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    Dissertation on a new causal theory of stress

    The Schematrix Conflict Theory of

    Stress & Coping

    by

    Sarah L. Macdonald

    Submitted in part assessment for Bsc Honours Psychology

    At: Northampton ni!ersity" Northampton

    Date: April #$$%

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    Declaration

    This study was carried out in totality by myself and is the responsibility of myelf alone.

    Signed S.L.Macdonald

    Dated

    Scientists should aim to develop theories which are simple, true and have a high

    degree of explanatory power (arl !opper" The Logic of Scientific Disco#ery"

    $%%'

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    bstract

    Thirty years of stress and coping research has produced little in the way of fundamental"

    testable theory" as declared in publications by ma)or stress research groups. This study

    proposes" describes and tests a new causal theory" of stress based on an expansion of the

    traditional concept of schemata. The theory postulates the existence of a matrix of

    schemata (The Schematrix' made up of all manner of types of psychological structure and

    co#ering all aspects of mental (and physical' functioning. The theory hypothesises that

    stress occurs when the schematrix conflicts with so called *real life+. That is to say what is

    expected is confounded by actuality. ,llustrations are gi#en of the way the theory might

    wor- in explaining current obser#ations. There is discussion around ways of testing the

    theory including difficulties and ideas for o#ercoming these problems. These ideas are

    de#eloped into protocols and tested with results intriguingly suggesti#e of the #alidity of

    the theory. uture possibilities for research are explored and extended discussion

    underta-en around the implications of the theory for understanding mental illness as well

    as normal functioning" therapy enhancement and other applications in the wor-place and

    home.

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    C/01L2D3M2/TS

    ( would li)e to than) a number of people for their help and ad!ice while compiling this study"

    *he tutors and lecturers ( would especially li)e to than) +of Northampton ni!ersity, are:

    Dr raham .itchell +my dissertation super!isor, for his support and ad!ice/ Dr 0e!in

    Buchanan and Dr ose 2apede!ila for suggestions on *hematic Analysis"

    (f nothing else/ ( ha!e immensely en3oyed this attempt to push bac) frontiers" 4ith anyone else

    as tutor ( don5t thin) ( would ha!e had the courage to ma)e the attempt"

    *han) you/

    Sarah .acdonald

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    C0/T2/TS

    Page unfinished

    *itle Page ---------------------------------------------------------------------------------- Page 1

    Abstract ------------------------------------------------------------------------------------ Page #-&

    Ac)nowledgements --------------------------------------------------------------------- Page '

    2ontents ----------------------------------------------------------------------------------- Page 6-7

    8ist of tables ------------------------------------------------------------------------------ Page 9-

    2HAP*;

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    ualitati!e !ersus ?uantitati!e ------------------------------------------------------- Page '1-'#

    >uestionnaire ---------------------------------------------- Page '#-'&

    ;thical consideration ------------------------------------- Page ''

    Population = study group -------------------------------- Page ''-'6

    Pilot study ------------------------------------------------- Page '6

    .aterials --------------------------------------------------- Page '%

    2arrying out the study ----------------------------------- Page '%-'7

    2HAP*; @

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    2onclusion --------------------------------------------------

    eferences ----------------------------------------------------

    Bibliography -------------------------------------------------

    Appendi A ---------------------------------------------------

    Appendi B ---------------------------------------------------------

    Appendi 2 ---------------------------------------------------------

    Appendi D ---------------------------------------------------------

    Appendi ; ---------------------------------------------------------

    Appendi @ ---------------------------------------------------------

    Appendi ---------------------------------------------------------

    8(S*

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    Definitions of ey Terms

    Stress 4 the dictionary definition is*A mentally or emotionally disrupti!e or upsetting condition

    occurring in response to ad!erse eternal influences and capable of affecting physical

    health/ usually characteriCed by increased heart rate/ a rise in blood pressure/ muscular

    tension/ irritability/ and depression5 +Heritage Dictionary of the ;nglish 8anguage "

    #$$$$,"

    Howe!er/ there has been much disagreement and uncertainty in the research literature o!er a

    definition"

    specific to the etremely general/ encompassing both stimulus and response" e/

    Beehr E oberts +1#6, eamined 61 articles in si ma3or 3ournals and found multiple

    definitions of stress/ and 2o +1&7, suggests that stress can be defined as Fa

    psychological state which is part of and reflects a wider process of interaction between

    indi!iduals and their en!ironment5" 8aCarus and @ol)man/ +19' p1#, suggest stress

    cannot be considered a single !ariable but a Frubric of many !ariables and processes5"

    Studying an element which has hitherto escaped clear definition is etremely problematic"

    Participants in this study puCCled on many occasions as to whether their Ffrustration5 or

    Faniety5 or Firritation5 ?ualified as stress" *his decision was always left to their discretion in

    the absence of a clear definition"

    Coping

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    esearch into coping started as part of psychoanalysis whereby @reud defined it as a Fdefence

    mechanism5 which too) a !ariety of forms such as repression/ sublimation/ pro3ection

    or rationalisation +Brown/ 1%'," *he dictionary definition is to Fcontend with

    difficulties and act to o!ercome them5 +Heritage Dictionary of the ;nglish 8anguage/

    #$$$," As for stress there is little consensus among modern researchers of the

    definition"

    Schema

    FA pattern imposed on comple reality or eperience to assist in eplaining it/ mediate

    perception/ or guide response5 +Heritage Dictionary of the ;nglish 8anguage/ #$$$," *annen E

    4allat +197%, describe a schema as a Fpre-eisting cogniti!e structure5"

    Schematrix

    *he theory re?uires that the concept of Fschemas5 be epanded into the concept of a schema

    matri or Fschematri5 consisting of associated/ interloc)ing/ o!erlapping and connected schema

    structures"

    Schematrix conflict

    4hen one schema is opposing another schema" @or eample/ the schema for disli)e of a

    particular class of food conflicts with the schema that to refuse to eat a prepared meal is Fnot

    done5" *he theory says this leads to stress"

    2ngram +to be completed,

    Somatic mar-er (to be completed,

    !aradigm +to be completed,

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    Chapter 0ne

    ,ntroduction

    Lac- of theoretical basis in stress & coping research

    4hen researching the topic of stress for my dissertation/ despite the crucial nature of the topic

    and the large numbers of papers/ it was apparent that !ery little is )nown or understood about

    stress" *here ha!e been well o!er #$$/$$$ research papers published on stress and coping since

