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Fran Vertue PhD FNZCCP
   Clinical psychologist by profession
    › Thinking about and understanding the ways that people think and
      feel and behave is what I do for a living
    › But it’s also what I do for fun - always a deeply nosy parker
    › Privileged to be privy to people’s thoughts and feelings, their dreams
      and fears
    › Positive changes that they bring to their lives
   Earthquake challenges
    › Something has happened that has caused me to rethink my work and
      my relationship to my work
    › The earthquakes with their attendant crises of loss, terror, despair, and
      helplessness
   Posttraumatic growth
    ›   How to facilitate realistic hope and optimism
    ›   While researching the topic of posttraumatic stress
    ›   Article by Richard Tedeschi and Lawrence Calhoun, published in 2004
    ›   Concept of posttraumatic growth
    ›   Changed my thinking, the way I felt, and my practice
   Definition
    › “positive psychological change experienced as the result of the struggle
      with highly challenging life crises”.
    › Lance Armstrong: “I don’t feel unlucky to have had to go through this. I
      learned a lot and grew tremendously the last two years”.
    › Reynolds Price: “Trauma forces a person to be somebody else, the next
      viable you – a stripped-down whole other clear-eyed person, realistic as
      a sawed-off shotgun and thankful for air, not to speak of the human
      kindness you’ll meet if you get normal luck”
   Origins
    ›   response to diverse kinds of trauma
    ›   growth of the positive psychology movement in the past 15 years
    ›   focusing more on the positive effects of negative events
   Caveats
    ›   Experiencing a crisis does not guarantee personal growth
    ›   Personal growth does not depend on a crisis to happen
    ›   PTG does not negate the pain and suffering associated with the trauma
        (it is not a healing process).
 Greater appreciation of life and a changed
  sense of priorities
A reduction in materialism; appreciation for
the small things in life that have been
taken for granted; re-evaluation of what really
matters
“even the smallest joys in life take on a
special meaning”
“things that used to be big deals aren’t big
deals any more”
  Greater sense of personal strength and
   survival
A sense that one must be pretty resilient to
have survived this catastrophe – this sense
is coupled with an acknowledgement that
Bad things can happen
“if I survived this, then I can survive
anything”
   Recognition of new possibilities or paths for
    one’s life
Identification of new possibilities for one’s life or work or home

“When I lost my business I suddenly saw that I really
wanted to do something completely different”

“We’ve wanted to live in an eco-friendly house for a
long time – now we will make that happen”
   Warmer, more intimate relationships with others
    at the individual and community levels

“When he died, people just came out of the
woodwork . . .I realise now how important
relationships are”
“I didn’t know that my neighbours even knew
who I was”
“My family has drawn much closer in the past
year”
“We’re much more connected as a community”
 Spiritual development
Engagement in fundamental existential
questions can lead to significant personal
growth - quite different reactions

“I thought, there can’t be a God – how
could he let this happen”

“I believe God got me through it”
   Why some people experience PTG and
    others don’t
    › Social support (e.g., self-disclosure in safe
      and appropriate ways like journaling,
      counseling)
    › Coping skills (e.g. healthy lifestyle, managing
      strong emotions adaptively)
    › Thinking style (e.g. proactive problem-
      solving, making sense, cognitive clarity)
    › Self-efficacy (e.g., belief that you have some
      ability to influence the course of your life)
 Strategies   for leaders
  › When you notice positive change in one
   domain, look for it in the others

  › Provide social support (e.g., EAP, group
   support, mentoring)

  › Build coping skills (promotion of healthy
   lifestyle, distress tolerance skills)
› Encourage proactive thinking (e.g. actively
 making sense of trauma and change, providing
 opportunities for people to create positive
 change for themselves in as many aspects of
 their work lives as possible)

› (a)Combine a changed sense of priorities with
 (b) greater sense of personal strength with
 (c) recognition of new possibilities for one’s life
 or work with
 (d) deeper relationships

› Create fertile ground for positive change and
 facilitate adaptation to uncertain environments
The traumas of loss and terror can shake
our physical and psychological worlds
apart, but can also shake loose our old
restraints to free us up for new growth
   Build resilience
    › Increase social support
    › Develop coping skills
    › Promote cognitive clarity
    › Promote self efficacy
   Encourage posttraumatic growth
    › Accentuate an appreciation of life
    › Celebrate survival
    › Enhance relationships at all levels
    › Encourage creative thinking

