Class 13 Hostile Personality Adjustment to Threatening Events
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Transcript of Class 13 Hostile Personality Adjustment to Threatening Events
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Class 13
Hostile Personality
Adjustment to Threatening Events
Announcements:
Midterm Review: Thursday
Midterm: Tuesday, March 11
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Hostile Personality
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Hostility as a Health ThreatSelye: A person confronted with major stressor goes into one of two modes: Fight FlightOR
Anxious, pessimistic, low efficacy will tend to which response? Flight
Imagine someone in chronic “fight” mode, always ready for attack or defense
How would he/she perceive situations? Interpret other people?
More threatening, as self-serving, un-trustworthy, dog-eat-dog world
How would this person behave toward others?
Socially abrasive, smaller social network, avoid others when in need
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Hostility is considered to be an attitudinal set—perhaps a personality trait—which stems from an absence of trust in the basic goodness of others and centers around the belief that others are generally mean, selfish, and undependable.
Williams, Barefoot, & Shekelle, 1985
Hostility Defined
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http://www.youtube.com/watch?v=78b67l_yxUc
Case Study of Hostile Personality
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YES NO
1 No one cares much what happens to you
2 I have often met people who were supposed to be experts who were no better than I.
3 Some of my family have habits that bother and annoy me very much.
4 I often have to take orders from someone who did not know as much as I did.
5 It makes me feel like a failure when I hear of the success of someone I know well.
6 People often disappoint me.
7 It is safer to trust nobody.
8 I have often felt that strangers were looking at me critically.
9 I tend to be on my guard with people who are somewhat more friendly than I expected.
10 My way of doing things is apt to be misunderstood by others.
Hostility Scale(Cook and Medley, 1954)
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1. Hostile
2. Competitive
3. Work-a-holic
4. time-pressed
Qualities of Type A Personality
Which component the most important?
X
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Blockage of blood vessels
Coronary Heart Disease (CHD) (1.5 time greater odds)
20-year increased risk of death due to:
* CHD* Malignant Neoplasms (cancer)* All causes of death combined
Health Correlates of Hostility
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Is Relation Between Hostility and Heart Disease Linear or Catastrophic?
0
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None VeryLittle
Little Moderate Mod Plus A Lot A GreatDegree
Hostility Score
Hea
rt D
isea
se
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1
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None VeryLittle
Little Moderate Mod Plus A Lot A GreatDegree
Hostility Score
Hea
rt D
isea
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Linear Catastrophic
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-1
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0 TO 8 9 TO 13 14 TO 17 18 TO 31
Hostility Score
CH
D E
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nts
Hostility and Coronary Heart Disease Among MDsBarefoot, et al., 1983
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0.85
0.87
0.89
0.91
0.93
0.95
0.97
0.99
1960- 1965- 1970- 1975- 1980-
Pe
rce
nt
Su
rviv
ing
Low HostileHigh Hostile
MD Survival Rates Over 25 Years:Low Hostile vs. High Hostile
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How Is the Hostile Personality Formed
Ken Dodge Research on Hostile Children
Parental disciplinary style:1. Punishment is severe, often disproportionate to offense2. Punishment is not accompanied by explanation
Sibling bullying: Learn to read hostile signals quickly, and respond quickly.
Hostile attributional style: 1. Regard ambiguous negative events as intentionally hostile
2. Believe it is essential to retaliate quickly
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Appraisal of threat higher defensive mode (fight)
more cardiac output ↑ cortisol atherosclerosis
Pathway From Hostility to Heart Disease
What seems to be common physio culprit in link between stress, depression, hostility and health risks?
Cortisol
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Adjusting to Threatening Events
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Misfortune: Bad and Badder
___A. Person poisoned by meds that oddly conflict with her chemistry
___B. Person poisoned by meds her MD is using to test his new theory.
WHO IS MORE DISTURBED:
___A. Person who’s child gets cancer due to second-hand smoke in home
___B. Person who’s child gets cancer due to heredity
X
X
X
___A. Train passenger injured b/c of failed train brakes
___B. Train passenger injured, but cause of crash never determined
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Fundamental Beliefs
1. World is just.
2. World is sane, well ordered, non-random
3. The self is good
Traumas: Events that seriously violate one or more of these beliefs.
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Fundamental Beliefs and Misfortune
___A. Person poisoned by meds that oddly conflict with her chemistry
___B. Person poisoned by meds her MD is using to test his theory.
Which belief has been violated:
The Self is Good, The World is Well Ordered, The World is Just
___A. Train passenger injured b/c of failed brakes
___B. Train passenger injured, but cause of crash never determined
___A. Person who’s child gets cancer due to second-hand smoke in home
___B. Person who’s child gets cancer due to heredity
X
X
X
The self is good
The world is orderly, not random
The world is just
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Strategies for Overcoming Threatening Events
1. Achieve a sense of meaning out of the event.
2. Regain mastery over the event, or over life in general
3. Enhance self-esteem
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How People Restore Sense of Meaning Following Trauma
1. Seek out causes of event.
2. Re-adjust way of seeing life, and themselves.
Victor Frankl
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Taylor Article: Adjusting to Threatening Events
Meaning is key to coping. But what about bad situations where there is no clear cause?
