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Establishing a Basis for Wellness
Taking Charge of Your Health 1
Wellness: The New Health Goal 2
The Dimensions of Wellness 2
New Opportunities, New Responsibilities 3
National Wellness Goals: The Healthy People Initiative 5
Health Issues for Diverse Populations 6
Choosing Wellness 11
Factors That Influence Wellness 11
A Wellness Profile 12
How Do You Reach Wellness? 14
Getting Serious About Your Health 14
Building Motivation for Change 15
Enhancing Your Readiness to Change 20
Developing Skills for Change: Creating a Personalized Plan 21
Putting Your Plan into Action 24
Staying with It 24
Being Healthy for Life 25
Making Changes in Your World 25
What Does the Future Hold? 26
Tips for Today 27
Summary 27
Take Action 27
For More Information 28
Selected Bibliography 29
Stress: The Constant Challenge 31
What Is Stress? 32
Physical Responses to Stressors 32
Emotional and Behavioral Responses to Stressors 35
The Stress Experience as a Whole 38
Stress and Disease 38
The General Adaptation Syndrome 39
Allostatic Load 40
Psychoneuroimmunology 40
Links Between Stress and Specific Conditions 40
Common Sources of Stress 42
Major Life Changes 42
Daily Hassles 42
College Stressors 43
Job-Related Stressors 44
Social Stressors 45
Environmental Stressors 46
Internal Stressors 47
Techniques for Managing Stress 47
Social Support 47
Communication 47
Exercise 47
Nutrition 48
Sleep 49
Time Management 49
Strive for Greater Spirituality 51
Confide in Yourself Through Writing 51
Cognitive Techniques 51
Relaxation Techniques 53
Counterproductive Coping Strategies 56
Creating a Personal Plan for Managing Stress 57
Identifying Stressors 57
Designing Your Plan 58
Getting Help 58
Tips for Today 58
Summary 58
Take Action 59
For More Information 59
Behavior Change Strategy: Dealing with Test Anxiety 60
Selected Bibliography 61
Psychological Health 63
What Psychological Health is Not 64
Defining Psychological Health 64
Realism 65
Acceptance 65
Autonomy 65
A Capacity for Intimacy 66
Creativity 66
Meeting Life's Challenges 66
Growing Up Psychologically 66
Achieving Healthy Self-Esteem 68
Being Less Defensive 70
Being Optimistic 71
Maintaining Honest Communication 72
Dealing with Loneliness 73
Dealing with Anger 73
Psychological Disorders 74
Anxiety Disorders 74
Mood Disorders 78
Schizophrenia 82
Models of Human Nature and Therapeutic Change 84
The Biological Model 84
The Behavioral Model 85
The Cognitive Model 86
The Psychodynamic Model 87
Evaluating the Models 87
Getting Help 88
Self-Help 88
Peer Counseling and Support Groups 88
Professional Help 88
Tips for Today 90
Summary 90
Behavior Change Strategy: Dealing with Social Anxiety 91
Take Action 92
For More Information 92
Selected Bibliography 93
Understanding Sexuality
Intimate Relationships and Communication 95
Developing Intimate Relationships 96
Self-Concept and Self-Esteem 96
Friendship 97
Love, Sex, and Intimacy 97
Challenges in Relationships 99
Successful Relationships 101
Unhealthy Relationships 102
Ending a Relationship 102
Communication 102
Nonverbal Communication 102
Communication Skills 103
Gender and Communication 103
Conflict and Conflict Resolution 103
Pairing and Singlehood 106
Choosing a Partner 107
Dating 107
Living Together 107
Same-Sex Partnerships 110
Singlehood 112
Marriage 112
Benefits of Marriage 113
Issues in Marriage 113
The Role of Commitment 114
Separation and Divorce 114
Family Life 114
Becoming a Parent 114
Parenting 115
Single Parents 117
Stepfamilies 117
Successful Families 117
Tips for Today 119
Summary 119
Take Action 120
For More Information 120
Selected Bibliography 121
Sex and Your Body 123
Sexual Anatomy 124
Female Sex Organs 124
Male Sex Organs 125
Hormones and the Reproductive Life Cycle 127
Differentiation of the Embryo 127
Female Sexual Maturation 128
Male Sexual Maturation 132
Aging and Human Sexuality 132
Sexual Functioning 132
Sexual Stimulation 133
The Sexual Response Cycle 133
Sexual Problems 135
Sexual Behavior 137
The Development of Sexual Behavior 137
Sexual Orientation 141
Varieties of Human Sexual Behavior 142
Atypical and Problematic Sexual Behaviors 144
Commercial Sex 144
Responsible Sexual Behavior 146
Tips for Today 147
Summary 147
Take Action 148
For More Information 148
Selected Bibliography 149
Contraception 151
Principles of Contraception 152
Reversible Contraception 154
Oral Contraceptives: The Pill 154
Contraceptive Skin Patch 156
Vaginal Contraceptive Ring 157
