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Connections are critical to resilience
(November 2005 Issue)

By Ami Albernaz

Following a natural disaster, the process of rebuilding lives and communities inevitably extends far longer than media coverage does. And although the process is slow, most of those displaced will recover.

Resilience, the ability to adapt to challenging, stressful or traumatic life experiences, has become the subject of much psychological research, particularly in the wake of 9/11, but also as a component of the positive psychology movement that has gained force in recent years. It has long been known that traumatic events sometimes have positive long-term outcomes, such as bringing communities closer together, reorienting a person's priorities or simply enabling a person to realize he can get through a catastrophe. Recently, psychologists have been examining resilience, trying to learn what accounts for it and how people can boost their resilience following trauma.

Resilience "does not mean not feeling pain or sadness, but it does mean having coping skills," says Laura Barbanel, Ed.D., ABPP, co-chair of the American Psychological Association Task Force on Promoting Resilience in Response to Terrorism and a practitioner in Brooklyn Heights, N.Y. The degree to which an individual is resilient, Barbanel adds, depends in part on the ways in which he or she interacts with the world and the social supports the person can tap into.

For psychologists working with people who have been through trauma, tapping into resilience means working through the reactions to the event as they surface. The course of healing varies among individuals, a fact to which individuals must be sensitive.

If a person has never been through a particular experience before, she has no memory stores to draw on that could guide her in how to deal with it, says Lee Fitzgibbons, Ph.D., a psychologist in Raymond, Maine. People may benefit from guidance, then, in processing these feelings. "The most important thing is to have acceptance," Fitzgibbons says. "Symptoms will often start to dissipate if allowed to take their natural course."

Fitzgibbons warns, though, that if symptoms have not diminished after three months, a person should seek help if he hasn't already done so. "At that point, it generally tends to be chronic," she says.

Research has shown that anywhere between five and 30 percent of people who witness a traumatic event will suffer lingering effects of that trauma long after it has happened. For victims of a natural disaster, such as a hurricane, the percentages are four to seven percent, according to the National Center for Posttraumatic Stress Disorder.

The biological components of resilience are now being explored. Researchers at Massachusetts General Hospital in Boston have suggested that the thickness of the ventromedial prefrontal cortex is linked to the ability to inhibit fear, while other research has looked at the role of certain brain chemicals. Even though how people react to trauma is determined in part by biology, there are steps they can take to boost resilience.

The characteristics associated with resilience include seeing problems as challenges, rather than insurmountable obstacles; anticipating change as potentially positive; and setting small, realistic goals that can keep one moving forward. The APA Help Center (www.apahelpcenter.org) lists 10 ways to build resilience; chief among these is drawing on the support of family, friends and people in the community. "Connections to others are important to resilience," Barbanel says. "Healing of trauma typically occurs through connection to others; that is why we can talk about 'resilient families' or communities."

Ervin Staub, Ph.D., a psychology professor at the University of Massachusetts Amherst, says connections with others are more beneficial than we might realize.

"People are more likely to act in their own behalf if they don't feel abandoned," he says.

In terms of a wide scale response to catastrophe, Staub says that when thinking about a national response to catastrophe, it is just as important to extend emotional support, to let people know that others care, as it is to provide money. Along with providing people with food, temporary shelter and the means to rebuild their homes, it is important to be sure that community institutions that offer psychological support are also rebuilt.

It is important that such institutions "make people feel that they're worth it," Staub says. "Sometimes people abandon themselves."