Mindfulness Perspective: The Stress Model for Stress Reduction Brendan Lloyd PhD, March 2017 v.2 If we’re interested in stress-reduction, then you may well ask, how does stress work? Models are a way of demonstrating how something functions or works. A model will provide an overview of the total picture; it will show us all the working parts; and how the parts relate to each other and fit together. The Mindfulness perspective brings our attention to the process, which is the ‘how’ question. In other words, we are not so much focusing on the outcome. Rather, our attention is on he the steps that get us to the outcome. According to Jon Kabat-Zinn (1990) this focus on the process is the Mindfulness attitude of Non-Striving. A “non-striving” approach to stress-reduction has good face-validity. To strive is to battle. A battle in your mind is the opposite of stress-reduction. Striving is like, “Quick relax.” The non-striving approach to stressreduction will acknowledge how it feels to be stressed, but has more of a focus on how you got there. If you take away the stress-symptoms then what will be there instead? Well you’d feel good right? You could do without that creeping anxiety or those irritable outbursts. You’d have energy to do those things that aren’t getting done. You can do without that constant feeling of fatigue. You’d be surviving and thriving without stress-symptoms holding you back. The headline stress-symptoms are sleep disturbance, irritability, anger, exhaustion, fatigue, withdrawal, alienation, nausea, butterflies, agitation, tension, anxiety, panic, depression and alcohol and drug abuse, etc. If you have any one of these symptoms or all of these symptoms, then you are stressed (Sapolsky, 1994, Selye, 1984). The Stress Model describes stress-symptoms as an outcome due to a process of four steps as shown in Figure 1 on the last page. Our understanding of the process will guide our Mindful efforts toward stressreduction. The Process Let’s just pause for a minute to understand what is meant by “the process”. Think of a loaf of bread sitting on the baker’s shelf. That loaf of bread is an outcome. All outcomes are due to a process. All processes are made up of steps. The loaf of bread didn’t just suddenly appear on the baker’s shelf. There was a Copyright © Brendan Lloyd PhD 2016, Byron Bay 0266 853 219 process that had steps. Stress-symptoms are an outcome, just like a loaf of bread. So when we experience stress, we’re in fact caught up in the process of producing stresssymptoms. Let’s use anxiety as an example as a common stresssymptom. With anxiety you can ask, “Where do you feel it”? The most people will say, “I feel it in my gut, or body, or chest, etc.” Then you could ask, “What is it that you feel in your gut?” What I actually feel in my gut is the adrenalin. So in this example I feel the adrenalin and I refer to the experience as anxiety. We experience the adrenalin then we label the feeling depending on the context. For example, if you go to Dream World and scare the living daylights out of yourself on the Tower of Doom, then most likely you’ll label that feeling as excitement. Take the same adrenalin and put yourself in the context of a domestic dispute, the feeling will probably be reported as anxiety or anger or agitation or a negative emotion of some sort (Schachter, & Singer, J. E., 1962). Then the obvious question is why would I have adrenalin in my gut at all? We humans, and other creatures of this planet, produce adrenalin for one reason and one reason only. That reason is to meet a demand or deal with a threat. In other words, when we experience anxiety our autonomic nervous system has registered a threat and responded accordingly. So now already we have a description of a process, which is made up of a sequence of events where anxiety is the outcome. For example, we have the apprehended threat; then we have the sympathetic response in the autonomic nervous system; then we have a body flooded with adrenalin; then we have a report of anxiety. The example above is over simplified because it is an outline sketch of the stress-model. Before we do dive into the steps of the Stress Model there is an important matter that needs clearing up. We need to deal with the difference between the words stressor and stress. Stressors The Stress Model shows that Unresolved-Stressors are the beginning of the process and that Stress-Symptoms are the outcome of the process. 13/03/2017 The Stress Model & Stress Reduction 2 The term stress and stressor come from engineering (Selye, 1984). In engineering, the stressor is the load. For example, take a load of bricks and stack them on the model-bridge to stress-test it. The stress is the resistance to the load. The load and the resistance are not the same thing. Our internal stressors are not just any belief. They are those fundamental beliefs that make up a significant part of our personality. We are not likely to change our personality to any significant degree no matter how hard we try. Therefore we conclude that internal stressors are by their nature – unresolvable. Stress-symptoms, in engineering terms, would be when the bridge breaks down under the load. An engineer can adapt the bridge to the load by adding in more beams, trusses, girders, etc. Probably most external stressors are resolvable; like for example the demands of daily living. Most of us most of the time can at least bumble our way through life with our adaptations and learning. Most people most of the time do not need assistance with their external stressor. We work; we