RecalibratingResilience Williamhadmultipleflagsforpooroutcomes,andMargaret,hisclaimsmanager,noticed thateverytimetherewastheleasthiccupintheprogressofhisclaimWilliamseemedtofall apartandneedextraattentiontocalmhimdown.MargaretsuggestedthatWilliamtakea "resilience"courseandWilliamreluctantlyagreed.ThecourseattemptedtoshowWilliam techniquesfromawell-known"positivepsychology"approachtoresilience.William stoppedlisteningtothelecturehalfwaythrough-helatertoldhisfriendsthatitwastoo "touchy-freely". Afteraparticularlytoughweek,oneofMargaret'sco-workersnotedthatshewasacting particularlystressed.Margaretwasabithostiletosomeofherclaimantsandwasheard muttering,"Whycan'ttheyjustgetonwiththeirliveslikeIdo".Margarethadheardabouta resilience-buildingpracticethatwasofferedthroughwork.Itfeatureda“mindfulness” meditationpractice.Shesignedupforaclassandtriedtofitthetechniqueshelearnedinto herdailyroutine.Butshehadalwaysbeenabusyperson,andhousework,herkids,andher husbandtookupalltheenergyshehadafterwork.Shehadpreciouslittle"metime" anyway,andmakingtimeformeditationjustdidn'thappen. TheproblemwithbothMargaretandWilliamisn'tthattheyweregivenbadadvice.They werejustgivenadvicethatwasn'tsufficientlyspecifictotheirpersonalitiesandsituations. Becauseitwastoogeneral,itdidn'tbecomeenoughoftheirlivestomakeitrealanduseful. Anewunderstandingofwhatresilienceisandhowitactuallyworkstohelppeople"bounce ©Copyright2016RobertAurbach 1 back"fromadversityrecognizesthat"one-size-fits-all"doesn'tworkformanypeople.What isneededisabetterunderstandingofhowtousethemind'sreactiontochallengesinan individualizedway.1 What'swrongwith"resilience?" Itseemsprettyobviousthatwe’dallbebetteroffifwewerealittlemorepersonally resilient.Itwouldbegreatforinjuredworkers.They'dbelesslikelytobeadverselyaffected bytheirexperienceofthecompensationsystemandlesslikelytosuffersecondary psychologicalimpactsfromtheirinjury.Resilientpeoplewhosufferaninjuryarelesslikely tomisswork,lesslikelytohavetimeofffrominjury,lesslikelytobelievesomeoneelsewas atfaultintheaccident,morelikelytorecoverandreturntoworkquicklyandmore emotionallyandphysicallyabletocopewiththereturntoworkprocessi It'dbegreatforclaimsstafftoo.Sometimesweforgetwhatadifficultjobclaimsadjusting is,andtakehighabsenceandturnoverrates,presenteeismandburnoutasnecessaryevils. Amoreresilientclaimsstaffismoreengagedandproductive,lesslikelytobeadversely affectedbytheworkandmorelikelytotreatclaimantsappropriately. Thetroubleisthat"resilience"hasbeenelusiveinatleasttwoways.First,it'sa characteristicthatisn'tgenerallywell-described,exceptbyitseffects.Weknowwhat resiliencedoes,butwehavenodescriptionofhowresilienceworks.Withoutadefinitionof whatresilienceis,thephenomenonisina"blackbox"thatisnothelpfulformakinguseof theconcept. Second,theadvicegivenregardingresiliencesuffersfromcircularity,generalityand difficultyinapplication.Commonadvicelike,"Ifyouwanttobemoreresilient,bemore optimistic"soundsalittletoomuchlike"Ifyouwanttobewealthy,justgetmoremoney." It'snotveryhelpful.Ofcoursewe'llbeabletobouncebackfromthingsbetterifwe're optimistic.Theconundrumishowsomeonebecomesmoreoptimistic,especiallywhenthey arestressedbybeinginthemiddleofrecoveryfromaninjury. 1 Manythankstothepeoplewhoreadearlierdraftsofthisarticleandmadeexcellentsuggestionsfor improvements.Sinceafewdon'twanttobementionedbyname,I'lljustthankyouallcollectively. ©Copyright2016RobertAurbach 2 Backinthe1980sand1990sresearchersinchilddevelopmentappropriatedtheterm "resilience"frommaterialssciencetodescribethephenomenonofvulnerablechildrenfrom disadvantagedenvironmentswhosomehowmanagedtothriveandsucceed.Lotsof correlationstudiesweredonetodiscovertraitsthatappearedmostfrequentlyinthat population.Correlationstudiesareusefulforlookingatawholepopulation,butnot particularlyhelpfulinunderstandingtheimpactonindividuals.Forinstance,weknowthat smokingiscorrelatedwithincreasedincidenceofcertaindiseases,butthatinformation doesn'ttelluswhathealthimpactsanindividualsmokerwillhave.Notwithstandingthis