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Resilience is trending, but journalists don’t always get it right [CenterForHealthJournalism.com]

 

In an era when childhood trauma, toxic stress and grit are the leading buzzwords in children’s health circles, “resilience” is often trotted out as the answer to whatever horrible events people — young or old — have endured. Prevention is always king, the thinking goes, but when misery has already come to pass, building up resilience is our best bet for giving trauma victims a chance to move beyond their misfortune and live healthy, productive lives.

Except that the knotty concept of resilience is rarely so simple, the narrative never so pat, as we might be tempted to believe from reading issue briefs or bootstrap stories in the media. That point was driven home repeatedly by psychiatrist Glenda Wrenn and foster youth advocate Johnny Madrid in a panel on the role of resilience at this week’s 2016 National Fellowship. In very different ways, the two speakers emphasized that real stories of resilience are almost always more complex than suggested by popular accounts.

But first, it helps to have a working definition of resilience. Wrenn, an assistant professor of psychiatry and behavioral science at the Morehouse School of Medicine in Atlanta, defines it as “the ability to grow and thrive in the face of challenge as well as bounce back in the face of adversity.”

One of Wrenn’s messages, however, is that resilience isn’t a fixed characteristic of a person. Instead she speaks of “real-time resilience,” which ebbs and flows according to the vagaries of a person’s daily life. “Thinking about how you can acknowledge that reality I think is beneficial to the truth of the story, but also to the person,” she told journalists. 



[For more of this story, written by Ryan White, go to http://www.centerforhealthjour...-always-get-it-right]

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I agree, Patrick. The ACE Study is pretty clear -- "successful" people with high ACE scores still suffer the consequences. Coping by becoming a workaholic is just another coping strategy with dire consequences. I'm still grappling with that.

I continue to comment on articles about resilience in the hopes that we can have a dialogue about how the brain responds to neutral and positive stimuli in  away that misleads us into thinking about whether the phrase resilience really defines a goal. Not every traumatized adult responds with negative behaviors. Instead, we receive reinforcement from neutral and positive behaviors that feed our reward systems. 

The experience of Johnny Madrid is a common one. I have a story of childhood trauma like his. We seek approval because it rewards our traumatized brain with chemical output that makes us feel good, but only for a while. We have to keep achieving in order to get the rewards. This chemical output can substitute for drugs, alcohol and other behaviors but doesn't really alleviate the sometimes overwhelming Toxic Stress symptoms, and we can slip into negative behaviors quickly including supplementing the positive and neutral behaviors with negative ones.

That said, I believe we can heal when we understand what happened to us and adopt a positive regimen of nutrition, exercise and training the brain to counteract the stress. 

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