Almost two decades ago, Drs. Meyer Friedman and Ray Rosenman de veloped the concept of the Type A coronary-prone behavior pattern and pioneered research in the area. Since then, much effort has been devoted to investigating both medical and psychosocial implications of this phenomenon by an impressive array of biomedical and behavioral scientists. On the basis of the National Heart, Lung, and Blood Institute's (NHLBI) recent Congressional mandate concerning disease prevention and control, the Division of Heart and Vascular Diseases undertook an intensive review of the existing literature in this area. The review underscored that the very nature of the concept of coronary-prone behavior requires examination by researchers from a variety of disciplines. Publication of findings in both the medical and behavioral literature, however, has created difficulties in gaining a truly com prehensive understanding of the total effort in this area. It became obvious that there was no coherent integration of information regarding the strength of the association between behaviors and disease processes (or outcomes), how be havioral factors associated with coronary heart disease were measured, the possible physiological mechanisms mediating the relationship between be havior and disease, whether intervention could be effective, and what forms of intervention appeared most promising. In short, a clear need existed to or ganize this information in a more coherent fashion so that it could be subjected to critical review by members of both the medical and behavioral scientific communities.

Fundamental and challenging questions about the origin and sustenance of Type A behaviour - such as whether environmental or genetic factors play a role in its development, and whether Type A parents raise Type A children - are explored in this volume. Leading scholars also present current research on such topics as whether gender affects the development of Type A behaviour, and methods of developing and evaluating programmes aimed at altering such behaviour.

Increasing attention has been paid to the links between psychological, social and behavioral factors and the onset of coronary heart disease. This work assesses the present state of knowledge concerning Type A behaviour - the most common and extensively researched behaviour pattern.

The principal mechanisms of psychological stress and their operation in field and clinical settings are described in this book. The author also offers advice and direction for managing the stress-related aspects of physical and psychological disturbances.

Despite medical technological advances, the major killers with which we must currently contend have remained essentially the same for the past few decades. Stroke, cancer, and heart disease together account for the vast majority of deaths in the United States. In addition, due to improved medical care, many Americans who would previously have died now survive these disorders, necessitating that they receive appropriate rehabilitation efforts. One result of our own medical advances is that we must now accept the high costs associated with providing quality care to individuals who develop one of these problems, and we must avail ourselves to assist of afflicted individuals. families Despite the relative stability of causes of death and disability, the health-care field is currently experiencing tremendous pressures, both from professionals with in the field, who desire more and better technology than is currently available, and from the public and other payers of health care (e.g., insurance companies), who seek an end to increasing health-care costs. These pressures, along with an increased emphasis on providing evidence of cost-effectiveness and quality assurance, are substantially changing the way that health-care professionals perform their jobs.

Individual Differences, Stress, and Health Psychology presents recent research on how individual differences lead to the variety of reactions people display to stressors. These reactions are considered particularly in their relation to health and illness. Distinguished international researchers in health psychology speculate on the future of the field and its application to developing treatments or changes in lifestyles that may prevent or alleviate such disorders as cancer, coronary heart disease, hypertension, and post-traumatic stress syndrome. The volume makes a significant contribution to the study of the relation between stress and health processes.