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Physical Assessment J. Carley RN, MSN, MA, CNE Fall, 2009 An Overview

SHHHHH !!!

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SHHHHH !!!. Katie Berch. What is Resilience?!. What does it mean to be resilient…. * According to Santrock, “Resilience refers to adapting positively and achieving successful outcomes in the face of significant risks and adverse circumstances.”. *Dr. C. S. “Buzz” Holling - PowerPoint PPT Presentation

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SHHHHH !!!

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Katie Berch

What is Resilience?!What does it mean to be resilient*According to Santrock, Resilience refers to adapting positively and achieving successful outcomes in the face of significant risks and adverse circumstances.Santrock, John W. (2010). Adolescence: Developmental Transitions.13th ed. (pp. 22). New York, NY: McGraw-Hill.

4How resilient thinking began

*Dr. C. S. Buzz Holling--Father of resilience --Professor of Ecological Sciences, University of Florida--things that come out of the unknown that are inherently unpredictable theory of resilience--1973 resilience of ecosystems paper substantial impact on other natural and social sciences

Stockholm Resilience Centre. Buzz Holling, father of the resilience theory. 27 November 2007. Retrieved from: http://stockholmresilience.org/seminarandevents/seminarandeventvideos/buzzhollingfatheroftheresiliencetheory.5.aeea46911a3127427980003713.html

5Controversy of Resilience An individual trait?A dynamic developmental process?An outcome?All of these?Found anywhere there is a change in equilibrium e.g. human behavior, ecosystems, molecular structure, biology, sociology, and of course psychology!Hall, J. S., Reich, J. W., & Zautra. A. J. (Eds.). (2010). Handbook of Adult Resilience. (pp. 4). New York, NY: The Guilford Press.

6Adolescent ResilienceAs the study of resilience trickled into these other sciencesNorman GarmezyEmmy WernerAnne MastenSir Michael Rutter resilience in adolescent behavior vs. emerging adulthoodHall, J. S., Reich, J. W., & Zautra. A. J. (Eds.). (2010). Handbook of Adult Resilience. (pp. 283-290). New York, NY: The Guilford Press.

7Resilience has been researched repeatedly!!It is shown to have a similar impact on adolescents with few differences as they emerge into adulthood.Fewer peer influences in adulthoodPresent in adolescence present in adulthoodMight not develop until adulthoodBoth can overcome adverse childhoods by becoming resilientPositive developmental course brought on by birth of a child or romantic relationship in adulthood

Santrock, John W. (2010). Adolescence: Resilience. 13th ed. (pp. 462-3). New York: McGraw-Hill.

8Mari DragoNegative Emotionality 9

Negative Emotionality Opposite of Positive Thinking, i.e. Negative Thoughts

Tendency towards depression and anxiety

Predisposition to negatively to stressful situationsDisorder or Disease?Degree to which individual handles stress positively or negatively Our ChoiceClark, Pittsburg Adolescent Alcohol Research Center, 2001

ALTHOUGH, other studies have linked different psychological problems with specific types of negative emotionsEisenburg & partners, Arizona State University, 2005InternalizingHigh in effortful regulationLow in impulsivity

Linked to Peer Rejection

Difficulty participating in group activitiesMay express through anger and frustrationExternalizingLow in effortful regulationHigh in impulsivity

Experience sadness at rejection by peers

Likely to elicit negative responses from family members

May use the wrong method to convey sadness

Resiliencehttp://www.youtube.com/watch?v=VWZ9CR5_Tas&feature=youtu.be&t=22sVideo Time with Maranda Cothern. Teresa Black Presents

Positive Psychology 15Positive Psychology

Is the scientific study of the strengths and virtues that enable individuals and communities to thrive.

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Positive psychology has been around since the time of Socrates, Plato, and Aristotle.

