MANAGING PERSONAL STRESS CHAPTER 2 141
39- to 49-year age group had approximately 6.5 times
the likelihood of heart disease as Type B’s. Even when
factors such as cigarette smoking, parental medical his-
tory, blood pressure, and cholesterol levels were factored
out, the Type A personality still accounted for a two to
three times greater likelihood of heart disease. This
research concluded that personality is a better predictor
than physiology of cardiovascular illness (Friedman,
1996; Friedman & Rosenman, 1974). Ironically, subse-
quent research has also found that whereas Type A per-
sonalities are more prone to experience heart attacks,
they are also more likely to recover from them.
Most Type A individuals believe it is their Type A
personality that has led to their success. Many are
unwilling to give up that orientation because hard-
driving, intense, persistent action is generally admired
and valued among managers. This has often been asso-
ciated with the traditional male management role, but
it has also been connected to the disproportionately
high incidence of heart disease among men. In fact,
several researchers initially linked Type A personality
characteristics to certain sex-linked behavior patterns
(Friedman, 1996; Goldberg, 1976; Jourard, 1964;
Siegman & Smith, 1994).
Specifically, males or females who followed stereo-
typic views of appropriate male behavior were found to
be more likely to experience stress-related illness. They
tended to equate low self-disclosure, low emotional
involvement, low display of feelings, high defensive-
ness, and high insensitivity to the acquisition of power
and control—the presumed prerequisites for success.
These were so typical of male behavior in the work-
place that they became known as “the lethal aspects of
the male role.” As more women began to enter the
workforce, this same pattern became less and less
gender-linked. Many women also behaved as if accep-
tance in the workplace required “acting as masculine”
as their male counterparts. As a result, the gap between
stress-related illness among professional men and
women has narrowed. In recent years, female stress-
related illnesses (e.g., heart attacks, suicides, migraine
headaches) actually have surpassed those of males in
some professions. This trend is not only tragic but
ironic, because corporations are spending millions of
dollars each year on training workshops designed to
encourage their managers to become more sensitive,
understanding, and supportive. The folly of the Type A
approach to management, and to life, is illustrated in
the following story from the lore of Zen Buddhism.
Matajura wanted to become a great swords-
man, but his father said he wasn’t quick
enough and could never learn. So Matajura
went to the famous dueler, Banzo, and asked
to become his pupil. “How long will it take me
to become a master?” he asked. “Suppose I
become your servant, and spend every minute
with you; how long?”
“Ten years,” said Banzo.
“My father is getting old. Before 10 years
have passed, I will have to return home to
take care of him. Suppose I work twice as
hard; how long will it take me?”
“Thirty years,” said Banzo.
“How is that?” asked Matajura. “First you
say 10 years. Then when I offer to work twice
as hard, you say it will take three times as
long. Let me make myself clear: I will work
unceasingly; no hardship will be too much.
How long will it take?”
“Seventy years,” said Banzo. “A pupil in
such a hurry learns slowly.”
This Type A sense of urgency, of being able to over-
come any obstacle by working harder and longer, works
against the ability to develop psychological hardiness.
When stressors are encountered, arousal levels increase,
and the tendency is to combat them by increasing arousal
levels, or effort, even further. But at high arousal
levels, coping responses become more primitive (Staw,
Sandelands, & Dutton, 1981; Weick, 1995). Patterns of
response that were learned most recently are the first
ones to disappear, which means that the responses that
are most finely tuned to the current stressful situation are
the first ones to go. The ability to distinguish among fine-
grained stimuli actually deteriorates, so the extra energy
expended by individuals trying to cope becomes less and
less effective. Weick (1984, 1995) pointed out that highly
stressed people consequently find it difficult to learn new
responses, to brainstorm, to concentrate, to resist relying
on old nonadaptive behavior patterns, to perform
complex responses, to delegate, and to avoid the vicious
spiral of escalating arousal. Resiliency deteriorates.
You completed the Type A Personality Inventory in
the Pre-Assessment section of this chapter. It assesses
four behavioral tendencies that comprise a Type A per-
sonality: a sense of extreme competitiveness; significant
life imbalance, usually indicated by high work involve-
ment and an overemphasis on instrumental tasks; strong
feelings of hostility and anger; and an extreme sense of
urgency and impatience. Scores above 12 in each area
suggest that you have a pronounced tendency toward
being Type A. Research suggests that the hostility
tendency is the most damaging to personal health.