limitation,thecorrelationstudiesbecamethesourceofadviceforindividuals.Naturally enough,manypeopledidn'tfeelasthoughthey"fit"theresilienceadvicetheywerebeing given,andresiliencetraininghasbeeninconsistentinitsuptake. Wherethereisapromiseofasilverbullet,acottageindustrywillusuallydevelop.Several programshavebeendevelopedandsoldas"resiliencetraining".Theymaybesupportedby researchthatshowsthat,amongstthosewhoparticipatedinthestudyanddidwhatthey weretold,goodthingshappened.2Forexample,we'retoldthatmindfulnessmeditationwill improveresilienceii,andthat'scorrectforthosewhopracticeitandmakeitpartoftheir lives.Thetroubleisthattheresearchdoesn'tmeasuretheresultsonthosepeoplefor whommindfulnessmeditationisnotsomethingthattheyarewillingtoconsistently practice.Thoseresistantpeoplearen'tstudied,ordon'tenterorstayintheresearch program,andarethereforeexcludedfromconsiderationinthereportingofresults.The studiesonlyshowthatthetechniqueworksforthepeoplewhoarewillingtodevote themselvestotheapproach,andissilentwithregardtotherestofus.Andaquicksurveyof peoplearoundyouwillshowthatsomepeopleliketheideaandwilltryit,somepeople(like William)thinkit’s“notforthem”,somepeople(likeMargaret)simplywon’tmakethetime forconsistentpractice, Thesameistruewithnumerousotherprograms.Thepositivepsychologymovementhasits resilienceprogram,anditworksjustfine–forthosetowhompositivepsychologyisa comfortablewaytolookattheworld.Therestofusarelikelytobeturnedoff,andifwetry 2 Let'sleaveaside,forthemoment,theconcernthattheinstrumentsthatmeasure"resilience"actually measuresomethingelse–wecan'tmeasureresiliencedirectly,becausewehaven'tyetdefinedwhatitisor howitworks. ©Copyright2016RobertAurbach 3 itatall,failtoincorporatethepracticeintoourongoing"resiliencetoolbox".There'sagood reasonforthis.Wearen'tallthesame,andtheskillsofresilientpeoplearen'tallthesame. One-size-fits-allapproachestoresilienceareinherentlyflawed,notbecausetheyarewrong –butratherbecausetheyarenotsuitableforeveryone.Approachesthat"goagainstthe grain"willnotbepracticedenoughtobecometheengrainedandautomaticresponsesto distressthatbuildpersonalresilienceintherealworld. Whatweneedisamorepersonalizedapproachtoresilience.Mostofushavesome resilienceskillsandWilliamandMargaretarenoexception.Sometimesthoseskillsaren’t enoughtoinsulateusfromdifficulty.Thekeyistobuildup"fallback"skillsinourtoolboxso thatwehavesomethingtotrywhentheusualstrategyisn'tworking.Todothat,wehaveto assesswhatskillswehaveandwhatotherskillsmightfitinwiththewaywelookatthe world.Thenwecanpickaresilienceskillthatsuitsustotrytofurtherdevelop. Theprocessofbuildingresilienceskillsisjustlikebuildinganyotherskill,andwedoit accordingtoprinciplesthathavebecomebetterunderstoodastheunderstandingofthe mindhasadvanced. Whatisindividualresilience? Tounderstandwhat'sgoingon,wehavetolookathowweprocessinformationandlearn. Ourbrainsareincredibleparallelprocessorsofinformation.Williamtakesinalloftheinputs fromtheexternalworld(sensorydata,eventsofallkinds,interactionswithothers)andall ofourinternaldata(thoughts,emotions,sensationswithinthebody)andhavetolinkthem togetherforthenot-sosimpletaskoffocusingonthatwhichismostimportantatthetime. We'veallexperiencedthisfocuswhenweareabletoshutoutthingsthatnormallywould attractourattention.(Rememberhavinggottenacutorbruiseandnotbeingabletorecall whenorhow?)Weknowwhathappenswhenwelosethefocus(“wearedistracted")and findourselvesdoingsomethingotherthanwhatwestartedoutintendingtodo.The importantparttounderstandisthatallthethingsthathappenatonetimeareconnectedin themindsothatweareabletomakechoicesaboutwhatattractsandholdsourattention. Williamhasafloodofinputssurroundinghisclaim–pain,anxietyandasenseoflossof controlarisingfromhisinjury,aseparationfromhisidentityasaworker,economicstress, ©Copyright2016RobertAurbach 4 messagesaboutwhathe’ssupposedtodofromhisclaimsmanager,doctors,lawyer,family andfriends(thatmaybeconflicting)andtheweightofalltheexpectationsfromhisownlife