THE DIMENSIONS OF LIFE STRESS AND THE SPECIFICITY OF DISORDER

Stress and related concepts have long been associated with ideas about the genesis of mental and physical disorders. The concepts linking stress to disorder, however, have typically been very general in nature. The theme of the present paper is that such nonspecific principles may obscure more specific relations between relatively distinct forms of life stress and particular types of disorder outcome. The historical progression of ideas on this topic is traced and the assumptions behind specificity and nonspecificity models of disorder are outlined. The implications of these developments are next illustrated in regard to current conceptual and operational shortcomings. Recent research that has overcome these limitations and suggests the viability and importance of more specific linkages between particular forms of stress and disorders is selectively reviewed. Finally, the paper concludes with some speculative comments on the problems facing investigators interested in translating stress concepts into operational procedures. Copyright © 1990, Wiley Blackwell. All rights reserved