    17% to date +Pubmed #$$%7, which represents an enormous research effort o!er the past &$

    years to increase )nowledge on the sub3ect" Howe!er/ leading researchers in the field admit to

    the lac) of progress and the poor ?uality of the research" 2oyne E acioppo +#$$$, refer to

    ?uantitati!e stress research as Fin crisis5/ as it has Ffailed to yield any substanti!e findings5 and

    is Ffruitless and potentially misleading5/ *hey also e!aluated applied research aimed at practical

    solutions to stress-related problems" 4hile research supports some ad!anced therapies for

    stress-related problems/ such as cogniti!e beha!ioural therapy +2B*,+ Bisson and Andrew/ #$$6

    9G ranath et al/ #$$%,/ according to 2oyne E acioppo +#$$$,/ this has lead to impro!ed

    understanding/ unco!ered mechanisms or established any strong theoretical bases" *ennen et al

    +#$$$, described the gap in stress between theories=ideas and research as being Fan abyss5/ and

    point out/ that the pioneer in the field/ ichard 8aCarus/ accepted the failure of ?uantitati!e

    research in progressing a fundamental undertanding of stress" 8aCarus appealed for more

    ?ualitati!e research designs in the hope of bridging the gap +8aCarus E @ol)man 19',/

    howe!er/ they continue to be !ery rare"

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    mechanism +2ramer/ #$$$, are Fconceptually and empirically problematic5" ones and Bright

    attribute the lac) of focus and producti!ity in stress research to Fa shortage of ade?uate models

    and theories to guide research and practice5 +ones and Bright/ #$$'1$,"

    Current Stress Models and Theories

    *here are se!eral models for the stressed state" *he physiological model relates to the Ffight or

    flight5 response and in!ol!es a biochemical cascade in!olcing adrenocorticotrophic hormone

    +A2*H,/ adrenaline/ cortisone and hydrocortisol"

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    1$, and Bromet et al +199, present e!idence in fa!our of the model/ other studies ha!e not

    done so +Payne E @letcher/ 19&/ Spector 197/ .c8aney and Hurrell/ 199/ Sauter/ 19/

    4arr/ 1$a, and an eprimental study also failed to pro!ide any e!idence for the model

    +Perrewe E anster/ 19," 8andsbergis5 +199, study produced some/ though ambiguous

    e!idence/ and there animal studies which seem to offer support +4eiss/ 17#,""

    Transactional Models of Stress.

    *he most common type of stress theory currently are termed Ftransactional5+eg" 2o/ 179/

    Schuler/ 19#/ ;dwards/ 1#," *hese models en!isage stress as a process in!ol!ing continual

    transaction between the eternal pressures and internal demands +2o E .ac0ay/ 191," *he

    theory allows that the indi!idual !aries in withstanding these forces and percei!ing the

    pressures and deciding whether and to what etent they ha!e importance +.crath/ 17%/

    Beehr E Bhagat/ 196," *his model is all cogniti!e-based but still highly comple and suggests

    internal and eternal aspects be studies togethter

    Social support and the buffering hypothesis.

    Social support is the reciprocal care ta)en by indi!iduals for each other +4illiams E House/

    196," *here are two hypotheses that are categorised within social support +Henderson/ 19',"

    *he first suggests that social support direct affects well-being - that is your stress is lower

    because you are feeling happier/ while the second/ buffering hypothesis/ is similar ecept that

    the effect is not directly on well-being but acts as a Fwindbrea)5 between the stressor and the

    indi!idual ameliorating the stressors damage"

    (n an etensi!e re!iew/ 2ohen E 4ills +196, found e!idence for these hypotheses" Howe!er/

    wor) place research studies ha!e found little support of buffering/ although some studies find

    some e!idence +8aocco et al/ 19$/ 0irmeyer E Dougherty/ 199/ Buun) et al/ 19, and

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    others none +eg" anster et al/ 19%/ Dooley et al/ 197/ 0aufman E Beehr/ 19," *he

    buffering hypothesis is similar in concept to 0arase)5s 3ob-demands-control model" Both 3ob-

    demands-control and buffering models indicate that some !ariable +wor)er control or social

    support, interacts with stressors such that the damaging effect of stressors upon well-being is

    lessened" Both social support and wor)er control are therefore hypothesiCed to pro!ide

    resources by which the nature of the en!ironment can be changed/ thus lessening the impact of

    stressors" *herefore/ social support/ in some circumstances/ may pro!ide a means of controlling

    the wor) en!ironment" Neither theory/ howe!er/ encompasses the influence of cogniti!e

    !ariables"

    Predictability/ control and stress"

    Predictability may be considered to be pre!ious a!ailability of information about an e!ent"

    Although you cannot ha!e control without predictability +if you ha!e no forewarning of

    something you cannot be in control with respect to it,/ being able to predict a stressors reduces

    its effects/ both beha!ioural and physiological +.iller/ 19$/ 191," Howe!er/ A!erill et al

    +17, demonstrated that people prefer to try and a!oid the stressor if at all possible" Studies in

    organisations support the idea that predictability is associated with contentment" 4arr5s

    F!itamin model5 +197, proposes that an orgnanisation which operates in a clearly !isible way

    impro!ed staff well-being"

    Percei!ed control and its relation to actual control"

    *he facet model of wor) stress +Beehr E Newman/ 1791'," Beehr and Newman +179,

    identifies more than 16$ !ariables in!ol!ed in stress/ gi!ing recognition to the compleity of the

    problem" Based largely on occupational stress/ this model in!ol!es changes occurring o!er

    time/ feedbac) to the indi!idual/ which then results in personality and other changes"

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    2o and .ac)ay +17%, suggested that stress is due to a dynamic transaction between the

    indi!idual and the en!ironment +see @igure 11"6," (mportant to this model is the indi!idualJs

    cogniti!e assessment of the percei!ed demands made on him or her/ and that indi!idualJs

    percei!ed capability to deal with those demands" Stress is the result of the percei!ed demand

    outweighing the percei!ed capability"

    Theories of Coping

    Any theory of stress needs to include coping in its eplanations" *hree le!els ha!e been

    described/ coping styles that reflect the broad !iew + monitoring-blunting +.iller and .angan/

