
- •Overcoming Your Workplace Stress
- •Overcoming Your Workplace Stress
- •Martin r. Bamber
- •About the author
- •Preface
- •Acknowledgements
- •The ‘fight or flight’ response
- •Harmful stress
- •The consequences of harmful stress on the individual
- •The consequences of harmful stress for the organization
- •Conceptualizing stress
- •The ‘camera analogy’
- •The emergency response
- •Changes in thinking
- •Changes in motivation
- •Changes in emotion
- •Changes in behaviour
- •The development of stress syndromes
- •Dispelling some myths about stress
- •Answers for the stress quiz (Table 1.1) Statement 1
- •Statement 2
- •Statement 3
- •Statement 4
- •Statement 5
- •Statement 6
- •Statement 7
- •Statement 8
- •Statement 9
- •Statement 10
- •Statement 11
- •Statement 12
- •Statement 13
- •Statement 14
- •Statement 15
- •Statement 16
- •How well did you do in the quiz?
- •How stressed are you?
- •A stress checklist
- •Scoring and interpreting the checklist (Table 1.2)
- •Summary
- •Chapter 2
- •Identifying the causes of your occupational stress
- •Introduction
- •An overview of the causes of occupational stress
- •Individual factors
- •Genetic/inherited factors
- •Acquired/learned factors
- •Personality/trait factors
- •Factors in the work environment
- •Job demands
- •Physical working conditions
- •Control
- •Supports
- •Relationships
- •Pay and career prospects
- •The home–work interface
- •The employer’s ‘duty of care’ to provide a healthy working environment Case study: Schmidt
- •The impact of employment legislation
- •Demands
- •Control
- •Support
- •Relationships
- •Further developments in management standards
- •Identifying the main causes of stress in your own working environment
- •Interpreting the results of your questionnaire (Table 2.1)
- •Interpreting individual items
- •Interpretation of subscales
- •Summary and main learning points from Part I
- •About Part II of this book
- •Primary level interventions
- •Secondary level interventions
- •Tertiary level interventions
- •Doing a job analysis
- •Case study: Tony
- •The benefits of doing a job analysis
- •Interventions aimed at reducing the demands of your job Reducing the volume of work
- •Enlarging your job
- •Enriching your job
- •Improving your physical working environment
- •Interventions aimed at increasing the control you have over your job
- •Interventions aimed at increasing the supports you have at work
- •Interventions aimed at improving working relationships
- •Gather evidence
- •Find allies to support you
- •Stand up to the bully
- •Present the bully with the evidence
- •Be prepared for the backlash
- •Take things further if necessary
- •Interventions aimed at clarifying your role at work
- •Interventions aimed at improving the way that change is managed in your workplace
- •Interventions aimed at improving the home–work interface
- •Some tips for negotiating with your employer
- •What to do if your line manager is not receptive to your plight
- •What to do if you do not get the problem resolved within your workplace organization
- •Chapter 4 Living a healthy lifestyle
- •Introduction
- •Living a healthy lifestyle
- •Regular exercise
- •Some tips for doing more exercise
- •A healthy diet
- •Some tips for eating more healthily
- •Monitoring food intake
- •Medication and other drugs
- •Alcohol
- •Some tips for reducing your alcohol intake
- •Caffeine
- •Nicotine
- •Some tips for stopping smoking
- •Sleep and rest
- •Some tips to help you sleep better
- •Summary
- •An exercise
- •Developing your own ‘Healthy Lifestyle Plan’
- •Chapter 5 Developing effective time management skills
- •Introduction
- •Case study: John
- •Case study: Peter
- •What can we learn from the case studies of John and Peter?
- •Developing effective time management skills Plan ahead
- •Be clear about what your goals are
- •Manage your diary effectively
- •Create some ‘prime time’ for yourself
- •Prepare for meetings
- •Choose the best time to tackle difficult tasks
- •Overcome procrastination
- •Case study: Jenny
- •What can we learn from the case study of Jenny?
- •Learn to delegate
- •Stay focused
- •Prioritize tasks
- •Be organized
- •Developing an action plan to manage your time more effectively
- •Chapter 6 Developing assertiveness skills What is assertiveness?
- •Why are some people unassertive?
- •What are the consequences of being unassertive?
- •Case study: Caroline
- •Case study: Rosie
- •How can you become more assertive?
- •Education
- •Aggressive behaviour
- •Submissive behaviour
- •Manipulative behaviour
- •Assertive behaviour
- •Knowing your rights
- •A ‘Bill of Rights’
- •What can we learn from the case study of Caroline?
- •Developing assertive attitudes
- •Developing assertive behaviours
- •Other useful assertiveness techniques to help you
- •Use the ‘broken record’ technique
- •Use fogging
- •Be concise
- •Be specific
- •Clarify
- •Use ‘I’ statements
- •Active listening
- •Aim for a workable compromise
- •Negative assertion
- •Empathic confrontation
- •Self-disclosure
- •How assertive are you?
- •Table 6.1 scores and interpretation Scoring of individual items
- •Interpreting the total scores for the questionnaire
- •Developing an action plan to become more assertive
- •Chapter 7 Developing effective interpersonal skills
- •Introduction
- •What are interpersonal communication skills?