andtheculturalenvironment.Alltheseinputs(andnoticethatmanyofthemarenegative) arepresentedatthesametimeandsoWilliam’smindhastolinkthemtogethertofocus andstaypresent. Whenthemomentpasses,theconnectionsmaypersistforawhile,untilthebrainrecycles theconnectioncapacitytoprocessnewexperiences.Butsupposetheconnectionsbetween somethoughts,emotions,sensationsandexperiencesoftheoutsideworldrepeatover time.ItmaybethatWilliamexperiencessomerepetitionoftheconnectionsinthecourseof tellinghisclaimsmanager,doctorsandlawyerallaboutit,butmostofWilliam'srepetition oftheconnectionswillcomethroughhisruminatingoverwhat'she'sexperienced.Claims maysitforweeksonholdwhileliabilityisdetermined.Healingtakestime.Litigation(if there’sadispute)takesalotmoretime.Therepetitionofnegativemessagescontinues throughruminationsandinternal"self-talk",andWilliamisn'tgiventheopportunityforthe messagestojustfadeaway. Withenoughrepetition,physicalchangesoccurintheconnectionswithinthebrainand thoserepeatedconnectionsbecome"wired-in"-faster,moreautomaticandlesslikelytobe subjecttoconsciousconsideration.Wesay"practicemakesperfect"todescribehowa musicianlearnstoplaytheirinstrument,howaworkerlearnstobeefficientandeffectivein hisorherjoborhowwelearnthe"reflexesandinstincts"tomakeusreactappropriately whensomethingunexpectedhappenswhenwedrive.Thisprocessoccurswithmuchmore complicatedactionsthanjustphysicalskills,aswhenwelearnto"read"anotherperson's moods,useheuristictoolstomakequickjudgementsorinvokeselection,confirmationand otherbiases.iiiWilliamlearns,inthesamewaytoassociatehispain,hissenseof helplessnessandhisreactionstothesysteminwhichthisisallhappening. Whenwerepeatedlyassociatethesamethoughts,emotionsandsensations,allofthemget linkedtogetherinasortofwebofassociation.Theprocesstakestimeandrepetition,which iswhyit'shardtomakeorbreakahabit.Theneuroscientistsmightcalltheresulting associatedthoughts,emotionsandsensationsa"facilitatedneuralnetwork".One characteristicofsuchnetworksisthatthestimulationofonepartofthelinkednetworkhas ©Copyright2016RobertAurbach 5 atendencytostimulatethewholelinkedsetofexperiences.It'snotunusualforMargaretto sayordosomethingshethoughtwasinnocentandtriggeradisproportionateor inappropriatereactionfromaworkerlikeWilliam.Margaretmayhaveinadvertentlysaid somethingsimilartowordsthathiswifeusedwhentheyhadanargumentathomethe nightbefore.Theargumentwasassociatedwithanxietyworryandaflare-upinWilliam's pain.WesayMargaret"pushedWilliam'sbutton"andmeanthatsheinadvertentlyinvoked awebofassociationsandthatWilliamliterallyfeltthepainasaresultandlashedoutather. Theexpressionofangerthatfollowedwasn'tevenreallydirectedher–Margaretisjustthe triggerforassociationsbetweenpain,anxietyandtensionathome(apsychosocialfactor) madeatanothertimeandplace. Theabilityofthemindtomakefacilitatednetworksofthought,emotionandsensationmay alsocreatemaladaptiveresponses.Currentneuropsychologicalresearchsuggeststhat chronicpainandPTSDmaybeexamplesofsuchmaladaptivesystems.iv AnewdefinitionofResilience Ifrepetitionisthekeytothiskindoflearnedassociationbetweenthethingsthatwe experience,wehavetowonderhowtherepetitionoccurs.Manytimeswephysicallyrepeat thesameactionsoverandover,asintakingthesameroutetoworkeachday.Mostofus haveexperiencedstartingoutonthatroute,intendingtogoelsewhere,butinamomentof distractionaccidentallytakingafamiliarturntowardtheworkplace.Theroutetoworkhas becomeengrained,andwefollowthefamiliarrouteunlessweconsciouslyoverridethe habit.Neuroscientistssuggestthatittakesabout12weeksoffocusedefforttoengraina habitsothatitbecomesengrained–which,notcoincidently,isthesameamountoftimeit takesforaninjuredworkertobecomesignificantlylesslikelytoreturntowork. Butsometimeswe"learn"thingsinapowerfulwaythathaven'tbeenrepeatedoverand over.Williammightonlyhavebeentoldthathe"willneverworkagain"byhisdoctoronone occasion.Nonetheless,themessagemaybecomeamantra,repeatedoverandoveruntilit ©Copyright2016RobertAurbach 6 becomesaself-limitingbelief.3So,howdoesthisunrepeatedmessageget"wiredin"with