    19&16G .iller et al 1%1%" !igilance-a!oidance/ approach-a!oidance,/ strategies that reflect an

    intermediate le!el +e"g"/ confrontation/ see)ing social support/ planned problem sol!ing,G and

    coping acts or beha!iours that reflect specific/ situation-determined/ responses that are

    idiosyncratic for the indi!iudal+;ndler E Par)er/ 1$17G 0rohne/ 1%G SchwarCer E

    SchwarCer/ 1%,"

    4hen confronted with traumatic life e!ents/ an indi!idual will resort to a wide range of

    strategies to cope with/ reduce or remo!e the resulting stress" .ost of the recent de!elopments

    in the field of coping with stress and trauma can be traced to the wor) of 8aCarus and

    colleagues +e"g" 8aCarus/ 1&G 8aCarus E @ol)man/ 19'," *hey see coping made of two

    phases: Fprimary appraisal5/ which is a cogniti!e assessment of the stressful e!ent and its

    potential for damage/ and Fsecondary appraisal5/ which refers to a cogniti!e assessment of what

    to do abnout it"

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    ;ndler/ 1%G *obin/ Holroyd/ eynolds/ E 4igal/ 19,"

    comple/ multidimensional/ and Fsensiti!e to the en!ironment/ the personality and a!ailable

    resources5 +@ol)man E .os)owitC/ #$$', @ol)man E .os)owitC +#$$', also state/ howe!er/

    that despite significant efforts that research Fseems only to ha!e scratched the surface5 of how

    coping affects people and they also draw attention to methodological problems" aillant +#$$$,

    describes three classes of coping/ Fsee)ing help5/ Fconscious cognition5 and Fin!oluntary mental

    mechanisms5" (n fact there is still significant contro!ersy about whether and to what etent

    coping mechanisms are conscious or unconscious"

    .ost recently 8aCarus and colleagues ha!e turned increasingly to coping in relation to emotion"

    He ma)es the case for studying discrete emotions in the contet of four processes that represent

    the central features of a theoretical system: appraising/ coping/ Kow of actions and reactions/

    and relational meaning with coping the )ey feature of the emotion process/ +8aCarus/ #$$%19,"

    Stress and ,llness

    (n the absence of a comprehensi!e theory of stress on which to base/ there has/ apparenetly/

    been little in the way of fundamental )nowledge outcomes arising from research" Howe!er/

    some more practical ?uestions ha!e been diligently studied/ in particular that relating to whether

    stress produces illness" (t would seem from the large number of papers that there is a definite

    connection between stress and medical conditions" Stress and depression ha!e shown

    correlations/ although the nature of that connection is uncertain +Hammen/ #$$6," Stress has

    also been associated with a wide !ariety of other medical conditions/ including cardio!ascular

    disease/ H(/ colds and psychiatric problems li)e P*SD/ aniety +Schneiderman/ #$$6 , and

    bipolar disorders +Pay)el/ #$$&," 8arge numbers of papers co!er presumed stressful situations

    such as coping with cancer +Lenet al #$$%1G 4ong et al/ #$$%#$G Smith et al/ #$$6#1/ eiche/

    Nunes E .orimoto/ #$$'##,/ trauma +Budur/ @alcone E @ranco/ #$$%#&G 0a3antie E Phillips/

    #$$%#',/ gut problems +Buret / #$$% #6,/ allergies +4right/ #$$6#%, and a !ast number of other

    conditions and situations +*hoits/ 16#7," Stress and the immune system has spawned a new

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    discipline/ that of psychoneuroimunology" Although it is not pro!en that stress negati!ely

    affects the immune system/ there are many suggesti!e papers 8us) and 8ash/ #$$6#9G Ben-

    ;liyahu/ #$$G obins et al /#$$%&$,"

    Stress and 3ender

    (t might seem li)ely that gender would ha!e some impact on stress and coping and se!eral

    papers find 3ust that" a!ranidou and osner/ +#$$&&1, found that men eperience traumatic

    e!ents more often than women/ women and men differ in the type of traumatic eperiences they

    eperience/ and women more often de!elop P*SD after the eperience of a traumatic e!ent"

    ;planations they eamine are methodology used/ the higher pre!alence of childhood seual

    abuse and rape in women/ the different coping styles of women and men/ or the more limited

    socio-economic resources of women"

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    Se!eral countries/ such as Sweden and Norway/ ha!e seen a dramatic increase in absenteeism

    during the last 1$ years/ particularly among women/ due to health problems +8undberg/ #$$6&%,"

    *hese includee burnout/ depression/ muscular pain/ headache/ gastrointestinal problems/ and so

    on" .ost of these disorders ha!e been regarded as stress related/ and described as Fmedically

    uneplained symptoms5" Although it is tempting to blame this on the more rapid pace of modern

    life/ increased wor)load/ and continuous ad3ustment to change/ ;ri)sen et al" +#$$'&7,/ found

    that sub3ecti!e health complaints are not restricted to modern ci!iliCation but are also fre?uent

    among indi!iduals li!ing under primiti!e conditions"

    A paper which demonstrates what women already )now to be ob!ious/ loo)s at the trait of

    dominance and finds that men ha!e blood pressure rises when con!ersing with una?uainted/

    more dominant person +either gender, whereas women do not show this trait at all +Newton/

    #$$6&9,"

    *here is also an abundance of indi!idual papers which are re!ealing on a small scale about

    some important aspects of stress/ for eample/ Allen et al +11, show that the presence of a

    dog/ e!en when you don5t touch it/ is better at moderating stress than ha!ing a non-3udgemental

    supporti!e friend/ especially in women

    (t has been remar)ed that there is Fa shortage of ade?uate models and theories to guide research

    and practice5 in psychological stress +ones and Bright/ #$$' &,"

    ones and Bright +#$$', contemplate the possibility that there might ha!e to be an array of

    Fmicro and meta theories5 to co!er as broad an area as stress" Somerfield +17 '$, suggests it

    may only be possible to produce theories rele!ant to specific situations"

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    *aylor et al +#$$$, made and substantiated the fascinating suggestion that there are

    fundamentally different mechanisms operating/ relating to stress and coping in men and women"

    ather than the traditional idea that the origin of coping is the Ffight and flight5 response they

    postulate that in women it is a F*end-and-Befriend5 mechanism" Arising from women5s

    nurturing e!olutionary role/ this seems intuiti!ely possible and their arguments are plausible"

    eary E @linn +#$$#, epands *aylor5s notion to include paternalacti!ities in men"

    *aylor5s response to this/ howe!er/ is dismissi!e +*aylor et al #$$#," Since then there seem to

    ha!e been no follow up studies on this"

