Massachusetts Veterans Epidemiological Research and Information Center , VA Boston Healthcare System , Boston, MA , USA ; Departments of Psychology and Psychiatry , Boston University , Boston, MA , USA.
Interface Focus. 2014 Oct 6;4(5):20140008. doi: 10.1098/rsfs.2014.0008.
The resilience construct has received a great deal of attention as a result of the long wars in Iraq and Afghanistan. The discourse about resilience, especially the promise of promoting it and mitigating risk for serious post-traumatic negative outcomes among service members and veterans, is hopeful and encouraging. Remarkably, most service members exposed to horrific war trauma are not incapacitated by the experience. Yet, resilience is elusive and fleeting for many veterans of war. In this paper, I address some of the complexities about resilience in the context of exposure to war stressors and I offer some assumptions and heuristics that stem from my involvement in the dialogue about resilience and from experiences helping prevent post-traumatic stress disorder among active-duty service members with military trauma. My goal is to use my observations and applied experiences as an instructive context to raise critical questions for the field about resilience in the face of traumatic life-events.
由于伊拉克和阿富汗的长期战争，弹性结构受到了极大的关注。关于弹性的论述，特别是促进弹性和减轻服务成员和退伍军人严重创伤后负面后果风险的承诺，是充满希望和鼓舞人心的。值得注意的是，大多数接触到可怕战争创伤的服务成员并没有因此而丧失能力。然而，对于许多战争退伍军人来说，弹性是难以捉摸的。在本文中，我将讨论一些关于弹性的复杂性，这些复杂性涉及到战争压力源的暴露，我提出了一些假设和启发式的观点，这些观点源于我参与关于弹性的对话以及帮助预防现役服务成员因军事创伤而患创伤后应激障碍的经验。我的目标是利用我的观察和应用经验作为一个有益的背景，提出一些关于在创伤性生活事件面前的弹性的关键问题，供该领域参考。