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Dr Fran Vertue, Clinical Psychologist - Seismics and the City, 22 March 2012, Christchurch

  • 2. Clinical psychologist by profession › Thinking about and understanding the ways that people think and feel and behave is what I do for a living › But it’s also what I do for fun - always a deeply nosy parker › Privileged to be privy to people’s thoughts and feelings, their dreams and fears › Positive changes that they bring to their lives  Earthquake challenges › Something has happened that has caused me to rethink my work and my relationship to my work › The earthquakes with their attendant crises of loss, terror, despair, and helplessness  Posttraumatic growth › How to facilitate realistic hope and optimism › While researching the topic of posttraumatic stress › Article by Richard Tedeschi and Lawrence Calhoun, published in 2004 › Concept of posttraumatic growth › Changed my thinking, the way I felt, and my practice
  • 3. Definition › “positive psychological change experienced as the result of the struggle with highly challenging life crises”. › Lance Armstrong: “I don’t feel unlucky to have had to go through this. I learned a lot and grew tremendously the last two years”. › Reynolds Price: “Trauma forces a person to be somebody else, the next viable you – a stripped-down whole other clear-eyed person, realistic as a sawed-off shotgun and thankful for air, not to speak of the human kindness you’ll meet if you get normal luck”  Origins › response to diverse kinds of trauma › growth of the positive psychology movement in the past 15 years › focusing more on the positive effects of negative events  Caveats › Experiencing a crisis does not guarantee personal growth › Personal growth does not depend on a crisis to happen › PTG does not negate the pain and suffering associated with the trauma (it is not a healing process).
  • 4.  Greater appreciation of life and a changed sense of priorities A reduction in materialism; appreciation for the small things in life that have been taken for granted; re-evaluation of what really matters “even the smallest joys in life take on a special meaning” “things that used to be big deals aren’t big deals any more”
  • 5.  Greater sense of personal strength and survival A sense that one must be pretty resilient to have survived this catastrophe – this sense is coupled with an acknowledgement that Bad things can happen “if I survived this, then I can survive anything”
  • 6. Recognition of new possibilities or paths for one’s life Identification of new possibilities for one’s life or work or home “When I lost my business I suddenly saw that I really wanted to do something completely different” “We’ve wanted to live in an eco-friendly house for a long time – now we will make that happen”
  • 7. Warmer, more intimate relationships with others at the individual and community levels “When he died, people just came out of the woodwork . . .I realise now how important relationships are” “I didn’t know that my neighbours even knew who I was” “My family has drawn much closer in the past year” “We’re much more connected as a community”
  • 8.  Spiritual development Engagement in fundamental existential questions can lead to significant personal growth - quite different reactions “I thought, there can’t be a God – how could he let this happen” “I believe God got me through it”
  • 9. Why some people experience PTG and others don’t › Social support (e.g., self-disclosure in safe and appropriate ways like journaling, counseling) › Coping skills (e.g. healthy lifestyle, managing strong emotions adaptively) › Thinking style (e.g. proactive problem- solving, making sense, cognitive clarity) › Self-efficacy (e.g., belief that you have some ability to influence the course of your life)
  • 10.  Strategies for leaders › When you notice positive change in one domain, look for it in the others › Provide social support (e.g., EAP, group support, mentoring) › Build coping skills (promotion of healthy lifestyle, distress tolerance skills)
  • 11. › Encourage proactive thinking (e.g. actively making sense of trauma and change, providing opportunities for people to create positive change for themselves in as many aspects of their work lives as possible) › (a)Combine a changed sense of priorities with (b) greater sense of personal strength with (c) recognition of new possibilities for one’s life or work with (d) deeper relationships › Create fertile ground for positive change and facilitate adaptation to uncertain environments
  • 12. The traumas of loss and terror can shake our physical and psychological worlds apart, but can also shake loose our old restraints to free us up for new growth
  • 13. Build resilience › Increase social support › Develop coping skills › Promote cognitive clarity › Promote self efficacy  Encourage posttraumatic growth › Accentuate an appreciation of life › Celebrate survival › Enhance relationships at all levels › Encourage creative thinking