    8ife orientation test

    *he 8ife

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    percei!ed as stressful" *his measure calls for the indi!idual to self-appraise le!el of stress/ so

    the Percei!ed Stress Scale +PSS, accounts for indi!idual differences in the assessment of

    en!ironmental demands" *he PSS is a 1'-item instrument which as)s participants to respond to

    a series of statements designed to e!aluate the degree of stress eperienced" (t has been used to

    show the heritability of percei!ed stress +@ederen)o/ #$$% '7, as a measure of global stress

    during cancer treatment +'9olden-0reutC et al/ #$$', in which it showed significant factor

    stability" (t has been used as a measure of stress diseases li)e in chronic fatigue syndrome

    +0elly et al/ 1'/ chronic )idney disease +

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    representations. The >uestion of the mind?s representation of the world has long been

    posed by philosophy" and philosophy may therefore be considered the founding

    subdiscipline of cogniti#e science (3ardner" $%@'. 0ne of the greatest philosophers"

    ant" employed the concept of the schema precisely in order to discuss the possibility of

    -nowledge. ant attempted to go beyond the impasse between the empiricists" who

    argued that -nowledge has its origins in the external world" and the rationalists" who

    argued that -nowledge is a product of the mind. :e argued that schemas interdigitate

    between properties of the mind (the a priori categories' and raw sensory data (of a

    posteriori experience'. AThis representation of a uni#ersal procedure of the imagination in

    pro#iding an image for a concept" , entitle the schema of the conceptA (>uoted in

    3ardner" $%@'. ,n more contemporary terms" mental schemas are acti#ated by the

    external world" and simultaneously pro#ide an interpretation of it. b' /euroscience

    Cogniti#e science ac-nowledges that structures of the mind ha#e a biological basis" and

    neuroscience is therefore an important subdiscipline of cogniti#e science. urthermore"

    the neurologists :ead and :olmes ($%$$' were among the first to use the concept of the

    schema. These wor-ers were interested in the spatial perceptions of patients of their

    bodies" and referred to the basis of these as the postural schema. The postural schema

    integrated sensations which were triggered by postural change. ,n lesions of the parietal

    lobe the schema may be destroyed" with the possible outcome that patients ignore part of

    their body" treating it as if it were not their own. Con#ersely" an amputee may ha#e an

    intact brain schema" and therefore experience mo#ements in the missing phantom limb.

    Today the more widely used term is the body schema (rederi-s" $%B%'" and

    contemporary neuroscience has ad#anced to the point where it can begin to consider the

    biological underpinnings of more complex schemas such as cogniti#e and affecti#e

    schemas (LeDoux" $%@%'. c' De#elopmental !sychology lthough de#elopmental

    psychology is not usually considered one of the subdisciplines of cogniti#e science" !iaget

    is one of the most important figures in the prehistory of cogniti#e science. The notion of

    the schema was central in !iaget?s wor-. ccording to !iaget" the initial schemas of the

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    child comprise biologically based sensorimotor reflexes which coordinate the child?s

    interactions with the en#ironment. 3radually these biological schemas allow adaptation

    to the en#ironment by two complementary processes. 9ia assimilation the schema grasps

    some no#el aspect of the en#ironnment" so modifying itself to cope with the en#ironment

    better. 9ia accomodation the schema is differentiated and elaborated so as to be

    consistent with the en#ironment. 1ith time" the schemas are transformed to the point

    where the organism reaches a new stage of de#elopment. !iaget succeeds in pro#iding a

    detailed description of these transformations from the point of sensorimotor schemas to

    the operations of formal thought (!iaget" $%5'. d' Cogniti#e !sychology The concept of

    the schema in contemporary cogniti#e science is perhaps most directly traceable to the

    wor- of the ritish cogniti#e psychologist artlett ($%65'. artlett" a onetime student of

    :ead" was interested in memory" and in particular in the notion that the context of an

    experience had crucial effects on what was retained and how well this was recalled.

    2bbinghaus had pioneered the experimental study of memory using nonsense syllables"

    but this approach did not seem ade>uate to artlett?s concerns. con#ersation with

    /orbert 1einer" one of the founding figures in cogniti#e science" ga#e artlett an

    experimental methodology for de#eloping his ideas. 1einer?s idea was to use the

    ;ussian Scandal parlor game in which a story is passed around the room" and then the

    original and final #ersions compared. artlett found that sub)ects showed consistent

    patterns of error in the recall of narrati#es. Thus" for example" an merican ,ndian

    narrati#e would regularly be re#ised by sub)ects until it came to resemble a 1estern tale.

    artlett de#eloped the construct of the schema to explain this" describing a schema as a

    component of memory which is formed from encounters with the en#ironment" and which

    organies information in specific ways. Such schemas aid the recall of a typical (1estern'

    narrati#e" but systematically distort the recall of an unusual (merican ,ndian' narrati#e.

    artlett ($%65' wrote" A;emembering is not the re8excitation of innumerable fixed"

    lifeless" and fragmentary traces. ,t is an imaginati#e reconstruction" or construction"

    built out of the relation of our attitude towards a whole acti#e mass of past

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    experience....,t is thus hardly e#er really exact" e#en in the most rudimentary cases of

    rote recapitulation" and it is not at all important that it should be so. The attitude is

    literally an effect of the organism?s capacity to turn round up upon its own AschemataA

    and is directly a function of consciousness.A :e defined a schema as Aan acti#e

    organiation of past reactions or of past experiences which must always be supposed to

    be operating in any well8adapted organic repsonse. 1hene#er there is any order or

    regularity of beha#ior" a particular response is possible only because it is related to other

    similar responses which ha#e been serially organied" yet which operate not singly as

    indi#idual members coming one after another" but as a unitary mass.A #ariety of

    definitions of schemas ha#e been offered subse>uently. Thorndy-e and :ayes8;oth

    ($%E%' describe three uni#ersal assumptions made by different authorsF that a schema is

    an organiation of conceptually related elements representing a prototypical abstraction

    of a complex concept= that a schema gradually de#elops from past experience= and that a

    schema guides the organiation of new information. schema comprises an architectural

    element (its structure' and a propositional element (its content'. Cogniti#e schemas are

    in#ol#ed in cogniti#e operations (e.g. encoding" retrie#al'" in which cogniti#e e#ents (e.g.

