Ungar Michael, Jefferies Philip
Faculty of Health, Resilience Research Centre, Dalhousie University, Halifax, NS, Canada.
Front Psychol. 2021 Dec 10;12:745283. doi: 10.3389/fpsyg.2021.745283. eCollection 2021.
The past decade has seen growing interest in interventions that build resilience as a complementary practice to trauma-informed care. From school-based programs focused on self-regulation and academic success to programs that support the well-being of disadvantaged populations or healthcare workers at risk of burnout, the concept of resilience is being used most commonly for programming that builds the capacity of individuals to adapt under conditions of adversity. Critiques have raised concerns that resilience-promoting programs demonstrate bias toward changing individual-level factors such as cognitions (e.g., mindfulness and grit), behavior (e.g., expressing gratitude and changing personal routines), or attachments (e.g., feeling secure in relationships) which help people adapt to socially toxic situations without changing access to the resources they require to overcome exposure to adverse psychosocial factors. This trend belies advances to the theory of resilience which support a more contextualized, multisystemic understanding of how external protective factors (resources) enhance individual qualities (ruggedness) and vice versa. Building on a multisystemic description of resilience, the R2 Resilience Program© was developed and piloted with six different populations ranging from clients of urban social services to workers in a long-term care facility, managers in the health care sector, staff of a Fortune 500 corporation, students in a primary to grade 12 school, and adult volunteers affiliated with an international NGO. Focused on building both individual ruggedness and enhancing people's resources (the two Rs), the program provides contextualized content for each population by selecting from 52 resilience promoting factors with a strong evidence base to create training curricula that enhance the personal qualities and social, physical, and institutional resources most likely to support resilience. This paper reviews the justification for a multisystemic approach to designing resilience interventions and then explains the process of implementation of the R2 program. Preliminary findings are reported, which suggest the program is experienced as effective, with evaluations ongoing.
在过去十年中,人们对培养复原力的干预措施越来越感兴趣,将其作为创伤知情护理的补充做法。从专注于自我调节和学业成就的校本项目,到支持弱势群体或面临职业倦怠风险的医护人员福祉的项目,复原力的概念最常用于那些培养个人在逆境中适应能力的项目规划。批评者担心,促进复原力的项目表现出偏向于改变个体层面的因素,如认知(如正念和毅力)、行为(如表达感激和改变个人日常习惯)或依恋关系(如在人际关系中感到安全),这些因素有助于人们适应社会毒性环境,而不改变他们获取克服不良心理社会因素所需资源的机会。这种趋势掩盖了复原力理论的进展,该理论支持对外部保护因素(资源)如何增强个体特质(坚韧)以及反之亦然的更情境化、多系统的理解。基于对复原力的多系统描述,开发了R2复原力项目©,并在六个不同人群中进行了试点,从城市社会服务的客户到长期护理机构的工作人员、医疗保健部门的管理人员、财富500强公司的员工、一所从小学到12年级学校的学生,以及与一个国际非政府组织相关联的成年志愿者。该项目专注于培养个体的坚韧和增强人们的资源(两个“R”),通过从52个有充分证据基础的促进复原力因素中进行选择,为每个人群提供情境化内容,以创建培训课程,增强最有可能支持复原力的个人特质以及社会、身体和机构资源。本文回顾了采用多系统方法设计复原力干预措施的理由,然后解释了R2项目的实施过程。报告了初步结果,表明该项目被认为是有效的,评估仍在进行中。