therestoftheexperienceofrecovery? Whilethemessagemayonlybeutteredoncebythedoctor,repetitionstilloccurs.The messagemayberepeatedtohislawyer,aclaimsmanager,familymembersandfriends. Moreimportantly,themessagebecomespartoftheinnerdialogueor"self-talk"thatweall experience.Wetellourselves,overandover,whatwehaveheard,repeatingitatthespeed ofthought.4Itbecomesourexplanationforwhatwedoanddonotdo.It'sespecially commonforsuchrepetitiontooccuratnight,whileWilliamislyinginbedtryingtofall asleep. Ourself-talkalsobecomesaperceptualfilterthatinfluenceshowweperceivetheevents goingonintheworld,sothateverythingisinterpretedasbeingconsistentwiththe message.Ourrepetitionthroughself-talkbecomespartofwhatandwhoweperceive ourselvestobe."Victim","disabledperson","loser","survivor","worker",and"winner"are alllabelsthatwegiveourselves.Thelabelscomefromourself-talkandexpressareaction totheretentionorlossofasenseofcontroloverthecircumstancesthatconfrontus.If Williamisabletomaintainhisimportantsenseofbeingincontrol,hemaintainshisidentity andislikelytomakestrongefforttogetbackto"normal".Ifhebecomesoverwhelmedand loseshissenseofpersonalcontrol,thereturntonormalcymaybecometoohardtoachieve. Somepeoplegiveup.William’sredflagssuggestthathehasalotofnegativeinputsalready, andthathemaybeclosertobeingoverwhelmedthanothers.Hisself-talkisalready negativebeforehestartedtheclaimsprocessandheislikelyfairlyclosetolosingcontrol already. Ifself-talkistheprinciplemodeofrepetitionthatcreatesmentalhabits,interpretationsof eventsandthelimitationsandlabelsweapplytoourselves,thenitfollowsthatself-talkhas 3 Theresearchonadversechildhoodevents(ACE)documentsthepotencyofmessagesofpowerlessnessor worthlessnessonchildren.Educationalresearchershaveshownusthattheoppositeistrueaswell–astrong familialormentorshiprelationshipcanhelpachildovercometheinfluencesofseriouslydisadvantaged developmentalenvironments. 4 Thisisparticularlytruewhentryingtogettosleep–andmanyinjuredworkershavesleepdisruptionaspart oftheirsymptoms. ©Copyright2016RobertAurbach 7 ahugeinfluenceonourabilityto"bounceback"fromadversity.Thatleadstoafunctional definitionofhowresilienceactuallyworks: Individualresilienceistheabilitytoquiet,changeormodulateself-talkabout eventsandsituations. IfMargaretorWilliamcancalmorchangetheirnegativeself-talkitwillnotgetsufficient repetitiontobecomepartofanetworkofautomaticbeliefs,interpretationsofexperience orperceptualfilters.Withouttheundueinfluenceofnegativemessagesonperceptionsof what'shappeningnow,theywillbeabletoexperiencetheworldastheywouldhavebefore thenegativeevent–andformostofus,thatmeansthattheywill"bounceback"andcope astheydidbefore. Mostofushavefairlywell-developedskillsaroundshuttingdowntheadversevoicesinour heads.Forallofus,therearecircumstancesthathavetheabilitytooverwhelmthedefenses wehaveinplace.Self-doubt,indecision,anxiety,depressionandothersymptomsfollow whennegativeself-talkisinadequatelycontrolled.Thetricktobeinga"resilientperson"is havingasetofbehaviorsthatwillworkinawidevarietyofcircumstancestochangeorquiet theinnervoice.Oneresilienceskilldoesn'tprovidedefenseindepth–ifit'soverwhelmed byevents,weneedanotherskilltofallbackupon.Resilientpeoplehavemultiplestrategies forquietingadverseself-talk. Stylesofresilience Lookaroundatresilientpeople5.Theydon'tlookthesame.There'stheentrepreneur,who lostafortunebutisunconcernedbecauseheorshecanalwaysmakemoremoney.Thereis theZenmaster,forwhomnoneofthetroublesofthisworldareofgreatconcern.Theyare bothveryresilient,yettheirapproachesaresignificantlydifferent.Thesinglemom,working twojobsandstudyingatnightisresilienttoo.Yetshedoesn'tlookatalllikethe entrepreneur,theZenmasterortheeternaloptimistwhoissurethatsomethinggoodis justaroundthecorner. 