    thoughts" images' are produced and processed. Schemas are highly interdependent and

    hierarchically organised" they may in#ol#e #erbal or non#erbal8elements" and they may

    be more or less open to awareness (Crai- and Loc-hart" $%E5= ,ngram and endall"

    $%@B'. Schema theory has pro#en #aluable in accounting for a #ariety of psychological

    phenomena. Schema theory has been used in contemporary studies of memory (Schacter"

    $%@%'" concept representation (Smith" $%@%'" problem sol#ing (9anLehn" $%@%'"

    mo#ement (Gordan and ;osenbaum" $%@%' and language (rbib et al" $%@E'. Schemas

    ha#e been found to facilitate recognition and recall" to influence speed of information

    processing and problem sol#ing and allow for the chun-ing of information into more

    meaningful units to enable inference about missing data" and to pro#ide a basis for

    prediction and decision ma-ing. ,t is thought that schemas engender bias by relying on

    confirmatory e#idence at the expense of disconfirming e#idence" but that this process

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    - #& -

    maintains schemas (;umelhart" $%@7= Meichenbaum and 3ilmore" $%@7= 1infrey and

    3oldfried" $%@B'. #ariety of other constructs ha#e been used by cogniti#e scientists and

    their forerunners to describe mental structures. Many bear a good deal of family

    resemblance to the idea of schemas. /otable examples include belson and Shan-?s

    ($%@$' AscriptsA" andura?s ($%E@' Aself8systemsA" elly?s ($%' Apersonal constructsA"

    Miller" 3alanter and !ribram?s ($%BH' AplansA" and Mins-y?s ($%E' AframesA. The

    notion of the connectionist networ-" currently extremely popular in the field of artifical

    intelligence" has been argued to represent a microle#el description of the schema concept

    (en Iee#" $%@@'.

    2T122/ C03/,T,92 /D CL,/,CL SC,2/C2

    This re#iew of the schema construct in cogniti#e science demonstrates that schema theory

    has been widely employed by cogniti#e scientists. :owe#er" it may be ob)ected that the

    #ery di#ersity of the use of schema theory points to the problematic nature of the schema

    concept. Different cogniti#e scientists operationalie and measure schemas in different

    ways. Similarly the #ersatility of the concept may reflect only a lac- of theoretical rigor.

    0n the other hand the concept of schemas has general heuristic #alue insofar as it allows

    different cogniti#e scientists to theorie about mental structures from the perspecti#e of

    their particular subdiscipline. The schema construct allows different cogniti#e scientists

    to begin to build an integrati#e framewor- that addresses such >uestions as how the

    structures of the mind enable representation" how they are based in biology" how they

    de#elop and change" and how they account for a #ariety of psychological phenomena.

    Certainly there is room in schema research for impro#ement in both empirical

    measurement and theoretical rigor (is-e and Lin#ille" $%@H= 1illiams et al" $%@@'.

    /e#ertheless" the de#elopment of the schema concept as a broad heuristic is important

    insofar as it represents a mo#e in cogniti#e science away from a molecular and bottom8up

    approach (concentrating on the elementary units of processing and on the influence of

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    the details of a tas- on performance'" and toward a molar and top8down approach

    (highlighting the large8scale properties of processing and the influence of strategies and

    contexts on performance'. Similarly schema theory represents a mo#e away from the

    laboratory and artificial 2bbinghausian methodologies to a concern with the

    in#estigation of day8to8day human acti#ity. These shifts in cogniti#e science are reflected

    in increasing interest in using schema theory to in#estigate such phenomena as self and

    other representation" and the representation of emotion. Schema theory has been applied

    to concepts of the self by a number of wor-ers (Mar-us" $%EE= ;ogers" $%@$'. This

    research follows the line of earlier wor- on schemas. Thus" self schemas are #iewed as

    generaliations about the self that de#elop out of past experience and that organie the

    processing of self8related information in the social en#ironment. This in turn results in

    #arious forms of bias" but allows the maintenance of a consistent self8concept (3reenwald"

    $%@H'. Similarly a number of authors (Cantor and Mischel" $%EE= is-e" $%@$= Taylor and

    Croc-er" $%@5' ha#e described e#aluati#e schemas for assessing others. ,n this -ind of

    research" schemas ha#e been used as to explain such phenomena as stereotypes and the

    reactions they elicit. inally" schema theory has begun to grapple with the problem of

    emotion. 2arly authors suggested that affect and cognition are seperate but interacti#e

    systems. ffect was argued to be either postcogniti#e (/eisser" $%EB= Mandler" $%E' or

    precogniti#e (Ia)onc" $%@H'. 0n the other hand" Le#enthal ($%@5' and 3reenberg and

    Safran ($%@7' ha#e offered schema models which attempt to synthesie affect and

    cognition. Le#enthal ($%@5'" for example" writes that emotions A....can be regarded as a

    form of meaning. They ha#e significance for the person experiencing and expressing

    them. Their meaning has two aspectsF they ?say? something about our organismic

    state...and they ?say? something about the en#ironmentA. ,n this line of thin-ing" schemas

    ha#e both an ideational and an affecti#e component. ll these areas re>uire further

    empirical and theoretical de#elopment (:iggins and argh" $%@E= lein and ihlstrom"

    $%@B'. s cogniti#e scientists begin to research these sub)ects" their interests begin to

    approximate those of clinicians. Let us mo#e" then" to clinical theory and practice.

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    CL,/,CL SC,2/C2 /D SC:2M T:20;uences for beha#ior and for the clinical situation. 0n the

    other hand" reud ne#er really escaped his natural science bac-ground. The theory of

    dri#e permeates all his wor-s. 1hile the dri#e model constitutes a good model for such

    phenomena as mo#ement and momentum" it fails to pro#ide an ade>uate account of the

    subtle meanderings and manipulations of the mind. Dri#e and force are too cumbersome

    for meaning and cognition. urther" reud?s notion of dri#es is one which concei#es of

    the child?s unconscious as identical to that of the adult" and his notion of memory traces

    is in terms of a passi#e perceptual apparatus= his usual penetrating focus on de#elopment

    and transformation blurrs at this crucial point. inally" the inherently conflicted notion

    of an energy that is psychic exemplifies reud?s failure to resol#e the relation between

    psyche and soma. Modern analysts ha#e retained aspects of dri#e theory" but ha#e shifted

    their emphasis to the construction of the self" of the other" and of the space between them

    (Mitchell" $%@@'. This #iew re)ects dri#es (as energetic or psychological concepts'" without

    going to the opposite extreme of denying that psychoanalysis is a science concerned with

    models. ,t is at this point that psychodynamic theory begins to adopt a schema model.

