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Communication Objectives:
– use expressions for minimising and the language of empathy and sympathy. – use vocabulary, phrases and idioms related to stress management.
Educational
Ss will address sources of stress and assess techniques for coping with stress. Objectives: Connected Topics: Grammar: Key Vocabulary: The BIG question: ARE WE SERIOUSLY STRESSED? VIEWPOINT
There are many factors which can trigger depression:genetic predisposition, environment, medical
Facts: The statistics are from an annual US
problems, certain thinking patterns and stressful
school survey, The National Survey of
events in life. About 80 per cent of those who try
American Attitudes Substance Abuse VIII: Teensand Parents, conducted by The National Centeron Addiction and Substance Abuse (CASA). EQ: What kinds of things make you depressed or
The three main factors leading to teenage use
unhappy? What do you think could cause long-term
of drugs and alcohol are high stress, frequent
depression? What do you think life would be like if
boredom and more than $25 a week spending
you were depressed for long periods?Quotes: Natalie Goldberg (born 1948) is an American
author known for teaching writing through Zen.
http://alcoholism.about.com/cs/teens/a/blcasa030819.htm, www.casa.org
EQ: Why is stress an ignorant state? Do you agree with the quote? Is the stress you feel in proportion to EQ: Why do you think this is the case? Based on your own observations, is this true? Do you knowany high stress teens? What causes their stress? How
Charles Schulz (1922–2000) was the American
cartoonist known for the Peanuts comic strip.
Brookemead Associates Ltd 2009
QSE Adv TG p138-143 7/9/09 11:31 PM Page 139
EQ: What is the meaning of this philosophy? Is it
with supraventricular tachycardia (SVT). SVT is a
meant to be serious or humorous? Why? What do you
heart condition where the upper chambers of the
heart (the atria) can be up to 250 times a minute orfaster and which can be corrected by surgery or use
Cartoons: The pictures are of:
of a pacemaker. Politics can be one of the most
– a patient about to receive some bad news
stressful occupations since it involves working long
days, always being in the public eye and doing
According to the Book of Lists, fear of public speakingranks number one in fears, even over fear of death or
EQ: How stressful do you think a politician’s life is? What would a day in the life of the British PrimeMinister be like? Is bad health linked to stressful1 WORD POWER A 1 is based on a CAE speaking test activity that Watching Fish Found to Ease Human Stress
This article discusses a recent scientific study that
EQ: How are these situations the same or different?
looked at the relationship between stress and
Have you ever experienced any of these situations?
watching fish. There is the old saying that a dog
is a man’s best friend and in terms of stress they
A 2 gives students an opportunity to practise the
are just that. Petting an animal can lower blood
language of empathy and sympathy in Language
pressure and heart rate. A New York City Hospital
study found that heart patients were more likely tosurvive their first year after surgery if they owned a
1 WORD POWER A2 Sample answers
pet. The study of fish and stress-reduction is more
I know exactly how you feel you feel. I’ve had my
recent. Fish have shown to calm children with
appendix out. It was scary going into the operating
Attention Deficit Disorder (ADD). Alzheimer
theatre. / I can imagine what that flight must have
patients have also found some benefit. Herbert
been like. I’ve flown through rough weather too. /
Benson’s Relaxation theory supposes four conditions
I know exactly how you must feel. I hate speaking
for relaxation: the presence of an object to focus on,
a passive attitude, a quiet environment and acomfortable position, which may be the reasons
B gets students to analyse the efficacy of some EQ: Do you have a pet? Do you think pets reduce 1 WORD POWER C Sample answers stress? Do you think some pets reduce stress more thanothers? Why / Why not? 1 Some events which can cause post-traumatic stress disorder: military combat, natural disasters, car accident, near-death experiences or violent 2 READING
personal assaults like rape. 2 When overly stressed, people become burnt out. A is a skimming activity that will help students with
They can develop depression over feelings of not
the Use of English section of the CAE exam and
ARTICLES 2 READING A 1 frail 2 procedure 3 random 4 bid 5 proven Blair the Fitness Fan This article discusses Tony Blair’s health and B 1 This question relates to a type of question in the
stress-reducing techniques. He was diagnosed
Trinity exam which requires students to speculate and
Brookemead Associates Ltd 2009
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conclude on the unstated feelings of people. Students
health benefits of laughter have been known for
should provide some basis for their responses.
some time. Laughter can lower blood pressure,reduce stress hormones, boost the immune system
2 READING B2 Sample answers
and release endorphins – the body’s natural
People were stressed by reading out loud. Then,
blood pressure was measured to see if the presenceof fish in an aquarium reduced stress. It did. 4 LISTEN B, C, D B True: People’s health improves; people giggle. C 1 You may want to help the students by pointing
False: People tell jokes; people talk to each other.