5 ThesecommentsapplyinWesternculturesbutwouldneedtobere-examinedwithculturalsensitivityin othercultures. ©Copyright2016RobertAurbach 8 Differentpeoplehavedifferentstylesorstrategiesfortheirfavoredwayofcalmingadverse self-talk.Thepreferencesandmixofresilienceskillsthattheypossessareafunctionofwhat lifehastaughtthem–lessonslearnedfromtheperson'supbringing,formaltraining,life challengesovercomeandfailuresexperienced.Thereareno"right"or"wrong"preferences amongstthesestylesandmostpeoplehavesomeskillinmorethanonestyle.An understandingofourpreferencesamongsttheseskillsismerelyaguidetowhatis comfortableforusatthislifestage.Ifwetrytobuildaskillthatisinthe"preferred"range thereisabetterchancethatitwillbepracticedenoughtobecomehabitual.Trytolearna resiliencestrategythatdoesn'tappeal,andthechancesofpracticingitenoughto“makeit youown"arediminished. Thelistingofresilience"styles"thatfollowsisnotabsolute.Itisaconvenientwayof understandingandclassifyingresilienceskillsthatappearstoleadpeopletobetter understanding.6 Thereisalsoacontinuumoffocuswithineachskillcategory.Eachskillcanbefocused internally,wheresomeonereliesontheirownresources.Anentrepreneurhasgreatbelief inhisorherabilitytomasterabusinesssituation.Strongbeliefcanbefocusedexternally,as inapersonofgreatreligiousfaith.Eachofthestylesdescribedhasarangeofapproaches differentiatedbythisdimensionof"internal"and"external"focusing,whichcanlend additionalassistanceinselectingasuitablenewresilienceskilltobuild. Believerskills Strongbeliefcancalmordrownoutnegativemessagesfromtheworld,allowingthe possessorofthatbelieftocontinueonasifthenegativemessagewasnotpresent. Entrepreneursandpoliticiansareclassicexamplesofpeoplethatappeartohavegreatfaith intheirownabilities.Theyoftencanshrugofforfailtocreditexternalcriticisms.People withthispreferencemayassessawiderangeoflifechallengesasbeingwellwithintheir capabilities,withvaryingdegreesofaccuracy.Internallyfocusedbelieverskillscanquiet self-doubt,allowingdecisiveaction. 6 Resultsofasurveyof113peoplewhoparticipatedinthebetatestingoftheResilienceStylesPreference profilingtooladministeredtotheMayoClinicImpairmentWithoutDisabilityconference,October2015. ©Copyright2016RobertAurbach 9 Believerskillscanalsobeexternallyfocused.Strongspiritualfaithorstrongbeliefinacause oridealcanallowpeopletopersevereinthefaceofnearlyoverwhelmingopposition.The focusonanexternalbeliefdoesatleasttwothings–itcreatesaconfirmationbias,where weinterpreteventsasconfirmingwhatwealreadythoughtwouldhappen.IfWilliamhasa beliefthattheinsurerisgoingtoactinappropriatelyhewillseeeverydecisionthatdoesn't favorhimasconfirmingthatbelief.Hehasnoneedtolookforanotherexplanation,sothere isnoinnerdoubtorconflict.Wherethebeliefisinanexternalsourceofinterventionor protectionitcanprovidestrongreassuranceinthefaceofdoubtandanxiety.7 Williamsufferedashoulderinjurywhileworking.Throughacombinationofcircumstances theinjurylefthimwithpermanentlimiteduseofthatshoulder.Theworkthatwasknownto himisnowunavailable,andhe’sgonethroughadifficultperiodwherehelosthisidentityas aworkerandhissenseofpurpose.Williambecameabletoletgooftheexperienceand moveonwithhislifewhenherealizedthathehadadeepandabidingbeliefinthepowerof individualstohelpothers.Henowrunsafoodbankforinjuredworkersandtheirfamilies, hasestablishedamemorialfordeceasedworkersandactivelycounselsinjuredpeoplethat thesystemhas"thrownonthescrapheapoflife".Hisownlifeisnowfullandfulfilling,and whentherearedarkdaystheyarequicklylightenedbytherecollectionoftheimportanceof hiswork. Reframerskills Sometimesthenegativemessagefromtheworldcanbetamedifthereisawayof understandingwhatishappeningthatmakessenseoftheworld.Forpeoplerelyingon reframerskills,theabilitytofindanexplanationoralessontobelearnedputsthem comfortablybackincontrolofthesituation.Theexternallyfocusedreframerwillreplayan unpleasanteventforthepurposeoffindingameaning.Oncehavingfounda"silverlining" tothecloudoralessonfromtheevent,theinnervoiceisquietedandtheeventcanbe safelyfiledawaywithoutadisruptionofthereframer'ssenseofselforplaceintheworld. 