what it is and isn’t - augusta.edu€¦ · alex mabe, ph.d. michael rollock, ph.d. department of...
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Resilience:
What it is and isn’t
Amy House, Ph.D.
Alex Mabe, Ph.D.
Michael Rollock, Ph.D.
Department of Psychiatry and Health Behavior
Medical College of Georgia/Augusta University
Absence of psychopathology
≠
Presence of Positive Well-being
Keyes, 2007, 2008; Lamers et al. 2011
A point of emphasis here is that well-
being is not just the absence of mental
disorder. For in the mental health
continuum, a state of well-being can be
possible when the individual:
realizes his or her own potential,
can cope with the normal stresses of life,
can work productively and fruitfully, and
is able to make a contribution to her or his
own community.
Resilience is…
a dynamic process encompassing positive
adaptation within the context of significant
adversity
a very important component of the mental health continuum of well-being
as it enables one to cope with the normal stresses of life
also relevant to the continuing of mental illness in that resilience can help
the individual prevent and recovery from mental illness
Being a Doctor Can be Difficult
Impact of Stress on
Physicians
54% of U.S. Physician experience symptoms of burnout
(loss of enthusiasm for work, feelings of cynicism, low sense of accomplishment)
“The joy of practicing medicine is gone.”
“I hate being a doctor… I can’t wait to get out.”
“I can’t tell you how defeated I feel.”
“I am no longer a physician but the data manager…”
Burnout rates twice the rate of the general population
Shanafelt, Hasan, Dyrbye, et al., 2015
Impact of Physician Stress/Burnout
Physician irritability/anger with staff
and patients
Poor patient satisfaction and
adherence to physician
recommendations
Reduced standards of patient care
More likely to prescribe inappropriate
medications
Reports of increased medical errors
Worse clinical outcomes
Bodenheimer & Sinsky, 2014; Wallace, Lemaire, & Ghali, 2009
Resilience Strategies of
Experienced Physicians
Found job-related sources of gratification
Leisure time activities to reduce stress
Cultivation of relationships with colleagues, family,
friends
Defining boundaries and limiting work hours
Proactive engagement with the limits of skills,
complications, and treatment errors
Cultivating professionalism
Self-Organization
Personal Reflection and useful attitudes
Spiritual practices
Zwack & Schweitzer, 2013
REVAMP Your
Professional Experience!
Bring(don’t give)
your whole self to work
Positive Well-being:
Complex… but worth it
Positive Well-being:
Complex… but worth it
http://communityhealth.mayoclinic.org/featured-stories/heart-health-lifes-
simple/?utm_source=ECHwebsite&utm_campaign=heart-health-lifes-simple&utm_medium=web&utm_content=twitter
REVAMP Your Professional Experience!
• Relationships
• Engagement
• Vitality
• Accomplishment
• Meaning
• Positive Emotions
REVAMP Your Professional Experience!
• Relationships
• Intimate relationships with close friends and loved ones
• Workplace relationships with colleagues, peers, mentors, and patients
• Our relationship with ourselves
REVAMP Your Professional Experience!
• Engagement
• Create a daily work flow
• Practice mindfulness
• Find your key strengths—and use them.
REVAMP Your Professional Experience!
• Vitality
• Physical activity
• Nutrition
• Sleep
REVAMP Your Professional Experience!
• Accomplishment
• Savor Accomplishments
• Spot the underlying patterns of your personal strengths and how they have contributed
to your successes in life.
• Projected Accomplishments
• 'Achievement-savoring-in-advance‘: Scrapbook future goals with illustrations, photos,
articles.
REVAMP Your Professional Experience!
• Meaning
• The human desire to belong to, connect with, or contribute to something
larger than the self.
• “Nothing is more motivating than progress
in meaningful work” - Teresa Amabile
REVAMP Your Professional Experience!
• Positive emotions
• Resilient people are able to successfully cope with adversity because they use positive emotions to their advantage: humor, creative exploration, relaxation
• Have a Growth Mindset: Practice cognitive strategies to cultivate positive emotions so that you can learn and grow from your difficulties.
• “3 Good Things”: Gratitude increases Positive Emotions and Resilience
• *Medical professionals should never deny, suppress, or ignore the negative emotions induced by personal circumstances or the daily grinds of work, as they are a necessary part of the human experience.
REVAMP Your Professional Experience!
• Relationships
• Engagement
• Vitality
• Accomplishment
• Meaning
• Positive Emotions
Resiliency: Learning to Breathe Under Water
1)Emotional self-awareness (mindfulness)
2)Connection with values