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THE CORONARY-PRONE STRESS RESPONSE and kind A BEHAVIOR

According to several consultants, there's a selected con-
stellation of behaviors that will increase the chance of heart
disease in people that show these behaviors. The
two CA cardiologists United Nations agency were the primary to de-
scribe this, Drs. Meyer economic expert and Ray Rosenman,
surveyed a gaggle of fellow physicians and located that
their colleagues attributed some heart attacks in their
patients to competitive drive and therefore the stresses of labor,
rather than to smoking, high force per unit area, or high
cholesterol. They went onto study their own patients
and different people in strict professions, dis-covering that sure behaviors were additional seemingly to
exist in individuals with cardiopathy than in others. They
called the mixture of those behaviors the kind
A behavior pattern and therefore the absence of them type B.
The two cardiologists reportable that the maximum amount as
50 % of the population are often classified as

Type A.
The Type A behavior pattern, consistent with Fried-man and Rosenman, is characterised by never-ending,
deeply implanted struggle to beat real and imag-ined obstacles obligatory by events, people, and,
especially, time. (The struggle against the clock is thus per-vasive that these doctors ab initio gave the name
“hurry sickness” to the behavior pattern that they had
identified.) blood group men square measure oft impatient,
competitive, simply irritated, fast to anger, suspi-cious, and hostile. they're usually extremely productive in
their professions, however square measure discontented  with them-selves. they fight to try and do quite one factor at a time

—they speak on the phone whereas functioning on the com-puter, or eat whereas driving-and square measure preoccupied
with deadlines. they have a tendency to talk chop-chop and loudly,
and often interrupt or end others’ sentences. Type
A girls share most of those characteristics however gen-erally show less hostility than blood group men, perhaps
because ladies square measure schooled to handle anger otherwise.
In distinction, type B individuals of each sexes square measure less
driven and competitive, additional easygoing—and usu-ally as productive as or additional productive than their

Type A counterparts!
Friedman associated Rosenman counsel that blood group be-havior represents an endeavor to diminish an underlying
sense of insecurity or self-distrust. sadly, this
behavior tends to line a unsuccessful cycle in motion.
Type A individuals “choose” additional challenges
99
HOW TO LOWER YOUR RISK OF cardiopathy
and assess their things as additional strict and
challenging than they extremely are; they judge their
response to those things negatively, increasing
the need for additional aggressive attempt. This aggres-sive attempt leaves them in prolonged contact with
the terribly things that aggravated feelings of insecur-ity within the 1st place, and therefore the cycle is continual.

Why square measure blood group persons additional susceptible to heart
disease than type B persons? it should be as a result of they
have a considerably larger sympathetic nervous
system response to disagreeable or strict circum-stances—more stress hormones, a quicker vital sign,
higher force per unit area. as a result of blood group individuals tend
to view a larger range of circumstances as de-manding and since they place themselves in an exceedingly
greater range of strict circumstances, they

experience these heightened physiological responses
for longer periods of your time on a daily basis. several studies
have found that blood group people tend to take care of
high levels of stress hormones throughout the day-time hours—levels that don't abate till once they
have gone to sleep. Thus, the hurtful effects of
stress hormones on the center and therefore the arteries (de-scribed previously) square measure larger.
How and once will blood group behavior develop? Is
it heritable, or will it result from outside influences?

The typical profile has been noted in youngsters as
young as three years, that suggests a genetic contri-bution. Further, studies of twins separated from birth
indicate that a minimum of some blood group characteristics square measure
inherited. On the opposite hand, many theorists have
suggested that blood group folks might model blood group
behavior for his or her youngsters, United Nations agency so imitate rather
than inherit the pattern.
Dr. Karen Matthews, of the University of Pitts-burgh, has noted placing parallels between the be-havior of blood group adults and kind A youngsters. Type A
children, like adults, work fast rates (with and
without deadlines), have high aspirations, and are
more usually impatient, frustrated, and aggressive than

Type B youngsters. As she sees it, blood group behavior might
develop because the results of child-rearing practices in
which parents and strangers alike urge youngsters to
achieve at higher and better levels, however provide them
ambiguous standards for evaluating their perfor-mance. (“You’re doing fine, however next time attempt
harder.”) This leaves the kids annoyed, without
a sense of happiness, and distrustful of society.
Moreover, there appears to be a snowball effect:

Children react to the mixture of positive (“You’re doing well”) and urging of improve-ment (“Next time, attempt harder”) by turning into
more competitive. In turn, competitive, impatient
children elicit additional positive analysis and urging.
The structure of the yank room, with its
reward system, its fight, and its hourly
bells, are often seen to encourage such behavior in
children whose home setting makes them
susceptible.
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