out other techniques covered in Word Power. C If you see other people laughing, you start C 2 This question requires students to speculate
on the ethics of keeping pets for supposedly selfishreasons. You can give students some help by asking
D 1 5,000 members. 2 You see other people
students to look at the interaction between animals
laughing. 3 On 13 March, 1995, Madan Kataria
and humans, and whether these might change given
went to a park and said she wanted to start a
laughter club. 4 Laughter yoga. 3 SPEAK YOUR MIND 5 TEAMWORK
This section covers the topics of stress as a natural
This activity is designed to get students thinking
function of the body, personal stress and stressful
about the reality of living with debilitating
occupations, teenage stress, and owning pets.
irrational fears. Each of these phobias are real,
A EQ: Why do you think we are equipped to feel stress? Do you think it would be helpful or harmful to
socially acceptable than others. Try to get students
have no stress at all in your body?
to think about all the situations where the illnessmight have some kind of effect.
B EQ: If you were overstressed, which treatments for stress would you try? Why do some people find some relaxation techniques helpful, but others do not?The Anxiety and Phobia Workbook, Reneau Z. What would you consider the ten most stressful jobs?Would you work in these jobs? Would the benefits everAnxiety, Phobias, and Panic, Edmund J. Bourne
EQ: Do you know anyone with a phobia? What can C EQ: Is teenage stress ‘just a phase’ they go through? be done to help phobia sufferers? Does the cause of the stress make the stress more serious;for example, what about exam stress versus divorce?6 CONTROVERSY D EQ: If animals communicate through body language, what signs would tell you an animal was
community is sometimes criticised for seeming to
stressed? What kinds of stress could animals have?
be over dependent on drug treatments when safer
alternatives are available. In one US study, 65 percent of doctors recommended sleeping pills to
This audio clip is from the Australian Broadcasting
patients who would have been better off taking
Corporation (ABC). Laughter Club International
exercise or reducing their caffeine intake in the
was founded by Dr Madan and Madhuri Kataria,
evenings, which the doctors might have found out
with the aim of teaching people ‘laughter yoga’, a
if they had asked the patients further questions. In
20-minute session of exercises to make people
several studies published by the Universities
laugh. As this is done in groups, it is difficult not to
of Toronto and Harvard, doctors were found to
laugh when everyone around you is laughing. The
be treating drug side effects with more drugs. Brookemead Associates Ltd 2009
QSE Adv TG p138-143 7/9/09 11:31 PM Page 141
There have been examples of how over-prescribing
Note: In the fight-or-flight response people have
antibiotics has led to strains of antibiotic-resistant
feelings of aggression or the need to run away
bacteria. In the US alone, more than 1.5 million
people are treated in hospital every year from adverse
Sources:
reactions to drugs; another 100,000 die. Many of
Overcoming Job Burnout, Ellen S. Bernstein
these deaths are largely preventable. That is not to say
The Physiology Of Stress And Stress Reduction,
that there is not a place for pharmaceuticals, because
many illnesses can only be controlled this way. However, the debate hinges on whether prescribing
EQ: Are you aware of any health effects when
drugs is the doctor’s first or last line of defence. you are very stressed? Have you ever felt the Sources: fight-or-flight response? What do you think burnout
industry.info Listening to Prozac, Peter Kramer
9 FURTHER DISCUSSION The Instinct To Heal, David Servan-SchreiberDangerous Drug Interactions, Joe Gaedon
This section covers the way stress may change over
time, school-related stress, job-related stress andtime management.
EQ: Do you think we use drugs too often for stress? Do you think alternative treatments might help A Try to get students to think about how stress 7 PORTFOLIO WRITING EQ: Is there ever a stress-free period in anyone’s life? Why? Why not?