rest; we work; we rest, etc. Likewise, we humans need adaptive strategies to take on the load of living. And when things change or something out of the blue comes around, we need that ability to adapt. If there is an adaptive response to any stressor then the matter is resolved; there is closure; there is completion; an endpoint is reached. Resolved stressors are not in the Stress Model. Unresolved Stressors To put it ironically, you can’t get stressed unless you have unresolved stressors. The only stressors in the stress model are unresolved stressors. For an unresolved stressor the emergency, threat or demand in the event or belief has not reached a conclusion. In other words, whatever it is, it is still incomplete, unfinished, in a state of uncertainty, something is pending, it’s not over, or it seems too big, whatever it is. Of course, to resolve a stressor does not necessarily mean that stressors go away. No, this would be a mistake to believe that we can rid ourselves of the demands and challenges of everyday living. For example we take care of one demand or threat, which is replaced by some other demand or threat. Or we get ourselves from A to B, only to find that we now need to get from B to A. Stressors are a never ending story in our lives. You could say that the majority of our stressors are simply the demands of daily living. We are under some load all the time every day. Just living puts us under a load. In other words, we will be hitting or at least tickling the emergency button many times throughout each day, every day, all of our lives. There might be moments of stress throughout each day, but at the end of the day, all things being equal, there is no suffering from stress-symptoms if we are sufficiently adaptive and these adaptations include sufficient rest and recovery. There are two types of stressor. There are the external stressors that exist in the environment; and there are the internal stressors that exist in our minds. External stressors are events. Internal stressors are beliefs. Copyright © Brendan Lloyd PhD 2016 Internal stressors are the fundamental beliefs that were laid down as we were growing up. These are beliefs that are our conditioning if you like. The internal stressors are certainly well and truly woven into the fabric of our personalities. For more details on this step in the Stress Model please read the article titled Unresolved Stressors: origins and nature*. In the article I use Geofry Young’s Maladaptive Cognitive Schemas to model and illustrate internal stressors. The Head-Chatter Step two on the way to stress-symptoms is the headchatter. The head-chatter is the engine room for the process that produces stress-symptoms. Head-chatter is there mainly because of the un-resolvability of the internal stressors. If anyone is going to get stuck in the Stress Model, it will be with the issue of head-chatter. Head-chatter is a slippery customer and the master of smokescreens, tricks and illusions. With a Mindfulness perspective we can make a clear distinction between head-chatter and thinking. The difference is in the function. In other words, although head-chatter might feel like thinking, or act like thinking, the end result is quite different to what you get from actual thinking. To begin with, thinking is a present moment mental activity. Likewise, head-chatter takes your mind elsewhere. From the Mindfulness perspective we could ask, “What is your mind up to whilst it is elsewhere”. The stress-model does answer that question. From the Mindfulness perspective we focus on the process to understand the difference between headchatter and thinking. In other words it is not the content of the thinking or the head-chatter that makes it either thinking or head-chatter. For example, if you are having a conversation with someone about your plans for a future event, you would be focused on the conversation which is an 13/03/2017 The Stress Model & Stress Reduction event in the present moment. Your attention could easily be on the conversation; in other words, your mind is present. The content of the conversation could be past, present or future. So, with the head-chatter your mind would be elsewhere and the content could be past, present or future. Thinking draws a conclusion or completes in some way. Head-chatter just seems to go on and on, around and around. Have you noticed how you can find yourself in the middle of head-chatter? On the other hand, thinking is something that you do on purpose. Have you noticed how head-chatter sucks you in? The head-chatter is seductive in this sense. The headchatter is expressing perceptual-distortions and unrelenting expectations. The seductive quality of head-chatter is one of its most damaging but also most interesting features. It’s the seductive quality of the head-chatter that keeps it going. The more we keep it going, the more stressed we get; but yet we keep it going. What we’re ultimately looking for is to get off the emergency button. If we allow the head-chatter to tumble on, we will just keep on hitting at the emergency button. To get more details on the topic of head-chatter read the articles A Mindfulness Perspective: Head-Chatter Verses Thinking and/or The Head-Chatter: qualities and function*. The Emergency Button Step three on the way to stress-symptoms is the constant activation of the emergency-button (sympathetic response in the autonomic nervous system) over and above the actual requirement. The head-chatter will do that because thematically the head-chatter is all about threat in one form or