estimates
are that 75% will have some sort of irritable bowel
syndrome related to stress at some point in their
lives. The disorder seems to arise not only from
being under a lot of stress, but also from having
a gastrointestinal system that is abnormally sensitive
to such stress.
Sex
and reproduction
When under prolonged stress the menstrual cycles
become irregular, erections are more difficult to
achieve, and often interest in sex is lost. It is
extremely common for problems with impotency and
premature ejaculation to arise during stressful
times. Stress disrupts female libido. There is also
some evidence that stress may be related to infertility
and can induce miscarriage - although there is still
a great deal of debate in this arena.
Supression
of immunity
Evidence is emerging from many quarters to suggest
that stress may indeed impair our immune systems
and increase the risk of illness. Both massive stressors
- death of a spouse or a child, divorce, marital
discord, a major depression, chronic care giving
for a family member with Alzheimers disease
- and everyday stressors such as taking a set of
examinations, have been linked to decreased immune
function and, in the case of the more extreme stressors,
increased mortality. Stressful periods have been
shown to precede the onset of immune related disorders
such as multiple sclerosis, post polio syndrome
and juvenile diabetes. People who are more psychologically
stressed are less resistant to respiratory infections
that cause the common cold.
Stress also appears to play a role in the development
of cancer. Stress, including social stress, will
cause tumours to grow faster in laboratory rodents,
and render the rodents bodies less capable of rejecting
a tumour.
In humans, stressors such as major depressions are
associated with increased risks of cancer years
after the depression. Cancer victims in support
groups live longer, while people with few social
relationships - a situation associated with greater
stress - have shorted life expectancies and are
at a greater risk for a variety of diseases.
So
why do we get sick?
One of the ways of explaining why stress leads to
illness has to do with fatigue, When the stress
response is activated too often, one simply expends
too much energy, tires more easily and doesnt
have the opportunity to rebuild the resources that
are continuously being used. The depleted system
is then more susceptible to any infections, but
also to conditions that are related to this fatiguing
process such as cardiac problems.
Why
is psychological stress stressful?
A
model for describing stress
Firstly, as already described, it has
been observed that the entire stress response can
be activated simply by thinking about something
that is stressful. That in itself is remarkable.
But a fundamental question remains, and that is:-
What things are psychologically stressful,
and how do they become so?
One of the things that become obvious as one reflects
on the nature of stress is that what is stressful
for one person may not be stressful for another.
So when exposed to the same situation or stressor,
there are individual differences in the perception
of its stressfulness. What may be learned from the
above observation is that stress is the consequence
of the way experiences are interpreted. The psychological
filters through which the stressors may be perceived
all vary with the individual. In fact the external
demands or stressors are only one aspect of the
stress process. For as the individual estimates
the level of stressfulness of those external demands,
they are moderated by individual resources and social
support. These in turn will influence bodily responses
to the stressor and finally determine the level
of stress or strain.
As becomes evident it is an interaction between
the external demands of the situation and the psychological
perception of those demands that produce or reduce
stress. Beyond that, certain psychological factors
will modulate, or even cause the stress response.
Examples of such features are:-
Loss of outlets for frustration
Lack of social support
Loss of control
Uncertainty or lack of predictability
Symptoms of Stress
Although the development of stress is in a large
sense determined by psychological factors, the strain
experienced is clearly physiological.
Some of the ways that the body responds to stress
are the following:-
With constant exposure to stressors the stress
response is activated almost continuously. As a
result the body is unable to store surplus energy.
Thus the individual fatigues easily. Under such
circumstances there is an increased risk of diabetes.
Also with a chronically overacting cardiovascular
system, there is an increased risk of cardiovascular
disease.
High blood pressure
As the body is always in a state of alert,
the effect is constantly turned off long term projects.
Thus little is repaired.
There is a risk for peptic ulcers.
As mentioned previously, there is growing
evidence to support the folk wisdom that has suggested
that there is an effect of reproductive disorders
in females.
In both sexes interest in sexual behaviour
decreases.
The field of psychoneuroimmunology specifically
addresses the question of stress and the immune
system, and is providing growing evidence that in
situations of stress there is a suppression of immune
system. Thus one is less likely to resist variety
of diseases.
Premature ageing
Inability to concentrate.
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Handling
high stress situations Part 2
In
this concluding part Dr. Friedman discusses vulnerability
and suggests ways of reducing some of the more harmful
effects of high stress situations. Part One of this
article has also been reprinted and included as
an insert in this issue.
Mediators
of stress
Personality features and stress vulnerability
There are many studies in the psychological literature
that support the notion that certain characterological
features will make individuals who have these feature
more susceptible to experiencing stress and its
effects.
Type A
People with Type A personalities in general are
characterized by Ambition, Striving, Irritability
and Hostility. It is those individuals who have
the latter two features of the Type A personality
that have been found to be significantly more susceptible
to coronary heart disease as a function of stress.
Negative affectivity
People who are high in negative affectivity are
those who are inclined to view themselves and their
world as negative. I have termed this characteristic
The Eeyore Effect related to
the character Eeyore in Winnie the Pooh. In short,
people who are high in the Eeyore Effect will tend
to perceive stressors as very threatening and themselves
as unable to cope, rather frequently thus
experiencing stress much more frequently than others.
Aging and stress
Aged organisms being vulnerable and fragile progressively
lose their ability to deal with stress. They are
more likely to fall apart. They function just like
the young do, as long as they are not stressed.
But under stress some dramatic vulnerabilities become
evident. It has been found that the elderly not
only have trouble turning off the stress response
after the end of stress, they also secrete more
stress-related hormones even in their normal, non-stressed
state.