Contraceptive Implants 158
Injectable Contraceptives 158
Emergency Contraception 159
The Intrauterine Device (IUD) 160
Male Condoms 161
Female Condoms 162
The Diaphragm with Spermicide 164
Lea's Shield 166
The Cervical Cap 166
The Contraceptive Sponge 166
Vaginal Spermicides 167
Abstinence, Fertility Awareness, and Withdrawal 168
Combining Methods 169
Permanent Contraception: Sterilization 170
Male Sterilization: Vasectomy 171
Female Sterilization 172
Issues in Contraception 174
When Is It OK to Begin Having Sexual Relations? 174
Contraception and Gender Differences 175
Sexuality and Contraception Education and Teenagers 176
Which Contraceptive Method is Right For You? 177
Tips for Today 179
Summary 179
Take Action 180
For More Information 180
Selected Bibliography 181
Abortion 183
The Abortion Issue 184
The History of Abortion in the United States 184
Brent Legal Status 184
Moral Considerations 186
Public Opinion 186
Personal Considerations 189
Current Trends 190
Methods of Abortion 192
Suction Curettage 194
Manual Vacuum Aspiration 194
Abortion After the First Trimester 195
Medical Abortion 195
Complications of Abortion 196
Possible Physical Effects 196
Possible Psychological Effects 196
Decision Making and Unintended Pregnancy 197
Tips for Today 199
Summary 199
Take Action 199
For More Information 200
Selected Bibliography 200
Pregnancy and Childbirth 203
Preparation for Parenthood 204
Deciding to Become a Parent 204
Preconception Care 205
Understanding Fertility 206
Conception 206
Infertility 208
Pregnancy 212
Pregnancy Tests 212
Changes in the Woman's Body 212
Emotional Responses to Pregnancy 214
Fetal Development 214
The Importance of Prenatal Care 220
Complications of Pregnancy and Pregnancy Loss 224
Childbirth 226
Choices in Childbirth 226
Labor and Delivery 226
The Postpartum Period 229
Tips for Today 231
Summary 231
Take Action 232
For More Information 232
Selected Bibliography 233
Making Responsible Decisions: Substance Use and Abuse
The Use and Abuse of Psychoactive Drugs 235
Addictive Behavior 236
What Is Addiction? 236
Characteristics of Addictive Behavior 237
The Development of Addiction 237
Characteristics of People with Addictions 237
Examples of Addictive Behaviors 238
Drug Use, Abuse, and Dependence 239
The Drug Tradition 239
Drug Abuse and Dependence 240
Who Uses Drugs? 241
Why Do People Use Drugs? 242
Risk Factors for Dependence 243
Other Risks of Drug Use 244
How Drugs Affect the Body 246
Changes in Brain Chemistry 246
Drug Factors 246
User Factors 247
Social Factors 248
Representative Psychoactive Drugs 248
Opioids 248
Central Nervous System Depressants 250
Central Nervous System Stimulants 250
Marijuana and Other Cannabis Products 254
Hallucinogens 255
Inhalants 257
Drug Use: The Decades Ahead 258
Drugs, Society, and Families 258
Legalizing Drugs 258
Drug Testing 260
Treatment for Drug Dependence 260
Preventing Drug Abuse 262
The Role of Drugs in Your Life 263
Tips for Today 264
Summary 264
Behavior Change Strategy: Changing Your Drug Habits 265
Take Action 265
For More Information 266
Selected Bibliography 267
The Responsible Use of Alcohol 269
The Nature of Alcohol 270
The Chemistry of Alcohol 270
Absorption 270
Metabolism and Excretion 271
Alcohol Intake and Blood Alcohol Concentration 271
Alcohol and Health 273
The Immediate Effects of Alcohol 273
Drinking and Driving 275
The Effects of Chronic Use 277
The Effects of Alcohol Use During Pregnancy 278
Possible Health Benefits of Alcohol 279
Alcohol Abuse and Dependence 280
Alcohol Abuse 280
Binge Drinking 280
Alcoholism 282
Gender and Ethnic Differences 286
Helping Someone with an Alcohol Problem 288
Drinking Behavior and Responsibility 288
Examine Your Attitudes About Alcohol Use 288
Examine Your Drinking Behavior 288
Drink Moderately and Responsibly 290
Promote Responsible Drinking in Others 290
Tips for Today 292
Summary 292
Behavior Change Strategy: Developing Responsible Drinking Habits 293
Take Action 294
For More Information 294
Selected Bibliography 295
Toward a Tobacco-Free Society 297
Why People Use Tobacco 298
Nicotine Addiction 298
Social and Psychological Factors 301
Genetic Factors 301
Why Start in the First Place? 301
Who Uses Tobacco? 303
Health Hazards 304
Tobacco Smoke: A Toxic Mix 304
The Immediate Effects of Smoking 307
The Long-Term Effects of Smoking 307
Other Forms of Tobacco Use 311
The Effects of Smoking on the Nonsmoker 313
Environmental Tobacco Smoke 314
Smoking and Pregnancy 315
