1 resilience: a marathon, not a sprint acssw jane parker, mph, lcsw, phd 2015@institute for...
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RESILIENCE: A marathon, not a sprint
ACSSWJane Parker, MPH, LCSW, PhD
2015@Institute for Psychosocial Health
RESILIENCE: A marathon, not a sprint
ACSSWJane Parker, MPH, LCSW, PhD
2015@Institute for Psychosocial Health
Words of Wisdom
“If I am not for myself, who will be for me? If I am not for others, what am I? And if not now, when?” --Rabbi Hillel
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Objectives
Define and discuss resilience as a career strategy
Identify five dimensions of self care to promote resilience in school social work
Choose at least two strategies to enhance resilience and decrease stress
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The What, How, and Who1. WHAT=Identification of resilient qualities through
observation; developmental risk & protective factors; phenomenological; at risk children
2. HOW=Process of disruption and reintegration for accessing resilience
3. WHO=Force (spirit) in all humans that pushes for growth through adversity; postmodern, multidisciplinary views Richardson, pp. 307-308
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offered by research in the field
resilience“the ability to maintain a stable equilibrium”
“the ability of a body to return to its original shape after being compressed, bent, or stretched”
“typically discussed in terms of protective factors that foster the development of positive outcomes and healthy
personality characteristics”
“the ability to adjust or adapt after severe change or misfortune”
“resilient individuals generally exhibit a stable trajectory of healthy functioning across time”
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(Bonanno, 2004, p. 20)
more definitions
“effective coping and adaptation although faced with loss, hardship, or adversity” (Tugade & Fredrickson, 2004, p. 320)
“a measure of stress-coping ability, and it describes personal qualities that allow individuals and communities to grow and even thrive in the face of adversity. As such resilience or personality hardiness can be regarded as a measure of emotional stamina.” (Connor, 2006, p. 46)
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…and yet more…
“A succinct statement of resiliency theory is that there is a force within everyone that drives them to seek self-actualization, altruism, wisdom and harmony with a spiritual source of strength.” (Richardson, 2002, pp. 319)
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conceptual agreements
psychological, social, biological, spiritual, occupational strengths
successfully master change
occurs in nature, in our cells every day
prevalent in and available to human beings
can be fostered, encouraged, taught
Why not focus on it?
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Two sides of compassion
Compassion Fatigue—Loss of a sense of caring; soul weariness; desensitized to pain of others (Figley, 1984)
Compassion Satisfaction—Pleasure one derives from being able to do his or her work effectively (Stamm, 2005)
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Secondary traumatic stress
Cognitive and behavioral changes that occur after consistent empathic contact with negative experiences of safety, control, and justice (Newell & MacNeil, 2010)
Health workers, teachers, other helpers or caregivers may experience STS
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Two important types of trauma
Shared trauma—when the responders or other helpers have/are experiencing the same trauma as clients. Implications?
Parallel traumas—when a person is going through another life trauma simultaneously with a broader disaster. Implications?
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resilient people
stay in their profession over time
experience ups and downs w/o panic
have a full life outside of their work
attend to different dimensions of resilience
serve as a role model for others
focus on staying balanced
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“themes” of resilience
fostered through training & development
creativity, flexibility & humor
sense of faith, morality, advocacy
experience, expertise, autonomy, responsibility & confidence
support at work / strong supervisors
keep work separate from home
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other factors
physiological health
network of human beings
quality & availability of network in crisis
work & economic conditions
family structures
cultural supports
spirituality and altruism
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resilient personality traits
tenacity, problem solving
ability to tolerate pain
insight and logical thinking
independence of spirit + freedom for dependence with appropriate boundaries
self respect; ability to restore self esteem
capacity for learning
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resilient traits & practicesresilient traits & practices
maintain friendships
perspective on life
vital, evolving philosophy
make meaning from all experiences
practice forgiveness
general optimism
humor!☺
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pathways to resilience
suffering & healing
self-enhancement & care
empathic discernment
measured emotional expression
positive emotion & laughter
21(Bonanno, 2004)
Dimensions of resilience:Dimensions of resilience:physiological, psychological, social, occupational physiological, psychological, social, occupational
and spiritualand spiritual
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physiological resilience
general biological health
consistent strength
good immune system
foundation for functioning
general hardiness
ability to heal, reintegrate
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psychological resilience
intellectual functioning
ego functioning; internal locus of control
realistic perceptions of world
capacity to reframe, make meaning
brain flexibility to build new psychosocial structures
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social resilience
reliable networks
family, biological or chosen
friends; trusted colleagues
mentors
civic venues, contributions
inclusion and seclusion
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occupational resilience Work in fast paced,
stressful environment Rely on professional
knowledge, policies, procedures
Expects success Active in organization Values effectiveness
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spiritual resilience
transcendence; indwelling spirit
structured religious practice
private meditative practice
assists in making meaning
promotes altruism & service
encourages letting go of hurts
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THE FORCE1. Innate “push” to survive
and grow
2. People are more resilient than they realize
3. People are more resilient than we think
4. Most helpers do not fully respect their own or others’ levels of resilience
5. If you really believed your clients were resilient, how might your stress level be affected?
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The “Force”
Within all people
Oppressed or released
May vary widely
May be postponed
Manifests constantly
Released consciously
Childlike, open, playful
Moral, altruistic
Noble, wise
Life-giving
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assessment tools
ProQOL
CD-RISC
Resilience Scale for Adults
personal feedback and mood/body scores daily
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rsa buffering factors
perception of future positive outlook on future beliefs about opportunities to succeed ability to plan ahead ability to formulate clear goals
social competence perception of ability to initiate social contact perception of ability to be flexible in social situations ability to create new friendships pro-social interactional style precursors to network of social support
34(Hjemdal, Friborg, Stiles, Rosenvinge & Martinussen, 2006)
resilience planning
Write in SMART terms require annually update quarterly practice daily cover all five dimensions review in supervision work with a resilient
mentor, coach
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User friendly and daily
Mind: What am I thinking about? Am I clear and sharp today? What am I telling myself? Who am I listening to? Score: (1-10, with 1 low or quite negative; 10 positive)
Body: How do I feel physically today? Why? What is my energy level? Does it wax and wane? Is it generally even? Why?Score:
Mood: How do I feel in general today? Is my mood steady or vascillating? What emotions tend to predominate? Which ones might be a direct result of my mind and body scores? Score:
COMMON THEMES: Look back over a week, a month, or a quarter period of time. On those days that M/B/M scores are higher, what was going on? What deliberate actions were you taking to boost your resilience?
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Sample structure
DIMENSION GOAL STATEMENT TIME LINE
Physiological
Psychological
Social
Spiritual
Occupational
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If not now….
Self-care plan specifically addressed in supervision or with accountability partner?
Physical work space? Personal space? “I really need to…” “I should…” “One day”
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WHEN?????????
Do one thing DIFFERENTLY, next week Make “detoxing” moves; healthier daily
choices in all five dimensions Make weekly appointments with yourself Practice self-compassion DAILY Participate in a group as needed
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