Human Resiliency: Dr. Alan Peterson
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Dr. Alan Peterson's slide presentation from TPR's Think Science: Human Resiliency event, May 27, 2016
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Human Resiliency: Dr. Alan Peterson
- 1. Human Resiliency Alan L. Peterson, PhD, University of Texas Health Science Center at San Antonio, South Texas Veterans Health Care System, and University of Texas at San Antonio
- 2. Affiliations University of Texas Health Science Center at San Antonio Professor and Chief, Division of Behavioral Medicine Department of Psychiatry, School of Medicine Aaron and Bobbie Elliott Krus Endowed Chair in Psychiatry Director, STRONG STAR Consortium Director, Consortium to Alleviate PTSD Associate Director of Research, Military Health Institute South Texas Veterans Health Care System Research Health Scientist University of Texas at San Antonio Professor, Department of Psychology 2
- 4. 9-11-2001
- 8. The Air Force Theater Hospital
- 9. Contingency Aeromedical Staging Facility
- 10. What is Resiliency? • We all know what it is • Not so easy to define • We all want it in: • Ourselves, our family members, our co-workers • Our military personnel, first responders • Our community, state, and national leaders • How do you get it? • Are you born with it? • Do you learn it? • Can you train for it? • Can you bottle it?
- 11. What is Resiliency? • Ability to sustain physical and psychological functioning despite extremely adverse conditions • Ability to rebound or recover from injury or illness • The “Blister-Callus Model of Resiliency” suggests increased resiliency results from repeated exposure and recovery from trauma or adversity • Resiliency allows for the potential for “posttraumatic growth” after trauma exposure
- 12. Bonanno (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol. 2004 Jan;59(1):20-8.
- 13. Definitions of Resilience • Concept used in several disciplines • Examples of definitions: • “The power or ability to return to the original form, position, etc., after being bent, compressed, or stretched; elasticity.” • “Resilience is the ability of individuals to survive and thrive despite exposure to negative circumstances.” • “Preservation and/or recovery of premorbid functioning after exposure to a physical and psychological trauma” Dictionary.com; Miranda et al., 2011, RAND Report; for review, see McGeary, 2011
- 14. The Blister-Callus Model of Psychological Resiliency Peterson, Blount, & McGeary (2014). Stress and psychological resiliency. In C. M. Pariante & M. D. Lapiz Bluhm (Eds.), Current topics in behavioral neurosciences: Vol. 18. Behavioral neurobiology of stress-related disorders (pp. 297-312). Berlin & Heidelberg, Germany: Springer-Verlag. doi:10.1007/7854_2014_293.
- 15. The Blister-Callus Model • Based on analogy of how skin calluses occur with sustained or repeated physical activity • Skin calluses allow individuals to perform strenuous activities for long periods of time without physical damage or injury • Blister-Callus Model posits that psychological resilience develops from repeated and gradually increasing periods of psychological and physical stress, followed by periods of recovery
- 16. Psychological Resiliency • Blister-Callus Model • Throughout life, psychological resilience develops from repeated and gradually increasing periods of psychological and physical stress, followed by periods of recovery • Too little/too much can cause problems • Experiencing, adapting, and recovering from psychological and physical stress is beneficial and enhances resiliency
- 17. Extreme Resiliency Training • What military groups are often thought to be the most resilient? • Serve in the most extreme environments • Have most physically and psychologically rigorous training programs • Have highest washout rate during initial training?
- 18. Extreme Resiliency Training • Special Forces • Navy SEALS • Army Rangers/Berets/Delta Force • Marine RECON • Air Force Pararescue
- 19. Extreme Resiliency Training • What can we learn about resiliency from Special Forces training? • Extreme physical and mental fitness = extreme resiliency?
- 20. Personal Resilience Training • Army 10-miler, Joint Base Balad, Iraq, 2004 • First ½ marathon (13.1 miles) 48 years old • First marathon 2006 • 50K, 50 mile, 100K, 100 mile • Lean Horse 100-mile endurance run • Extreme physical and psychological exhaustion • Similar to fog of war • DNF at mile 76! • Pressing the reset button!
- 23. Summary • Blister-Callus Model of Psychological Resiliency is simple model with direct military operational relevance • Military has always had outstanding resiliency training programs • What have they called the resiliency training program?
- 24. Summary • Blister-Callus Model of Psychological Resiliency is simple model with direct military operational relevance • Military has always had outstanding resiliency training programs • What have they called the resiliency training program? •MILITARY TRAINING!