The Cost of Tobacco Use to Society 315
What Can Be Done? 317
Action at the Local Level 317
Action at the State and Federal Levels 317
International Action 317
Action in the Private Sector 318
Individual Action 318
Controlling the Tobacco Companies 319
How a Tobacco User Can Quit 3
The Benefits of Quitting 319
Options for Quitting 320
Tips for Today 322
Behavior Change Strategy: Kicking the Tobacco Habit 322
Summary 323
Take Action 324
For More Information 324
Selected Bibliography 325
Getting Fit
Nutrition Basics 327
Nutritional Requirements: Components of a Healthy Diet 328
Proteins-The Basis of Body Structure 329
Fats-Essential in Small Amounts 330
Carbohydrates-An Ideal Source of Energy 334
Fiber-A Closer Look 337
Vitamins-Organic Micro nutrients 338
Minerals-Inorganic Micronutrients 340
Water-Vital but Often Ignored 340
Other Substances in Food 340
Nutritional Guidelines: Planning Your Diet 343
Dietary Reference Intakes (DRIs) 343
Dietary Guidelines for Americans 344
USDA's MyPyramid 350
The Vegetarian Alternative 354
Dietary Challenges for Special Population Groups 356
A Personal Plan: Making Informed Choices About Food 357
Reading Food Labels 357
Reading Dietary Supplement Labels 357
Protecting Yourself Against Foodborne Illness 360
Environmental Contaminants and Organic Foods 363
Additives in Food 364
Food Irradiation 365
Genetically Modified Foods 365
Food Allergies and Food Intolerances 366
Staying Committed to a Healthy Diet 366
Tips for Today 368
Summary 368
Behavior Change Strategy: Improving Your Diet
By Choosing Healthy Beverages 369
Take Action 369
For More Information 370
Selected Bibliography 371
Exercise for Health and Fitness 377
What is Physical Fitness? 378
Cardiorespiratory Endurance 378
Muscular Strength 379
Muscular Endurance 380
Flexibility 380
Body Composition 380
The Benefits of Exercise 380
Improved Cardiorespiratory Functioning 380
More Efficient Metabolism 380
Improved Body Composition 381
Disease Prevention and Management 382
Improved Psychological and Emotional Wellness 383
Improved Immune Function 383
Prevention of Injuries and Low-Back Pain 383
Improved Wellness over the Life Span 384
Designing Your Exercise Program 384
Physical Activity and Exercise for Health and Fitness 386
First Steps 388
Cardiorespiratory Endurance Exercises 391
Developing Muscular Strength and Endurance 393
Flexibility Exercises 395
Training in Specific Skills 397
Putting It All Together 397
Getting Started and Staying on Track 398
Selecting Instructors, Equipment, and Facilities 398
Eating and Drinking for Exercise 400
Managing Your Fitness Program 400
Tips for Today 405
Summary 405
Behavior Change Strategy: Planning a Personal Exercise Program 406
Take Action 407
For More Information 408
Selected Bibliography 409
Weight Management 411
Basic Concepts of Weight Management 412
Body Composition 412
Energy Balance 413
Evaluating Body Weight and Body Composition 414
Excess Body Fat and Wellness 416
What Is the Right Weight for You? 419
Factors Contributing to Excess Body Fat 419
Genetic Factors 419
Physiological Factors 420
Lifestyle Factors 421
Psychosocial Factors 423
Adopting a Healthy Lifestyle for Successful Weight Management 423
Diet and Eating Habits 423
Physical Activity and Exercise 427
Thinking and Emotions 427
Coping Strategies 428
Approaches to Overcoming a Weight Problem 428
Doing It Yourself 428
Diet Books 430
Dietary Supplements and Diet Aids 430
Weight-Loss Programs 433
Prescription Drugs 433
Surgery 434
Psychological Help 435
Body Image 435
Severe Body Image Problems 435
Acceptance and Change 436
Eating Disorders 437
Factors in Developing an Eating Disorder 437
Anorexia Nervosa 438
Bulimia Nervosa 438
Binge-Eating Disorder 439
Borderline Disordered Eating 439
Treating Eating Disorders 439
Today's Challenge 439
Tips for Today 440
Summary 440
Behavior Change Strategy: A Weight-Management Program 441
Take Action 442
A For More Information 442
Selected Bibliography 443
Protecting Yourself from Disease
Cardiovascular Health 445
The Cardiovascular System 446
Risks Factors for Cardiovascular Disease 447
Major Risk Factors That Can Be Changed 448
Contributing Risk Factors That Can Be Changed 453
Major Risk Factors That Can't Be Changed 455
Possible Risk Factors Currently Being Studied 456
Major Forms of Cardiovascular Disease 460
Atherosclerosis 460
Heart Disease and Heart Attack 461
Stroke 464
Peripheral Arterial Disease 466
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