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Resilience and the 10th Mountain Division
- 1. Resilience Lessons from the 10th Mountain Division of WWII
- 2. Stories from the 10th Mountain Division
- 3. Why resilience? • 75% of residents met criteria for burnout • Burnout lead to increase in errors by residents. Fahrenkopf Amy M, Sectish Theodore C, Barger Laura K, Sharek Paul J, Lewin Daniel, Chiang Vincent W et al.BMJ 2008
- 5. What is resilience • Who is resilient? Describe them in a sentence. • When is resilience necessary? • What helps you build resilience?
- 6. Resilience Defined • The ability to bounce back from emotional trauma and steer through every day adversity. • Resilience is renewable resource we can develop. • A metaphor: the Bucket From Reivich and Shatte, 2003
- 12. Today • What is your baseline? • Your trigger and responses • How to refill and cultivate your bucket
- 13. Your Baseline
- 14. Baseline Understanding • Combination of genetic disposition, external events and personal choices and experience. • Positive Psychology • Flourishing – growth, generativity
- 15. Baseline Anchors • Purpose and meaning
- 17. 10th Mountain Division • Small issues and moral
- 18. Your Triggers • The last thing that made you curse. • Your biggest pet peeve at work. • What was the topic of your last argument.
- 19. Responses • Loose your calm – busy • Loose your head - angry • Loose your focus - distracted
- 20. Negative physical responses • Breathing shallow and quick • Tension in shoulders – forward and down • Fidgit – unfocused energy
- 21. Negative Mental responses • Me/Always/Everything • Obsessing
- 22. Positive physical responses • Conscious Breathing • Posture management
- 23. Positive Mental Responses • Perspective taking • Adversity • Belief • Consequence • Realistic Optimism
- 25. How to refill • Flow/focus • 3 Good Things • Connect with people • Sempre Avanti
- 26. Flow and Focus • Power of shutting off your phone • 30-90 minutes a day focusing on One Thing • Recharges
- 27. 3 Good Things • Developed by Martin Seligmen • Within 2 hours of going to bed, write 3 good things that happened in the day and how you contributed to them • 2 weeks of this has effect not significantly different than Prozac
- 28. Connect • Strong relationships build resilience • Existence • Support relationships reduced PTSD • Network size and Emotional closeness increase well being • Revisiting • Humor and play • Trust and Support
- 29. Sempre Avanti
Editor's Notes
- Vai. Centre – Making the Mountain part of the faculty Originally all volunteer unit First member reported for duty the day after Pearl Harbor Started as a regiment in mt Rainier from 1941-1943
- Burout OPDEF – Menteal Exhaustion and personal detachment due to stress
- 3 questions to approach resilience from different angles Intellectually – what is resilience? Personal – who is resilient? Contextually – when do you need resilience? What happens that makes you feel you are resilient? Or not? Behavioral – what behaviors and experiences helps you build resilience?
- Draw this on easel.
- Draw this on easel.
- Draw this on easel.
- Draw this on easel.
- Draw this on easel.
- Talk briefly about your baseline and what composes it. Examine your personal triggers – the things that drain your day to day resilience – and responses. We’ll talk about negative responses and some tools for alternatives that are more resilient. Finally we look at techniques to refill your bucket – tecchniques to cultivate a baseline that is higher up in that metaphorical bucket
- 50 10 40 – Genetics 50, Environment 10, Experience 40
- Reivich and Shatte
- 1944 June – shiiped off to Texas to do standard infantry maneuvers and drill marching Elevation 300ft, terrain flat, temp 95-100
- ME – personal Always – permanent Everything – universal
- From Upstate NY Gained the nickname ‘Rugged Winter’ on Trooper Traverse
- Rebuild
- Close relationships reduced correlation with PTSD in Vietnam Vets Network size and emotional closeness in network increase well being