another. The Emergency Button is a metaphor to represent the sympathetic response in the autonomic nervous system, which is sometimes referred to as the flight or fight response. Mainly we’re talking about the activation of a physiological response toward action to meet a demand. In hospital wards, there is an emergency button on the wall behind the head of each bed. If you hit the emergency button the emergency response team will turn up within seconds. How would it be if anyone who came along could just give that emergency button a whack anytime they felt like it? If you’re experiencing stress-symptoms then metaphorically at least, you are on your emergency Copyright © Brendan Lloyd PhD 2016 3 button continuously. To put it ironically, this is what it takes to get stressed. The Emergency Button is a practical and useful metaphor because it illustrates the problem with stress-symptoms. The problem is that metaphorically at least we just keep on hammering away on the emergency button. We do the hammering with our head-chatter. Our head-chatter is looping on some unresolved or even unresolvable issue. Ultimately we want to get off the emergency button. Yes the issue is getting off the emergency button. You will not succeed in preventing yourself from getting on the emergency button, so getting off it becomes the issue. The article titled Defusing the Head-Chatter* provides more details about getting off the emergency button. The Emergency Chemicals The fourth and final step toward stress-symptoms is the function of the emergency chemicals. These chemicals are not meant to be in our body for any length of time at elevated levels. It is the continuing presence of these chemicals in our body that will, at the very least, disturb our sleep and make us feel grumpy or ill, and rob us of our energy. Let’s start with adrenalin. This is purely for emergencies. It fires up the furnace, so to speak, like the blacksmith’s bellows. In other words, the adrenalin gives your muscles the ability to burn energy quickly. Adrenalin is squirted into our blood stream from our adrenal glands, which are located on top of our kidneys. The chemical has evolved to be quick-in and quick-out. Adrenalin doesn’t linger. Its affect is gone within minutes. Well hang on, if the effect of the adrenalin only last for minutes, then how come stress-symptoms seem to last and even persist for days, weeks, years? In other words, it’s possible to walk around all day with an anxious feeling in your gut; or it is possible to have that ever-present feeling of dread; or it is possible that you feel agitated for most of the day. The persistence of these stress-symptoms is due to the persistence of the head-chatter that continuously activates the emergency button, which in turn tips the adrenalin into your bloodstream. Cortisol is the other emergency chemical of interest. Its primary functions in everyday life are to suppress the immune system, increase blood sugar, and to aid with metabolizing fat, protein and carbohydrates. Yes, you read it correctly; a normal function of cortisol is to suppress the immune system. All things being equal cortisol works well for us. But on 13/03/2017 The Stress Model & Stress Reduction the other hand, high levels of cortisol over an extended period of time will wreck your immune system and your kidneys, and will give you hardened arteries and Type-2 diabetes. These are the long-term disease from stress. Cortisol is an anti-inflammatory steroid. It is often termed a glucocorticoid steroid and is more accurately labelled hydrocortisone. It is a complex chemical indeed. It is synthesised from cholesterol in the cortex of our adrenal glands. The more cortisol you need, the more cholesterol you need, hence the relationship between stress and higher levels of cholesterol. In simple terms you could say that cortisol has two main functions. One function is for everyday use as described above; and the other function is as an emergency chemical. In an actual emergency your body will need the cortisol for two reasons. One reason is to help prevent inflammation that could slow you down if you were injured; and secondly to provide the muscles in use with extra fuel. So whilst the adrenalin is fanning the flames of the furnace, so to speak, the cortisol is shovelling in the fuel. The problem is the cortisol is only fuelling those muscles in use. So if you’re a zebra running like the clappers from the lion, then your legs get the fuel. If, on the other hand you are a human sitting on your couch stressed but doing nothing much, none of your muscles get the fuel. Your adrenalin is fanning the flames and burning up the fuel and it’s not being replaced. This is where you get that exhausted or fatigued effect from stress. That feeling of being keyed-up, that feeling that you might be left with after a challenging board meeting, or being dragged over the coals by your boss, that’s elevated adrenalin and cortisol together. On one hand we are ready to go, because of the adrenalin. On the other hand we feel exhausted-fatigued, because the cortisol is mucking around with our blood-sugar levels. With this feeling of cortisol robbing us of our energy, it is easy to withdraw, to hide, and perhaps even feel alienated. This effect of the cortisol is what leads on to the development of depression. Drug companies, for example, use cortisol to get labrats depressed. They do this so that they can test their drugs on depressed rats. My point would be that if you don’t want depressed rats then don’t give them the cortisol to begin with. The