- •Why are some people interpersonally less skilled than others?
- •What are the consequences of being interpersonally unskilled?
- •Developing your own interpersonal skills
- •Body posture and gestures
- •Facial expressions
- •Eye contact
- •Voice projection
- •Personal space
- •Personal appearance and presentation
- •Verbal skills
- •Paraphrasing
- •Reflecting feelings
- •Summarizing
- •Minimal encouragers
- •Asking open questions
- •Immediacy
- •Concreteness
- •The use of small talk
- •Higher level interpersonal skills
- •Developing cognitive skills
- •How interpersonally skilled are you?
- •Developing an action plan aimed at becoming more interpersonally skilled
- •Chapter 8 Developing relaxation skills
- •Introduction
- •Informal relaxation techniques
- •Semi-formal relaxation techniques
- •Massage
- •Releasing your shoulder tension
- •Soothing your scalp
- •Relaxing your eyes
- •Formal relaxation techniques
- •Deep breathing exercises
- •A deep breathing exercise
- •Progressive muscular relaxation
- •A progressive muscular relaxation exercise
- •A brief relaxation exercise for the neck and shoulders
- •Mental relaxation techniques
- •Meditation
- •Mindfulness
- •Mental refocusing
- •Visual imagery
- •Summary and main learning points
- •Chapter 9 Changing the way you relate to your work
- •Introduction
- •Understanding the links between thoughts, feelings, behaviours and bodily reactions
- •The cat vignette exercise
- •Identifying unhelpful patterns of thinking
- •Labelling dysfunctional thinking styles
- •Catastrophic thinking
- •Jumping to conclusions and mind reading
- •Overgeneralization
- •Magnification
- •Minimization
- •Personalization
- •Black and white thinking
- •‘Should’ and ‘must’ statements
- •Challenging dysfunctional patterns of thinking
- •Examining the evidence
- •Exploring the alternatives
- •Identifying advantages and disadvantages
- •The friend technique
- •Checking it out
- •Estimating probabilities
- •Reattributing meaning
- •Conducting behavioural experiments
- •Case study: Sarah
- •Challenging work dysfunctions
- •Challenging patterns of over-commitment Modifying perfectionism
- •Modifying workaholism
- •Challenging patterns of under-commitment Modifying underachievement
- •Modifying procrastination
- •Summary
- •Chapter 10 Overcoming stress syndromes
- •Introduction
- •Treating anxiety syndromes
- •Performance anxiety
- •Case study: Philip
- •Treating Philip’s performance anxiety
- •What can we learn from the case study of Philip?
- •Panic attacks
- •Case study: Andrew
- •Treating Andrew’s panic attacks
- •Phobic avoidance
- •Treating phobic avoidance
- •Case study: Maxine
- •Treating the depression syndrome
- •Challenging depressive thinking
- •Challenging unhelpful behaviours
- •Activity scheduling
- •Conducting behavioural experiments
- •A note on the burnout syndrome
- •Treating burnout syndrome
- •Treating the hostility syndrome
- •Summary
- •The eight stages of a self-help plan
- •Make a problem list
- •Prioritize your problems
- •Set your goals
- •Establish the criteria of success
- •Plan your interventions
- •Develop a self-help treatment plan
- •Monitor and review your progress
- •Prevent relapse
- •Case study: Helen
- •Making a problem list and prioritizing the problems
- •Setting the goals and establishing the criteria of success
- •Comfort eating and weight gain
- •Avoidance
- •Procrastination
- •Unassertiveness
- •Anxiety
- •Poor self-image
- •Planning the interventions
- •Interventions for comfort eating and weight gain
- •Interventions for avoidance
- •Interventions for procrastination
- •Interventions for unassertiveness
- •Interventions for anxiety
- •Interventions for poor self-image
- •Developing a self-help treatment plan
- •Monitoring and reviewing progress
- •Summary
- •Chapter 12 Summary and conclusions
- •Appendix Useful books and contacts
Appendix Useful books and contacts
This book has been written in a way that allows it to be easily read and understood without being punctuated by numerous references that disrupt the flow of the text. However, you may want to follow up specific topics covered in the book in more detail. This Appendix provides information on resources in the form of books, websites, postal addresses and telephone numbers, which enable you to follow up a subject area in more depth.
General books
Butler, G. and Hope, T. (2007) Manage Your Mind: The Mental Fitness Guide, 2nd edn. Oxford: Oxford University Press.
Fontana, D. (1997) Managing Stress, 5th edn. Leicester: British Psychological Society.
Williams, C. (2009) Overcoming Anxiety, Stress and Panic: A Five Areas Approach. London: Hodder Arnold.