    3i#en the -inds of approximations outlined here" it is not surprising to find an o#erlap of

    #arious techni>ues in clinical practice. Modern cogniti#e therapists wor- with dreams

    and spontaneous images (ues (1achtel" $%EE'. urther" the

    possibility of increasing theoretical integration emerges. y way of example let us use

    schema theory to consider some central focuses of psychotherapy 8 the unconscious"

    dri#es and defenses" symptoms and therapeutic change. ,nsofar as schemas are not

    -nown to the person" they are unconscious. The importance of unconscious processes has

    become increasingly apparent in cogniti#e science (ihlstrom" $%@@'. ,t is clear that the

    processes that ta-e place out of awareness are not only extremely important" but can be

    scientifically described. 1hile empirical clinical research on the relation between schemas

    and the unconscious is limited (She#rin" $%@@'" schema theory may be theoretically useful

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    in the clinic. Consider" for example" a female #ictim of incest" who describes difficulties in

    relationships with men" but who is largely unaware of how these relationships reflect

    earlier familial patterns. ,t is possible to conceptualie this patient as ha#ing particular

    schemas about herself" about men" and about her interactions with men= schemas of

    which she may be or less aware. Thus this patient may ha#e schemas in which atttention

    is gi#en her by men only when she is seducti#e" and in which all men are untrustworthy.

    The patient may consciously deny the presence of such schemas but ne#ertheless her

    thoughts" feelings and actions may entail their existence. Thus a clinical formulation is

    constructed which posits particular unconscious schemas" and which is employed to

    account for consciously reported psychological phenomena. This schema #iew of the

    unconscious discards the classical analytic metaphor of the unfettered beast lur-ing in

    the mind" as well as the modern analytic metaphor of the damaged baby at the core of

    the patient. ,t also departs from the beha#iorist a#oidance of the unconscious. The

    schema #iew" howe#er" maintains the classic analytic ideas of psychic determinism and of

    the existence of unconscious processes" and also conforms to the attempts of modern

    analysts and beha#ioral8cogniti#e therapists to describe how the past repeats itself

    unwittingly in the present. ,nsofar as schemas direct beha#iors" cognitions" and emotions

    in a particular way" they result in repetiti#e patterns of beha#ior" thought" and feeling.

    :owe#er" schemas de#elop in adaptation to life" and can therefore be seen not only as

    constricti#e (defensi#e' but also as creati#e (strategic'. Thus in the patient discussed

    earlier the schema in which all men are #iewed as untrustworthy" may ha#e pro#ed

    helpful at home" but may ha#e lead to inappropriate affect in later relationships. nalysts

    may ob)ect to this -ind of thin-ing for it appears to downplay the libidinal and

    aggressi#e phenomena which are highlighted in analytic defense theory. Certainly

    schema theory has only begun to theorie affect" sexuality and aggression (:orowit"

    $%@@'. /e#ertheless" the idea that schemas ha#e defensi#e and strategic aspects discards

    the classical notion of energetic forces being defended against by the ego" and downplays

    the modern analytic emphasis on psychic deficit as accounting for the repetiti#e patterns

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    of the present. :owe#er" this #iew can perhaps incorporate the classic analytic concern

    with affect" as well as the modern analytic and cogniti#e8beha#ioral emphasis on the

    adapti#e or strategic aspects of fixed patterns of beha#ior" thought" and feeling. ,nsofar

    as the beha#iors" cognitions" and emotions directed by schemas are abnormal" they

    constitute symptoms. !sychotic symptoms may" for example" point to the absence or lac-

    of de#elopment of certain symptoms (!erris" $%%H'. Character symptoms may indicate

    the presence of maladapti#e schemas (

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    encouraged to practice new ways of relating to others. This -ind of theoriing contrasts

    with the classic analytic model of cure as the result of dynamic catharsis" the modern

    analytic model of cure as the result of empathic reparenting" and the cogniti#e8beha#ioral

    models of reinforcement or relearning. Schema theory ne#ertheless maintains the

    reudian emphasis on insight" the modern analytic emphasis on empathy" and the

    cogniti#e notion of the remodelling of mental structures. ,n similar #ein" transferance

    in#ol#es not so much a distorted neurotic repetition" nor a genuine holding en#ironment"

    but rather an entry into and reshaping of the patterns of the patient. The cumulati#e

    effect of these s-etches of the clinical application of schemas hopefully indicates the

    integrati#e potential of this construct. /e#ertheless much wor- remains to be done. 2ach

    of these clinical s-etches re>uires theoretical expansion. Theoretical wor- at the o#erlap

    of cogniti#e and clinical science" such as the use of schemas to understand self and affect"

    also re>uires further de#elopment (1illiams et al" $%@@'. urthermore" such theory must

    be complemented by empirical research. ,f schemas are to be accepted as real mental

    structures which explain mental and clinical phenomena" then their accurate definition"

    and documentation become paramount. The operationaliation and measurement of

    deep constructs is" howe#er" difficult (Segal" $%@@'. Schemas are measured only indirectly"

    for example" by pencil8and8paper methodologies (Coyne and 3otlib" $%@B'. urthermore"

    different cogniti#e scientists and clinicians ha#e defined schemas in somewhat different

    ways" with each wor-er attaching his or her theoretical framewor- to the construct.

    1hile schemas ha#e a degree of constancy" they may also be dynamic and multifaceted"

    so exacerbating the difficulties of the empiricist. ,n sum" both theoretical inno#ation and

    detailed clinical obser#ation will be necessary in order to ad#ance an ade>uate account of

    schemas in the clinic.

