Sorrows which find no vent in tears may soon make other organs weep.
Sir Henry Maudsley
Hans Selye spent most of his life studying the effects of
stress on our bodies and how our systems struggle to adapt
to our ever-changing environment. He emphasizes that all
stress is not harmful and distinguishes between eustress--
positive stimulation and challenge that help us achieve--and
distress--harmful, unpleasant stress, often the result of
too many or too abrupt changes, boredom, frustration, or
lack of purpose.(Hans Selye, The Stress of Life (revised
edition, New York:McGraw Hill, 1976),74 and passim.)
Since individuals react differently to the same stimuli, we
must take heed from the Seven Sages who advised, "Know
thyself." One person's distress may be someone else's
eustress. In his books Selye writes that we must not avoid
stress but instead use it creatively to motivate personal
achievement and at the same time maintain a sense of inner
balance.
Stress and Disease
Until the last few decades, only Selye and a handful of
researchers devoted their lives to studying stress and its
relationship to disease. Stress and its ill-effects have
always been a part of living, but not until recently has the
subject become the focus of much scientific research--
perhaps because the world seems to be suffering from a
"stress epidemic." In a list of the 200 top-selling drugs
in the United States in 1984, Inderal (a drug prescribed for
high blood pressure) was number one; Valium (a tranquilizer)
was number four; Tagamet (an ulcer medication) was number
seven.("2.1% Increase in Refills Pushes 1984 Rxs 1.7% Ahead
of 1983," Pharmacy Times (April 1985),31.) In response to
this stress epidemic, medicine has branched off into new
areas of psychobiology which focus on ways to combat stress-
related illness and psychoneuroimmunology, a field that
explores how emotional states affect the body's defense
systems.
No one knows whether life is really more stressful now or if
we are just more aware of the world's uncertainties--nuclear
threat, unemployment, abusive crimes--brought into our homes
everyday on TV. I think people tend to imagine they live in
a more stressful world than people in other time periods.
Those early American pioneers who cleared the land, and
faced harsh winters after poor harvests probably experienced
as much stress as any modern suburbanite. And they had
little medicine to treat illness in those days. People died
of polio, smallpox, malaria, bacterial pneumonia, anthrax,
and other diseases that are either prevented or easily
treated today.
The subjects in our adult crying behavior study were asked,
"Were you under any unusual emotional stress during the last
month? Please describe." Over 40% of the male and female
subjects responded that they were under unusual stress
during the month they recorded their crying episodes. We
thought this was strange, so we separated the responses of
those who indicated unusual stress into two categories:
major, when death, divorce, or major illness was involved;
and minor, for other reasons such as concern over a college
examination. Of the 43% who reported they were under
unusual emotional stress, we found that only 16% attributed
their stress to major events, while 84% who responded "yes"
to the stress question gave relatively minor reasons for
their stress. Evidently, it is not unusual for people to
feel they are under "unusual" emotional stress, even when no
major life situation is threatened. In view of how we
identify stress, it is not surprising that one of today's
fastest growing fields is stress management, a multi-million
dollar-a-year business. Classes in biofeedback,
transcendental meditation, yoga, autogenic training,
muscle-relaxation, or other methods of stress-reduction are
being taught at hospitals, medical centers, and many major
corporations.
Humans release stress in a variety of ways such as fighting,
yelling, laughing, talking rapidly, exercising, and crying.
In his book The Vital Balance, Dr. Karl Menninger writes,
"Weeping is perhaps the most human and most universal of all
relief measures."(Karl Menninger, The Vital Balance (New
York: The Viking Press, 1963), 138.) While emotional tears
are only one of many release mechanisms for an overload of
strong emotion and stress, they are easier to measure than
other stress releasers. Although asking persons how they
feel about various aspects of crying is subjective, the
actual tears need no interpretation. They are either
present or absent. Tears are one of the few aspects of
involuntary emotional expression that provide something
concrete to measure. Thus, the role which the release of
tears plays in stress management lends itself to
experimental verification.
Often when researchers want to learn about the purpose of a
physiological process, they study those who do not have the
ability to carry out the process. If emotional crying does
make people feel better, as many suggest, then what happens
to persons who cannot shed tears under stress?
In 1949 C. M. Riley described a group of children with two
common features: They were unable to shed tears, and they
had an abnormal reaction to mild anxiety. In these children
emotional stress produced a number of symptoms described by
Riley which included "transient extreme elevation of blood
pressure, excessive sweating, salivation to the point of
drooling, and the development of sharply demarcated
erythematous blotches on the skin. ..." While more is now
known about this syndrome, called familial dysautonomia, it
is still not clear whether the inability of these children
to secrete tears with their crying contributes to their
extremely abnormal physical reactions to stress. (Conrad M.
Riley et al., "Central Autonomic Dysfunction with Defective
Lacrimation," Pediatrics 3 (1949): 468-78.) Science has
known for years that excessive emotional stress causes the
release of hormones and other substances into the blood
altering our chemical balance. It is known that the
pituitary gland releases beta-endorphin, an opiate-like
compound, and the hormones ACTH and prolactin into the blood
stream in response to stress. ...stress also releases the
catecholamines--epinephrine (adrenaline) from the adrenal
gland, and norepinephrine from the sympathetic nervous
system. Several scientists, including psychiatrist Daniel
Funkenstein, have gone a step further and suggested that the
particular emotion involved may determine which
catecholamine is discharged into the blood.(Daniel H.
Funkenstein, "The Physiology of Fear and Anger," Scientific
American 192 (May 1955): 74-80.)
It is thought by many that there is a relationship between
the suppression of emotions, psychological health, and
disease. It is also generally accepted that crying is one
way to expressing and releasing emotion. "Tears are the
safety valves of the heart when too much pressure is laid
upon it," wrote Albert Richard Smith. If emotional tearing
reduces the effects of stress, then we may increase our
susceptibility to a variety of physical and psychological
problems when we suppress our tears. Selye write, "We are
just beginning to see that many common diseases are largely
due to errors in our adaptive response to stress. ...Many
nervous and emotional disturbances, high blood pressure,
gastric and duodenal ulcers, certain types of sexual,
allergic, cardiovascular, and renal derangements appear to
be essentially diseases of adaptations."(Hans Selye, The Stress of Life, xvi-xvii.) To continue...
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