General websites
Glasgow STEPS
Gives advice and information on how to manage common stress problems:
http://glasgowsteps.com
Living Life to the Full: Helping You to Help Yourself
A computer based life skills course which aims to equip the user with the key knowledge necessary to tackle the demands of everyday life stresses: www.livinglifetothefull.com
MoodGYM
A free computer based self-help programme to teach cognitive behavioural therapy skills to people vulnerable to anxiety and depression: www.moodgym.anu.edu.au
Net Doctor
Gives advice on a range of mental health problems including stress: www.netdoctor.co.uk
Organizations specifically addressing workplace stress
ACAS (Advisory, Conciliation and Arbitration Service)
Provides information on stress, employer and employee rights in the workplace:
www.acas.org.uk
American Mental Health Foundation (AMHF)
Promotes scientific research and seminars in the field of mental health and related areas:
http://americanmentalhealthfoundation.org
Amicus
The Amicus publication Stress–An Amicus Guide for Members is available free on the Amicus Union website:
www.amicustheunion.org/pdf/stressguide.pdf
Health and Safety Executive (HSE)
HSE has a stress home page:
www.hse.gov.uk/stress/index.htm
Healthy Work Matters
Provides information and guidance for employers and employees on stress:
www.healthyworkmatters.org.uk/stress/stress_employer.htm
International Labour Organization (ILO)
Provides information and guidance on stress in the workplace:
www.ilo.org/safework/lang-en/index.htm
Mind (UK)
Mind (formerly National Association for Mental Health) offers advice on a wide range of psychological difficulties:
Granta House, 15–19 Broadway, Stratford, London E15 4BQ
Tel: 020 8519 2122
www.mind.org.uk
NHS Direct
Run by the UK National Health Service, it provides help and guidance on health matters:
Tel: 0845 4647
www.nhsdirect.nhs.uk
Trades Union Congress (TUC)
The TUC publication Tackling Stress at Work is available from TUC Publications:
Congress House, Great Russell Street, London WC1B 3LS
Tel: 020 7467 1294
www.tuc.org.uk/publications/index.cfm
World Health Organization (WHO)
The WHO publication Work Organization and Stress is available on its website:
www.who.int/occupational_health/publications/en/oehstress.pdf
Lifestyle
Alcohol
Alcohol Focus Scotland
Provides information on alcohol-related issues:
166 Buchanan Street, Glasgow, G1 2LW
Tel: 0141 572 6700
www.alcohol-focus-scotland.org.uk
Alcoholics Anonymous
Provides help for people with drinking problems:
PO Box 1, 10 Toft Green, York YO1 7ND
Tel: 01904 644026
Helpline: 0845 769 7555
www.alcoholics-anonymous.org.uk
Drink Aware
Provides facts and figures about alcohol:
www.drinkaware.co.uk
Drinkline
Available Monday to Friday 9pm to 11pm, Saturday and Sunday 6pm to 11pm:
Calls are free and confidential: Tel: 0800 917 8282
Diet
Cooper, P. (2009) Overcoming Bulimia Nervosa and Binge Eating: A Self-Help Guide Using Cognitive Behavioural Techniques. London: Robinson.
Sleep problems
Espie, C.A. (2006) Overcoming Insomnia and Sleep Problems: A Self-Help Guide Using Cognitive Behavioural Techniques. London: Robinson.
Smoking
Carr, A. (2009) Allen Carr’s Easy Way to Stop Smoking: Be a Happy Non-Smoker for the Rest of Your Life. London: Penguin.
Time management
Fontana, D. (1993) Managing Time. Leicester: British Psychological Society.
Assertiveness
Adams, A. (1992) Bullying at Work: How to Confront and Overcome It. London: Virago.
Back, K. and Back, K. (2005) Assertiveness at Work, 3rd edn. London: McGraw-Hill.
ACAS
Provides information on bullying, including information on your rights:
www.acas.org.uk
Dignity at Work Partnership
Provides information and guidance on bullying in the workplace:
www.dignityatwork.org
Interpersonal skills
Edelmann, R.J. (1993) Interpersonal Conflicts at Work. Leicester: British Psychological Society.
Fontana, D. (1994) Social Skills at Work. Leicester: British Psychological Society.
Relaxation
Fraser, T. (2003) The Easy Yoga Workbook: The Perfect Introduction to Yoga. London: Duncan Baird.
Kabat-Zinn, J. (2006) Mindfulness for Beginners (audio book and CD), unabridged edn. Louisville, CO: Sounds True Inc. Also see www.soundstrue.com
Kennerly, H. (1997) Managing Anxiety: A User’s Manual and Tape on ‘How to Relax’ (also available as a CD). Oxford: Oxford Clinical Psychology.
Lam, K.C., Mathews, S., Morgan, P., Hilton, J. and Munro, P. (1994) Step by Step: Tai Chi. Stroud, UK: Gaia Books.
Shakti, G. (2003) Meditations: Creative Visualization and Meditation Exercises to Enrich Your Life. Novato, CA: New World Library.
Healthy thinking
Burns, D. (1999) Feeling Good: The New Mood Therapy. New York: Avon.
Greenberger, D. and Padesky, C.A. (1995) Mind Over Mood: Change How You Feel by Changing the Way You Think. New York: Guilford. Young, J.E. and Klosko, J.S. (1998) Reinventing Your Life: How to Break Free from Negative Life Patterns. New York: Penguin Putnam.
Managing anxiety
Kennerly, H. (1995) Managing Anxiety: A Training Manual. Oxford: Oxford Medical Publications.
Kennerly, H. (2009) Overcoming Anxiety: A Self-Help Guide Using Cognitive Behavioural Techniques. London: Robinson.
Coping with depression
Gilbert, P. (1997) Overcoming Depression: A Self-Help Guide Using Cognitive Behavioural Techniques. London: Robinson.
