O'Leary V E, Ickovics J R
Department of Internal Medicine, Yale University, New Haven, CT 06520-8025, USA.
Womens Health. 1995 Summer;1(2):121-42.
The purpose of this article is to move beyond the vulnerability/deficit model of women and to focus on women's strengths and their ability to thrive in the face of adversity. Thriving is a dynamic process of adaptation, influenced by numerous individual and social factors; it emerges and changes over the life course and may be identified in behavioral, cognitive, or affective domains. The foundation of this concept comes from the literature on resilience, but it goes beyond the common view of resilience as homeostasis. It suggests, instead, a value-added construct whereby challenge provides an opportunity for change and growth. Understanding the concept and process of thriving can provide an important basis for theoretical development, empirical research, and clinical intervention. Thriving can provide a framework within which to examine the antecedents and consequences of differential reactions to health-related challenges. Knowledge of the factors that promote thriving can provide an important foundation for a paradigm shift away from a focus on illness and pathology toward one that understands, explains, and nurtures health.
本文的目的是超越关于女性的脆弱性/缺陷模型，转而关注女性的优势以及她们在面对逆境时茁壮成长的能力。茁壮成长是一个动态的适应过程，受到众多个人和社会因素的影响；它在生命历程中出现并变化，可能在行为、认知或情感领域得以体现。这一概念的基础源于关于复原力的文献，但它超越了将复原力视为稳态的普遍观点。相反，它提出了一个增值结构，即挑战为变革和成长提供了机会。理解茁壮成长的概念和过程可为理论发展、实证研究和临床干预提供重要基础。茁壮成长可以提供一个框架，用以审视对与健康相关挑战的不同反应的前因后果。了解促进茁壮成长的因素可为从关注疾病和病理转向理解、解释和培育健康的范式转变提供重要基础。