Stress hormones also accelerate degeneration. So
if you arent old yet, lots of stress will
age you prematurely.
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Dr. Merle
Friedman PhD. lecturer at the University of Witwaterstrand,
South Africa.
In
the first part of this article Dr Friedman noted
how, during the course of this century, the major
infectious diseases had largely been replaced by
long term degenerative conditions.
Response to stress can cause physiological damage
particularly when triggered by the human capacity
to Worry.
Positive and Negative psychological stress and the
physical symptoms generated were discussed.
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Gender
and stress
Men
and women respond differently to stress
When men are challenged their epinephrine level increases
and their blood pressure goes up. Womens response
is varied. They do not show the strong connection
between performance and epinephrine and are generally
able to conserve their resources more efficiently
i.e. the flight or fight response is more readily
triggered in men. Yet women cope at least as well.
This differential seems to be related to sex roles:
Men have been more challenged by the need to achieve,
which would generate the stress response. Women on
the other hand, focus on relationships and care of
others and it is in relation to these relational
types of stressors that their stress response is highest.
Stress
in the workplace
Based
on a study of 5000 workers, researchers concluded
that people whose jobs combine high psychological
demands with little control over their work, face
two to three times the risk of heart attack than professionals
and executives who are also in stressful jobs but
who do have a sense of control over what they can
do.
In a very large study in the Volvo factory in Sweden
it was found that there are common features regarded
as stressful by both male and female managers. Such
features include:
Heavy work load
Deadlines
Responsibility for others
having to fire someone
taking the job home
Those features regarded as stressful by Women managers
included
At
Work:
Lack of communication at work
Hard to convey opinions to superiors
Have to perform better than male colleagues
to be judged as equals
Inadequate information about work
Want better work organisation
Outside
the Workplace:
There are not enough hours in the day
I neglect my friends
Work intrudes on my time with the children
This group experience the strongest conflict between
work and family
Those
features of work reported specifically by male managers
included
Report the highest work satisfaction
Feel they can influence their work conditions
Experience little difficulty conveying opinions
not shared by others
Feel top management will listen to them
Try harder than female managers to conceal
their stress responses
Some, but smaller conflicts between work and
home
Stress
hormones and blood pressure findings
Women have difficulty winding down at home: Womens
stress levels increased when they came home
Even when they spent the day at home they were
still stressed
Men are more stressed than women at work but
are able to wind down at home.
Women managers react more like their male colleagues
and are for more competitive (Type A) but do
not run the same health risks as their male counterparts
their physiology deals with it more effectively
Social Support lessens Stress in both groups
but more so in women.
Social support also reduces psychosomatic symptoms
backache and related problems.
Mastering
stress
Model of stressors and stress and opportunities for
intervention
As one now understands the stress process it is possible
to make difference by intervening at any of the points
which contribute to the symptoms of stress or strain,
and of course the more of those points at which one
does intervene, the better the chance of dealing with
or even avoiding the stress altogether.
Those possible points of intervention include: the
level of the stressor; the physiological response;
the cognitive response or the way one estimates the
stressfulness of the stressor. Intervention at these
levels will assist in the amelioration or avoidance
of the strain of symptoms of stress. This is what
I have termed Stress Mastery.
There
are two aspects to mastering stress:
1. Old stress management devices such as exercise
and relaxation. Those approaches are useful and may
be termed stress proofing.
2. Changes in the cognitive management of the response
to stress. This includes
a) intervention at the organisational level.
b) focus on the notion of stress tolerance.
Intervention at the physiological Level - (Stress
Proofing)
Exercise
Psychotherapy
Relaxation
Outlets for frustration
food - eating correctly
Intervention at the Cognitive Level
Stress tolerance is what one should aim to develop.
What this implies is the ability to have self confidence
and self reliance in the face of adversity.
In order to develop tolerance there needs to be a
belief that actions taken by oneself will produce
outcome: and one also needs to have a basic expectation
that one is capable of self change. Both of these
add up to what may be termed self efficacy expectancy
that when one engages in something one will tend to
effective.
Culture
and Stress
Certain cultures have, built into their health practices
measures that are amongst other things extremely effective
in stress reduction and stress proofing. As an example
in Zulu Cosmology the traditional healer is very effective
in the prevention of illness.
People are expected to visit traditional healers on
a regular basis, not only when they are ill or distressed.
Such visits are prophylactic in aim namely to prevent
rather than to treat illness and distress, and often
when people do become ill it is suggested that they
have not been visiting their healer on a regular basis.
Pointers
for successful stress mastery
So,
in general in order to master stressful situations
what defines success is, in the individual a sense
of autonomy and independence from the social environment.
In addition one must develop skills and emotion when
facing stress.
Specific
Coping Strategies:
1. Look at any situation you have to deal with carefully,
finding out more about the changes/situation i.e.
reduce uncertainty and increase predictability.
2. Break it down into manageable units - that are
comprehensible and meaningful.
3. Plan and manage the task carefully - take control
- but not rigidly.
4. Positive self efficacy appraisal - i.e. engage
in realistic positive thinking.
5. Hang in there - concentrate and exercise endurance.
6. Recruit quality support from those you can trust.
7. Block out negative emotions and enhance positive
thoughts.
8. If residual negative emotions remain - find an
outlet for them.
9. Control impulses.
10. Avoid illness related behaviours.
The more frequently you succeed in mastering situations
of aspects of situations the greater will be your
sense of self efficacy, so.
GOOD LUCK!!!
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