Williams, C. (2009) Overcoming Depression and Low Mood: A Five Areas Approach. London: Hodder Arnold.
Depression Alliance
Provides information and support services:
20 Great Dover Street, London SE1 4LX
Tel: 0845 123 2320
www.depressionalliance.org
Managing anger
Davies, W. (2009) Overcoming Anger and Irritability: A Self-Help Guide Using Cognitive Behavioural Techniques. London: Robinson.
Coping with panic
Silove, D. and Manicavasagar, V. (1997) Overcoming Panic: A Self-Help Guide Using Cognitive Behavioural Techniques. London: Robinson.
No Panic
Provides support to people suffering from panic attacks, phobias and other anxiety disorders:
93 Brands Farm Way, Randlay, Telford, Staffordshire.
Tel: 01952 590005
Helpline: 0808 808 0545
www.nopanic.org.uk
Index
Note: Page references in italic indicate Figures and Tables.
ABCD analysis 96–7
ACAS (Advisory, Conciliation and Arbitration Service) 64, 218
accountability, lines of 30, 31, 53
acquired factors in stress 26–7
action plans see also self-help planning: for assertiveness development 120; for interpersonal skills development 138–9; for time management 98–100, 99
active listening 115–16
activity scheduling 186–7
adrenal glands 6
Advisory, Conciliation and Arbitration Service (ACAS) 64, 218
age factor in stress 26
aggressiveness 101, 102, 106–7, 106, 189; ‘aggressogenic’ thinking 111–12; hostility see hostility; passive aggression 189
alcohol use 72–5, 79, 199
alternative ways of looking/thinking 163, 169, 170, 172, 186, 189; reattributing meaning 165
anger 7, 10, 11, 27, 102, 111, 127, 188–90; and the hostility syndrome 188–90; management 189
annual leave 49, 54
anxiety 7, 10, 11, 203, 205–6; panic attacks 165–6, 180–3, 180; performance anxiety 175–80; and phobic avoidance 183–5; physical symptoms 7, 175, 180, 182; presentation anxiety 175; syndromes 11, 174–85; test anxiety 175
appraisals 29
assertiveness skills development 101–20; action plans for 120; through active listening 115–16; aiming for a workable compromise 116; being concise 114; being specific 114–15; and the consequences of being unassertive 102–5; developing assertive attitudes 111–12; developing assertive behaviours 112–13; through education 106–9; empathic confrontation 117; through knowing your rights 109–11; meaning of assertiveness 101; negative assertion 116–17; questionnaire 118, 119; reasons people are unassertive 101–2; seeking clarification 115; self-disclosure technique 117–18; using fogging 114; using ‘I’ statements 115; using the ‘broken record’ technique 113–14; win-win assertive interactions 109, 109
assumptions 26, 30, 60; challenging negative assumptions 113, 115, 164, 170, 171–2, 189, 203, 208
attention 150–1; shifting the focus of 178, 182–3; span 150, 151
autonomic nervous system 4–6, 5; ‘fight or flight’ response 4–6, 10
avoidance: avoidant behaviours 92, 171–2, 202; of eye contact 107, 126, 176, 177; failure-avoidance 93, 171–2; phobic 183–5; through procrastination see procrastination; of return to work 18; self-help interventions 204–5; success-avoidance 171–2
Beck, Aaron T. 9, 156
behavioural effects of stress 7, 11, 15, 22; activation of behavioural inclinations 10
behavioural experiments: in assertiveness skills development 113, 120; in changing the way you relate to your work 165, 166–8, 169, 170–1, 172; in interpersonal skills development 138; in treatment of depression 187
behavioural inclinations 10
behavioural interventions see assertiveness skills development; interpersonal skills development; lifestyle management; relaxation skills development; stress syndrome interventions; time management skills development
behavioural links with thoughts, feelings and bodily reactions 156–7
behavioural strategies: avoidant 92, 171–2, 202; displacement behaviours 188–9; and perceived threat 11; safety behaviours see safety behaviours
beliefs 14, 15 see also myths about stress; and acquired factors in stress 26–7; assumptions see assumptions; and attitudes 155–6 see also work attitude interventions; examining the evidence for 162, 162; exploring the alternatives 163; identifying advantages and disadvantages of 163, 163; schemas see schemas; unhelpful beliefs and attitudes of managers concerning stress 13, 31–2, 211
black and white thinking 161
blinking 127
bodily reactions, links with thoughts, feelings and behaviours 156–7
body language 106–9, 124–7 see also non-verbal skills; eye contact see eye contact
body scan 149–50
boredom 18–19, 28, 50
brain, and autonomic nervous system 4–6
breathing exercises 143, 144–5, 146, 154, 182
broken record technique 113–14
bullying 29, 30, 35, 189; interventions to prevent 56–9; intimidation 107
burnout syndrome 187–8; treatments 188
caffeine 75, 80, 199
calories 68–9, 199, 204
camera analogy of stress 9, 155–6
carbohydrates 69
career prospects 32
cat vignette 156–7
catastrophic thinking 159
causes of stress 8–9, 15, 35, 211; acquired/learned factors 26–7; boredom and inactivity as 18–19, 28, 50; career prospect-related 32; change-related 31–2, 39, 40; genetic/inherited factors 25–6; the home–work interface and 7, 20, 32; individual factors 25–7; pay-related 32; personality/trait factors 27; questionnaire for identifying main causes of occupational stress 36–40; work environment factors 27–32
