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George A. Bonanno answers a few questions about this month's
new hot paper in the field of Psychiatry/Psychology.
From
•>>March 2005
Field:
Psychiatry/Psychology
Article Title: Loss, trauma, and human resilience - Have we underestimated the human capacity to thrive after extremely aversive events?
Authors: Bonanno, GA
Journal: AMER PSYCHOL
Volume: 59
Page: 20-28
Year: JAN 2004
* Columbia Univ, Dept Counseling & Clin Psychol, Teachers
Coll, 525 W 120th St, Box 218, New York, NY 10027 USA.
* Columbia Univ, Dept Counseling & Clin Psychol, Teachers
Coll, New York, NY 10027 USA.
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Why
do you think your paper is highly cited?
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“If there is a “discovery” in my research (summarized in the paper), it is the simple demonstration that a small subset of people do tend to have genuine and serious emotional difficulties after exposure to an adverse event but also that the majority of people cope extremely well with such events.”
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The simple answer to this question is that the paper reviewed and
formalized a view of human functioning that in retrospect seems
obvious, but for rather complex reasons had been more or less
ignored by researchers and theorists in the relevant areas.
Specifically, the paper argued that humans generally show a clear
ability to thrive in the face of extreme adversity (i.e., loss of
loved ones, violent and life-threatening events, or other
potentially traumatic events). Additionally, the paper was published
in a high-profile journal, the American Psychologist, which
is distributed to all members of the American Psychological
Association. Also, although some of the issues discussed in the
paper were quite complex, I focused the paper on three simple
take-home points.
Does
it describe a new discovery or a new methodology that's useful to
others?
Social scientists have been interested in loss and trauma for
more than a century. Yet, almost all the work on these topics has
focused on maladaptation (i.e., complicated grief reactions, shell
shock, posttraumatic stress disorder). The theoretical pendulum has
swung with the cultural and historical norms. At times, people who
have suffered from extreme aversive events were dismissed as
malingering, and at other times we have been willing to label even
the slightest reaction to a potential stressor as a trauma reaction
worthy of therapeutic intervention. If there is a
"discovery" in my research (summarized in the paper), it
is the simple demonstration that a small subset of people do tend to
have genuine and serious emotional difficulties after exposure to an
adverse event but also that the majority of people cope extremely
well with such events.
Could
you summarize the significance of your paper in layman's terms?
I made three basic points in the article. First, resilience among
adults exposed to loss or trauma represents a distinct response from
that we normally associate with "recovery." That is,
people who are recovering may be thought of as experiencing
sufficient emotional difficulties following such events that they
struggle to maintain normal functioning (i.e., they have
difficulties performing at work or experience disturbances in their
interpersonal relationships) for at least several months or longer,
and only gradually return to their usual or normal levels of
functioning. Resilient people, by contrast, may also struggle a bit
after an aversive event but they are generally able to continue
functioning at or near their normal level almost immediately after
the event. Second, the resilient response is very common and usually
seen in the majority of people exposed to the event. Third, there
are multiple and sometimes unexpected ways to be resilient. This
latter point is my favorite aspect of this work. The literature on
loss and trauma has tended to assume that resilience after extremely
aversive events was a relatively rare response. If that were true,
then we would also assume that resilience would only be seen in
exceptionally healthy people. However, because the data actually
seem to show that resilience is much more common and in fact usually
the modal response to loss or trauma, then we need to also accept
that such a large category of people will be heterogeneous. In other
words, there will be many different types of resilient people who
will probably find many different ways to be resilient. A corollary
of this point is that sometimes people who might not normally be
seen as healthy or well-adjusted might adapt especially well to
unusual and highly aversive events.
How
did you become involved in this research?
I began doing this research almost by accident. I had received my
Ph.D. in clinical psychology from Yale University in 1991, and I was
trying to decide what to do with my career. My dissertation research
had been primarily in the use of experimental methodologies and in
the study of emotions, but I wanted to expand the research to a
topic that was more in tune with my clinical training. An
opportunity arose to join a team of researchers headed by Mardi
Horowitz at the University of California, San Francisco, to study
bereavement reactions. Almost from the onset, it seemed to me that
the theory in this area was out of step with the larger body of
research and theory in psychology. I began to formulate ideas about
resilience and alternative ways of coping with loss, and had the
chance to test these ideas as part of the larger research agenda.
Gradually, as my work progressed, I became more interested in the
broader category of events suggestive of potential trauma.
George A. Bonanno, Ph.D.
Associate Professor of Psychology
Department of Counseling and Clinical Psychology
Teachers College, Columbia University
New York, NY, USA
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ESI Special Topics,
March 2005
Citing URL - http://www.esi-topics.com/nhp/2005/march-05-GeorgeABonanno.html
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