“We are blessed with the tools, let us carve ourselves … …” Stress and Stress Management INSTITUTE F0R MIND-BODY HEALING, HEALTHY LIVING & REALIZING HUMAN POTENTIAL Shrenik Park Char Rasta, Productivity Road, Vadodara 390 020 Phone: (0265) 233 58 54 E-mail: email@example.com www.drpalan.com
HUMAN LIFE: PILGRIMAGE FOR GROWTH BIRTH DEATH L I F E Relationships / Events / Situations “I” Develop Relationship with Seven Fields of Life Universal Physical Intellectual Professional Social Family Mental Universe Intellect Organization Body Mind Society Family Desire/Expectation in every relationship
EMOTIONAL STABILITY / “Sthitpragyata” “Perform action, O Dhananjaya, abandoning attachment, being steadfast in Yoga, and balanced (equipoise) in success and failure. Evenness of mind (tranquility of mental composure while responding to any pair of opposites) is called Yoga.” The BhagvadGita II/48 Not emotionless, neither sentimental, but the one who is sensitive / aware about his/her own and other’s feelings – who feels feelings but gives thoughtful / appropriate / mature responses to the situation.
PSYCHOLOGICAL PERSPECTIVE EVENT / SITUATION NOTICING THE THOUGHT PROCESS FEELING Re-appraisal: Interpretation through the use of knowledge / values / education / wisdom ACTION IMPULSIVE REACTION ACTION MATURE / THOUGHTFUL ACTION
SIGNIFICANCE OF LEARNING ABOUT STRESS AND STRESS MANAGEMENT
SOME PSYCHOSOMATIC DISORDERS ACNE ALLERGIC REACTIONS ANGINA PECTORIS ARRHYTHMIA BRONCHIAL ASTHMA CORONARY HEART DISEASE DIABETES MELLITUS PEPTIC ULCER ESSENTIAL HYPERTENSION HEADACHE HYPERTHYROIDISM IMMUNE DISEASES IRRITABLE COLON MIGRAINE HEADACHE NEURODERMATITIS OBESITY PAINFUL MENSTRUATION RHEUMATOID ARTHRITIS SACROILIAC PAIN SKIN DISEASES TUBERCULOSIS ULCERATIVE COLITIS VOMITING WARTS American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed. 3 (DSM III), Washington DC, 1980.
MULTIAXIAL APPROACH TO DIAGNOSIS (Bio-psycho-social Model) AXIS: I COEXISTING PSYCHIATRIC DISTURBANCE. AXIS: II PERSONALITY FACTORS. AXIS: III GENERAL MEDICAL CONDITION. AXIS: IV LIFE STRESSES. AXIS: V LEVEL OF FUNCTIONING. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, ed. 3 – Revised (DSM III - R), Washington DC, 1986 / DSM IV, 1994 / DSM IV TR, 2000.
SITUATION / EVENT 1 STRESSOR 2 DEMAND FOR ADJUSTMENT REACTIONS MIND BODY THOUGHTS FEELINGS BEHAVIOUR BIOLOGY 3 OUTCOME NEGATIVE POSITIVE ILLNESS SELF DEVELOPMENT EUSTRESS DISTRESS STRESS MANAGEMENT
THE HUMAN MIND EVENT / SITUATION INTERPRETATION THOUGHTS FEELINGS BEHAVIOUR - UNDERSTANDING - RESOLUTION C BIOLOGICAL PROCESSES SC FRAMES OF REFERENCES / PROGRAMMES / BELIEFS / SANSKARA: Raga - Dwesha - INFORMATION - EXPERIENCE - IMAGINATION
HOW? SHRAVANA: Listening to the Guru / Teacherunfolding the meaning ofShastras / Textsto get information. MANANA: Analyzing minutely the events and situations on the basis of the knowledge imparted by the teacherto get understanding. NIDIDHYASANA: Meditating on the same to internalize the understanding.