Psychologists have been working in what is now positive psychology for decades. Likened to the Humanistic psychology like Maslow as well as others.This field is founded on the belief that people want to lead meaningful and fulfilling lives, and how human beings can cultivate what is best within themselves, and to enhance their experiences of love, work, and play.16Concerns & Goals Some of the goals of positive psychology are to build a science that supports: Families and schools that allow children to flourish. Workplaces that foster satisfaction and high productivity. Communities that encourage civic engagement. Therapists who identify and nurture their patients' strengths.

Positive Psychology has three central concerns: positive emotions, positive individual traits, and positive institutions.

17Understanding positive emotions entails the study of contentment with the past, happiness in the present, and hope for the future.

Understanding positive individual traits consists of the study of the strengths and virtues, such as the capacity for love and work, courage, compassion, resilience, creativity, curiosity, integrity, self-knowledge, moderation, self-control, and wisdom.

Understanding positive institutions entails the study of the strengths that foster better communities, such as justice, responsibility, civility, parenting, nurturance, work ethic, leadership, teamwork, purpose, and tolerance.

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Well-Being Theory

18 Five Pillars of Well Being

These five elements or pillars all work together in our efforts to flourish and are the rock-bottom fundamentals to well-being. In support of this Seligman offers a description of what a good life would look like? It would be pleasant, engaged, meaningful (with a purpose), achieving(FLOW), and connected to other human beings.18Positive Psychology InitiativesWhat is positive Education?

What is Positive Health?

19Positive education is defined as education for both traditional skills and for happiness. The high prevalence worldwide of depression among young people, the small rise in life satisfaction, and the synergy between learning and positive emotion all argue that the skills for happiness should be taught in school. There is substantial evidence from well controlled studies that skills that increase resilience, positive emotion, engagement and meaning can be taught to schoolchildren. Seligman Scientists who study adolescence agree that positive health during adolescence involves more than the mere absence of illness or behavioral problems. The goal is to have teenagers make it through adolescence, completing high school healthy and vibrant, free of disability, substance abuse problems, criminal activity, and premature parenthood. Optimistic and exuberant, connected to others intellectually curious and determined to succeed in academic and extracurricular pursuits, not simply content to do just what it takes to avoid failing; and passionately engaged in activities that excite them, not just occupied

19Positive Psychology Initiatives What is positive neuroscience?

What Is Positive Psychotherapy?

201. "Research has shown that positive emotions and interventions can bolster health, achievement, and resilience, and can buffer against depression and anxiety. And while considerable research in neuroscience has focused on disease, dysfunction, and the harmful effects of stress and trauma, very little is known about the neural mechanisms of human flourishing. Creating this network of positive neuroscience researchers will change that."- Professor Martin E.P. Seligman, in announcing the recipients of the Templeton Positive Neuroscience Awards2. Dr. Tayyab Rashid created positive psychotherapy (PPT) for depressed patients seeking treatment at Counseling and Psychological Services at the University of Pennsylvania. Positive psychotherapy is a set of techniques that use basic therapeutic essentials such as warmth, empathy, trust, genuineness, and rapport to assess the patient and to treat them on a personal level.

2021Always Choose to look on the bright side of events.Follow that Beacon of Light till you find Meaning, Purpose, and Growth. Its always there if you choose to look for it.

The Positive Psychology Center at the University of Pennsylvania promotes research, training, education, and the dissemination of Positive Psychology.

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RESILIENCE Prevention & TreatmentTurning the frown upside down Tammy Laub

PREVENTION...What can we do?

EDUCATE EDUCATE EDUCATE! Help the adolescent develop the right skills such as:Cognitive- Behavioral Skills:Coping techniques: Such as identifying problems before escalation occurs. *Cognitive skills can improve the brains ability to process information.Social Problem-Solving Skills: Effective communication *

By identifying the problem, adolescents can distinguish the specific aspects of a problematic situation that may bring on an aggressive response. Effective communication helps develop better coping skills and in turn can help them form healthier relationships.

