■Economic - finances, belongings ■Psychosocial ■Psycho○Not feeling safe○Ex: not staying on airplane with someone who's Muslim○Sense of trust and safety is gone○Self-mastery of knowing you will be ok? Security is gone■Social○Social supports○The greater, the better○Perceiving is most effective○Outcome: ■Distress (depression, PTSD (28-35% risk); anxiety ■Risky behavior, use of health services, interventions for prevention ■Risky Behavior - fatalistic (YOLO), addictions, etc. ■Use of health services ■Interventions for prevention ■Post traumatic growth (PTG) ■a.How their philosophy, meaning, attitudes, beliefs have positively grown ■b.They take what happened to them and put meaning to it ■c.They grow from experience ■d.Take on a role of advocacy sometimes ■e.Want to do really good things for people involved in same type of situation ■f.Social support is important in context ○"Outcome variable" ○Ex: reading "Lessons of physical therapy ■Tucson shooting -- bullet to the head ■talks about how she won't sit back and give up on life in rehab ■**used health services** ■Read and see what her personal growth was -- became an advocate
October 13, 2016●Work and Unemployment as Contextual Stressors○What situations present themselves as stressors? ○What conditions make them more vulnerable? ○Having work affect family dynamics ○Unemployment can cause stress ○Major changes (context in larger picture): ■Increase in service jobs ■Women in the labor force ●Conditions of work that influence health and mental health outcome (DCP): ○(these are minor conditions compared to everything) ○If you have these three conditions on your job, that mediates the stress you'll have ○Direction ■You have some say ○Control ■Getting people to do what you want them to do ■When you feel like you can control the way your job gets done as well ■Have some say ■Direction and control go together there ○Planning ■You're involved in a task force ●Mediators/resources: mastery and control ○Self-esteem ■When you have some control, it helps with your self-esteem and sense of mastery ■"I can do it" ○Element of control is very important ■Control helps you with coping resources (mastery) ■Strongest form of resources to help with your mental health. ○Andy Germek ■Talks about distress issues, substance abuse, what conditions we might have at work that helps us prevent these problems ■How can employers start to build a healthy culture in the work-place? ■Commute ■Holding meetings while standing/walking (encouraging more movement in the office) ●Unemployed stressor, along w/ loss wages, is LOSS IDENTITY.