change 31–2; interventions to improve change management in the workplace 59–60; management standards and 35, 40; stress questionnaire on 39, 40
checking it out technique 164
checklists: for interpersonal skills development 136–8, 137; for lifestyle habits 82; for stress levels 21–3
childcare 13, 61–2
chronic stressors 6
coffee 75 see also caffeine
cognitive behavioural therapy 174; stress syndrome treatments based on see stress syndrome interventions
cognitive skills development 136; challenging dysfunctional patterns 161–8; identifying unhelpful patterns of thinking 157–9; labelling dysfunctional thinking styles 159–61; understanding the links between thoughts, feelings, behaviours and bodily reactions 156–7
cognitive techniques 162–5, 186; checking it out 164; estimating probabilities 164; examining the evidence 162, 186; exploring the alternatives 163, 186; friend technique 164; identifying advantages and disadvantages 163–4, 163, 186; reattributing meaning 165
cognitive therapy 187; cognitive interventions to change thinking patterns and how we relate to work see work attitude interventions; insights on stress 8, 26, 156
comfort 52; eating 201, 202, 204, 207
communication: active listening 115–16; asking for clarification 115; being concise 114; being specific 114–15; development of interpersonal communication skills see interpersonal skills development; nature of interpersonal communication skills 121–3; non-verbal skills see non-verbal skills; recognizing verbal and non-verbal expressions of behaviour types 106–9, 106–9; small talk 134–5; using ‘I’ statements 115; verbal skills see verbal skills
compromising 116
computers 52
conciseness 114
concreteness 133
constructive criticism 116, 122
constructive dismissal 65
continuing professional development 29, 55, 56, 109, 135
control: dysfunctional re-enactments of 29–30; employees and 28–9, 53–4; freaks 30; interventions to increase job control 53–4; management standards on 34, 40; stress in the absence of autonomy 28–9; stress questionnaire on 37, 40; of weight see weight control
coping strategies 26
cortisol 6
decision making: stress in exclusion from 28–9; tree 197
deep breathing exercises 143, 144–5, 146, 154, 182
delegation 94–5
demands at work: job demands see job demands; management standards on 34, 40
depression 6, 7, 10, 11; challenging depressive thinking 186; syndrome 11, 185–7; treating the depression syndrome 185–7
desensitization, systematic 183–4, 184–5
diary management 90–1 see also time management skills development
diet 68–71, 204 see also weight control
disability legislation 52
disciplinarians 30
displacement behaviours 188–9
drinking: alcohol 72–5, 79, 199; caffeine 75, 80, 199; fluid intake 71, 77–8, 79
drugs: alcohol 72–5, 79, 199; medication 72, 78; nicotine 75–7, 80
dual careers 62
early maladaptive schemas (EMS) 26–7, 30
eating: comfort eating 201, 202, 204, 207; diet see diet; mindful 149
education 26; in verbal and non-verbal expressions of behaviour types 106–9
emergency response 9–11; ‘fight or flight’ response 4–6, 10, 11
emotional effects of stress 7, 10, 15, 22–3, 188
emotional exhaustion 188
empathic confrontation 117
employers see also managers: addressing of stress by 17; blaming the employer for stress 19–20; ‘duty of care’ 33–5; management see management; responsibilities of 19–20, 33–6; tips for negotiating with 62–5
employment legislation 33–4; risk assessment 64; statutory rights and assertiveness 109–10
evidence examination 162, 162
exercise 66–8, 199, 209
expectation management 97
eye contact 112, 113, 125, 126–7, 131, 134, 135, 179, 205; avoidance 107, 126, 176, 177; fixed, staring 123
eye relaxation exercise 142
eyebrow movements 127
facial expressions 106–9, 125–6
failure-avoidance 93, 171–2 see also procrastination
family stereotypes 32
fats 69, 199
fear syndrome 11
feedback 29, 35, 59, 179; audio-video 136, 179; formal performance reviews 55; job appraisals 29, 55, 56, 59; negative 119, 137, 179
feelings see also emotional effects of stress: links with thoughts, behaviours and bodily reactions 156–7; reflecting feelings 130
fielding the response 114
‘fight or flight’ response 4–6, 10, 11
flexibility exercises 68
flexible working hours 49
fluids see drinking
focusing 95–6
fogging 114
food diaries 70, 71
framing 10
friend technique 164
frustration 62, 102, 107, 124, 188
genetic factors in stress 25–6
gestures 125
goal planning 90, 194–5, 201–4, 206–9, 207–8 see also SMART objectives
grievance procedure 8, 17, 57, 58, 64, 105, 211
guided imagery 150–1
guilt 85, 102, 117, 161, 165, 169, 185
harassment 29, 35 see also bullying; stress questionnaire on 38
Health and Safety at Work Act (1974) 34
Health and Safety Committee 64
Health and Safety Executive (HSE) 34, 215, 218; benchmarks 36, 39; Management Standards for Tackling Work Related Stress 34; Management Standards Indicator Tool 36
health and safety legislation 34
health and safety representatives 63–4
home–work interface 7, 13–14, 20, 32, 189; interventions to improve 60–2 see also lifestyle management