7 Adversechildhoodeventsareprobablysodevastatingbecauseofthebetrayaloftheexternallyfocused beliefthattheparentwillprotectthechildfromharm. ©Copyright2016RobertAurbach 10 Theinternalmanifestationofreframingisoptimism.Stabilityisachievedbyfocusingonthe bestofpeopleandtheunfoldingofeventsinthefaceofadversity.8Whensomething unpleasanthappens,theinternalreframeholdsontotheunderlyingprincipleandcreates anexplanationthatexplainstheeventasanaberration.Ifanoptimistisdisappointedby someone'sbehavior,theycanquiettheconcernbydefiningsayingthat"peoplearestill good,butthatpersonmustbehavingabadday".Withtheexplanationinplace,thebelief systemremainsandtheoptimist'ssenseofcontroloverhisorherlifeisunshaken.9 Margretwashavingameetingwithseveralcolleagueswhenshementionedthepointof viewoftheclaimantwithregardtoanaction.Oneofthecolleaguesvirtuallyyelledthe word"Irrelevant!"inresponse.AfewmomentslatertheMargarettriedtoraisetheissue againandgotthesamevehementresponse.Shelostsleepthatnight,playingthescene overandoverinhermind,tryingtounderstandwhathadgonewrong.Whensherealized thatshehadinadvertentlytriggeredinthecolleagueasetofestablishedassociationsthat includedsignificantangershewasabletogettosleepandseekhelpforthecolleaguethe nextday.Itturnedoutthecolleaguehadherselfbeenpreviouslyinjuredandharboredalot ofangeratthetreatmentshehadreceived.Margaretwasabletoregainherpersonal controlinthesituationandquietherreactiontotheconfrontation. Achieverskills TheAchieverusesconstantactivitytoremovetheopportunityfornegativemessagestobe considered.Whileengagedinactivity,planningorpreparation,theachievercanpushout concernsaboutsuccess,consequencesandappropriateness.Theexternallyfocused achievermayfilltheirtimewithwork,study,parentalduties,activitiesoracombinationof them.Thesinglemom,whoworkstwojobs,takescareofherchildrenandstudiesinthe eveningsimplyleavesnoroomorenergyforruminationaboutanythingbutthetasksat hand. 8 Thevarious“positivepsychology”approachestoresiliencefitintothiscategory. Youwillhavenoticedthatthebehavioursoftheexternallyfocusedreframerandtheexternallyfocused believerlookverysimilar.Therearepracticaldifferencesbetweenthem.Thereframerisfocusedonan overridingprincipletomaintainasenseofcontrol,wherethebelieverisfocusedonanexternalentityor mission.Thereframerusesthecreationofanexceptiontotheprincipleasanexplanation,wherethe perceptualfiltersofthebelieverprovidecomfortthroughconfirmation.Bothdeepfaithandoptimismcanbe hardtoachieve. 9 ©Copyright2016RobertAurbach 11 Achieverswhoareinternallyfocusedtendtosetasidetheirconcernswhenengagedin activitiesthathavebeendeterminedbyprimarilyinternalmotivations.People"driven"to achievetheirowngoals,suchasamateurmusicians,sportsmen,andcraftsmencanignore theirconcernsandregainameasureoftheirsenseofcontrolwhileengagedintheiractivity. Peoplewhohaveretiredfromworkinglifearetoldto"getahobby"todealwiththeirsense oflostpurpose. Therewasafemalebodybuilderinthenewsrecently.Shedidn'tstartoutwithbodybuilding inmind.Infact,shewasaninjuredworkerwhodetestedthegym.Herinjuryrequired physicalrehabilitationafterhealingandthegymhertherapistutilizedhadastrong emphasisonphysicaldevelopment.Thesocialsituationgothertotrytofitin.Onedayshe realizedthatthe"hated"exerciseshadresultedinapositivechangeinherphysical appearance.Suddenly,thegymsessionsweremorerewardingandbecameamotivating forceinherlife.Hersenseofdoubtsanddesperationconcerningreturningtowork disappearedasshethrewherselfintoherexerciseandthesocialaspectofgym participation.Afterrecoveryandreturntoworkshecontinuedhernew-foundroutineand eventuallybecameacompetitivebodybuilderatasufficientlyhighleveltoattractmedia attention. Distancerskills Thedistancerisabletoavoidthenegativemessagesoftheinnervoicebyselectively focusingonsomethingelse.Thequietingoftheinnervoice,relativetotheobjectoffocus, createsa"breathingspace"allowingtherestorationofasenseofcontrol.Bycreatingthis "timeout"thedistancerisabletogetperspectiveandactgoingforwardinamore consideredmanner. Adistancerfocusedoninnerresourcespresentsanoutwardlycalmimage,althoughheor shemaybeexpendingsignificanteffortinmaintainingthestate.ImagesoftheZenmaster, ortheyogapractitionerinthesavasanaposecometomind.Thepracticeofmindfulness