See the Introduction to the Teacher’s Guide. B Try to get students to consider common A Sources: EQ: How stressful is school and learning for you? How Handbook of Work Stress, Julian Barling
http://stress.about.com/cs/workplacestress/a/jobstress.htm, www.cdc.gov/niosh/stresswk.html
C Try to get students to think about reasons for increasing stress – less job security, greater 8 BIOLOGY in English [CLIL]
Stress has been discussed in this unit as a biological
EQ: The Japanese have a word – karoshi – meaning
reaction triggered by external, and occasionally
death from overwork. How would stress be linked to
internal, stimulae. Our normal state of being is
this? What would motivate someone to work that
homeostasis, in which our body tries to maintain this
hard? What would you consider the ten most stressful
balance. It regulates our breathing, our heart rate,
jobs? Would you work in these jobs? Would the benefits
our temperature and our stress reactions. The body
always tries to be in balance with the environment
D Try getting students to think about how they
we are in. When we come under increased stress, our
body compensates, and this leads to knock-on effectsin other areas. The long-term effects of stress and
EQ: Do you tend to arrive for appointments or
increased cortisol levels have been linked to physical
class early, on time or late? Is this common in your
problems like hypertension, migraines, cancer,
country? How does your culture view arriving late
arthritis, ulcers and colic. There may also be mental
or on time? Is time management only a business
problems, such as anxiety, panic attacks, alcoholism
concept? Do you manage your time effectively? If so, Brookemead Associates Ltd 2009
QSE Adv TG p138-143 7/9/09 11:31 PM Page 142
10 Your answer: ARE WE SERIOUSLY 2 WRITING STRESSED? A Sources:
This question tries to get students to address how
The Complete Idiot’s Guide to Dealing with Stress for
seriously society takes the effects of stress. In many
cultures, it is still not acceptable to talk about being
Pressure? No Problem, Michelle Steele
very stressed, especially in countries where men are
not allowed to show any signs of weakness.
B Sources: EQ: What do the types of programmes for stress reduction say about how seriously your government
http://news.bbc.co.uk/1/hi/health/default.stm
takes stress? Do you think men and women react to3 SPEAKING STRATEGIES: Anticipating questions WORKBOOK
This activity is one of the basic techniques that stu-
1 WORD POWER
dents should learn to give better presentations. Intrying to anticipate questions, students will be bet-
This activity will get students practising vocabulary from
ter prepared for the presentation in the Trinity or
the unit and the phrases from Language Bank 19. 1 WORD POWER Sample answers 3 SPEAKING STRATEGIES 1 I injured my back while I was working out at the
gym. – You must be feeling absolutely terrible. Have you seen the doctor? / There’s nothing to worry about. Take some painkillers. 2 I took the red-eye flight to Lisbon and feel really tired and
See the Introduction to the Teacher’s Guide.
stressed today. – I can see how difficult it must be for you to stay awake. You look really tired. / It’s not such a big thing. Have some coffee. 3 My doctor
said I need to watch my diet if I want to improve my health. – I know exactly how you must be feeling. 1 to lose the plot ϭ to feel stressed or out of control
My doctor said I needed more exercise. / Let’s try to 2 to pay the price ϭ to suffer the consequences 3 to keep things in perspective. Just eat smaller portions.
compare notes ϭ to check each other’s information
4 I felt better after taking those anti-depressants, but I
about something 4 just what the doctor ordered ϭ
didn’t like the side-effects. – That must have been
exactly the right thing 5 to let off steam ϭ to very hard for you. Is there anything I can do? /
express strong feeling, release pent-up emotion
Everything’s going to be fine. You’ll soon get used to 6 an emotional rollercoaster ϭ lead to very strong
them. 5 I’m worried about my husband – he finds it
swings / variations in feelings / emotions
difficult to switch off and gets stressed. – I feel so sorry for both of you. It can be hard to leave work
Ask students to use the idioms when answering
behind. / Try to calm down; worrying won’t help.
these questions orally. This can be done as pair
He just needs a hobby. 6 After serving in the army,
my father developed post-traumatic stress disorder. – I
• What would you do if you felt your life was outcan imagine how painful it must have been for
him. Can he get any help for that? / There’s nothing
– If I was beginning to lose the plot, I would seek
to worry about. It’s a common reaction. Brookemead Associates Ltd 2009
QSE Adv TG p138-143 7/9/09 11:31 PM Page 143
– I think I would need to do something to let off
– I haven’t compared notes with others, but I tend
– I would say a few days off would be just what
• What is your number one stress-reducer?
– I like to go for walks to let off steam.
• What happens if you work too hard?
– I begin to lose the plot if I can’t spend a few
– You will pay the price with poor health and
– A weekend away from the kids is always
– I think overwork can take you on an emotional Brookemead Associates Ltd 2009
Prenatal growth restriction and subsequent risks for type 2 diabetes and cardiovascular risk Hospital Sant Joan de Déu, Universitat de Barcelona (Barcelona, Spain) Principal investigator Lourdes Ibáñez Associate researcher María Victoria Marcos, Carme Valls Postdoctoral fellow Marta Díaz, Ana Marina Mosquera PhD student Giorgia Sebastiani The usefulness of insulin sensitize
Colon and Rectal Clinic, P.A. Patient Name: ________________________ Age: __________ Date of Visit: _________ Height: _______________ Weight: _______ PREVIOUS ILLNESSES (Please list any illness you have had, and the dates of their occurrence) _____________________________________ ________________________________ _____________________________________ ________________________________ __