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Life crises such as death of a spouse, divorce or bankruptcy can disrupt even the best stress management regime. Different life crises have different impacts. In many cases, however, it may be possible to anticipate crises and prepare for them. It may also be useful to recognise the impact of crises that have occurred so that you can take account of them appropriately.

Some very interesting work in this area has been done by Drs T H Holmes and R H Rahe, with the Social Readjustment Scale. This allocates a number of 'Life Crisis Units' (LCUs) to different events, so that you can evaluate them and take action accordingly. While this approach is obviously a simplification of complex situations, using LCUs can give you a useful start in adjusting to life crises.

The idea behind this approach is to run down the LCU table, totalling the LCUs for life crises that have occurred in the previous 2 years. As a rule of thumb, you may anticipate some form of serious mental or physical effects of the crises according to the following table:

Life Crisis Units and the Probability of Illness

LCUs Probability of illness
300 80%+
200-299 50%
150-199 33%

The LCU table is shown below:

Life Crisis Scoring Table

Event LCUs
Death of spouse 100
Divorce 73
Separation 65
Jail term 63
Death of close family member 63
Personal illness or injury 53
Marriage 50
Fired at work 47
Marital reconciliation 45
Retirement 45
Change in health of family member 44
Pregnancy 40
Sex difficulties 39
Gain of new family member 39
Business readjustment 38
Change in financial state 38
Death of close friend 37
Change to a different line of work 36
Change in number of arguments with spouse 35
A large mortgage or loan 30
Foreclosure of mortgage or loan 30
Change in responsibilities at work 29
Son or daughter leaving home 29
Trouble with in-laws 29
Outstanding personal achievement 28
Spouse begins or stops work 26
Begin or end of school or college 26
Change in living conditions 25
Change in personal habits 24
Trouble with boss 23
Change in work hours or conditions 20
Change in residence 20
Change in school or college 20
Change in recreation 19
Change in church activities 19
Change in social activities 18
A moderate loan or mortgage 17
Change in sleeping habits 16
Change in number of family get-togethers 15
Change in eating habits 15
Holiday 13
Christmas 12
Minor violations of law 11

Where you are in danger of suffering the ill effects of life crises, try to minimise the disturbance to your life. If, for example, you have lost someone close to you, try to avoid changing your job.

If you have a high score, or know that you will have a high score in the future, it may be worth pre-empting any problems by adopting stress management strategies now. Look after yourself.

Be encouraged.

*********************Letter # 20 (2.6.2002)**********************

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