hostility see also aggressiveness: hostile patterns of thinking 10; syndrome 11, 188–90; and Type A individuals 27
HSE see Health and Safety Executive
hypothalamus 5–6
‘I’ statements 115
immediacy technique 132–3
insomnia 77–81
interpersonal conflict 7, 10
interpersonal skills development 121–39; action plans 138–9; body posture 125; checklist 136–8, 137; cognitive skills 136; and the consequences of being interpersonally unskilled 123–4; eye contact 126–7; facial expression 125–6; gestures 125; higher level skills 135–6; judging personal space 127–8; nature of interpersonal communication skills 121–3; non-verbal skills 124–7, 128–9 see also non-verbal skills; personal appearance and presentation 128–9; reasons for variations in skills 123; touch 128; verbal skills 129–35 see also verbal skills; voice projection 127
intimidation 107 see also bullying
irritability 7, 20, 76, 78, 102, 185, 188
isolation 54–5
job analysis 47–9
job appraisals 29, 55, 56, 59
job demands 24, 28; falling behind 19; interventions to reduce 49–53; stress questionnaire on 37, 40
job descriptions 31, 59
job enlargement 50–1
job enrichment 51
jumping to conclusions 159–60
learned factors in stress 26–7
leave 49–50, 54
lifestyle management 66–83; alcohol use 72–5, 79, 199; caffeine intake 75, 80; checklist for lifestyle habits 82; developing a ‘Healthy Lifestyle Plan’ 83, 199; diet 68–71, 199; drug use 72–7; exercise 66–8, 199; fluid intake 71, 77–8, 79; medication 72, 78; self-help planning for 199; sleep and rest 77–81; smoking 75–7, 80
listening: active 115–16; skills 129
lunch breaks 54, 67, 85, 96, 204
magnification 160
management see also managers: and employment legislation 33–6, 64; of lifestyle see lifestyle management; lines of accountability 30, 31, 53; ‘macho’ management and stress 13; managerial supervision 29, 55, 56, 59; and organizational culture 31, 60; standards 33–6, 40; structure 30
Management of Health and Safety at Work Regulations (1999) 34
Management Standards for Tackling Work Related Stress 34
Management Standards Indicator Tool 36
managers see also employers: as parent-like figures 30; tips for negotiating with 62–5; unhelpful beliefs and attitudes concerning stress 13, 31–2, 211
manipulation: and the broken record technique 113–14; manipulative attitudes 112; manipulative behaviour 108–9, 108
massage 142
meaning, reattribution of 165
medication 72, 78
meditation 148–9; mindfulness 149–50; visual imagery 151–2
meetings preparation 91
mental relaxation techniques 148–52
mentorship 55
mind reading 159–60
mindfulness 149–50
minimal encouragers 131
minimization 160
models of stress: transactional 9, 24, 25; two-stage 6, 11
monotony 28, 50; monotonous voice 107, 127
moral imperatives 161
motivational effects of stress 10
muscular relaxation, progressive 145–8
‘must’ statements 161
myths about stress 11–20
negative assertion 116–17
negative automatic thoughts (NATs) 158, 166, 167
negative feedback 119, 137, 179
negative thinking 7, 157, 163, 178, 185, 195 see also negative automatic thoughts
nicotine 75–7, 80
non-verbal expressions 106–9, 106–9
non-verbal skills 124–7, 128–9; body posture and gestures 125; eye contact see eye contact; facial expression 125–6; personal appearance and presentation 128–9; reflecting feelings picked up by non-verbal cues 130; touch 128; voice projection 127
occupational stress: causes see under causes of stress; change and 31–2; consequences for the organization 7–8; definition 24; effects on home life 7, 20, 32, 189 see also home–work interface; effects on performance see performance; employers and see employers; global scale of 7–8, 211; interpretations of 18; ‘macho’ management and 13; management standards and 33–6, 40; primary interventions see work environment interventions; secondary interventions see assertiveness skills development; interpersonal skills development; lifestyle management; relaxation skills development; time management skills development; work attitude interventions; and shared responsibilities of employers and employees 19–20; and taking time off work 18; tertiary interventions see stress syndrome interventions
open questioning 131–2
organizational culture 31, 60
over-identification, with work 170, 171, 188
overgeneralization 160
overtime 49, 50, 54
panic attacks 165–6, 180–3; panic cycle 180
paraphrasing 129–30
parasympathetic nervous system 5, 5, 6
passive aggression 189
perfectionism 168–9, 188
performance: anxiety 175–80; effects of stress on 4, 4, 7–8; feedback 29, 35, 59; reviews 55 see also job appraisals; stress–performance curve 4
personal appearance/presentation 128–9
personal space 127–8
personality/trait factors in stress 27
personalization 161
phobic avoidance 183–5
physical effects of stress 5–7, 15–16, 22, 175, 180, 188
pituitary gland 6
planning ahead 90–1
positive stress 3–4, 14–15, 212
presentation anxiety 175
primary level interventions for stress see work environment interventions
‘prime time’ 90–1
prioritizing 96–7, 97, 194, 201
probability estimation 164
procrastination 92–4, 202; modifying interventions 92–4, 172–3, 205
professional development 29, 55, 56, 109, 135
