European Stars and Stripes (Newspaper) - September 20, 1980, Darmstadt, Hesse                                Page 18 the Tarsan stripes saturday september 20, 1980 heart attack Factor Type a risk appears proved by Jane Brody new York times in 1958, two California cardiologists pro posed that an achievement oriented competitive behaviour pattern they called Type a could cause heart attacks a notion that for years was rejected or ignored by most heart researchers who focused on such readily measured risk factors As diet smoking an blood pressure. Now however preliminary indications from a Large continuing study suggest that changing this stressful Way of living May in fact reduce the risk of heart attack. This study and smaller ones like it Are also showing that although american society equates Type a behaviour with Success modifying the Pat Tern can actually enhance productivity an satisfaction with life. At the same time the role this hurried aggressive controlling and often hostile be Havior pattern plays in a person s chances of suffering a heart attack is gaining Ever wider acceptance even among the epidemiologists and cardiologists who had denigrated it. A Blue ribbon panel convened by the National heart lung and blood Institute recently concluded that the Type a pattern like High blood cholesterol cigarette smoking and High blood pressure is solidly established As a significant risk Factor for heart disease. And the Institute is currently financing a $900,000, five year study among 900 Cor onary patients to find out How to modify potentially harmful aspects of Type a behaviour. We be been especially helpful in getting people to reduce their sense of time urgency and Over commitment to work remarked Carl Thoresen a Stanford University psychologist who is a principal investigator in the study which is in its third year. He added that reducing anger and hostility which some researchers believe is the More important problem is turning out to be much More difficult. Thus far according to a co worker James Gill second heart attacks have occurred less often than expected among those in the study who have modified their Type a behaviour. In every instance of a recurrence we can recall the individual had violated the advice of others participating in the study noted Gill a psychiatrist with Harvard University health services. He cited the Case of an accountant who failed to heed the group s advice that he set a limit on clients accepted before the Federal income tax deadline. Instead for months the Man worked "14 to 16 hours a Day seven Days a week and we buried him several Days before april 15," Gill recalled. Several earlier studies involving thousands of initially healthy people have indicated that Type a behaviour doubles it person s risk of suffering a heart attack. However most of the studies involved primarily Middle Dies White american men and it is not yet known what effect Type a behaviour has on other groups. Robert Levy director of the National Institute in by Thesda md., said that even if the hallo hallo to sind 516,0861. Yalu Mike current study fails to provide scientifically valid evidence of reduced cardiac deaths it should show whether in a society that Fosters Type a behaviour the pattern can be changed. The study is being conducted under the direction of Meyer Friedman a san Francis co cardiologist who with Ray h. Rosenman first proposed the link Between Type a behaviour and heart disease. Their Book Type a behaviour and your heart published in 1974 by Alfred a. Knopf popularized the concent and forced Many professionals to look into it More closely. Friedman says that More than 93 percent of heart attack victims score very High on his Type a rating scale. Very few were classified us More tranquil Type b a who Lack the underlying hostility and tension producing characteristics of Type a s. Friedman s colleague say he was an Arche typical Type a very hard working intense fast aggressive loud uncompromising and impatient before his heart attack 14 years ago. He has worked religiously at avoiding Type a behaviour in the Yean since and now leads a Welt paced life enjoying music Thea Ter literature nature Friendship and regular exercise Gill said. In the study 600 persons All of whom have suffered at least one heart attack go through a structured videotaped interview from which their Type a score is derived. Then they meet regularly in Small groups with a professional Leader to discuss their life strategies and prob lems troublesome situations such us saying thanks but no thanks to someone asking you to be on a committee give one soother advice and learn cd Orcas to practice being More Type b. One such exercise involves standing in lines an activity that usually infuriates Type a people. We suggest that instead of getting irritated they use the Opportunity to reflect to think about something they normally Don t have time for or to strike up a conversation with a stranger or to people watch and especially to observe Type a characteristics i others Thoresen said. Thoresen and his co workers Trace the pre occupation with work and achievement among Many Type a people to a Basic underlying insecurity they work harder and faster and longer in an endless Pursuit to prove they arc  across 1 general trend aweigh 11 Sermon 12 partner to later 11 aviator Earhart 15 make Muddy ii Ocean vessel astir 17 Start 19 Seine sight 20 Type of stick Norg. 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Can this be True confused in d. C. Area dear confused either your Nus Hwd his Popcorn where us brains belong or he is Luli Alfant ing. Be it helpful to Here Good relationship with the secretaries of Emit Ooton but wining and dining Tod gifts nonsense a that a necessary is to behaved  your husband he Insanto your Intel Genee by expecting Jam to believes cd garbage. Dear Ann my brother and his wife they live in California have invited in to their Home fora week i visit we would Lovo to go Bat we fear for our seven month old baby. R and o have a 2k-year-Oid son who ii a holy terror. He hits people in the face without warn ing and throws things. You have to be on your guard every living minute. R and g have two older children who were poorly be have when they were Little but they weren t half As bad As this kid. Do Yon feel we should make this Tript if we Don to Hall Wetell them who stymied in Illinois dry Sty i doa t of tank Yod Bate Ktut pfc Mart time if you cad to stud Curt Orer Yoa baby every Gurhg Mim ate. If you decide not to to Tea r Aad c the reason. If on the other Baad you do decide to a acc the trip by the boy by Karo in a dangerously destructive manner Sag test that hey Hare urn Enfer Ted. He May be  or tart c neurological Proem tin needs looking into. Dear Ann Amer 24 years of marriage my husband became jealous and started to make accusations. I have never been unfaithful and agreed to take a lie Detector test to put his mind arrest. To my astonishment the lest showed me to be lying. Now by husband has it hanging Over my head that i had an hair with a kid Young enough to be my son. By trying to prove my honesty to him i came out looking like a  there an explanation for honest but proven go it year honest a polygraph test measures the mood pressure or n is certain changes occur a the skin when m person is lying according to tie people who sol be equipment. Frankly i a re some reset Loos about ibis my Legal sons units Ted a these tests be not 100 percent foolproof Aad in Many state they Are not admissible As Evi Dence. 0 Field Emir pm