Anxiety and Stress Management

211 Pages·2017·4.181 MB·English

by  Trevor J. Powell, Simon J. Enright

ROUTLEDGE LIBRARY EDITIONS:
ANXIETY
Volume 3
ANXIETY AND STRESS
MANAGEMENT
This page intentionally left blank
ANXIETY AND STRESS
MANAGEMENT
TREVOR J. POWELL AND SIMON J. ENRIGHT
Firstpublishedin1990byRoutledge
Thiseditionfirstpublishedin2016
byRoutledge
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©1990TrevorJ.PowellandSimonJ.Enright
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ISBN:978-1-138-92488-8(Set)
ISBN:978-1-315-67294-6(Set)(ebk)
ISBN:978-1-138-92523-6(Volume3)(hbk)
ISBN:978-1-315-68386-7(Volume3)(ebk)
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ANXIETY AND STRESS
MANAGEMENT
TREVOR J. POWELL
and
SIMON J. ENRIGHT
R
ROUTLEDGE
London and New York
First published 1990
by Routledge
11 New Fetter Lane, London EC4P 4EE
Simultaneously published in the USA and Canada
by Routledge
a division of Routledge, Chapman and Hall, Inc.
29 West 35th Street, New York, NY 10001
© 1990 Trevor J. Powell and Simon J. Enright
Typeset by J&L Composition Ltd, Filey, North Yorkshire
Printed in Great Britain by
Billing & Sons Ltd, Worcester
All rights reserved. No part of this book may be reprinted
or reproduced or utilized in any form or by any electronic,
mechanical, or other means, now known or hereafter
invented, including photocopying and recording, or in any
information storage or retrieval system, without permission
in writing from the publishers.
British Library Cataloguing in Publication Data
Powell, Trevor J., 1955-
Anxiety and stress management.
1. Man. Stress
I. Title II. Enright, Simon J., 1960-
155.9
Library of Congress Cataloging in Publication Data
Also available
ISBN 0-415-04457-X
0-415-01069-1 (pbk)
CONTENTS
List of illustrations viii
Acknowledgements i x
Preface x
Editor’s introduction xii
1 WHAT WE KNOW ABOUT STRESS - A MODEL
BASED ON RESEARCH 1
Introduction 1
The size of the problem 2
A working model of stress 3
The environment 4
The individual 11
Perception of threat 16
State of stress 17
Coping style: adaptive and maladaptive coping
strategies 19
2 DIAGNOSTIC CLASSIFICATION AND THEORIES
OF ANXIETY 22
Introduction 22
Defining anxiety 22
The clinical diagnosis of anxiety 23
Theoretical approaches to anxiety 30
The theoretical orientation of this book 41
3 ASSESSMENT 43
Introduction 43
v
CONTENTS
Theoretical approach to assessment 43
The structured assessment interview 44
Self-monitoring 55
The uses of questionnaires and inventories 55
A useful battery of anxiety questionnaires 57
4 ANXIETY AND STRESS - THE PROCESS OF
EDUCATION 64
Introduction 64
The process of education 64
The treatment programme 82
5 SELF-HELP TECHNIQUES EXPLAINED 92
Introduction 92
Relaxation training 92
Controlling hyperventilation 100
Distraction 104
Cognitive-behavioural techniques 109
6 HELPING CLIENTS TO CHANGE THEIR
LIFESTYLES 115
Introduction 115
Goal planning 115
Time management 119
Being more assertive 123
Managing Type-A behaviour 133
Increase your social support network 134
A healthier lifestyle 135
7 RUNNING AN ANXIETY MANAGEMENT GROUP 141
Introduction 141
Characteristics of anxiety management groups 141
Four main therapeutic components 142
An anxiety management group programme 144
Experiences and advice on running groups 146
Advantages and disadvantages of group treatments 150
Selection of group members 151
Findings from research 152
vi
CONTENTS
8 SOME CASE-STUDY EXAMPLES OF TREATING
ANXIETY AND STRESS 154
Introduction 154
Case 1: Simple phobia 154
Case 2: Stress, Type-A behaviour, and aggression 160
Case 3: Agoraphobia with panic attacks 166
Case 4: Post-traumatic stress disorder 172
Case 5: Work stress 178
References 186
Name index 191
Subject index 193
vii