    SKMM;< , ha#e shown that schema theory is used by a #ariety of cogniti#e theorists

    and clinicians. , ha#e suggested that schema theory allows a focus on mental structures"

    their biological basis" their de#elopment and change" and the way in which they direct

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    psychological e#ents. These focuses are important not only in cogniti#e science" but also

    in the clinic. Schema theory therefore allows cogniti#e scientists and clinicians to conduct

    a con#ergent discourse. urthermore" schema theory may be useful in allowing different

    clinicians to employ a unified framewor-. , ha#e also indicated that a great deal of wor-

    in both the cogniti#e and clinical sciences remains to be done. !roblems in the

    operationaliation and measurement of schemas remain to be sol#ed" and a #ariety of

    theoretical areas need to be de#eloped further. /e#ertheless" the use of schema theory in

    the clinic opens up cogniti#e science to a whole series of phenomena. The clinic confronts

    schema theory with a #ariety of psychological structures (cogniti#e and affecti#e'"

    processes (top8down or molecular and bottom8up or molar'" and forms of representation

    (fantasies" dreams" hypnotic recollections" hallucinations" delusions'. Such a

    confrontation benefits cogniti#e science insofar as it shifts its focus away from the

    laboratory and toward man in all his complexity. Con#ersely" by loo-ing at cogniti#e

    science" clinicians may begin to incorporate empirical and experimental methodologies.

    Cogniti#e theory may pro#ide a unified model of the mind to underpin an unified clinical

    approach. :opefully this paper will encourage the dialogue between the cogniti#e and

    clinical sciences" and will encourage empirical and theoretical research on schemas.

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    Dissertation topic

    @ollowing *aylor5s *end-and-Befriend *heory/ the original intention was to pursue the

    influence of gender in stress and coping" (ntuiti!ely it would seem li)ely to be in!ol!ed/ but

    in!ol!ement of genderMdifferences in stress E coping would seem to ha!e been somewhat

    neglected in research" *here are eceptions to this of course" Han)in E Abramson +#$$1, ha!e

    loo)ed at gender and depression and attempt to eplain why more women than men suffer from

    depression and why it should start around age 1&" *heir theory is based on women being more

    !ulnerable in transactions 1:T T;/SCT,0/SJJ which cause depression which

    increase !ulnerability" 4ilson/ Pritchard E e!alee +#$$6, found gender differences in coping

    strategies but with no connection to any particular theory" *roisi +#$$1, loo)s at gender

    differences in vulnerability to social stress with respect to seual selection theory and life

    history theory" a!ranidou E osner +#$$&, loo)ed at gender and Post-*raumatic Stress

    Disorder +P*SD," *hey found that men ha!e more traumatic e!ents/ women ha!e more P*SD5s/

    howe!er the traumas are different and the coping styles are different"

    differences are not apparent"

    *his is supported by the British Household Panel Sur!ey of 1$/$$$ participants +Buc) et al

    1'6%," sing the eneral Health >uestionnaire +Duncan-ones/ 1767, no significant

    differences were found between genders" lthough there are studies where stri-ing affecti#e

    gender differences ha#e been obser#edJJJJJthese do not seem to ha!e been conducted with

    any particular hypothesis in mind" *herefore/ the original rationale for my research was to focus

    on gender differences using as far as possible a process approach 1:T ,S !;0C2SS

    !!;0C:JJand with a !iew to eploring *aylor5s F*end and Befriend5 hypothesis in the

    hope of potential important steps forward"

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    Howe!er/ in trying to ma)e this theory open to testing/ and reading around the literature/ it

    became apparent that it was possible to formulate a general theory of stress which

    seemingly fits all the re?uirements according to ;ulberg/ 4ee)ley and Bhagat5s

    criteria +199@, of clarity/ internal consistency/ falsifiability/ eternal consistency/

    comprehensi!eness/ parsimonious +concise, and original"

    (t is with trepidation ( submit this new theory and my attempts to test it"

    The Schematrix Conflict Theory of Stress

    ,S T:,S 0K; T:20;

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    ?uic)ly" *hey are also intimately in!ol!ed with our emotions/ in that people with brain damage

    leading to reduced emotions +a la age, cannot access these"

    +.ore to go in here,

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    ,MF

    *he aim of the study is to eplain/ propose and defend a hypothesis for the causation of stress/

    to identify testable aspects of the hypothesis and test them"

    1:< D0 12 :92 0G2CT,92 ,/ JJJ

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    Chapter 6

    M2T:0D0L03uantitati!e in!estigation lends itself to statistical analysis/ and can be used to pro!e or

    dispro!e a theory" Howe!er/ because the ?uestions as)ed are closed/ patients are not

    able to introduce new areas into the study" *he only information gi!en is what is as)ed

    for"

    *he chosen method of in!estigation in this study was closed ?uestions in a ?uestionnaire

    +?uantitati!e analysis," *his method would allow hypothesis to be pro!en/ or not/ and

    would allow a comparison to be carried out between two groups of patients 10KLD

    2 300D ,D2 T0 M2/T,0/ T:,S 2;L,2;" S T:,S ,S ,;ST

    12+92 ;2LL< TL2D 0KT ,/T2;9,21N.JJJ

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    !ilot Study

    As a composite ?uestionnaire was used during this study/ made up of three separate

    ?uestionnaires all using different scoring methods/ a small pilot was run to loo) for ade?uacy of

    the briefing and instructions" (t was also useful to loo) for ease of use or any other factors

    interfering with the intended testing" *his in!ol!ed as)ing two !olunteers to run through the

    process as if they were being tested and gi!ing feedbac)" As a result of this some of the

    ?uestions were modified as being contradictory/ and a few remo!ed altogether as the o!erall test

    was too long" *he briefing document was also modified as it was important that participants

    were not aware of what was under test/ and also were not aggra!ated by not )nowing"

    lso a pilot inter#iew was employed to get the most out of the inter#iewees.

    Method $ 8 !sychometrics

    D2S,3/ NN. !!;0C:" ,9+S /D D9+S

    !;T,S,!/TSN. :01 T:2< 12;2 S2L2CT2D /D /

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    *he first study uses a correlated between-sub3ects design to in!estigate connections between the

    measured !ariables of life orientation/ percei!ed stress/ and decisi!eness/ and the factors of

    gender/ occupation/ leisure time/ pet ownership/ hobby types/ age grouping/ and unepected

    e!ent response in %' participants"

    *he study aimed to test for any correlations between gender/ occupation type/ free-time/ pet

    ownership/ hobby types/ age grouping/ and unepected e!ent response with measures of

    percei!ed stress and optimism"

    *here were se!en independent !ariablesG gender/ occupation/ free-time +6 groupings,/ pet-

    ownership/ hobby type/ age +four groups,/ and unepected e!ent response" *here were three

    dependant !ariables/ perception of stress +PSS,/ life orientation +optimism, +8

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    Bo5s . test contradicted the null hypothesis that the obser!ed co!ariance matrices of the

    dependant !ariables are e?ual across groups/ and also 8e!ene5s test showed that the error

