Pattern A Behavior and Uncontrollable Stress

  • David C. Glass


Several years ago, I began a series of experiments to determine whether individuals classified as Pattern A do, indeed, exhibit excessive achievement striving, time-urgency, and hostility. The results of this research provided systematic documentation for the three components of the behavior pattern.1,2 Moreover, a subtle consistency was revealed in the array of empirical facts. In contrast to Type B’s, Type A’s worked hard to succeed, suppressed subjective states (e.g., fatigue) that might interfere with task performance, exhibited rapid pacing of their activities, and expressed hostility after being harassed in their efforts at task completion—all, I would submit, in the interests of asserting control over environmental demands and requirements. I would also suggest that these demands must be at least minimally stressful, for the possibility of failure and loss of esteem was inherent in most of the experimental situations used in my research. Since there were few differences between A’s and B’s in how they perceived the experiments, the coronary-prone behavior pattern might be described as a characteristic style of responding to environmental stressors that threaten the individual’s sense of control. Type A’s are engaged in a struggle for control, whereas Type B’s are free of such concerns, and hence, relatively free of characteristic Pattern A traits.


Behavior Pattern Stressful Life Event Active Coping Coronary Patient Characteristic Style 
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  1. 1.
    Glass, D.C.: Stress, behavior patterns and coronary disease. Am Sc 65:177–187, 1977.Google Scholar
  2. 2.
    Glass, D.C.: Behavior Patterns, Stress, and Coronary Disease. (Chapters 4–10, 12.) Hillsdale, N.J.: Lawrence Erlbaum Associates, 1977.Google Scholar
  3. 3.
    Seligman, M.E.P.: Helplessness: On Depression, Development, and Death. San Francisco: W.H. Freeman, 1975, pp. 166–188.Google Scholar
  4. 4.
    Wortman, C.B., Brehm, J.W.: Responses to uncontrollable outcomes: an integration of reactance theory and the learned helplessness model. In Advances in Experimental Social Psychology (Berkowitz, L., ed.). Vol. 8. New York: Academic, 1975.Google Scholar
  5. 5.
    Dembroski, T.M., MacDougall, J.M., Shields, J.L.: Physiologic reactions to social challenge in persons evidencing the Type A coronory-prone behavior pattern. J Human Stress 3:2–9, 1977.PubMedCrossRefGoogle Scholar
  6. 6.
    Lacey, J.I.: Somatic response patterning and stress: some revisions of activation theory. In Psychological Stress (Appley, M.H., Trumbull, R., eds.). New York, Appleton, 1967.Google Scholar
  7. 7.
    Friedman, M., Byers, S.O., Diamant, J., Rosenman, R.H.: Plasma catecholamine response of coronary-prone subjects (Type A) to a specific challenge. Metabolism 24:205–210, 1975.PubMedCrossRefGoogle Scholar
  8. 8.
    Dohrenwend, B.S., Dohrenwend, B.P.: Stressful Life Events: Their Nature and Effects. New York: Wiley, 1974.Google Scholar
  9. 9.
    Holmes, T.H., Rahe, R.H.: The social readjustment rating scale. J. Psychosom Res 11:213–218, 1967.PubMedCrossRefGoogle Scholar
  10. 10.
    Paykel, E.S.: Life stress and psychiatric disorder: applications of the clinical approach. In Stressful Life Events: Their Nature and Effects (Dohrenwend, B.S., Dohrenwend, B.P., eds.). New York: Wiley, 1974.Google Scholar
  11. 11.
    Engel, G.L.: A life setting conducive to illness: the giving-up-given-up complex. Ann Intern Med 69:293–300, 1968.PubMedGoogle Scholar
  12. 12.
    Schmale, A.H.: Giving up as a final common pathway to changes in health. Adv Psychosom Med 8:18–38, 1972.Google Scholar
  13. 13.
    Greene, W.A., Goldstein, S., Moss, A.J.: Psychosocial aspects of sudden death: a preliminary report. Arch Intern Med 129:725–731, 1972.PubMedCrossRefGoogle Scholar
  14. 14.
    Raab, W., Chaplin, J.P., Bajusz, E.: Myocardial necroses produced in domesticated rats and in wild rats by sensory and emotional stresses. Proc Soc Exp Biol Med 116:665–669, 1964.PubMedGoogle Scholar
  15. 15.
    Duguid, J.B.: Thrombosis as a factor in the pathogenesis of coronary atherosclerosis. J Pathol 58:207–212, 1946.CrossRefGoogle Scholar
  16. 16.
    Funkenstein, D.H., King, S.H., Drolette, M.E.: Mastery of Stress. Cambridge, Ma.: Harvard University Press, 1957.Google Scholar
  17. 17.
    Elmadjian, F.: Excretion and metabolism of epinephrine and norepinephrine in various emotional states. Proceedings of the 5th Pan American Congress of Endocrinology. November 1963, pp. 341–370.Google Scholar
  18. 18.
    Weiss, J.M., Stone, E.A., Harreil, N.: Coping behavior and brain norepinephrine level in rats. J Comp Physiol Psychol 72:153–160, 1970.PubMedCrossRefGoogle Scholar
  19. 19.
    Frankenhaeuser, M.: Behavior and circulating catecholamines. Brain Res 31:241–262, 1971.PubMedCrossRefGoogle Scholar
  20. 20.
    Weiss, J.M., Glazer, H.I., Pohorecky, L.A.: Coping behavior and neurochemical changes: an alternative explanation for the original “learned helplessness” experiments. In Psy-chopathology of Human Adaptation (Serban, G., ed.). New York, Plenum, 1976.Google Scholar
  21. 21.
    Rosenman, R.H., Friedman, M.: Neurogenic factors in pathogenesis of coronary heart disease. Med Clin North Am 58:269–279, 1974.PubMedGoogle Scholar
  22. 22.
    Engel, G.L.: Sudden death and the “medical model” in psychiatry. Can Psychiatr Assoc J 15: 527–538, 1970.PubMedGoogle Scholar
  23. 23.
    Richter, C.P.: On the phenomenon of sudden death in animals and man. Psychosom Med 19: 191–198, 1957.PubMedGoogle Scholar
  24. 24.
    Simpson, M.T., Olewine, D.A., Jenkins, CD., Ramsey, F.H., Zyzanski, S.J., Thomas, G., Harnes, C.G.: Exercise-induced catecholamines and platelet aggregation in the coronary-prone behavior pattern. Psychosom Med 36:476–487, 1974.PubMedGoogle Scholar
  25. 25.
    Friedman, M., St. George, S., Byers, S.O., Rosenman, R.H.: Excretion of catecholamines, 17-ketosteroids, 17-hydroxycorticoids, and 5-hydroxyindole in men exhibiting a particular behavior pattern associated with high incidence of clinical coronary artery disease. J Clin Invest 39:758–764, 1960.PubMedCrossRefGoogle Scholar

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© Springer-Verlag New York Inc. 1978

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  • David C. Glass

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