The three axioms of resilience

IF 2.4 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2024-06-05 DOI:10.1002/jts.23071
George A. Bonanno, Maren Westphal
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Abstract

This article summarizes the growing literature on resilience in the face of aversive and potentially traumatic events (PTEs) in three basic axioms: (a) resilience is a common outcome, 2) there are no “key” traits to resilience (resilience is not a type), and (c) resilient outcomes occur through flexible self-regulation. The first axiom highlights the limitation of a traditional, binary view of trauma in terms of the presence–absence of posttraumatic stress disorder, emphasizing instead the heterogeneity of trauma outcomes. Four prototypical trajectories are reviewed: chronic symptoms; delayed symptoms; recovery; and the most common trajectory, resilience. The second axiom reviews the paradoxical inability of known correlates of resilience to adequately predict resilient outcomes. Resilience is instead described as a multifaceted phenomenon with no singular set of key traits, as various factors contribute to resilient outcomes in complex ways. The third axiom provides an explanation of how resilience can emerge from this complex array by introducing the concept of flexible self-regulation. The flexibility mindset is described as providing the motivation for flexible responding. The flexibility sequence is described as explaining the mechanisms underlying flexibility in terms of three serial stages: context sensitivity, strategy repertoire, and feedback adjustment. The final section briefly considers clinical implications.

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复原力的三个公理。
面对厌恶性和潜在创伤事件(PTEs),抗逆力是一种常见的结果;2)抗逆力没有 "关键 "特征(抗逆力不是一种类型);3)抗逆力结果是通过灵活的自我调节产生的。第一条公理强调了以创伤后应激障碍的存在与否来看待创伤的传统二元观点的局限性,转而强调了创伤结果的异质性。本文回顾了四种原型轨迹:慢性症状、延迟症状、康复以及最常见的恢复力轨迹。第二条公理回顾了抗逆力的已知相关因素无法充分预测抗逆力结果这一矛盾现象。抗逆力被描述为一种多方面的现象,没有一套单一的关键特征,因为各种因素以复杂的方式促成了抗逆力的结果。第三条公理通过引入灵活自我调节的概念,解释了抗逆力如何从这一系列复杂的因素中产生。灵活心态被描述为灵活应对的动力。灵活性序列被描述为从三个序列阶段来解释灵活性的内在机制:情境敏感性、策略再现和反馈调整。最后一节简要探讨了其临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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