Resilience, Consilience, Desilience: How to bounce-back in the right direction. Rob Gordon, PhD Consultant Psychologist Evolving language Welfare Recovery Vulnerability Hazard Risk Resilience Change from: creative name – technical term – jargon – cliché Recovery from Disaster & Trauma What is to be recovered from? Re – Cover: to cover again. What is the cover? The social world and the life that is immersed and supported by it. Definitions of Recovery 1. Replacement of losses 2. Getting back to where you were before the impact 3. Getting to where you should have been if it had not happened. BUT: Are the Goals, Plans, the same? How has the experience changed the direction of life? 4. A life no longer directed toward the trauma, but once again towards self-selected goals. Resilience OED Resilience: elasticity; spring back; rebound; recoil; recovery from sickness, depression, Latin: resilio: leap, spring back; rebound, recoil; shrink away from; retreat, draw back contract. salio: leap, spring, jump, bound, The capacity to bounce back assumes elasticity which allows deformation without damage Hence refers to structures and functions that are unchanged and can be used for recovery tasks Problems with “bounce” How high, in which direction, or what else goes on? Anything bounces a bit, but may be damaged in the process. Some resilient people do poorly in the long term. Do we measure resilience in getting up and doing or resuming previous functions? “Resilience” can be used to avoid the loss, tragedy and lasting ill-effects Value of Resilience The affected have capacities they can use to recover with Communities have assets or networks that can be used – social capital. The affected can do more than just look after themselves, they can participate in decision making about themselves and their community And they want to do these things. Encouraging passive dependence on others does not enhance recovery. BUT …. This assumes The past can be recreated Goals, plans, hopes, values etc for life are still the same The old life can be gone back to The way things were is still relevant HOWEVER …. Trauma and Disaster often mean life will never be the same again. Resilience in Child Development Children who have some factor that neutralises adversity: High IQ Good social skills Good communication skills Sporting or academic ability Outgoing personality Attractive appearance Trauma & Disaster Trauma means “wound, damage, injury” Occurs when fundamental assumptions about world, self, others, life, reality are destroyed and have to be rebuilt. Assumptions are formed in time by repeated experienced of the same thing. Dis-aster means “against the stars” ie against the order of things The order of things is upturned and things can never be as secure again. Redefining Recovery If we cannot return to the old life what is the goal of recovery? Recovery from trauma may take 5 years (Mean recovery time) From disaster recovery takes between 3 & 7 years or longer Canberra & Yarra Ranges: 40% rebuilt or approved end of 2 years; Marysville: 50% rebuilt or approved end of 5 years.) Time of recovery is disrupted time; the old life is often lost in the turmoil –without realising it has gone, because there is so much to focus on. The Real Task of Recovery: Neutralise the damage caused by the trauma or disaster Maintain what is important and survives of the old life Adjust what does survive so that it does not reorganise around the damage Integrate the trauma/disaster experience into the existing life so it does not negate what is important Review and adjust values, goals, priorities, in the light of the experiences so they can be the basis of a new life Resilience in Recovery The need for a new life means not “bounce back” but “leap forward” Find a new direction which - relates to the past & carries what survives takes the experience as the basis for a new start builds a new lifestyle This must be creative and supportive to be satisfying, not a refuge from the fear. It has to integrate the old, the trauma and the new PTSD Trajectories: Galazer-Levy, Ankri, Freedman, Israeli-Shalev, Roitman, Gilad & Shalev (2013) Consilience ‘jumping together’ Concurrent, accordant Consilience: fact of … coincidence, concurrence, Latin: consilere: to jump together. Elasticity is the basis for a new coherence, pattern, meaning, routine, design of life. How to Promote Consilience? Define the meaning and consequences of the trauma or disaster – this takes time … (years.) Trace the changes caused by it – some are avoidant, some are caused by the damage, some are new perspectives (growth). Preserve what was not damaged at impact, though it may be damaged by repercussions: relationships, families, careers, social relationships, activity patterns and rewards Create a protective social context larger than the individual or their family. Meaning, normality, evaluation, are inherently social and involve other people. What are the social dimensions? Each is trauma or loss is as unique as a physical injury No two people have the same problem, but every problem involves commonalities Eg arson deaths vs power line fire deaths Meaning and evaluations of experiences come from relating individual stories to others’ stories Personal work must be complemented by social work on the trauma The damage is to assumptions which are always formed in a social world – work, family, community, etc. Recovery Is a social process Often the importance of the social dimension of important aspects of life is apparent to people for the first time Need to bring people together in ways they may not have needed before Group events of all sorts – support groups, meetings, information exchange, advocacy groups, meals, recreation, etc. Recovery is not solitary. BUT …. Some people are vulnerable There are obstacles to their recovery. The trauma/disaster impacts more severely They lack undamaged structures They lack elasticity of their capacities There is no bounce. (Dented, bent, broken, shattered) “Desilience” Lack of elasticity, spring back, rebound, recoil, bounce, Due to good reasons for the person/family Continuing damage from the trauma Damage from inappropriate management Prior trauma Lack of supports Other life problems Lack of confidence, optimism, hope, self-esteem Lack of community belonging or cohesion Remedies for Desilience Acceptance of vulnerability It is not always evident in pre-trauma situation Early recognition Social integration Sensitive support and recognition by authorities (cf allergies, back injuries etc) Support for meaning and values work Recovery Trajectories Resilient Consilient Desilient