Understanding human resilience in the context of interconnected health and social systems: Whose understanding matters most?

Almedom, Astier M.

doi:10.5751/es-08195-200440

Cited by 10 publications

(10 citation statements)

References 2 publications

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“…Resilience resides within the patient in their unique circumstances—the limitations and the suffering arising from their diseases, as much as the social support resources, ie, family and friends, and the social capital of the local community . Resilience, like health, is a personal experiential state and reliably evaluated by the concept of “self‐rated health” .…”

Section: Translation To the Clinic And Communitymentioning

confidence: 99%

Biopsychosocial approach to understanding resilience: Stress habituation and where to intervene

Bennett

Rohleder

Sturmberg

2018

Evaluation Clinical Practice

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Background: Resilience in the face of adversity is a human experience that leads to better health, both mentally and physically. We briefly review its historical origins rooted in ecological biology and its adoption into health care. Resilience is the common response to adversity or potential traumatic events. Individual differences in emotion regulation and coping skills as well as social capital and one's physical environment influence a person's ability to achieve resilience. Proposed Mechanism: One potential biopsychosocial measure of resilience includes stress habituation to repeated stress as demonstrated in the laboratory, possibly providing a tool to observe mastery of resilience training in the clinic. Evidencebased interventions at the individual and small group level (eg, family, classroom) have successfully shown development of resilient behaviours and improved mental and physical health outcomes. However, the role of social context and public policy clearly influence an individual's ability to be resilient.Conclusions: Despite the current limited evidence of the effectiveness of resilience building interventions, clinicians, researchers, and other health care professions have an obligation to become advocates for laws and policies that support the most vulnerable, and least resilient, in our society to attain resilience for their health. This salutary effect will enable them to become socially as well as economically productive members of the community at large. It is not possible to remove stress or adversity from life, but we can influence the development of regulatory flexibility and decrease the sociocultural factors linked to the nonresilient experience, thus mitigating adversity's long-term effects on health.

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Section: Translation To the Clinic And Communitymentioning

confidence: 99%

Biopsychosocial approach to understanding resilience: Stress habituation and where to intervene

Bennett

Rohleder

Sturmberg

2018

Evaluation Clinical Practice

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“…Human resilience is widely regarded as a complex and highly efficient inborn capacity to deal with difficult situations and enhance appropriate self-adjustment, not least in the sense of interconnected health and social systems [47] -and we observe children's incredible ability to grow within extremely adverse and challenging environments [48]. Anthropology and psychology shed light on this evolutionary phenomenon and try to explain underlying mechanisms.…”

Section: Transformationmentioning

confidence: 97%

Chinese music therapy to treat depression in children and adolescents: The BARIT-Model

Mastnak¹

2022

World J. Adv. Res. Rev.

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Depression is broadly considered a global epidemic. In China it ranks among the most prevalent mental disorders and is seriously affecting the younger generation (prevalence between 4% and 41%), hence the necessity to foster health education and sustainable resilience. Meta-synthetic construction resulted in a music-based model of educational therapy comprising five principles, beauty, activation, responsiveness, immersion and transformation, hence the name ‘BARIT-model’: (i) referring to anthropological, psychological and neuroscientific aesthetics, the approach benefits from the healing power of aesthetic experience, (ii) behavioural activation is widely regarded as an efficient approach to treat depression. Different from conventional cognitive behavioural therapy, the BARIT-model involves artistic activities such as music improvisation, sound scene improvisation, vocal experiments or creative variations of Chinese martial arts, (iii) responsiveness concerns the qualitative similarity of emotion and music, alongside the patients’ feeling of being ‘understood’ by what they are listening to, (iv) while depressive mood tends to occupy the whole person, music immersion can help to escape that ‘pathological cage’, (v) finally, traumatic roots of depression need therapeutic processing, such as artistic symbolisation, intermodal transformation and relabelling of traumata as potential source of creative performance. The BARIT-model is part of a comprehensive project to improve mental health in Chinese children and adolescents through arts-based methods for classroom education, which encompasses ‒ in addition to depression ‒ attention deficit hyperactivity disorders, oppositional defiant disorders, anxiety disorders, stress-related disorders and burnout syndromes, eating disorders such as anorexia nervosa or binge eating, as well as disorders related to the COVID-19 pandemic, e.g. developmental syndromes caused by lockdown and social distancing.

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“…• In the human context, Almedom emphasized that “ Human resilience has always been well understood by the people who live it. … [resilience] is imbued with a multidimensional set of meanings that evoke mental, emotional, and spiritual insight, resolve, foresight, strength, and fortitude in an individual and in a communal social context ” …”

Section: The Need For Disambiguationmentioning

confidence: 99%

Resilience for health—an emergent property of the “health systems as a whole”

Sturmberg

2018

Evaluation Clinical Practice

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Resilience has become a popular term, and its meaning varies widely depending on the context of its use. Its Latin origin, resilire, means "bouncing back"-should bouncing back be understood literally or rather metaphorically in the context of health, illness, dis-ease, and disease? This essay examines ecological, physiological, personal, and health system perspectives inherent in the concept of resilience. It emerges that regardless of the level of aggregation, resilience is a systems property-it is as much a property of each of the subsystems of network physiology, the person, and the health care delivery system as it is a property of the health system as a whole. Given the interdependencies between people, their internal and external environments, and the health service system, strengthening resilience, ie, the ability to positively adapt to challenges and changing circumstances, will require a broad-based public discourse: "How can we strengthen resilience and health for the benefit of people and society at large".

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Understanding human resilience in the context of interconnected health and social systems: Whose understanding matters most?

Cited by 10 publications

References 2 publications

Biopsychosocial approach to understanding resilience: Stress habituation and where to intervene

Biopsychosocial approach to understanding resilience: Stress habituation and where to intervene

Chinese music therapy to treat depression in children and adolescents: The BARIT-Model

Resilience for health—an emergent property of the “health systems as a whole”

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