meditationisamorecommonmanifestationofinternaldistancerpractice10.Internal visualisationpracticesusedbyathletesandothersalsofitintothiscategory,andtheyare 10 Thereareelementsofpositivepsychologyintheapproachaswell. ©Copyright2016RobertAurbach 12 showntohavetopositivelyimpactperformance,suggestingthatvisualisationisaformof neuroplasticrepetition.Inthisway,thepracticeofinternaldistancertechniquesalsoserves totrainnewpathwaysandengrainnewbehaviours. Theexternaldistancerusesoutwardfocustoachievethesamesortofresult.Computerized videogamesaredesignedtoprovideafocusforattention,andareaddictiveprecisely becausetheyallowthecreationofspacebetweenthepersonandthemessagesthatselftalkisattemptingtodeliver.Morebenignformsofexternaldistancingincludemany hobbiesandactivitiessuchasgolf,gardeningandfishing. ImovedfromtheAmericansouthwesttoaclimatethatcouldbestbedescribedas "maritime"withlongperiodsofcloudy,coolandwetweather.Afteraperiod,Ideveloped signsofseasonalaffectivedisorder,withmoodalterationsduringtheextendedwinter months.OnedayIstoppedandnoticedaparticularlybeautifullandscapeandtookafew minutestoappreciateit.Inoticedthatmymoodwaslifted,andthattheeffectlastedthe entireday.Afterpractice,Ilearnedthat"stoppingtosmelltheroses"wasmorethanjusta saying.Ipracticeditenoughtomakeitpartofmyresiliencetoolboxandtheseasonalmood swingscanbeeasilytamedwhentheyoccurbyusingthattechnique. Now,whatdowedowithit? Thekeytounderstandingindividualresilienceskilldevelopmentisthatpeople'sindividual experienceandpersonalityorganizationgivesthemanatural"preference"forsomestyles overothers.TellingMargaretthatsheneedstodomindfulnessmeditationisunlikelytobe helpful.Sheconsidersherselftoobusytofititin,andsheisn’tlikelytoreallytry.It’snotbad advice,butit’sbadadviceforMargaret,becauseshewillresistpracticingthetechniqueto theextentnecessarytocreatethefacilitatedneuralnetworksthatmakeitaviable approachtoincreasedresilience. You’lldetectaconflictbetweentheresilienceskillofferedandtheindividual'sresilienceskill preferencesbytheirresponses.Margaretmightjustsaythatshe'stoobusy.Williamwill reacttopositivepsychologicalapproachesbysayingthatit'stoo"touchy-feely".Somewill simplydenythattheyneedadditionalhelp.Whatisbeingexpressedisdiscomfortwiththe ©Copyright2016RobertAurbach 13 approachbeingoffered.Onesizetrulydoesnotfitallwhenitcomestoresilienceskills training. Thetrickthenistoindividualizetheapproachesofferedandgivetheindividualsomething comfortableenoughtopracticeandinternalize.Oncethepreferencesoftheindividualare known,trainingforspecificskillscanbeofferedthatbuildstheir"resiliencetoolbox".For mostofus,lifewillhavetaughtusoneormoreskillsfairlywell.Thetrickthenistopicka secondarypreferenceamongstskillsetsandbuildthatapproach.Then,whenlife overwhelmsourusualdefenses,wehaveadevelopedskilltofallbackupon.Development ofthesebackupresilienceskillsdevelopsthe"defenseindepth"thatwevaluewhen observinghighlyresilientpeople. Fortunately,itisfairlyeasytoaskafewquestionsandgetagoodindicationforthecurrent preferencesanindividualhasamongstresilienceskills.Withthatknowledge,it’smuch easiertoofferWilliamorMargaretaskillbuildingprogramthatismorelikelytobe successfulbecauseitischosentoworkwithintheirexistingpreferences. Thatisn’ttosayit’seasyorautomatic.Anewskillmustbepracticed,withfocused attention,onaconsistentbasisovertimetobeinternalized.Makingnewresiliencehabitsis noharder,andnoeasier,thanthedevelopmentofanyotherhabitorskill.Ittakespractice, andcommitmenttolearntorecognizethesignsoffailureofnormalresiliencetechniques andtoautomaticallyreachfortheappropriateskillsetforthecircumstance. Usingittochangeoutcomes Resilienceskilldevelopmentcanbeutilizedinmanyways.Itcouldbeaninterventionfor flaggedworkerslikeWilliam,withtheaimofpreventingsecondarypsychologicaloverlayon theoriginalinjurythatmayturnitintoanexpensivelongtailclaim.IfWilliamhasmoreskills inhisresiliencetoolbox,he'slesslikelytobeoverwhelmedbytheprocess,andlesslikelyto