Crisis Intervention-Ch 12, Stress and Burnout Flashcards

1
Q

STRESS AND BURNOUT:

who quoted “people are not disturbed by things, but by the views they take of them”

A

Epictetus

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2
Q

STRESS AND BURNOUT:

According to _______ , Stress is the body’s nonspecific response to any demand made on it, pleasant or unpleasant.

A

Han Selye, a Canadian physiologist

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3
Q

STRESS AND BURNOUT:
Observation of people who experience stress reveal that individuals experience the same _____ or ______ reaction regardless of the stressor. examples of such stressors are ___,___ and ___

A

physiological or psychological

fear, anxiety or elation

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4
Q

STRESS AND BURNOUT:
How one perceives an event helps determine how one will react. As this implies, stress involves a _____ _____ between the individual and his environment.

A

dynamic mismatch

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5
Q

STRESS AND BURNOUT:
Stress can be beneficial. If individuals learn to ____ stress, to _____ it and to make it ____ for them, then stress can provide the needed stimulation to perform a job effectively.

A

control stress, direct it, work for them

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6
Q

STRESS AND BURNOUT:
When a person is confronted with intense and chronic stress that does not seem amenable to active solutions, the result can be _____

A

Burnout

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7
Q

STRESS AND BURNOUT:

____ is a method of coping which emphasizes withdrawal, detachment, avoidance, lowering of goals, and blaming others.

A

Burnout

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8
Q

STRESS AND BURNOUT:

_____ is multifaceted. What are some factors that determine each individual’s ability to handle stress.

A
Stress
Factors:
personality type
illness
accidents
anxiety
alcohol-drug use
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9
Q

STRESS AND BURNOUT:

A _____ is an event that produces stress, such as noise or a family argument.

A

stressor

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10
Q

THE PHYSIOLOGY OF STRESS:
Cox, Herbert and Selye offer a description of the psycho-physiological reaction to stress. Following is a summary of their observations:

A
  • Perceived stressors invoke the “fight or flight response”.
  • Heartbeat quickens, while adrenal glands pump more hormones.
  • Adrenalin is released electrifies the system for quick action.
  • Circulation is speeded up, arteries and veins constrict.
  • Lungs pump more air and blood pressure increases
  • Breathing becomes short and rapid
  • Liver releases stored up sugar which is forwarded to brain and muscles to mobilize energy.
  • Muscle functioning improves
  • Blood-clotting mechanisms are accelerated while red blood cells flow into arteries to help body absorb more oxygen and cast off carbon dioxide
  • Pupils dilate to improve vision, hearing becomes keener.
  • Hands become colder.
  • Intestines shut down so energy can be directed to the stressor.
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11
Q

THE PHYSIOLOGY OF STRESS

Most of the stressors confronted by modern humans are _____ rather than _____

A

mental rather than physical.

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12
Q

THE PHYSIOLOGY OF STRESS
Repeated exposure to acute stress can lead to _____ resistance to stress, impaired _____ and ____ thought processes, _____ work performance, _____ for taking increased risks and other unsafe behaviors.

A

decreased, cognitive and emotional, diminished, potential

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13
Q

THE PHYSIOLOGY OF STRESS
Repeated exposure to acute stress can culminate in severe emotional reactions, such as _______; and physical reactions such as ;

A

anxiety, anger and depression;

nausea,ulcers, sleep disturbances, high blood pressure, reduced appetite.

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14
Q

THE PHYSIOLOGY OF STRESS

Physiological model of stress seems to apply more often to ____.

A

males

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15
Q

THE PHYSIOLOGY OF STRESS

Taylor describe female responses to stress as

A

tend and befriend- this response includes nurturing offspring under stressful circumstances, protecting them from harm and befriending- creating and joining social groups to exchange resources and provide protection.

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16
Q

THE PHYSIOLOGY OF STRESS
These female responses are based on _______ processes that are specific to females across species, especially in situations of acute stress.

A

biological

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17
Q

OCCUPATIONAL STRESS AND BURNOUT:
Criminal justice and social service workers are vulnerable to stress and frustration caused by ______ about whether their work is valuable.

A

uncertainty

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18
Q

OCCUPATIONAL STRESS AND BURNOUT:
Edelwich argues that social service workers begin with unrealistically high expectations about their ability to help persons and the recognition that they will receive. The resulting disillusionment often leads to ____,____ and ____

A

stagnation, frustration and apathy

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19
Q

OCCUPATIONAL STRESS AND BURNOUT:

Maslach and Jackson characterize burnout as involving ______, _______ and lack of _______

A

emotional exhaustion
depersonalization
lack of personal accomplishment

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20
Q

OCCUPATIONAL STRESS AND BURNOUT:
Stead describes these feelings as follows:
_____ is the cumulative effect of time and stress that removes the worker from the people he is attempting to serve.
_____is a situation in which the exhausted practitioner develops resentful or negative attitude toward clients.
_______ results when the worker turns inward because of the belief that his efforts are futile and task is hopeless

A

Exhaustion
Depersonalization
Lack of personal accomplishment

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21
Q

OCCUPATIONAL STRESS AND BURNOUT:
One source of burnout among social service and criminal justice workers is the stress of constantly dealing with _____ in crisis.