cortisol lingers and accumulates and poisons our body. There is a lot more to be said about the poisonous effects of cortisol upon our body, but that is another discussion (Sapolsky, 1994). Copyright © Brendan Lloyd PhD 2016 4 The Outcome From the research in Psychology we are able to conclude that humans are very poor at spotting the incremental steps toward an outcome; but we will spot the outcome from 50 paces. We humans are very poor at noticing how things happen, but we will know that it happened (Nisbett & DeCamp-Wilson, 1977). When I say that we humans are very poor at spotting the incremental steps toward an outcome, this does not stop us from providing an opinion on the subject. No, indeed we regard ourselfs as aware and observent. We are quite likely to declare the “exact cause” of an outcome. This is our attribution theory. In other words, we have theories about how things happen. Likewise we have theories about stress-symptoms. It is likely that a human will experience stresssymptoms and then develop a theory as to why. Our most common attribution is ‘other people’ (Zimbardo et al., 1993). We are most unlikely to attribute the cause of how we feel to the adrenalin and/or cortisol. We are not likely to think about stress-symptoms as something that we have done to ourselves. We very easily lapse into the “why” question. The why-question leads us into theories and up garden paths that go nowhere. Take for example the idea that stress-symptoms can be managed with relaxation or meditation. Once you understand the relationship between the emergencybutton and the relaxation-response in the autonomic nervious system, then you’d conclude that relaxation or meditation are unlikely to be effective in reducing stress-symptoms in any kind of sustainable way. In our autonomic nervious system there is the emergency-button (sympathetic response) and the relaxation-response (parrasympathetic response). The two responses are antagonistic; in other words they cannot act together. It’s either one or the other. The key to the understanding is that the emergencybutton will override the relaxation-reponse anytime. Even if it’s possible to trigger a relaxation-response in a 20 minute space in a busy day, the benefit will be lost as soon as you stand up and walk out the door back into the fray. Stress Reduction The answer for stress-reduction should be clear by understanding the stress model. The answer is in two parts. 1. One is to work on resolving stressors. 2. The other part is to defuse the head-chatter. 13/03/2017 The Stress Model & Stress Reduction The mindfulness perspective is to focus our attention in the present moment with curiosity and interest. This is what it takes for stress-reduction. This is just what’s needed. There is a process for stress-reduction, just as there is a process for stress-production. The process for stress reduction will begin once we have noticed the stress-symptoms. Most likely the first thing that will draw our attention to the stresssymptoms is the feeling of being stressed. From a Mindfulness perspective the feeling of being stressed is our first point of curiosity. This is the first step in the process of stress-reduction. There is no value for us in rejection the feeling. The non-striving attitude will settle us into the process. There are steps to be taken to get off the emergency-button. To get off the emergency-button we need some way for our mind to signal our body that the threat is over. For our external stressors, we need to just keep at it. We need to keep living our lives the best we can with our adaptations and learning. Most of the time, we all do well enough in meeting the challenges of everyday living. If we are struggling with the demands of daily living, then chances are there are internal stressors creating invisible obstacles for us to get around. We need to understand our internal stressors so that we have the tools to defuse the head-chatter. 5 References: Kabat-Zinn, J. (1990). Full Catastrophe Living: using the wisdom of your body and mind to face stress, Pain, and illness. Delta Trade Paperbacks: New York. Nisbett, R. E., and DeCamp-Wilson, T. (1977). Telling more than we can know: verbal reports on mental process, Psychological Review, 84(3), 231-259. Sapolsky, R. M. (1994). Why Zebras Don’t Get Ulcers. W.H. Freeman: New York Schachter, & Singer, J. E. (1962). Cognitive, Social and Physiological Determinants of Emotional State. Psychological Review, 69, 379-99. Selye, H. (1984). The Stress of Life. McGraw-Hill: New York Zimbardo, P. G., LaBerge, S., and Butler, L. D. (1993). Psychophysiological consequences of unexplained arousal: a posthypnotic suggestion paradigm, Journal of Abnormal Psychology, 102(3), 466-473. Here I have presented the Stress Model for StressReduction. The Stress Model can be a foundation for our Mindfulness practices. From an understanding of the model it is possible to step off into useful skill development. In other words, the skills are not just empty gestures or esoteric rituals. There is rhyme and reason for the skill development. For a more detailed discussion on the topics work your way through the articles in the recommended reading, in the order suggested… • Unresolved Stressors: origins & nature • The Head-Chatter: qualities & function • Defusing the Head-Chatter Email Brendan Lloyd PhD: [email protected] *No charge or costs. Copyright © Brendan Lloyd PhD 2016 13/03/2017 The Stress Model & Stress Reduction Copyright © Brendan Lloyd PhD 2016 6 13/03/2017
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