STRESS MANAGEMENT SYSTEM AWARENESS IMMEDIATE HANDLING LONG TERM PREPARATION - STRESSORS - REACTIONS - BELIEF SYSTEM - SELF-TALK - EGO DEFENSES - BREATHING AWARENESS - RELAXATION RESPONSE - SELF-TALK - “VIGNAMAYA KOSHA” - PRAYER • DIET/REST/EXERCISE • EGO PURIFICATION • - RE-APPRAISAL • - SYMPATHETIC STABILITY • - BEING AN OBSERVER “ t r a n c e f o r m a t i o n ”
PREPARATION OF MIND 3 2 PROGRESSIVE MUSCULAR RELAXATION P. M. R. IMAGINATION 1 BREATH WATCHING
BREATHING AWARENESS 1. COMMUNICATION BRIDGE BETWEEN CONSCIOUS AND SUBCONSCIOUS. 2. CONCENTRATION. 3. LIVING IN PRESENT. 4. DEEP, SOUND AND HEALTHY SLEEP. 5. IMMEDIATE HANDLING OF STRESS.
WHAT A BELIEF CAN DO ? BELIEFS ARE CREATED AND STORED IN THE SUB-CONSCIOUS MIND BELIEFS CREATE FILTERS IN THE CONSCIOUS MIND “DRISHTI VAISI SHRISHTI”
TRUTHFULNESS vs. EMPOWERINGNESS “ AKLISHTA VRITTI ” EMPOWERING TRUE / UN-TRUE DIS-EMPOWERING “ KLISHTA VRITTI ” Y O G A EMPOWERING BELIEF “YOGASCHITTAVRITTINIRODH” • POSITIVE THOUGHTS 3 PRMANA FOR CHITTAVRITTI • HEALTHY FEELINGS - PRATYAKSH - Personal Experience • MOTIVATION - AAGAM - Information - ANUMAN - Imagination • HEALTH: P.- M.- S.- S.
BREAKING A DISEMPOWERING BELIEF QUESTION THE VALIDITY OF … - PERMANENCE - PERVASIVENESS - PERSONAL MARTIN SELIGMAN
“I am unfortunate” … “Always everything go wrong with me in my life” PERMANENCE PERVASIVENESS PERSONAL
PERMANENCE “Always You are forgetting Everything In the school.” PERSONAL PERVASIVENESS
CONVERT “HAVE TO” INTO “WANT TO” I DO I LIKE I NEED I WANT TO HAVE TO
RE-APPRAISAL: CONVERTING “THREAT” INTO “CHALLENGE” • Pratik, 24 years old, B. Sc. student with repeated episodes of haemoptysis for four and a half years. • Symptom episodes were related with academic exam periods perceived as threat. • Perfectionist by nature – wanted 1st rank always. • Clinical examinations & Investigations not indicating organic cause except presence of blood in sputum. • No response to empirical treatment trials. • Frustration, depression and at times irritability.
case contd. • Had extreme anxiety about the up-coming exam. • Advised to drop-out from exam and re-think about career without parents’ interference. • In one of the later sessions he decided to change the branch and be a “good teacher” in future. • Exploratory hypnotic dream induction elicited age regression to emotionally traumatic event … … …
case contd. Teacher’s comments (while he had respiratory infection) emotionally appraised as hurt and humiliation: “I know, Gujarati students are very weak in their body and mind. They are poor in studies and fall sick during exams so as to drop-out from the exams. They can’t progress academically.”
case contd. Therapist’s suggestion for cognitive reappraisal: “You, being a clever student, will take this up as a healthy challenge rather than doubting your own efficiency.” Today, Pratik is a very popular teacher for C.A. He converted negative appraisal leading to “threat” into a positive reappraisal of “challenge”. Palan, B.M. & Lakhani, J.D. (1991). Converting the “Threat” into a “Challenge”: A Case of Stress-Related Hemoptysis Managed with Hypnosis. American Journal of Clinical Hypnosis, 33 (4), 241-247.
PRINCIPLE OF ACTION AND RESULT Doing Our Level Best RESULT EXPECTED MORE LESS REVERSE Result is Alwaysthe One, Necessary for Our Growth – for Our Long Term Happiness (“shreya”). Result is AlwaysAccording to the “Intention” / the Mission of our Life / Design of the Universe.