23TREATMENT..The most effective treatment for building resilience in adolescents, especially after a traumatic event, is cognitive-behavioral therapy (CBT). What is CBT?CBT is a type of psychotherapy that puts emphasis on the importance of how we think, which influences how we feel and what we do. *How can it help?CBT can change the way that we think in order to feel and act better. CBT is based on the idea that our thoughts cause our feelings and behaviors. NOT external things such as other people, situations etc.24Three major factors in fostering resilienceI HAVE: Trusting relationshipsRole modelsEncouragement for autonomy & independenceI AM: Proud of myself Becoming autonomous and independentLovable & trustworthyI CAN: CommunicateSolve problemsManage my feelings and impulses

When helping a child cope with negative events, there are three factors that help the process of building resistance in any situation. Let them know that they have, they are, and they can when talking to them.

25LETS TALK..Scenario: An eleven year old girl was taking care of her three year old brother when the house caught fire. She tried to put it out, but couldn't. Then she tried to reach her brother, but couldn't. Finally, she ran out of the house and her brother was burned to death.

How would you help her cope in this situation using the three factors in resilience?

Scenario pulled from resilnet.uiuo.edu/library/grotb95b.html#chapter4

26Promoting ResilienceI HAVETell her she is loved and people are there for her.Let her know you share her grief. Shes not aloneI CAN Let her know you understand how much she tried to save her brother. Tell her she did all she could do. I AM Help her sort out her feelings of responsibility from her actions and desire to save her brother.What NOT to do..If you blame the girl for not putting out the fire and for not saving her brother, you will reduce her to guilt and shame and sadness that may prevent her from ever developing resilience to overcome future adversities in life. What DO YOU think?If the parent or other adult protects the child from all adversities, can the child strengthen his/her sense of autonomy, control and responsibility?

If the adult speaks for the child in a conflict with another child, can the child learn a social skill like negotiation?

If the child does things independently without help or advice from adults, is he or she at greater risk of harm or failure?

Signs of ResilienceMelanie Holley

How Resilient Are You?

How Resilient Are You?Where did you rate on the spectrum & what does it most likely mean?For those of you who rated yourself at the beginning of the chart, you are most likely fairly resilient.For those of you who rated yourself towards the middle or the end of the chart, you probably need some help in building resilience.Characteristics of Resilience in Children and AdolescentsIndividual- Good Intellectual Functioning, Appealing, Sociable, Easygoing disposition, self- confidence, high self-esteem, talents, faithFamily- close relationship to caring parent figure, Authoritative parenting (warm structure, high expectations) socioeconomic advantages, connections to extended supportive family networksExtrafamilial Context- Bonds to caring adults outside the family, connections to positive organizations, attending effective schools Other Factors That Can Effect ResilienceThe Community in which you live.Obrist et al. (2010) suggest that society plays a key role in structuring the world around individuals so that resilience is made possible by their taking advantage of the opportunities provided.Being a child in a Military Family facing deployment Being an adolescent with a illness or diseaseGoing through a traumatic experience

Building ResilienceBeing Resilient in Adolescence is linked to continuing to be resilient in emerging adulthood, but you can develop resilience in emerging adulthood.Ways to Build ResilienceGet Away From Negative Mindsets; Try to Think PositiveBecome Motivated to Better your LifeBuild Self-Confidence and Self-EsteemGet Active in Positive Organizations in Your CommunityLyndie Lyon36

Positive Emotionality and ResilienceHow does being positive build resilience?37Jason HollimanThe legacy of Dr. Stuart Hauser in Resilience. 38

CreditsResilience just aheadKatie BerchNegative emotionality Mari DragoChoreographer Maranda CothernSigns of resilienceMelanie HolleyMs. Helpy Helperton Lyndie LyonPsychoanalytical perspectiveAnd Design of photography Jason HollimanDirector and woman in charge Tammy LaubPositive Psychology Teresa Black Smiley face Himself