A

clients

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22
Q

OCCUPATIONAL STRESS AND BURNOUT:
To deal with stress, workers distance themselves from their clients, avoid personal involvement and treat them as cases rather than individuals, intellectualizing their problems or tightly adhering to agency rules and regulations. The more often workers intervene in crises, the less ____ they become

A

effective

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23
Q

OCCUPATIONAL STRESS AND BURNOUT:

________ are situations which interfere with normal coping skills.

A

critical incidents.- injury to co-worker, suicide of co-worker or client, death of co-worker in line of duty, multiple casualties at accident site

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24
Q

OCCUPATIONAL STRESS AND BURNOUT:

Critical incidents provoke _____

A

crises

25
Q

OCCUPATIONAL STRESS AND BURNOUT:
Stress in Criminal Justice Occupations:
Stressors are classified using categories developled by Ellison and Genz to decribe police stress:

A
  1. stressors external to police organization- large caseloads, external controls by courts, legislation, Conflicting demands by clients and public
    Racial and ethnic tension
    Lack of occupational prestige
  2. stressors inherent in police role-
    Danger, social isolation, working with undesirable elements, periods of inactivity followed by periods of crisis, lack of feedback about successful case
    Poor working environments
  3. stressors in organizational structure and supervisory style– high employee turnover, frequent shift changes, inadequate career development, few rewards for performing well, lack of input into agency policies, arbitrary rules and regs, militaristic organizational structure, lack of control over working conditions, POLITICS
  4. stressors resulting from individual personalities
26
Q

OCCUPATIONAL STRESS AND BURNOUT:
After extensive interviews and focus groups sessions with police officers, Toch concluded that the most severe stressor in the departments he worked with was ______

A

politics

27
Q

OCCUPATIONAL STRESS AND BURNOUT:

Perhaps the most insidious source of stress in criminal justice and other emergency service agencies is

A

failure to acknowledge stress as a problem

28
Q

RESPONDING TO STRESS:
It is neither the stressful event nor the experience of stress itself that causes harm. Instead, the damage is caused by _____________, such as using alcohol, isolating, binge eating, or taking it out on other persons.

A

maladaptive coping strategies.

29
Q

COPING STRATEGIES:

Anshel has proposed a conceptual model to describe how police officers respond to stressful events.

A

Approach-coping strategies

Avoidance coping

30
Q

COPING STRATEGIES:
Approach-coping strategies:
This strategy is well suited to situation in which the person has some control over the sources of stress

A
  • learning to control, understand, and respond resourcefully to stressful events. Responses can be behavioral, such as obtaining information, seeking social support, using methods of communication.
  • Physical confrontation, attending church, seeking medical aid, making an arrest.
  • Response can be cognitive- involving thoughts intended to empower and make one more resourceful. Psyching up, self-assessing, admitting error
31
Q

COPING STRATEGIES:
Avoidance coping strategies:
This strategy is suited to situations in which the source of stress cannot be controlled.

A
  • Involves turning away from the source of stress.
  • Using distractions; replacing unpleasant, destructive thoughts with positive thoughts, finding ways to enhance ones resources, both physical and mental.
  • Cognitive avoidance include intellectual denial, rationalization, humor.
  • Psychological distancing and discounting.
  • Behavioral coping include; exercising, avoiding annoying persons, moving on to next task.
  • Some avoidance strategies are clearly maladaptive such as drug, tobacco and alcohol abuse, overeating and excessive griping
32
Q

COPING STRATEGIES:
Officers who are continually confronted with stressful situations that they cannot control sometimes withdraw into an inner shell.

A

empty

33
Q

COPING STRATEGIES:
In general, Anshel finds that ________ coping is the better long-term strategy for dealing with often-encountered stressors.

A

approach coping

34
Q

POLICE SUICIDE:

The most extreme AVOIDANCE strategy for dealing with unbearable stress is _____

A

suicide

35
Q

POLICE SUICIDE:
Risk of Suicide for Police Officers:
Suicide represents a greater danger to police officers than ____ or _____ deaths.

A

murder or accidental

36
Q

POLICE SUICIDE:

Robert Douglas of National P.O.L.I.C.E. Suicide Foundation estimates that _____ officers commit suicide every year.

A

300

37
Q

POLICE SUICIDE:
In contrast, in 1999, ___ officers were feloniously killed and ____ were killed accidentally while performing their duties.

A

42, 65

38
Q

POLICE SUICIDE:
A study by USA Today indicated that suicide was far more common than death in the line of duty among large depts. Ex: ___ officers in New York PD were killed in line of duty between 1985-1998, versus ____ who committed suicide.