progressive muscular relaxation 145–8
psychometric assessment tools 199
questioning skills 131–2
questionnaires: for assertiveness assessment 118, 119; for identifying main causes of occupational stress 36–40
quiz about stress 12–20
re-enactments, dysfunctional 29–30
reattribution technique 165
reflecting feelings 130
rehearsal 58, 86, 112–13, 120, 138, 176
relapse prevention 200, 209–10
relationships: and alcohol use 73; dual careers and 62; making up 81; negative effects of early maladaptive schemas on 26–7; negative effects of stress on 7, 10; working see working relationships
relaxation skills development 140–54; body scan 149–50; deep breathing exercises 144–5; formal techniques 143–52; informal techniques 141; massage 142; meditation 148–9; mental refocusing 150–1; mental relaxation techniques 148–52; mindfulness 149–50; progressive muscular relaxation 145–8; semiformal techniques 141–3; Tai Chi 143; visual imagery 151–2; yoga 143
relaxation strategies 16, 61; for sleep improvement 81
REM (rapid eye movement) sleep 78–9
resentment 62, 102, 107, 111, 188
resigning 65
resilience to stress 27
responsibilities: modifying procrastination 92–4, 172–3, 205; modifying underachievement 171–2; outside work 13–14, 32, 61–2; work related see work roles/responsibilities
rest breaks 49, 54 see also lunch breaks
rights: assertiveness and knowing your rights 109–11; ‘Bill of Rights’ 110–11; getting to know your rights 64
risk assessment 64
role-play 58, 112–13, 120, 136, 138
roles see work roles/responsibilities
Ruskin, John 3
safety behaviours 175, 176, 177, 178; dropping 179
salt 69, 70, 199, 204, 207
scalp soothing 142
schemas 9, 10; early maladaptive 26–7, 30
secondary level interventions for stress see assertiveness skills development; interpersonal skills development; lifestyle management; relaxation skills development; time management skills development; work attitude interventions
self-dialogue 182
self-disclosure 117–18, 122, 133–4
self-esteem 61, 170, 171; low 102, 124, 188, 201, 203, 206
self-help planning 193–210; case studies 200–10; developing a self-help treatment plan 196–7, 197–8, 206, 207–8; establishing success criteria 195–6, 201–4, 207–8; making a problem list 193–4, 201; monitoring and reviewing your progress 198–200, 206–9; planning interventions 196, 204–6; preventing relapse 200, 209–10; prioritizing your problems 194, 201; setting your goals 194–5, 201–4
self-image 175, 203, 206, 208 see also self-esteem
self-pity 102
‘should’ statements 161
shoulder tension release 142, 147–8
sickness absence 7, 60, 64, 184, 211
sleep 77–81
small talk 134–5
SMART objectives: in delegation 94; in a self-help plan 195–6, 206
smoking 75–7, 80, 199
social contacts at work 54–5
staff meetings 54
staff suggestion boxes 54
staff support see support at work
stamina exercises 68
stress: age factor in 26; behavioural changes under 7, 11, 15, 22; camera analogy of 9, 155–6; causes see causes of stress; checklist 21–3; cognitive changes under 7, 10, 14, 23, 176; cognitive therapy insights on 8, 26; consequences for the organization 7–8 see also occupational stress; consequences of harmful stress on the individual 6–7; definitions and conceptualizations 8–9, 24 see also models of stress; development of stress syndromes 11; effects on performance see performance; emergency response 9–11; emotional changes under 7, 10, 15, 22–3; ‘fight or flight’ response 4–6, 10, 11; harmful 6–8; minor symptoms 17; motivational changes under 10; myths 11–20; negative 4; normal 3–6; occupational see occupational stress; physical effects of 5–7, 15–16, 22, 175, 180, 188; positive 3–4, 14–15, 212; prolonged high levels 7; prolonged moderate levels 6–7; quiz 12–20; resilience to 27; stress–relaxation continuum 140; transactional model of 9, 24, 25; two-stage model of 6, 11; without symptoms 16–17
stress hormones 6, 10
stress reduction: through changing reaction to falling behind at work 19; individual tailoring of techniques 16; misjudged ‘remedy’ of working more 19; primary interventions for see work environment interventions; secondary interventions for see assertiveness skills development; interpersonal skills development; lifestyle management; relaxation skills development; time management skills development; work attitude interventions; self-help planning for see self-help planning; tertiary interventions for see stress syndrome interventions
stress syndrome development 11
stress syndrome interventions 174–90
for anxiety syndromes 174–85; panic attacks 180–3; performance anxiety 175–80; phobic avoidance 183–5
for burnout syndrome 188
for depression syndrome 185–7; activity scheduling 186–7; challenging depressive thinking 186; challenging unhelpful behaviours 186–7; conducting behavioural experiments 187
for hostility syndrome 188–90
stressors, chronic 6
submissiveness 101, 102, 107–8, 107
success-avoidance 171–2
success criteria 195–6, 201–4, 207–8
suicidal behaviour 185–6
summarizing 130–1
supervision 29, 55, 56; meetings 59
support at work 29; interventions to increase supports 54–6; management standards on 34–5, 40; peer support 38; stress questionnaire on 37–8, 40