Subjects in Taylor article are: _______________________women with breast cancer
Is cause of breast cancer (on individual level) known? ____
Do women with breast cancer typically accept that there is no single, diagnosable cause? ____
Why is this?
No
No
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Self-Identified Causes of Breast Cancer Taylor, et al., 1983
a. Stress, esp. relationship 41%
b. Carcinogen 32%
c. Hereditary 26%
d. Diet 17%
e. Freak event 10%
Note: Some women listed multiple causes, thus total more than 100%
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Adopting New Meanings About Life
a. New attitude toward life
I feel as if I were for the first time really conscious.I have much more enjoyment each day, each moment. All those things you get entangled with don’t seem to be part of my life right now.
b. Self knowledge
It’s a bit like holding up a mirror to one’s face when one can’t turn around.
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Patients’ Responses to Their Cancer
Change diet
Quit meds. maybe associated with cancer
Educate self on cancer
Control side effects:* Imaging: Chemo as cannons* Instruction to body: "Cut this shit out“
Not clear any of these responses actually cure cancer—why do them?
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Bad Events Threaten Self Esteem
When people suffer bad events, they feel bad about selves, even if they are not responsible. Why?
Just world beliefs: Good things happen to good people, bad things happen to bad people. Therefore...
People very good at finding way to restore sense of self worth. Cancer patients do so even after disfiguring surgery, painful treatment, constant threat of cancer recurrence. How do they do it?
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Woman who underwent lumpectomy
I had a comparatively small amount of surgery. How awful it must be for women who have had a mastectomy. I just can’t imagine, it would seem so difficult.
Woman who had a mastectomy
It was not tragic. It worked out okay. Now if the thing had spread all over, I would have had a whole different story for you.
An older woman
The people I really feel sorry for are these younger gals. To lose a breast when you’re so young must be awful. I’m 73; what do I need a breast for?
A young woman (apparently having lost a breast)
If I hadn’t been married, I think this thing would have really gotten to me. I can’t imagine dating or whatever knowing you have this thing and not knowing how to tell the man about it.
Downward Social Comparison Among Breast Cancer Patients
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Methods
1. Downward social comparison2. Unsupported causal explanations
* Cancer due to diet* “Cells have re-aligned. Now I'm safe.”* Can stop cancer via imaging, positive thinking
3. Denial
Benefits?1. Enhance control2. Enhance self-worth3. Enhance persistence4. Encourage coping behaviors
Nature and Benefits of Illusions
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"Undoing": The Toxic Aspect of Illusions of Control
Two Olympic sprinters lose in finals; one comes in second to last, the other second to first. Who has done better? Who feels worse? Why?
Undoing: AKA "counterfactuals"--the mental process of thinking how negative outcomes could have been prevented.
Parents of Sudden Infant Death Syndrome (SIDS) infants (Davis, Silver, et al., PSPB, 1995).
Undoing related to: SCL, Guilt, Anger, Depression, Anxiety 18 mos later
"I thought about maybe if I'd stayed awake, or woke up more frequently [to] check on the baby. I keep thinking of different ways..."
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Coping = Illusions?
Is coping all about self-serving "spin"?
Is avoiding reality the best way to cope with uncontrollable negative events?
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Kriegel: "Falling into Life"
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Every time I was removed from the hot water and placed on a stretcher by the side of the pool, ... , I was fed salt tablets. Even today, more than four decades later, I shiver at the mere thought of those salt tablets. ...To be an eater of salt was far more humiliating than to endure pain. ...we dreaded eating salt. It was that, rather than the pain we endured, that anchored our sense of loss and dread.
Kriegel: "Falling into Life"
MEANINGWhat aspect of trauma does this passage reflect?
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I suppose we have been told that our fall from grace was permanent. But I am still grateful that no one—told me that my chances of regaining the use of my legs were nonexistent. At the age of 11 I needed to weather reality, not face it.
Kriegel: "Falling into Life"
DENIALWhat aspect of trauma does this passage reflect?
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1. I hungered for the approval of those in authority.
Kriegel: "Falling into Life"
1. Self-Esteem
2. Just World
What aspects of trauma do these passage reflect?
2. I wanted to do whatever was supposed to be "good" for me. I believed absolutely as I have ever believed in anything that rehabilitation would finally placate the hunger of the virus.
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Kriegel: "Falling into Life"
As my "normal" past grew more and more distant, I reached out for it more and more desperately.
Why?
And then, terror simply evaporated. It was as if I had served enough time in that prison. "That's it" my therapist triumphantly shouted. "You let go! and there it is!" Yes, and you discover not terror but the only self you are going to be allowed to claim anyhow. You fall free, and then you learn that those padded mats hold not courage but the unclaimed self.
What has happened here? What’s changed? What is the “prison”? What is the “unclaimed self”?
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Kriegel: "Falling into Life"
To create an independent self, a man had to rid himself of both the myths that nurtured him and the myths that held him back. ... I understood that the most dangerous threat to the sense of self I needed was an inflated belief in my own capacity.
What does Kriegel mean by “myths”?
What was the “sense of self [he] needed”?
Why was inflated belief “the most dangerous threat” to that sense of self?