becomelong-termdisabled. Sincetheexperienceofprocessedinworkers'compensationsystemsishighlystressfulfor claimsmanagersaswell,itcouldbeusedasaprophylacticinterventiontominimize burnout,turnoverandpresenteeism.Moreover,whenMargaretislessstressed,she'sless likelyto"inflict"hernotionsofwhatsomeone"ought"todoontheinjuredworkersinher ©Copyright2016RobertAurbach 14 portfolio.11Shewillbebetterabletoappreciatetheideathatdifferentworkershave differentresilienceskillsanddifferentwaysofcopingintheworld.Shewillbemore effectivebecauseshewillbebetterabletotakeeachclaimantasshefindsthemand respondappropriately. Inworkers’compensationsystemdesign,wecanusetheunderstandingofhowresilienceis overwhelmedtodesignsystemsthatcreatelesssecondarypsychologicaloverlaytothe originalinjury. Achievingbalance Resilienceisn'tauniversallypositiveskill.Wehavewordsforunhelpfulresilience– "stubbornness",“obsessiveness”and"lackofinsight".Whenaninjuredworkeris consistentlymisinterpretingtheattemptsofthesystemtoprovidehighqualityand necessarycare,theyaretenaciouslyholdingontotheirbeliefsanddrowningoutthe positivemessagesthattheworkers'compensationsystemistryingtosend.Thewriterof longdetailedcomplainingemailsmaybeusingachievertechniques.Thebelligerent claimantmaybereframingwhatwaspresentedtotheminawaythat"twiststhewords"of theclaimsmanager.Thedisengagedclaimantmaybeusingdistancertechniques. Disabilitycanbecomeawayoflifeandanewidentitytoreplacetheidentitythattheformer workerlost.Theprobabilityofreturntoworkdiminishesasneuroplasticchangesreplace thehabitofbeingaworkerwiththehabitsassociatedwithanewreality.Resilienceinsuch instancesmaybecomeanactiveblockertoeffortstoresumptionoftheworker'sformer identity. Fortunatelythebrainengagesinwhattheneuroscientistscall"competitive neuroplasticity"v.Thatis,anoldengrainedpatterncanberecycledandamoreadaptive responseengrainedinitsplace.Thisistheequivalentofbreakinganoldhabitandreplacing itwithsomethingbetter.Theoldbehaviorbecomeslessautomaticasanewbehavior becomesincreasinglyengrainedandtakesitsplace.It'snoteasyandtakesfocused 11 ManythankstoReneeHarley,aseniorinjurymanagementspecialistwithalargepersonalinjuryinsurer,for theinsightfulobservationthatclaimsmanagersmayprojecttheirownpersonalresiliencestylesonclaimants, resultinginunnecessarymisinterpretation,misunderstandingsandfriction. ©Copyright2016RobertAurbach 15 attentionandpracticeovertime.viThepointis,thatpracticemakesperfect,eveningiving upoldmaladaptivebehaviors. Thepointisthatthereishope,evenforlongtermclaimantsthathavesolidifiednetworksof associationthatholdtheminastateofneedlessdisability.Thescienceisthere.Wejust havetobreakthroughouroldhabitsofthoughtandlearntouseit. AfreeResilienceStylespreferenceprofilingtoolcanbefoundat: http://www.uncommonapproach.com/resilience i "Four factors that influence resilience in the workplace" https://www.comcare.gov.au/promoting/Creating_mentally_healthy_workplaces/building_a_resilient_workforce /four_factors_that_influence_resilience_in_the_workplace ii John Meiklejohn , et. al., Integrating Mindfulness Training into K-12 Education: Fostering the Resilience of Teachers and Students, Mindfulness, V3, I 4 pp 291-307; Tom Jacobs, Evidence Mounts that Mindfulness Breeds Resilience, Greater Good in Action, http://greatergood.berkeley.edu/article/item/evidence_mounts_that_mindfulness_breeds_resilience iii Daniel Kahneman, Thinking Fast and Slow, Macmillan. ISBN 978-1-4299-6935-2., 2011 iv Norman Doidge, The Brain's Way of Healing – Stories of Remarkable Recoveries and Discoveries from the Frontiers of Neuroplasticity, Viking Press, ISBN-13: 978-0670025503 ISBN-10: 067002550X, 2015. v Dodge, The Brain's Way of Healing, supra. vi Norman Doidge, The Brain that Changes Itself - Stories of Personal Triumph from the Frontiers of Brain Science, Viking Press., ISBN 978-0-670-03830-5 (hc.) / ISBN 978-0-14-311310-2 (pbk.), 2007. ©Copyright2016RobertAurbach 16
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