    !ariance of the D was not e?ual across groups" *his warned against reliability of .AN

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    *he specific structure of the ?uestionnaire was:-

    A Basic data on gender and age - recorded

    B Sur!ey 1 M 8ife

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    Table $ 3roupings of charcteristics from extra >uestions for S!SS purposes

    :obbies ree time hours per

    wee-

    Knexpected e#ents O

    stressJ

    !etsJ

    /ame Score ;ange Score ;esponse Score ;esponse Score

    music 1 $ to 6 1Les/

    definitely1 yes 1

    reading 1 6 to 1$ # Not at all # no #

    cinema 1 1$ to 16 & Not sure &

    gym 1 16 or more '

    painting 1

    singing 1

    sleeping 1

    sport #R

    crafts 1

    friends #R

    R Q sociable pastimeG solitary pastime

    !rocedure

    *he testing occurred o!er a period of se!eral wee)s according to each participant5s a!ailability

    and at their con!enience" ;ach participant was gi!en the briefing document and ?uestionnaire to

    complete whilst alone and in a ?uiet en!ironment" No time limit was imposed" *he completed

    ?uestionnaire was to be replaced in an en!elope pro!ided and returned to the researcher"

    (t was eplained that participation was !oluntary and that they could withdraw at any time"

    *hey were as)ed to complete the ?uestionnaires as honestly as possible" After completing the

    ?uestionnaires they were debriefed by eplaining pre!ious research findings/ and the aims and

    hypotheses of the present study and were as)ed if they had any ?uestions" (f they had they were

    answered"

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    2thical Considerations

    *o ensure the in!estigation conformed to the BPS ethical guidelines +see Appendi % for ;thics

    form, participants were told that participation was !oluntary and they could withdraw at any

    time" All indi!iduals approached were willing to gi!e informed consent" Participants were told

    before they completed the ?uestionnaire that it would as) ?uestions about their stress le!els and

    opinions about life situations" No deception was used other than the concealment of the o!erall

    purpose of the study" *he ?uestionnaires were anonymous and coded" After completing the

    ?uestionnaires participants were !erbally debriefed to ensure all ?uestions or concerns were

    addressed/ they were told that the study aimed to test the relationship between stress/ optimism

    and the other factors measured and that past research on the sub3ect is inconclusi!e"

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    Method !;T 5

    Semi8structured inter#iews

    olunteers from the group completing the ?uestionnaires were in!ited/ and four responded/ to

    ta)e part in the inter!iew part of the study" *hey in!itation was worded: 4ould any

    indi!iduals completing the ?uestionnaires be willing to ta)e part in further analysisT *his was

    to in!ol!e responding to three general ?uestions F*ell me about stress in the wor)place5/ F*ell

    me about stress in the family5 and F*ell me about stress in your personal life5 by tal)ing freely

    about your own life" *hey were told it was epected to ta)e about &$ minutes in all/ that their

    words would be taped and transcribed into tet and analysed by loo)ing at recurring themes"

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    - ' -

    Chapter our

    esults

    S< !,L0T 1S SKC2SSKL

    !;09,D2 o#er#iew of the statistical procedures used to analyse the data12 S:0KLD KS2 M0ST ,M!0;T/T ;2SKLTS ,;ST

    LS0Clarify the meaning 0 3;!:STL2S in text.

    Method $ 4 !sychometric tests.

    ;ach participant was gi!en a JscoreJ for each section of the ?uestionnaire/ and also gi!en an

    o!erall total score" *he scores were calculated from the answers gi!en on the ?uestionnaires

    according to the instructions +see Appendi,

    S!SS

    *here were no correlations between the dependant !ariables according to Pearson5s r +see

    Appendi O," *his is essential for multi!ariate analysis as correlation between dependant

    !ariables could lead to comple interpretation +*abachni) and @idell/ #$$1,"

    .ulti!ariate AN

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    - 6$ -

    raphical representation of results

    student professional

    job_type

    2.00

    4.00

    6.00

    8.00

    @ig O Scatterplot of D decisi!eness against occupation

    :orrible graphN

    yes no

    surprise

    2.00

    4.00

    6.00

    8.00

    @ig O Scatterplot of D decisi!eness !ersus stress-inducing unepectedness

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    - 61 -

    10 20 30 40

    pss

    0

    10

    20

    30

    male f emale

    10 20 30 40

    pss

    @ig & Histogram of D PSS !ersus gender

    1hat does count meanJJJ /eed to do graphs again" titles need to be better

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    ;esults of Thematic nalysis of Semi8structured ,nter#iews

    ,nter#iew $N..

    1" ;lements of not being able to be genuine or Foneself5

    #" ;lements of epectations - especially those unfulfilled

    &" se of the words should or ought

    '" Any )ind of 3udgement

    6" Anything epressing something not being right

    %" Anything where a preference is epressed for something other than what actually

    happened"

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    ,nter#iew 5N

    1" ;lements of not being able to be genuine or Foneself5

    #" ;lements of epectations - especially those unfulfilled

    &" se of the words should or ought

    '" Any )ind of 3udgement

    6" Anything epressing something not being right

    %" Anything where a preference is epressed for something other than what actually

    happened"

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    - 6' -

    ,nter#iew 6N

    7" ;lements of not being able to be genuine or Foneself5

    9" ;lements of epectations - especially those unfulfilled

    " se of the words should or ought

    1$" Any )ind of 3udgement

    11" Anything epressing something not being right

    1#" Anything where a preference is epressed for something other than what actually

    happened"

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    - 66 -

    ,nter#iew 7N

    1&" ;lements of not being able to be genuine or Foneself5

    1'" ;lements of epectations - especially those unfulfilled

    16" se of the words should or ought

    1%" Any )ind of 3udgement

    17" Anything epressing something not being right

    19" Anything where a preference is epressed for something other than what actually

    happened"

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    - 6% -

    Discussion

    ,n many ways it is the re#erse of the introduction.

    the discussion is a discussion of the results

    ;estatement of the main research >uestion and to pro#ide a summary

    of the rele#ant results

    include an attempt to relate your findings to pre!ious research in the

    area and place the results in a theoretical contet

    Draw attention to differences between your results and those of other

    researchers

    Lou should consider ?uestions raised by the results of your researchor ?uestions which ha!e not been answered by your study

    ;nd the discussion by bringing the reader bac) to a general point

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    - 67 -

    ;eferences

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