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Sunday, December 9, 2001
Books

The stress is on mental health
Review by P. K. Vasudeva

Stress in Life and at Work
by Rita Aggarwal. Response Books, New Delhi. Pages 282. Rs 225.

WITH increasing complexities in our life style, the level of stress has been rising sharply. Reliable estimates indicate that around 80 per cent of visits to doctors are to seek advice on stress-related problems or for diseases caused by stress. This is not merely a western phenomenon; stress levels are on the rise throughout Asia and India is no exception. Even though more is known about stress than ever before, little headway seems to have been made in solving problems related to stress.

The factors that contribute to stress not only differ between cultures but also within a culture itself; from a sophisticated industrial society to foragers; and from upper class to lower class within the same society. Stress has been experienced since time immemorial, but its toll is higher than ever before. When we analyse visits to doctors, between 75 and 90 per cent are for stress-related problems. Insurance claims for stress treatment are as high as those paid for non-stress physical injury at the workplace, amounting to an annual cost of about $ 200 billion. In the UK, stress-related absenteeism was 10 times more expensive than all other industrial disruptions put together, while heart disease was estimated to cost an average UK company of 10,000 employees, 73,000 lost working days each year. Costs of work-related sickness and accidents account for more than 10 per cent of the GNP in Norway.

 


The book has been divided into three sections. Section one provides details of certain historical and theoretical facts. Dean Ornish advocates a change in lifestyle, including dietary changes. This was known to India thousands of years ago and has been described in detail in the Charaka Samhita, which forms the basis of Ayurveda.

It was considered apt to start the history of stress first in the eastern part of the world and then in the West. Section one also dispels some of the myths surrounding stress. There is also a chapter on the models of stress. Many people may question the inclusion of theoretical formulations in a book meant for practitioners. However, the chapter is in tune with the philosophy underlying the book’s theme, that is, it is not aimed to be a simple step-by-step guide. The other chapters in this section examine in very simple language known facts regarding the sources, physiology and consequences of the stress response, and how stress can cause disease.

Section 2 is devoted to stress at the work place. With CEOs increasingly demanding an 18-20-hour work day, stress at the work place is inevitable. Larger organisations bring with them their own problems, creating even greater stress for their employees. This section also includes a chapter on the problem of a dual career, its need and consequences for both husband and wife. The focus is how to have a career and enjoy it, how to strike a balance between home and office, family and work.

Section 3 focuses on the most important area of coping with stress. At the end of the day, each individual finds his own way of coping with stress, but all methods do not necessarily solve the problem. Stress may often be temporarily relieved only to emerge again in a more aggravated form. The section begins with an explanation of the concept of coping. Special emphasis has been placed on the health problem.

The next two chapters deal with specific stress management strategies – both individual and organisation-based strategies. Corporate restructuring has scaled new heights in the past few years. However, what does it do to the individual employee? We all agree that such action is often necessary, but it is equally important to understand and manage the resultant stress.

Is stress phenomenon mainly of the western world? Definitely not. PERC, a Hong Kong-based consultancy firm, had stated in a 1997 report that stress levels in Asia are on the rise. India, too, is no exception. It ranks just belowVietnam, South Korea, Thailand, Hong Kong, Philippines, China, Singapore, and Japan (in that order) and was rated 6.1 on a 10-point rating scale. A New Delhi-based NGO reported that in 1996 4,100 persons contacted its helpline for people on the verge of committing suicide. This figure definitely requires some serious thinking. Stress in India can take many forms. For example, executive stress, police stress, marital stress, stress among the youth and in adults, unemployment stress, job stress, post-retirement stress, premenstrual stress and post-menstrual stress.

The author explains that we know much more about stress than ever before. Internet service revealed 25,68,931 documents under stress on a single site (, yet we seem to be making little headway in solving our stress related problems. The question is why it is so. We have heard of work place stress. Today there is talk of trauma at the work place. We are all aware of scores of stress-busting strategies, yet their application does little to reduce stress. Are we not trying to find out "quickies" without understanding the problem in its entire entirety? To understand all the ramifications, we require an in-depth analysis of the phenomenon of stress — its sources, process, and consequences. Only after that can an appropriate stress management programme be tailored to suit each individual person.

Stress management therefore is very important for all individuals, especially those who are dealing with the hazards of life and active in result-oriented processes. Government servants hardly have the stress because they are in the habit of taking things either lightly or for granted.

An important question that arises about stress is: who will bear the cost of the stress treatment? The employee or the organisation, the society, or the taxpayer?. Corporate structuring has scaled new heights in the past few years. But what does it do to the individual employee? We all agree that such action is necessary but it is equally important to understand and manage the resultant stress.

The author says it is normally argued that a major reason for stress is that a person often fails to recognise that she or he is stressed, or to understand the sources and effects of stress. Once the mechanism underlying the phenomenon is understood, the individual will be better able to select the stress management technique that will best work for him or her.

Another point argued is that professionals need not only to manage their own stress, but should also be responsive to stress experienced by their subordinates. Only if they are aware of the physical, psychological and occupational hazards can they do justice to the much-parleyed term "quality of work life" (QWL). Various experts have also dealt with problems faced by workers in certain industries and psycho-social problems of migrant workers.

This volume is written in a jargon free and accessible style, it will be useful for both professionals and scholars.