A

36, 87

39
Q

POLICE SUICIDE:

Between 1990 and 1998, Los Angeles PD lost 11 officers in duty-related deaths, but ____ officers committed suicide.

A

20

40
Q

POLICE SUICIDE:

Only 2 FBI agents lost their lives on the job between 1993-1998, but _____ committed suicide.

A

18

41
Q

POLICE SUICIDE:
Explanations for Police Suicide:
Foremost among them is _______stress

A

occupational

  • Access to firearms
  • 95% by firearms
  • Alcohol abuse, a problem for many officers, is also linked to suicide.
  • fear of retirement
42
Q

POLICE SUICIDE:
As officers near the end of their law enforcement careers, another potential threat appears–____.
Fear, coupled with increasing age, loss of friends, loss of status as police officer, loss of self-definition, leaves some retiring officers vulnerable to suicide.

A

separation.

43
Q

POLICE SUICIDE:
Robert Douglas, director of the National P.O.L.I.C.E. Suicide Foundation, outlines the following steps leading to suicide.

A
  1. idealistc- graduate- new cop
  2. frequently exposed to high stress-murder,rape
  3. keeps emotions to self
  4. starts drinking
  5. becomes cynical-mistrust for anyone outside prof
  6. doesnt trust admin-internal stressors and political pressures
  7. tries to maintain “macho” image
  8. drinking increases- pressure mounts
  9. problems with relationships- divorce
  10. suicide
44
Q

TECHNIQUES OF STRESS REDUCTION:

Following techniques for managing stress can be effective if and only if they fit the individual.

A
Self-awareness
Exercise
Diet
Recreation
Effective Communication
Attention to Personal Growth and Development
Building a support system
Rule 42
45
Q

TECHNIQUES OF STRESS REDUCTION

One of the simple techniques for coping is

A

becoming aware of one’s own inner feelings.

46
Q

TECHNIQUES OF STRESS REDUCTION

_____ is one of the surest signs that one is not coping well with the stresses of the day.

A

Insomnia

47
Q

TECHNIQUES OF STRESS REDUCTION

Most people do not drink enough

A

water

48
Q

TECHNIQUES OF STRESS REDUCTION
effective communication is just as useful in personal and professional interaction as they are in working with persons in crisis.

A

empty

49
Q

TECHNIQUES OF STRESS REDUCTION
Focusing on _____ of life and the ____ of relationships rather than the quantity is helpful. The ___ of time spent with someone is much more important than quantity of time.

A

quality

50
Q

TECHNIQUES OF STRESS REDUCTION

Simply saying “Im OK” helps promote a healthy _____ and improves ____

A

self-concept and self confidence.

51
Q

TECHNIQUES OF STRESS REDUCTION
Meditation can be helpful. Very simple techniques can evoke what Benson refers to as the ______, including lowered blood pressure, fatigue and anxiety.

A

relaxation response.

52
Q

TECHNIQUES OF STRESS REDUCTION
_____ and harmful _____ games should be avoided. It serves no useful purpose to play such illegitimate roles as victim, prosecutor or rescuer.

A

Self-defeating and harmful psychological games

53
Q

TECHNIQUES OF STRESS REDUCTION
Twelve-step groups, such as Alcoholics Anonymous, have developed several useful slogans. One that is especially apt for persons in rule-heavy organizations is called ____

A

Rule 42–“Dont take yourself too seriously.”

54
Q

AN OVEREMPHASIS ON STRESS?
Although it is important to identify sources of stress and to cope with them effectively, it is also important not to blame stress for all the mental and physical health problems experienced by police officers and other criminal justice practitioners:

A

empty

55
Q

AN OVEREMPHASIS ON STRESS?
Most somatic and behavioral problems that people, including police, manifest are not the results of occupational stress. As Toch notes, persons under high stress manifest these symptoms, but it is not clear whether stress causes the symptoms or the symptoms cause the stress.

A

empty

56
Q

AN OVEREMPHASIS ON STRESS?
Worrying about whether one is stressed or not is hardly a good way of coping with stress. Instead, self-awareness and a commitment to a ___ and ___ healthy lifestyle should be seen as worthwhile in their own right.

A

mentally and physically

57
Q

ORGANIZATIONAL EFFORTS TO DEAL WITH STRESS:

To assist criminal justice agents in coping with the stresses of the job, agencies should consider:

A
  1. psychological screening at recruitment
  2. rigorous preservice and in-service training programs
  3. establishing minimum physical fitness levels
  4. employee assistance programs
58
Q

For emergency responders, a Critical Incident Stress Debriefing team is needed to assist persons who have survived or witnessed critical incidents.

A

Goal of CISD team are to deal with the effects of critical incidents and initiate recovery before stress reactions can interfere with professional life of the first responder.

59
Q

SUMMARY:

Stress is a universal experience involving the response of the body and mind to demands placed on them.

A

EMPTY