sympathetic nervous system 5, 5
systematic desensitization 183–4, 184–5
Tai Chi 143
Taylor, W. F. 33
tea 75
technology 29, 52
tension: chronic 102, 124; and progressive muscular relaxation 145–8 see also relaxation skills development; shoulder tension release 142, 147–8
tertiary level interventions for stress see stress syndrome interventions
test anxiety 175
thinking: ‘aggressogenic’ 111–12; black and white 161; catastrophic 159; challenging depressive thinking 186; challenging dysfunctional patterns of 161–8, 178, 186; checking it out 164; cognitive interventions to change the way you relate to your work see work attitude interventions; and conducting behavioural experiments 165 see also behavioural experiments; estimating probabilities 164; examining the evidence 162, 162; exploring the alternatives 163 see also alternative ways of looking/thinking; and the friend technique 164; hostile patterns of 10; identifying advantages and disadvantages 163, 163; identifying unhelpful patterns of 157–61; jumping to conclusions 159–60; links between thoughts, feelings, behaviours and bodily reactions 156–7; magnifying 160; mental refocusing 150–1; mind reading 159–60; minimizing 160; moral imperatives and 161; negative automatic thoughts (NATs) 158, 166, 167; negative thinking 7, 157, 163, 178, 185, 195 see also negative automatic thoughts; overgeneralizing 160; personalizing 161; polarized 10; reattributing meaning 165; self-centred 10; stress and changes in 7, 10, 14, 23, 176; thoughts and interpretations 157, 164; thoughts diaries see thoughts diaries
thought see thinking
thoughts diaries 157–8, 158, 165–6, 167, 170, 172, 178, 182, 186, 199, 206, 209
time management skills development 84–100; action plans 98–100, 99; being organized 97–8; case studies 84–9, 92–4; choosing a work pace 19; creating ‘prime time’ 90–1; delegation 94–5; diary management 90; goal planning 90; meetings preparation 91; overcoming procrastination 92–4, 172–3, 205; planning ahead 89–91; prioritizing 96–7, 97; staying focused 95–6; timing of difficult tasks 91
touch 128
trade unions 53–4, 58, 63–4
training 26, 29, 55–6
transactional model of stress 9, 24, 25
two-stage model of stress 6, 11
Type A personalities: burnout syndrome and 188; hostility and 27; workaholism and 169–71
unassertiveness 101–5, 112, 203
underachievement modification 171–2
verbal skills: active listening 115–16; of appropriate self-disclosure 133–4; being concise 114; being specific 114–15; concreteness 133; immediacy technique 132–3; minimal encouragers 131; open questioning 131–2; paraphrasing 129–30; reflecting feelings 130; small talk 134–5; summarizing 130–1
video-feedback 136, 179
vignettes 156–7
visual imagery/visualization 150–1
voice: monotonous 107, 127; projection 127
wages 32
walking, mindful 150
weight control 68–9, 201, 202, 204, 207
work attitude interventions 155–73; in assertiveness see assertiveness skills development; case study 165–8; challenging dysfunctional patterns of 161–8; challenging patterns of over-commitment 168–71; challenging patterns of under-commitment 171–7; challenging work dysfunction 168–73; checking it out 164; conducting behavioural experiments 165; estimating probabilities 164; examining the evidence 162, 162; exploring the alternatives 163; the friend technique 164; identifying advantages and disadvantages 163, 163; identifying unhelpful patterns of thinking 157–61; and links between thoughts, feelings, behaviours and bodily reactions 156–7; modifying perfectionism 168–9; modifying procrastination 172–3, 205; modifying underachievement 171–2; modifying workaholism 169–71; reattributing meaning 165
work conditions/environment: aspects that can affect stress levels 27–32; employment legislation and 33–4, 64; interventions see work environment interventions; physical conditions 28, 51–3
work environment interventions 47–65; aim of primary interventions 42; to clarify work role 59; doing a job analysis 47–9; to improve change management 56–60, 60–2
negotiating tips 62–5; if line manager is not receptive 63–4; if problem cannot be resolved within the organization 64–5
to prevent bullying 56–9; gathering evidence 57; gathering support 57; managing the backlash 58; presenting the bully with the evidence 58; standing up to the bully 57–8; taking things further if necessary 58–9
to reduce job demands 49–53; increasing control over job 53–4; increasing support at work 54–6; job enlargement 50–1; job enrichment 51; physical environment improvement 51–3; work volume reduction 49–50
work pace 50, 170; choosing a manageable pace 19, 170; control over 34, 54; stress through 19, 28
work roles/responsibilities 30–1; interventions to clarify 59; job descriptions 31, 59; management standards and 35, 40; role ambiguity/conflict 31; shared responsibilities of employers and employees 19–20; stress questionnaire on 38–9, 40
work supports see support at work
work volume reduction 49–50
workaholism 169–71
working hours 49, 50
working relationships 29–30; interventions to improve 56–9; management standards on 35, 40; stress questionnaire on 38, 40
workplace stress see occupational stress
yoga 143
Young, Jeff 26